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A cross-sectional survey of mental health clinicians’ knowledge, attitudes, and practice relating to tobacco dependence among young people with mental disorders

Kulkarni, Meghana; Huddlestone, Lisa; Taylor, Anne; Sayal,, Kapil; Ratschen, Elena

Authors

Meghana Kulkarni

Lisa Huddlestone lisa.huddlestone@nottingham.ac.uk

Anne Taylor

Kapil Sayal,

Elena Ratschen



Abstract

BACKGROUND: Mental health services in England are smoke-free by law and expected to provide comprehensive support to patients who smoke. Although clinicians’ knowledge in this area is reported to be limited, research exploring the issue in Child and Adolescent Mental Health Services (CAMHS) is lacking. This study aimed to investigate the knowledge, attitudes, and practice of clinicians working within specialist and highly specialist Child and Adolescent Mental Health Services (CAMHS) relating to tobacco dependence, its treatment and its relation to mental disorder.

METHODS: A cross-sectional survey of clinicians working across all CAMHS teams of a large UK National Health Service mental health Trust.

RESULTS: Sixty clinicians (50% response rate) completed the survey. Less than half (48.3%) believed that addressing smoking was part of their responsibility, and half (50%) asserted confidence in supporting patients in a cessation attempt. Misconceptions relating to smoking were present across all staff groups: e.g. only 40% of respondents were aware of potential interactions between smoking and antipsychotic medications, although psychiatrists were more knowledgeable than non-medical clinicians (91.6% vs 27.1%; OR 3.4, p 

Journal Article Type Article
Publication Date Nov 26, 2014
Journal BMC Health Services Research
Electronic ISSN 1472-6963
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 14
Issue 618
APA6 Citation Kulkarni, M., Huddlestone, L., Taylor, A., Sayal,, K., & Ratschen, E. (2014). A cross-sectional survey of mental health clinicians’ knowledge, attitudes, and practice relating to tobacco dependence among young people with mental disorders. BMC Health Services Research, 14(618), https://doi.org/10.1186/s12913-014-0618-x
DOI https://doi.org/10.1186/s12913-014-0618-x
Keywords Smoking, Mental illness, Tobacco, Addiction, Mental health services
Publisher URL http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-014-0618-x
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons....main/zero/1.0/legalcode

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/publicdomain/zero/1.0/legalcode





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