SMOKEFREEConsumer leadership

Kaaren Beverley R N, Diploma CounsellingHealthy Lifestyle Co-ordinator Buchanan Rehabilitation

Centre

Buchanan Rehabilitation Centre

Specialist mental health, re-covery focussed inpatient service which provides assessments, treatment, and intensive rehabilitation combined with a high level of clinical support in a structured and positive environment

Sub regional, 40 bed service

Clients aged 16 – 65

Most young adults

Average age 17-25

Severe mental illness

Psychosis

Co-existing disorders

Re-covery model consumer led processFits with rehabilitation model of care and skill buildingPowerful voice and role model to breakdown smoking cultureOpportunity to try new approach Literature review to facilitate ongoing research

Why Smokefree Champion?

Engaging smokefree champions

Awareness raising geared to age groupEducation on tobacco related harmSupport to stay smokefreeSurvey demonstrated desire to be smokefree;

(82% have attempted to stop) Peer pressure key smoking factor

Discussion of issues e.g. seeking, tradingSeeking solutions for behavioural issues with

clients

Supports for Smokefree Champions with Policy and Legal Drivers

SFE Legislation workplace smokefree ADHB smokefree policy (buildings and grounds) BRC Tenancy agreement (Houses Smokefree)

National Association of Mental Health Service Consumer Advisors

Key Recommendations1. Smokefree begins in outpatient / community settings2. Consistency of practice3. Therapeutic engagement and support is available in

inpatient units

Ongoing Processes

Smokefree consumer champion team continually evolving (includes both smokers and non smokers)

Consumer role defined by selves with regular support and supervision

Access to smoking cessation clinicRewarding those who respect each other by

keeping smokefree site.Rewarding those clients that quit

What Benefits to Clients?

Clients that are smokefree leaving acute unit feel supported to remain smokefree

Peer Support for clients who are quitting Promoting smokefree message on t shirtsClear message from champion that smoking

harmful to healthPromoting off site smokingConsumer team work

Outcomes

Modelling smokefree behaviourRecord of smoking behaviours directs tobacco

work to care team for supportive interventions

Other clients keen to be smokefree champions

Leads to clients problem solving smoking behavioural issues

Where to from here?

Consumer Smokefree Champion TeamSkill building and access to trainingStrong voice to staff about smokefree service

deliveryRewards and references for those involved in

smokefree champion teamPeer led smoking cessation model

Champions say

M says “that she has more money and feels healthier”.

Being a smokefree champion keeps me smokefree

R says “Smokefree is a good opportunity to keep healthy”

“A wise way is the way to go….

Smoking Cessation and Serious mental illness; Snyder et al, Archives of Psychiatric Nursing, Vol 22,No 5 (October),2008;pp297-304Do social support interventions (“buddy systems") aid smoking cessation? A review; Sylvia May and Robert West,Tob Control 2000 9:415-422 doi 1136/tc.9.4.415Peer counselling in schizophrenia; Patients consult patients, Kluge et al, Patient Education and Counselling 70(2008)357-362

Research