The Provision of Stop Smoking Interventions in General and Psychiatric Hospital Settings ; a service delivery toolkit
Publisher: International Centre for Drug Policy
Published: 2008
Place of publication: London, UK
Description: This service delivery toolkit sets out clear and structured guidance for those wishing to
implement stop smoking interventions within a UK hospital setting. Hospital services are seen
as incorporating not only in-patient care, but also any out-patient clinics and community
services within the hospital organisation.
Table of contents: title: 1. Introduction and Overview 6; title: 1.1 Background 7; title: 1.1.1 Stop Smoking Services in Hospital Settings; title: 1.1.2 Service Implementation and Smoke Free Policy; title: 1.1.3 Production of the toolkit; title: 1.2 Aims of the Toolkit 9; title: 1.3 Who is the toolkit for? 10; title: 1.4 How to use the toolkit 10; title: 1.5 Overview 11; title: 2. Hospital-based Services within the Stop Smoking Service Structure 12; title: 2.1 The structure of stop smoking services in the UK 13; title: 2.1.1 Overview; title: 2.1.2 The place of a hospital based service within the stop smoking service; title: structure; title: 2.2 Establishing effective collaboration with other services 16; title: 3. Establishing the Infrastructure for a Hospital Based Stop Smoking Service 17; title: 3.1 Programme Co-ordination 18; title: 3.2 Identifying a ‘Clinical Champion’ 19; title: 3.3 Establishment of a multidisciplinary working group 20; title: 3.4 Establishment of an infrastructure for programme organisation 21; title: 3.5 Establishment of an infrastructure for staff training 21; title: 3.6 Establishment of a programme monitoring system 22; title: 3.7 Establishing a system for pharmacological support 23; title: 3.8 Resource Planning 24; title: 4. Implementation of a Hospital Based Stop Smoking Service 25; title: 4.1 Key stages in the implementation of a hospital based stop smoking service 26; title: 4.2 Programme launch 27; title: 4.3 Self-assessment within clinical teams 27; title: 4.4 Staff training 29; title: 4.5 Staff support systems 30; title: 4.6 Patient assessment 32; title: 4.7 Intervention 32; title: 4.7.1 Brief intervention; title: 4.7.2 Intensive intervention; title: 4.8 Provision of Pharmacological Support 34; title: 4.9 Provision of intervention pre- and post-discharge 35; title: 5. Programme Implementation: Challenges and Solutions 37; title: 5.1 Introduction 38; title: 5.2 Challenges in all hospital settings: 38; title: 5.2.1 Guidance on Smoke Free Policy; title: 5.2.2 Adherence to no-smoking policy; title: 5.2.3 Staff attitudes and perceptions; title: 5.2.4 Engaging senior staff; title: 5.2.5 Time constraints of senior staff ‘Co-ordinating’ staff members; title: 5.2.6 Pharmacological support; title: 5.2.7 Patient response to service; title: 5.2.8 Establishing and maintaining programme saliency; title: 5.3 Challenges characteristic of psychiatric settings 48; title: 5.3.1 Smoking within the culture of psychiatric care; title: 5.3.2 Admission and discharge; title: 5.3.3 Contact after discharge; title: 5.3.4 Cessation of Smoking and Medication associated with mental health; title: disorders; title: 5.3.5 Smoke Free Policy in Mental Health Settings; title: 6. Frequently Asked Questions 53; title: 7. References and further reading 58; title: Appendices:; title: App.1 Information Resources 63; title: App.2 Self-Assessment Toolkit 65; title: App.3 Patient assessment Tools 83; title: App.4 Learning Module 86