Evaluation of a smoking cessation program for adults with severe mental illness in a public mental health service

Hamish Fibbins; Philip B Ward; Rachel Morell; Oscar Lederman; Scott Teasdale; Kimberley Davies; Bernadette McGuigan; Jackie Curtis

doi:10.1111/jpm.13052

Evaluation of a smoking cessation program for adults with severe mental illness in a public mental health service

J Psychiatr Ment Health Nurs. 2024 Mar 29. doi: 10.1111/jpm.13052. Online ahead of print.

Authors

Hamish Fibbins^{1

2}, Philip B Ward¹, Rachel Morell^{1

2}, Oscar Lederman^{3

4}, Scott Teasdale^{1

2}, Kimberley Davies¹, Bernadette McGuigan³, Jackie Curtis^{1

2

3}

Affiliations

¹ Discipline of Psychiatry and Mental Health, UNSW, Sydney, New South Wales, Australia.
² Mindgardens Neuroscience Network, Sydney, New South Wales, Australia.
³ Keeping the Body in Mind, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
⁴ School of Health Sciences, UNSW, Sydney, New South Wales, Australia.

PMID: 38551076
DOI: 10.1111/jpm.13052

Abstract

What is known on the subject: Smoking rates have decreased in the general population but remain high among people with severe mental illness (SMI).

What the paper adds to existing knowledge: An individualized smoking cessation program was tested with 99 adults with SMI. The program showed it is possible to help people with SMI smoke fewer cigarettes and reduce nicotine addiction. Customized smoking cessation programs are essential for those with high nicotine dependence and mental health challenges.

Implications for practice: Mental health services should offer tailored tobacco cessation programs because these programs can improve the health of people with mental illness who smoke. It is important for mental health services to follow government guidelines and provide evidence-based support.

Abstract: INTRODUCTION: Despite significant reductions in smoking rates in the general population over recent decades, smoking rates remain relatively unchanged among people with SMI.

Aim: To evaluate the feasibility and preliminary effectiveness of the Keep Quitting in Mind pilot program, an individualized smoking cessation program for people experiencing SMI.

Methods: In total, 99 adult participants with SMI and engaged with a community mental health service, participated in the intervention. The intervention included motivational interviewing and goal setting, in addition to provision of pharmaceutical aids (including nicotine replacement therapy).

Results: Analysis determined that the Keep Quitting in Mind pilot program was feasible in a public adult mental health service and participation in the program was associated with reductions in the number of cigarettes smoked daily and level of nicotine addiction.

Discussion: This real-world pilot program demonstrated feasibility and potential effectiveness in reducing smoking among adults with mental illness. Aligning with government guidelines, tailored smoking cessation programs are crucial due to high nicotine dependence and mental health complexities.

Implications for practice: Given the high rates of cigarette smoking by people with mental illness and the cardiometabolic health risks associated with this, mental health services should consider adding evidence-based and bespoke tobacco cessation programs as part of core business.

Keywords: mental disorders; psychosis; smoking; smoking cessation; tobacco.