Smoking bans have been implemented in a variety of settings, as well as being part of policy in many jurisdictions to protect the public and employees from the harmful effects of secondhand smoke (SHS). They also offer the potential to influence social norms and the smoking behaviour of those populations they affect. Since the first version of this review in 2010, more countries have introduced national smoking legislation banning indoor smoking.

Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption

Objective: This paper reviews the findings from 26 international studies that report on the effectiveness of smoking bans in inpatient psychiatric settings. The main aim is to identify which proces...

/pdf/smoking-bans-in-psychiatric-inpatient-settings-a-review-of-2umf88hi6a.pdf

Smoking bans in psychiatric inpatient settings? A review of the research

OBJECTIVE: Despite high rates of tobacco use among psychiatric patients, such patients are one of the least studied groups of smokers, and little is known about their access to cessation treatment. This study examined delivery of tobacco cessation services in a smoke-free inpatient psychiatric setting. METHODS: Medical records of 250 psychiatric inpatients who were admitted from 1998 to 2001 were randomly selected and systematically reviewed. RESULTS: A total of 105 patients (42 percent) were identified as current smokers; the mean±SD number of cigarettes that they smoked per day was 21±15. Smokers evidenced statistically greater agitation and irritability compared with nonsmokers. None of the smokers received a diagnosis of nicotine dependence or withdrawal, and smoking status was not included in treatment planning for any patient. Nicotine replacement therapy was prescribed for 59 smokers (56 percent); of these patients, 54 (92 percent) used it. Smokers who were not given a prescription for nicotine rep...

https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.55.11.1265

Treatment of Tobacco Use in an Inpatient Psychiatric Setting

OBJECTIVE: Health care facilities are increasingly implementing policies that ban smoking. A concern has been raised that these policies may have a negative impact on smokers who are mentally ill or substance dependent. The authors conducted a literature review to analyze the relevant empirical evidence. METHODS: Major health care databases were searched. Major search terms included smoking, smoking cessation, nicotine, health policy, hospital policy, smoke-free policy, psychiatric disorders, and substance use disorders. The search was limited to empirical studies, which were analyzed on the basis of design, the behavioral indicators monitored, and the results of questionnaires. RESULTS AND CONCLUSIONS: A total of 22 investigations of the impact of total or partial smoking bans suggest that the policies have had no major longstanding untoward effect in terms of behavioral indicators of unrest or compliance. However, the policies appear to have had little or no effect on smoking cessation. Smoking cessatio...

https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.53.12.1617

Public Health and Therapeutic Aspects of Smoking Bans in Mental Health and Addiction Settings

Background: This article reports the findings from a comparative study investigating smoking behaviours among institutionalised psychiatric populations from a sociological perspective.Method: The study involved participant observation of two separate Australian sites between 1999 and 2002, the second site serving to generalise the findings from the first site.Discussion and conclusions: Systemic barriers to quitting were identified, emanating from the mental health system in general. Cigarettes were identified as the currency by which economic, social and political exchange took place between participants who described an enculturation process that involved complex processes of reinforcement to smoke. Once entered into, escape from the smoking culture of the settings appeared to be extremely difficult for clients and staff.

Systemic barriers to quitting smoking among institutionalised public mental health service populations: a comparison of two Australian sites.

The United States is in the midst of reevaluating its attitudes toward the smoking of tobacco. Incontrovertible evidence exists of smoking’s widespread and direct negative effects on health. Increasingly, the effects of passive smoking have been documented (1). There has been a trend to restrict or eliminate smoking in both private and government sectors. General hospitals have begun to acknowledge this trend and are becoming more active in health promotion. Many have stopped the sale of cigarettes, have established nonsmoking aeas, and offer programs to help people stop smoking. Descriptions of some clinical programs are available (2), and guidelines for administration of no-smoking units have been presented (3).

A Smoke-Free Psychiatric Unit

A nonsmoking policy on an acute psychiatric unit.

Evolution of smoking policies in Oregon psychiatric facilities.

A Survey of Smoking Policies in Oregon Psychiatric Facilities

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A Smoke-Free Psychiatric Unit

A nonsmoking policy on an acute psychiatric unit.

Evolution of smoking policies in Oregon psychiatric facilities.

A Survey of Smoking Policies in Oregon Psychiatric Facilities