{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:35:47Z","timestamp":1785764147109,"version":"3.56.0"},"reference-count":28,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2012,11,2]],"date-time":"2012-11-02T00:00:00Z","timestamp":1351814400000},"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":["Addiction"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Although smoking prevalence among people with severe mental illness is high, it remains largely unaddressed. This pragmatic pilot project aimed to develop and implement a tailored tobacco dependence service in mental health settings and to assess its impact, as well as barriers and facilitators to implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An integrative service model, spanning acute, rehabilitation and community services, including the design of tailored instruments and referral pathways, delivered by two mental health professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and participants<\/jats:title><jats:p>Four adult acute and two rehabilitation wards (129 beds), and the community recovery team (2038 cases) of the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ingdom's largest <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ental <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>rust.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Audit of smoking information in patient notes; service uptake; quit attempts; smoking cessation and reduction; qualitative data on implementation barriers\/facilitators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>A total of 110 patients attended at least one support session: 53 inpatients (23% of inpatient smokers) and 57 community (of unknown number of community smokers, as recording of smoking status is not mandatory). Thirty\u2010four of these (31%) made a quit attempt; 17 (15%) stopped smoking and 29 (26%) reduced cigarette consumption by up to 50% at the final contact. Barriers to service implementation related to: (i) trust policy, systems and procedures, (ii) staff knowledge and attitudes and (iii) illness\u2010related factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite the strong anti\u2010smoking climate in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ingdom, including a law requiring smoke\u2010free policies in mental health settings, establishing a smoking cessation treatment service for people with mental illness proved difficult, due to complex systemic barriers. However, there is clearly a demand, by patients, for such a service.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1360-0443.2012.04082.x","type":"journal-article","created":{"date-parts":[[2012,11,2]],"date-time":"2012-11-02T14:29:33Z","timestamp":1351866573000},"page":"18-25","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Tailored tobacco dependence support for mental health patients: a model for inpatient and community services"],"prefix":"10.1111","volume":"107","author":[{"given":"Camilla","family":"Parker","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Public Health UK Centre for Tobacco Control Studies University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"McNeill","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Public Health UK Centre for Tobacco Control Studies University of Nottingham  Nottingham UK"},{"name":"King's College London (from 01.10.12)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Ratschen","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Public Health UK Centre for Tobacco Control Studies University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.20.2606"},{"key":"e_1_2_6_3_1","unstructured":"McNeillA.Smoking and mental health: a review of the literature. 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