“ Smokefree ” Inpatient Units

1. “Smokefree” Inpatient Units Best Practice Recommendations from a Consumer Advisor Perspective

2. Fiona Clapham Howard • Coordinating Consumer Advisor, Canterbury DHB • Co-chair, National Association of Mental Health Services Consumer Advisors (NAMSHCA)

3. Expectations • Dialogue – Q&A • Recommendations • Brief background

4. 14% of NZ nurses smoke 29% of NZ mental health nurses are smokers Source: Nurses for a Smokefree Aotearoa/New Zealand

5. At least one-third of all cigarettes sold in NZ are smoked by people with a mental illness Source:Tobias M, Templeton R, Collins S. 2008. How much do mental disorders contribute to New Zealand’s tobacco epidemic? Tobacco Control. Published online 31 July 2008.

6. Smokefree inpatient unit START HERE

7. Begin in outpatient settings • Assessments include nicotine dependence • Support offered to those who want to quit • Advance Directives for coping as an inpatient

9. Consistency • Definition of “smokefree” • Preparation • Information and training • Training the whole MDT – including doctors • Information for stakeholders

11. Engagement & support • Plans for managing dependence • Includes cessation support groups • Engagement available weekends & evenings

12. Questions?