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Empowering psychiatric services to deal with tobacco control

I want to quit. Empowering psychiatric services to deal with tobacco control. Göran Boëthius MD, PhD Tobacco Control Unit Östersund Hospital Sweden Chair Doctors Against Tobacco 13th International Conference on Health Promoting Hospitals Dublin May 19, 2005.

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Empowering psychiatric services to deal with tobacco control

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  1. I want to quit Empowering psychiatric services to deal with tobacco control Göran Boëthius MD, PhD Tobacco Control Unit Östersund Hospital Sweden Chair Doctors Against Tobacco 13th International Conference on Health Promoting Hospitals Dublin May 19, 2005

  2. Smoking rates by mental health disorders (HDA 2004)

  3. Smoking among the mentally ill • Often heavy smokers • Makes them very sick • Social welfare says ”quit first” • Many want to quit • It´s almost impossible to quit without adequate support • It´s almost impossible to get adequate support

  4. Smoking cessation • It´s important to support psychiatric patients in smoking cessation • There are effective treatments • The treatment should be adjusted to the psychiatric patient´s special needs

  5. The Quitting Process I • Plan the cessation process • Strong nicotine dependence • The disease in itself can prolong and complicate the process • Intensive support over a long time

  6. The Quitting Process II • Nicotine replacement therapy (NRT) effective • Bupropion (Zyban) - great care • Depression - risk of new episode • Monitor blood levels of neuroleptics

  7. Policy recommendations for psychiatric care • All psychiatric units should be smoke-free • Provide NRT generously • All professionals should be trained

  8. It´s cynical to treat the psychiatric disorder and leave the patient to die from smoking

  9. For more information Barbro Holm Ivarsson, Psychologists against Tobacco barbro.holm-ivarsson@fhi.se Göran Boëthius, Doctors Against Tobacco goran.boethius@jll.se Katarina Törnqvist, Nurses Against Tobacco katarina.tornqvist@sll.se Carina Altsjö, Pharmacy Against Tobacco carina.altsjo@apoteket.se

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