Psychiatric inpatient unit. A good place for smoking cessation?
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Drug Dependence Unit, Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Catalan Network of Smoke-free Hospitals, Tobacco Control Unit, Cancer Prevention and Control Program, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
Alcohol Unit, Department of Neurosciences, Hospital Clínic de Barcelona, Barcelona, Spain
CAS Drogodependències. Gestió i Prestació de Serveis de Salut, Tarragona, Spain
Hospital Benito Menni, Complex Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
Addictive Behaviours Unit, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain
Department of Clinical Sciences, Universitat de Barcelona, Barcelona, Spain
Drug Dependence Unit, Department of Psychiatry, Hospital Universitari Mútua Terrassa, Terrassa, Spain
The group is also composed by: Francesc Bleda, Eugeni Bruguera, Margarita Cano, Margarita de Castro-Palomino, Montserrat Contel, Rosa Díaz, Teresa Fernández, Francina Fonseca, Olga González, Imma Grau, Rosa Hernández, M. Ángeles López, Isabel de Maria, Concepció Martí, Ana Molano, Núria Palau, Anna Pla, Elisabet Piñas, M. Antònia Raich, Maite Sanz, Susana Subirà, Josep Tristany, Josep Maria Suelves, Araceli Valverde
Publication date: 2018-06-13
Tob. Prev. Cessation 2018;4(Supplement):A170
After the modification of the Spanish law of smoke-free places in 2010 (42/2010), the acute hospital psychiatric wards have become also smoke-free. This fact meant a radical change in conceptualization of tobacco consumption in mental health settings. The Mental Health-Tobacco group of the Catalan Network of Smoke Free Hospitals (XCHsF) promotes actions to raise awareness among professionals, and also motivational and cessation programs for hospitalized patients (PDT-SM).

The PDT-SM program offers to inpatients the possibility to participate in a tobacco cessation treatment at discharge, receiving free medication and psychological treatment for one year. During hospitalization, weekly information group is carried out and nicotine substitution is allowed. At discharge, interested patients follow a multi-component cessation program. Professionals involved in the program, assessed their implication, the produced organizational changes and the usefulness of intervention. Data for 2013-2017 inpatients is presented.

12 participating hospitals: psychiatric units (28.7%) and detoxification (68.2%). 315 included patients: 60.8% males, age: 46.7 (SD 10.0). Tobacco variables: Cig / d 26.5 (SD 12.4). Fagerström test 6,8 (SD 2.3). Richmond test 8.4 (SD 1.5). Carbon monoxide: 18.5 ppm (SD 14.4). Main admission diagnoses were: 48.6% alcohol, 16.8% cocaine, 11.7% affective disorder, 10.4% psychotic disorder. Pathological antecedents: 35.8% respiratory, cardiovascular or oncological pathology. At discharge 48.2% patients were derived to outpatient specialized smoking units. Follow-up results: 67.6% abstinent first week, 45.4% first month, 25.1% third month, 14.4% 6th month and 9.8% in a year. Professionals evaluated the intervention very positively and an increase in awareness to smoking intervention was observed.

Programs as PDT-SM facilitate to perform actions in order to promote smoking cessation in psychiatric units. And even more important, mental health professionals are more aware about the importance of smoking cessation in these patients.

The XCHsF is partially funded by the Government of Catalonia through the Public Health Agency of Catalonia (contract SA-2017-N111).

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