The (unadvertised) role of the cessation adviser in mental health

Author and presenter:
Denise Meldrum
Stop Smoking Link Practitioner, NHS Greater Glasgow and Clyde, Mental Health Partnership, Glasgow, UK

Abstract
Since 26 March 2006 when the law changed in Scotland and Greater Glasgow and Clyde implemented its respective policy there has been a service for staff and patients who want to quit smoking. We have over 1000 beds in mental health in Glasgow and Clyde spread over 11 sites.

Rationale for service:

• Equality and fairness – all other health settings have a service
• Discrimination – we wouldn’t invite wheelchair users to climb stairs – a tailored service is the least we should do
• If smoking exacerbates mental health states then support
  to quit is an essential treatment

Discussion: This presentation explores what the role of the cessation advisor has been in Glasgow in relation to:

• Supporting patients and staff to quit
• Closure of smoke rooms
• Changes in nursing practice

Outcomes:

• Painfully slow culture change
• Rolling with resistance: hostility: sabotage
• We’ve uncovered an enormous need for training
• Dreadful quit statistics but lots of interest and activity.
  Are we measuring the right things?

Conclusion:

• What went well
• What we would do differently if there were a next time

Source of funding: NHS

Declaration of interest: none