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Standard smoking cessation services in sites participating in the SCIMITAR+ trial for people with severe mental ill health

  • Paul Heron (a1), Tayla McCloud (a2), Catherine Arundel (a3), Della Bailey (a1), Suzy Ker (a4), Jinshuo Li (a1), Masuma Mishu (a1), David Osborn (a2) (a5), Steve Parrott (a1), Emily Peckham (a1), Alison Stribling (a6) and Simon Gilbody (a1)...

Abstract

Aims and method

The SCIMITAR+ trial was commissioned to evaluate the effectiveness of a bespoke smoking cessation intervention for people with severe mental ill health compared with usual services. It is difficult to define what constitutes usual care in smoking cessation services. We aimed to define what this was during the trial. Twenty-two National Health Service healthcare providers participated in a bespoke survey asking about usual care in their area.

Results

All sites offered smoking cessation support; however, service provider and service type varied substantially. In some cases services were not streamlined, meaning that people received smoking cessation counselling from one organisation and smoking cessation medication from another.

Clinical implications

To better implement the National Institute for Health and Care Excellence guideline PH48, clearer referral pathways need to be implemented and communicated to patients, staff and carers. People with severe mental ill health need to be able to access services that combine nicotine replacement therapy and behavioural support in a streamlined manner.

Declaration of interest

None.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http://creativecommons.org/licenses/by-nc-sa/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.

Corresponding author

Correspondence to Paul Heron (paul.heron@york.ac.uk)

References

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1Cheeseman, H, Harker, K. The Stolen Years. Action on Smoking and Health, 2016 (https://www.smokefreenurses.org.nz/site/nursesaotearoa/ASH_1018.pdf).
2Scott, D, Happell, B. The high prevalence of poor physical health and unhealthy lifestyle behaviours in individuals with severe mental illness. Issues Ment Health Nurs 2011; 32(9): 589–97.
3Campion, J, Shiers, D, Britton, J, Gilbody, S, Bradshaw, T. Primary Care Guidance on Smoking and Mental Disorders – 2014 Update. Royal College of General Practitioners and Royal College of Psychiatrists, 2014 (https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/policy/primary-care-guidance-on-smoking-and-mental-disorders-2014-update.pdf?sfvrsn=5824ccd5_2).
4National Institute for Health and Care Excellence (NICE). Smoking: Acute, Maternity and Mental Health Services. NICE, 2013 (https://www.nice.org.uk/guidance/ph48/resources/smoking-acute-maternity-and-mental-health-services-pdf-1996364658373).
5Krishnan, R, Jones, D, Watson, S, Garnham, H. Smokefree Mental Health Services in England: Implementation Document for Providers of Mental Health Services. Public Health England, 2016 (https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/779497/SF_MH_services_in_England__Guidance_for_Providers.pdf).
7Peckham, E, Arundel, C, Bailey, D, Brownings, S, Fairhurst, C, Heron, P, et al. Smoking Cessation Intervention for Severe Mental Ill Health Trial (SCIMITAR+): study protocol for a randomised controlled trial. Trials 2017; 18(1): 44.
8Gilbody, S, Peckham, E, Man, MS, Mitchell, N, Li, J, Becque, T, et al. Bespoke smoking cessation for people with severe mental ill health (SCIMITAR): a pilot randomised controlled trial. Lancet Psychiatry 2015; 2(5): 395402.
9Knowles, S, Planner, C, Bradshaw, T, Peckham, E, Man, MS, Gilbody, S. Making the journey with me: a qualitative study of experiences of a bespoke mental health smoking cessation intervention for service users with serious mental illness. BMC Psychiatry 2016; 16: 193.
10Bradshaw, T, Davies, E, Stronach, M, Richardson, K. Helping people with serious mental illness to cut down or stop smoking. Ment Health Pract 2014; 17(6): 1420.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Standard smoking cessation services in sites participating in the SCIMITAR+ trial for people with severe mental ill health

  • Paul Heron (a1), Tayla McCloud (a2), Catherine Arundel (a3), Della Bailey (a1), Suzy Ker (a4), Jinshuo Li (a1), Masuma Mishu (a1), David Osborn (a2) (a5), Steve Parrott (a1), Emily Peckham (a1), Alison Stribling (a6) and Simon Gilbody (a1)...
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