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Investigating change in non-government mental health service organisations’ ‘smoke-free’ attitudes and practice in New Zealand

Published online by Cambridge University Press:  31 March 2014

Penny Marlowe  and
Janine Paynter
Penny Marlowe*
Affiliation:
Northern Regional Alliance
Janine Paynter
Affiliation:
University of Auckland
*
Address for correspondence: Penny Marlowe, Regional Smokefree Coordinator, Mental Health and Addictions, Northern Regional Alliance, PO Box 112147, Penrose, Auckland, 1642, New Zealand. [email protected]
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Abstract

Smoking prevalence amongst service users from the mental health and addictions sectors is higher than the general population. Cross-sectional web- or paper-based surveys comprising open and closed response options were used to examine changes in prevailing attitudes and practices amongst non-government mental health service staff and users. Thematic analysis was used to interpret and present open response answers. Multi-variate logistic models were used to investigate which factors are associated with smoke-free attitudes and practices. Staff who smoke were found to be less likely to provide cessation support to clients (AOR 0.51, 95% CI 0.31–0.82) and gave significantly lower estimates of the percentage of clients who wish to stop smoking (30% vs 44%, p < 0.0001). Those who had completed cessation training also had more positive views about the importance of providing cessation support and service user desire to stop smoking. Staff who had not completed cessation training had significantly lower odds of reporting they carried out quit smoking support often and routinely (AOR 0.33, 95% CI 0.23–0.47) The results suggest that continuing improvement will be enabled by increasing rates of cessation training amongst staff of mental health and addictions non-government organisations. In addition, there is a need for increased incentive and support for staff who smoke to quit.

Type
Articles
Information
Journal of Smoking Cessation , Volume 10 , Issue 2 , December 2015 , pp. 124 - 134
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

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