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首页> 外文期刊>International Journal of Environmental Research and Public Health >Achieving Smoke-Free Mental Health Services: Lessons from the Past Decade of Implementation Research
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Achieving Smoke-Free Mental Health Services: Lessons from the Past Decade of Implementation Research

机译：实现无烟心理健康服务：近几十年实施研究的经验教训

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摘要

The culture of smoking by patients and staff within mental health systems of care has a long and entrenched history. Cigarettes have been used as currency between patients and as a patient management tool by staff. These settings have traditionally been exempt from smoke-free policy because of complex held views about the capacity of people with mental disorder to tolerate such policy whilst they are acutely unwell, with stakeholders’ continuing fierce debate about rights, choice and duty of care. This culture has played a significant role in perpetuating physical, social and economic smoking associated impacts experienced by people with mental disorder who receive care within mental health care settings. The past decade has seen a clear policy shift towards smoke-free mental health settings in several countries. While many services have been successful in implementing this change, many issues remain to be resolved for genuine smoke-free policy in mental health settings to be realized. This literature review draws on evidence from the international published research, including national audits of smoke-free policy implementation in mental health units in Australia and England, in order to synthesise what we know works, why it works, and the remaining barriers to smoke-free policy and how appropriate interventions are provided to people with mental disorder.
机译：心理健康保健系统中的患者和工作人员的吸烟文化具有漫长而根深蒂固的历史。香烟已被用作患者之间的货币，并作为员工的患者管理工具。这些设置传统上是免于无烟政策，因为复杂的持有人的观点，关于有精神障碍的人们忍受这种政策的人，同时他们急性不适，利益相关者继续对权利，选择和责任的争论。这种文化在延长了在​​精神疗养保健环境中受到护理的精神疾病的人们经历的身体，社会和经济吸烟的相关影响方面发挥了重要作用。过去十年在几个国家的无烟心理健康环境中看到了明确的政策转变。虽然许多服务在实现这一变革方面取得了成功，但对于在待实现的心理健康环境中的真正无烟政策中，仍有许多问题仍有待解决。该文献综述利用了国际公布研究的证据，包括澳大利亚和英格兰的心理健康单位的无烟政策实施的国家审计，以综合我们所知道的工作，为什么它有效，以及吸烟的剩余障碍 - 自由政策以及如何向有精神障碍提供适当的干预措施。

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