2013 issue 2

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Volume 22, issue 2

Original article

Implementation of the no-smoking law in psychiatric hospitals in Poland after 18 months: preliminary pilot monitoring results

Tomasz Szafrański1, Marek Jarema1
1. III Klinika Psychiatryczna, Instytut Psychiatrii i Neurologii, Warszawa
Postępy Psychiatrii i Neurologii 2013; 22(2): 93-101
Keywords: smoking cessation, mental health service, implementation smoke-free

Abstract

Aim. In 2010 a no-smoking law removing an exemption for mental health institutions was introduced in Poland. This report summarizes the initial monitoring results, and offers preliminary observations about the first 18 months of the law’s implementation.
Methods. A questionnaire was circulated to psychiatric hospitals and psychiatric wards to gather information about the level of implementation of the no-smoking law. Also, we asked for information about the accessibility and sources of financing for smoking cessation therapy and pharmacotherapy.
Results. The results are based on the questionnaires send back from 33 wards and hospitals from 8 provinces (voivodeships) in Poland. A total smoking ban was introduced in 10% of the institutions, mainly addiction and child psychiatry units. Eighty five per cent of the institutions had not introduced any therapeutic smoking cessation programs. Also, no pharmacological smoking cessation drugs were accessible in ninety four per cent of the institutions monitored. In 2011 hospitals and psychiatric wards received no additional financing for the implementation of the no-smoking law. A majority of psychiatrists considers that implementation of the no-smoking law in psychiatric institutions is impossible.
Conclusions. Since 2010, when the no-smoking law removing an exemption for mental health institutions was introduced, there has been no significant progress in the implementation of the policy or towards making the indoor premises of mental health institutions smoke-free.