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SMOKEFREE Consumer leadership

SMOKEFREE Consumer leadership. Kaaren Beverley R N, Diploma Counselling Healthy Lifestyle Co-ordinator Buchanan Rehabilitation Centre. Buchanan Rehabilitation Centre.

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SMOKEFREE Consumer leadership

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  1. SMOKEFREEConsumer leadership Kaaren Beverley R N, Diploma Counselling Healthy Lifestyle Co-ordinator Buchanan Rehabilitation Centre

  2. Buchanan Rehabilitation Centre • Specialist mental health, re-covery focussed inpatient service which provides assessments, treatment, and intensive rehabilitation combined with a high level of clinical support in a structured and positive environment • Sub regional, 40 bed service • Clients aged 16 – 65 • Most young adults • Average age 17-25 • Severe mental illness • Psychosis • Co-existing disorders

  3. Why Smokefree Champion? • Re-covery model consumer led process • Fits with rehabilitation model of care and skill building • Powerful voice and role model to breakdown smoking culture • Opportunity to try new approach • Literature review to facilitate ongoing research

  4. Engaging smokefree champions • Awareness raising geared to age group • Education on tobacco related harm • Support to stay smokefree • Survey demonstrated desire to be smokefree; (82% have attempted to stop) Peer pressure key smoking factor • Discussion of issues e.g. seeking, trading • Seeking solutions for behavioural issues with clients

  5. Supports for Smokefree Champions with Policy and Legal Drivers • SFE Legislation workplace smokefree • ADHB smokefree policy (buildings and grounds) • BRC Tenancy agreement (Houses Smokefree) National Association of Mental Health Service Consumer Advisors Key Recommendations • Smokefree begins in outpatient / community settings • Consistency of practice • Therapeutic engagement and support is available in inpatient units

  6. Ongoing Processes • Smokefree consumer champion team continually evolving (includes both smokers and non smokers) • Consumer role defined by selves with regular support and supervision • Access to smoking cessation clinic • Rewarding those who respect each other by keeping smokefree site. • Rewarding those clients that quit

  7. What Benefits to Clients? • Clients that are smokefree leaving acute unit feel supported to remain smokefree • Peer Support for clients who are quitting • Promoting smokefree message on t shirts • Clear message from champion that smoking harmful to health • Promoting off site smoking • Consumer team work

  8. Outcomes • Modelling smokefree behaviour • Record of smoking behaviours directs tobacco work to care team for supportive interventions • Other clients keen to be smokefree champions • Leads to clients problem solving smoking behavioural issues

  9. Where to from here? • Consumer Smokefree Champion Team • Skill building and access to training • Strong voice to staff about smokefree service delivery • Rewards and references for those involved in smokefree champion team • Peer led smoking cessation model

  10. Champions say • M says “that she has more money and feels healthier”. • Being a smokefree champion keeps me smokefree • R says “Smokefree is a good opportunity to keep healthy” • “A wise way is the way to go….

  11. Research • Smoking Cessation and Serious mental illness; Snyder et al, Archives of Psychiatric Nursing, Vol 22,No 5 (October),2008;pp297-304 • Do social support interventions (“buddy systems") aid smoking cessation? A review; Sylvia May and Robert West,Tob Control 2000 9:415-422 doi 1136/tc.9.4.415 • Peer counselling in schizophrenia; Patients consult patients, Kluge et al, Patient Education and Counselling 70(2008)357-362

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