Smoke-free mental health services in Scotland: exploring the implementation guidance

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Smoke-free mental health services in : exploring the implementation guidance 17 th May 2011, Jury s Inn Hotel, Glasgow Overview The Smoking and Mental Health Working Group Meeting (SMHWG) held at Jury s Inn in Glasgow on 17 th May was well received by the 65 attendees. The meeting took the form of a seminar and workshop that allowed cessation practitioners and service managers from within NHS mental health settings to learn from the experiences of those already implementing smoke-free policies in residential mental healthcare settings. The event was supported by NHS Health and Celia Gardiner, Health Improvement Programme manager (Tobacco) started the meeting with an introduction to the new guidance on going smoke-free. http://www.healthscotland.com/documents/5041.aspx Matthew Clark, from the Southern General in Glasgow outlined how a smokefree internal environment was created in their psychiatric wards and Yvonne Cameron from Ailsa Hospital in Ayrshire described the practical steps taken to achieve a move towards smoke-free buildings in her hospital. Mary-Grace Burinski outlined the training available and under development at PATH and Susan Downie from NHS Ayrshire and Arran described some moving case studies of patients who have given up smoking with the support of Stopsmoking Services. Discussion was stimulated by reference to the scenarios to be found in the implementation guidance. The guidance itself attempts to identify good practice and offer information to negate much of the misinformation circulating about smoking and mental health and in creating smoke-free buildings and grounds. However, becoming a smoke-free hospital is a process that involves leadership, consultation and the participation of stakeholders in each establishment. Therefore there are many routes to smoke-free with some areas expected to take longer than others to reach the goal of a smoke-free mental healthcare service.

PowerPoint presentations are available on the ASH website http://www.ashscotland.org.uk/projects/inequalities/smoking-and-mental-healthworking-group Evaluation of the learning day Sixty-five people from a balance of management and cessation practice attended the event and 44 submitted an evaluation form. 93% rated the event excellent or good with 91% rating the speakers excellent or good. 67% said that the content of the day was very useful to their work. Delegates said: continued support is required to ensure that a broad range of stakeholders continues to be engaged and included in planning and improving policy and implementation. more support is needed to cater for patients under section or special observation. further opportunities to learn from others and discuss special difficulties are required, perhaps with the involvement of service users more information on the cessation treatments and support available to patients would be helpful to aid the understanding of staff voluntary and community sector organisations should be better represented at future updates. Further information For enquiries relating to the Smoke-free Mental Health Services in guidelines contact Celia Gardiner, Health Improvement Programme Manager (Tobacco), NHS Health, 0131 313 7523 celia.gardiner@nhs.net. For enquiries relating to the STCA Smoking and Mental Health Working Group or to contact presenters or delegates contact Marion McGovern, Projects and Communications Administrator, ASH, 0131 225 9461 marion@ashscotland.org.uk. For enquiries relating to Stop Smoking brief advice and stop-smoking training contact Mary-Grace Burinski, Senior training and Development Officer, ASH, 0131 225 9475 MBurinski@ashscotland.org.uk.

Delegate list ASH STAFF 1. Linda Bates, Projects Officer, ASH 2. Jennifer Black, Alliances Administrator, ASH 3. Mary-Grace Burinski, Senior Training & Development Officer, ASH 4. Marion McGovern, Project & Communications Administrator, ASH 5. David Robertson, Alliance Manager, ASH 6. Maddie Stark, Senior Training & Development Officer, ASH DELEGATES 7. Alistair Barclay, Lead Nurse, Renfrewshire CHP 8. John Barnett, Clinical Services Manager, NHS Highland 9. Linda Beswick, Nursing Assistant, NHS GG&C 10. Gillian Bruce, Lead Smoke Cessation Nurse, NHS Forth Valley 11. Alex Buchanan, Lead Nurse Support, NHS GG&C 12. Yvonne Cameron, Staff Nurse, NHS Ayrshire & Arran 13. Matt Clark, Ward Manager, NHS GG&C 14. Louise Cochrane, Staff Nurse, NHS Grampian 15. Mary Colvin, Health Promotion Programmes Manager, NHS Tayside 16. Gerry Crawley, Stop Smoking Advisor, NHS GG&C 17. Roseann Creaney, Staff Nurse, NHS GG&C 18. James Dalrymple, Senior Nurse Practitioner, Partnerships In Care 19. Maureen Devine, Health Improvement Practitioner (Smoking Cessation), NHS GG&C 20. Mike Diamond, Social Work Officer, Mental Welfare Commission 21. Ian Dickie, Smoking Cessation Advisor, The State Hospital 22. Susan Downie, Health Promotion Officer, NHS Ayrshire & Arran 23. Lesley Duff, Stop Smoking Nurse Advisor, NHS Lothian

24. George Durnan, Smoking Cessation Advisor Mental Health, NHS Highland 25. Geoff Earl, CPN, Edinburgh CHP 26. Bill Edwards, Senior Health Promotion Officer, NHS Tayside 27. Julia Ferrari, Ward Manager, Forth Valley NHS 28. Liz Ferries, CMHN, NHS Ayrshire & Arran 29. Kent Flanighan, Stop Smoking Specialist, Northumberland Care Trust 30. Celia Gardiner, Health Improvement Programme Manager (Tobacco), NHS Health 31. John Glen, Policy Adviser, Scottish Government 32. Alan Gowie, Clinical Area Manager, NHS Highland 33. Suzanne Graham, Smoking Cessation Advisor, The State Hospital 34. Patricia Graham, Ward Manager, Glasgow Addiction Service 35. Karen Gray, Health Improvement Senior, Glasgow City CHP 36. Tim Grundy, Charge Nurse, NHS GG&C 37. Tommy Harrison, Project Nurse, NHS GG&C 38. Paul Henry, Registered Mental Health Nurse, NHS Lanarkshire 39. Hugh Hill, Hospital Manager, Partnerships In Care 40. Mike Hutchison, Head on Mental Health & Learning Disabilities, Western Isles NHS 41. Maureen Indoo, Nursing Projects Coordinator, GG&C NHS 42. Lyn Irvine-Brinklow, Smoking Cessation Specialist Mental Health, NHS Grampian 43. Brian Keil, Clinical Area Manager, NHS Highland 44. Eleanor Kellock, Deputy Ward Manager, NHS GG&C 45. Sue Kheda, Smoking Cessation Coordinator, NHS Lothian 46. Sheila MacDougall, Risk & Safety Manager, NHS Borders 47. Maxine MacDougall, Registered Mental Health, NHS Lanarkshire 48. Siobhan Mackay, Policy Adviser, Scottish Government 49. Pamela Macnair, Head Occupational Therapist, Bellsdyke Hospital 50. Helen Martin, Staff Nurse, Ayrshire & Arran NHS

51. Catherine McAuley, Ward Manager, NHS GG&C 52. Sheila McFadyen, Stop Smoking Specialist Nurse, NHS Lanarkshire 53. Denise Meldrum, Stop Smoking Link Practitioner, NHS GG&C 54. Nicola Menday, Staff Nurse, NHS GG&C 55. Jayne Millar, Inclusion & Development Worker, Huntly Mental Health Ltd 56. Emma Newall, Staff Nurse, NHS Lanarkshire 57. Joanne O Donnell, Smoking Cessation Coordinator, Western Isles NHS 58. Jane Oliver, Health Improvement Programme Officer, NHS Health 59. Graham Paul, Ward Manager, NHS Lanarkshire 60. Ken Quinn, Senior Nurse, NHS Fife 61. Paula Riley, Senior Charge Nurse, NHS Dumfries & Galloway 62. Brian Robertson, Senior Charge Nurse, NHS GG&C 63. Alan Simpson, Charge Nurse, NHS Lanarkshire 64. Morris Smart, Charge Nurse, NHS GG&C 65. June Thornhill, Staff Nurse, NHS Ayrshire & Arran 66. Kevin Tolland, Senior Charge Nurse, NHS GG&C, Forensic Directorate 67. Alasdair Walker, Service Manager, NHS Grampian 68. Philip G E Wild, Ward Manager, NHS Grampian 69. Jackie Willis, Manager - Health Behaviours Team, NHS Health 70. Margaret Wylie, Nursing Assistant, NHS Dumfries & Galloway