{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T20:47:22Z","timestamp":1770065242425,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,7,17]],"date-time":"2013-07-17T00:00:00Z","timestamp":1374019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tobacco smoking is common among people with mental illnesses, and they carry a higher burden of smoking\u2010related illnesses. Despite this, smoke\u2010free policies and systems for supporting cessation have proved difficult to introduce in mental health and drug and alcohol services (<jats:styled-content style=\"fixed-case\">MHDAS<\/jats:styled-content>). This paper examines the barriers to becoming smoke free within <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ew <jats:styled-content style=\"fixed-case\">Z<\/jats:styled-content>ealand services. Key informants, including staff, smoke\u2010free coordinators, and cessation specialists were interviewed. Of the 142 invited informants 61 agreed (42%) to participate in a telephone interview, and 56 provided useable data. Organizations had a permissive or transitioning smoking culture, or were smoke free, defined by smoke\u2010free environments, smoke\u2010free\u2010promoting attitudes and behaviours of management and staff, and cessation support. Most organizations were on a continuum between permissive and transitional cultures. Only eight services had a fully smoke\u2010free culture. <jats:styled-content style=\"fixed-case\">MHDAS<\/jats:styled-content> face many challenges in the transition to a smoke\u2010free culture. They are not helped by exemptions in smoke\u2010free policies for mental health services, staff smoking, negative staff attitudes to becoming smoke free, poor knowledge of nicotine dependence, smoking\u2010related harm and comorbidities, and poor knowledge and skills regarding cessation\u2010support options. Health inequalities will continue across both service and socioeconomic divides without a concerted effort to address smoking.<\/jats:p>","DOI":"10.1111\/inm.12035","type":"journal-article","created":{"date-parts":[[2013,7,17]],"date-time":"2013-07-17T04:34:44Z","timestamp":1374035684000},"page":"183-191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Transition to a smoke\u2010free culture within mental health and drug and alcohol services: A survey of key stakeholders"],"prefix":"10.1111","volume":"23","author":[{"given":"Marewa","family":"Glover","sequence":"first","affiliation":[{"name":"Centre for Tobacco Control Research School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trish","family":"Fraser","sequence":"additional","affiliation":[{"name":"Global Public Health  Glenorchy New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Bullen","sequence":"additional","affiliation":[{"name":"National Institute for Health Innovation School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Wallace\u2010Bell","sequence":"additional","affiliation":[{"name":"Health Sciences Centre University of Canterbury  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayden","family":"McRobbie","sequence":"additional","affiliation":[{"name":"School of Public Health and Psychosocial Studies Auckland University of Technology  Auckland New Zealand"},{"name":"Wolfson Institute of Preventive Medicine Queen Mary University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgy","family":"Hadwen","sequence":"additional","affiliation":[{"name":"Centre for Tobacco Control Research School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,17]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Action on Smoking and Health (ASH) UK(2013).Smoking and mental health: Factsheet. 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