Patient reactions to A no smoking policy in a community mental health center

The prevalence of cigarette smoking in a CMHC population was surveyed and patient attitudes and affective reactions regarding the implementation of a no smoking policy were assessed. The prevalence of smoking (80-84%) was in line with previous reports which have suggested that an extraordinarily hig...

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Bibliographic Details
Published in:Community mental health journal 1989, Vol.25 (1), p.71-77
Main Authors: MAIURO, R. D, MICHAEL, M. C, VITALIANO, P. P, CHILES, J. A, DAVIS, P. M
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Attitude
Biological and medical sciences
Community Mental Health Centers
Consumer Behavior
Female
Follow-Up Studies
Health Policy
Humans
Male
Medical sciences
Mental health
Mental institutions
Patients
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Smoking
Smoking cessation
Smoking Prevention
Surveys and Questionnaires
Tuition
Washington
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Summary:The prevalence of cigarette smoking in a CMHC population was surveyed and patient attitudes and affective reactions regarding the implementation of a no smoking policy were assessed. The prevalence of smoking (80-84%) was in line with previous reports which have suggested that an extraordinarily high percentage of psychiatric patients engage in cigarette smoking. Significant differences were observed between smokers' and nonsmokers' reactions to the no smoking policy which resulted partially from negative reactions by smokers but also from positive reactions by nonsmokers. Although a slight decrease in client satisfaction was observed, the emotional reactions of smokers were generally not clinically substantive. A 16 month follow-up survey of clinicians further supported the idea that the negative reactions of smokers were not of major magnitude and were probably transitory. The authors conclude that the primary effects of a mental health center smoking policy may be the protection of the service environment and improvements in the well-being of nonsmoking patients and staff who would otherwise be at risk for the effects of second hand smoke.
ISSN:0010-3853
1573-2789
DOI:10.1007/BF00752445