Authors: Laura Twyman, Scott Walsberger, Amanda L Baker, Billie Bonevski, Tackling Tobacco Mental Health Advisory Group
Event: 2019 TheMHS Conference
Subject: Building Healthy Communities by embedding smoking care within mental health care: A research trial of an organisational change framework in community managed mental health organisations.
Type of resource: Conference Presentations and Papers
Laura is a behavioural scientist who works across tobacco cessation and policy issues at Cancer Council NSW. Laura's PhD thesis focussed on tobacco use and the social determinants of health. Laura’s passion lies in optimising the delivery of tobacco cessation support within health and community sectors through systems approaches.
Embedding smoking care within community managed mental health organisations (CMOs) requires organisational and workplace culture change. This research trial explored the effectiveness of an organisational change program at increasing the provision of smoking care in CMOs.
The trial was conducted in 26 CMOs in New South Wales. Following the development of draft guidelines, all services developed tailored project plans identifying organisational changes required to address tobacco. Organisational strategies utilised included leadership, data collection, policy, supportive systems, training and provision of consistent quit support. Services received a high or low intensity version of the organisational change program over six months.
This paper will report on the successes and challenges experienced in embedding smoking care, including the impact on staff and consumers’ smoking status, attitudes and preferences for support (captured at baseline, six and nine-month follow up). Process measures will be reported including services’ performance against their project plans and draft guidelines.
The results of this trial demonstrate that organisational change programs increase services’ capacity to provide smoking care through adherence to draft guidelines for the CMO sector. The learnings from this trial inspire hope and contribute to building healthy communities by improving the physical health of people living with mental illness.
Learning Objective 1: Attendees will be able to articulate the evidence for organisational change approaches to embedding smoking care within mental health care and name at least two practical and measurable strategies that support this organisational change
Learning Objective 2: Attendees will be able to describe the contribution of tobacco use to the disparity in the physical health and wellbeing of people living with mental illness and the concept of addressing tobacco as a social justice issue
References Bonevski, B. (2014). "System-centred tobacco management: from 'whole-person' to 'whole-system' change." Drug Alcohol Rev 33(1): 99-101.
Thomas, D., M. J. Abramson, B. Bonevski and J. George (2017). "System change interventions for smoking cessation." Cochrane Database Syst Rev 2: Cd010742.