{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:42:07Z","timestamp":1782819727163,"version":"3.54.5"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,2,3]],"date-time":"2017-02-03T00:00:00Z","timestamp":1486080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008810","name":"NSW Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008810","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1041131"],"award-info":[{"award-number":["APP1041131"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reducing the burden of physical illness among people living with severe mental illnesses (<jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>) is a key priority. Smoking is strongly associated with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>s resulting in excessive smoking related morbidity and mortality in smokers with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>. Smoking cessation advice and assistance from mental health practitioners would assist with reducing smoking and smoking\u2010related harms in this group. This study examined the attitudes and practices of Australian mental health practitioners towards smoking cessation and tobacco harm reduction for smokers with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>, including adherence to the 5As (ask, assess, advise, assist and arrange follow up) of smoking cessation. We surveyed 267 Australian mental health practitioners using a cross\u2010sectional, online survey. Most practitioners (77.5%) asked their clients about smoking and provided health education (66.7%) but fewer provided direct assistance (31.1\u201339.7%). Most believed that tobacco harm reduction strategies are effective for reducing smoking related risks (88.4%) and that abstinence from all nicotine should not be the only goal discussed with smokers with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content> (77.9%). Many respondents were unsure about the safety (56.9%) and efficacy (39.3%) of e\u2010cigarettes. Practitioners trained in smoking cessation were more likely (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 2.9, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.5\u20135.9) to help their clients to stop smoking. Community mental health practitioners (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.3, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.1\u20130.9) and practitioners who were current smokers (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 0.3, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.1\u20130.9) were less likely to adhere to the 5As of smoking cessation intervention. The results of this study emphasize the importance and need for providing smoking cessation training to mental health practitioners especially community mental health practitioners.<\/jats:p>","DOI":"10.1111\/inm.12314","type":"journal-article","created":{"date-parts":[[2017,2,4]],"date-time":"2017-02-04T05:00:22Z","timestamp":1486184422000},"page":"247-257","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Australian mental health care practitioners\u2019 practices and attitudes for encouraging smoking cessation and tobacco harm reduction in smokers with severe mental illness"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0205-1309","authenticated-orcid":false,"given":"Ratika","family":"Sharma","sequence":"first","affiliation":[{"name":"School of Public Health The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Meurk","sequence":"additional","affiliation":[{"name":"School of Public Health The University of Queensland Brisbane Queensland Australia"},{"name":"Policy and Epidemiology Group Queensland Centre for Mental Health Research Archerfield Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Bell","sequence":"additional","affiliation":[{"name":"School of Public Health The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Ford","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coral","family":"Gartner","sequence":"additional","affiliation":[{"name":"School of Public Health The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,3]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"AMA. 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