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Brief Reports   |    
Smoking Cessation Care Provision and Support Procedures in Australian Community Mental Health Centers
Amy Elizabeth Anderson, B.Psych.; Jenny A. Bowman, M.Psych. (Clin.), Ph.D.; Jenny Knight, M.Med.Sc.; Paula M. Wye, B.Psych., Ph.D.; Margarett Terry, B.A., M.Psych. (Clin.); Sonya Grimshaw, B.Psych.; John H. Wiggers, B.A., Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201200213
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Ms. Anderson, Ms. Knight, and Professor Wiggers are affiliated with the School of Medicine and Public Health, and Dr. Bowman, Dr. Wye, and Ms. Grimshaw are with the School of Psychology, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia (e-mail: amy.anderson@newcastle.edu.au). Ms. Anderson, Dr. Bowman, Ms. Knight, and Professor Wiggers are also with Hunter Medical Research Institute, New Lambton, New South Wales, Australia. Dr. Wye is also with Hunter New England Population Health, Wallsend, New South Wales. Ms. Terry is with Mental Health Services, Hunter New England Local Health District, Waratah, New South Wales.

Copyright © 2013 by the American Psychiatric Association


Objective  The study assessed the association of supportive clinical systems and procedures with smoking cessation care at community mental health centers.

Methods  Managers (N=84) of community mental health centers in New South Wales, Australia, were asked to complete a survey during 2009 about smoking cessation care.

Results  Of the 79 managers who responded, 56% reported that the centers assessed smoking for over 60% of clients, and 34% reported that more than 60% of clients received minimum acceptable smoking cessation care. They reported the use of guidelines and protocols (34%), the use of forms to record smoking status (65%), and the practice of always enforcing smoking bans (52%). Minimum acceptable smoking cessation care was associated with encouraging nicotine replacement therapy for staff who smoke (odds ratio [OR]=9.42), using forms for recording smoking status (OR=5.80), and always enforcing smoking bans (OR=3.82).

Conclusions  Smoking cessation care was suboptimal, and additional supportive systems and procedures are required to increase its delivery.

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Table 1Characteristics of community mental health centers and association with minimum acceptable smoking cessation care
Table Footer Note

a Characteristics were reported by managers of community mental health centers.

Table Footer Note

b Pearson’s chi square or univariate logistic regression (df=1).

Table Footer Note

c Variables with p values <.25 in the univariate logistic regression or Pearson's chi square were entered into the multivariate logistic regression model by using a forward stepwise approach.



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