SMOKEFREE Consumer leadership Kaaren Beverley R N, Diploma Counselling Healthy Lifestyle...
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Transcript of SMOKEFREE Consumer leadership Kaaren Beverley R N, Diploma Counselling Healthy Lifestyle...
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