SMOKEFREE
Consumer leadership
Kaaren Beverley R N, Diploma Counselling
Healthy Lifestyle Co-ordinator Buchanan Rehabilitation
Centre
Buchanan Rehabilitation Centre
 Specialist mental health, re-covery focussed inpatient service
which provides assessments, treatment, and intensive
rehabilitation combined with a high level of clinical support in a
structured and positive environment
 Sub regional, 40 bed service
 Clients aged 16 – 65
 Most young adults
 Average age 17-25
 Severe mental illness
 Psychosis
 Co-existing disorders
Why Smokefree Champion?
Re-covery model consumer led process
Fits with rehabilitation model of care and
skill building
Powerful voice and role model to
breakdown smoking culture
Opportunity to try new approach
Literature review to facilitate ongoing
research
Engaging smokefree champions
Awareness raising geared to age group
Education on tobacco related harm
Support to stay smokefree
Survey demonstrated desire to be smokefree;
(82% have attempted to stop) Peer pressure
key smoking factor
Discussion of issues e.g. seeking, trading
Seeking solutions for behavioural issues with
clients
Supports for Smokefree Champions
with Policy and Legal Drivers



SFE Legislation workplace smokefree
ADHB smokefree policy (buildings and grounds)
BRC Tenancy agreement (Houses Smokefree)
National Association of Mental Health Service Consumer
Advisors
Key Recommendations
1. Smokefree begins in outpatient / community settings
2. Consistency of practice
3. Therapeutic engagement and support is available in
inpatient units
Ongoing Processes
Smokefree consumer champion team
continually evolving (includes both smokers
and non smokers)
Consumer role defined by selves with regular
support and supervision
Access to smoking cessation clinic
Rewarding those who respect each other by
keeping smokefree site.
Rewarding those clients that quit
What Benefits to Clients?
Clients that are smokefree leaving acute unit
feel supported to remain smokefree
Peer Support for clients who are quitting
Promoting smokefree message on t shirts
Clear message from champion that smoking
harmful to health
Promoting off site smoking
Consumer team work
Outcomes
Modelling smokefree behaviour
Record of smoking behaviours directs tobacco
work to care team for supportive
interventions
Other clients keen to be smokefree
champions
Leads to clients problem solving smoking
behavioural issues
Where to from here?
Consumer Smokefree Champion Team
Skill building and access to training
Strong voice to staff about smokefree service
delivery
Rewards and references for those involved in
smokefree champion team
Peer led smoking cessation model
Champions say
M says “that she has more money and feels
healthier”.
Being a smokefree champion keeps me
smokefree
R says “Smokefree is a good opportunity to
keep healthy”
“A wise way is the way to go….
Research
Smoking Cessation and Serious mental
illness; Snyder et al, Archives of Psychiatric
Nursing, Vol 22,No 5 (October),2008;pp297304
Do social support interventions (“buddy
systems") aid smoking cessation? A review;
Sylvia May and Robert West,Tob Control
2000 9:415-422 doi 1136/tc.9.4.415
Peer counselling in schizophrenia; Patients
consult patients, Kluge et al, Patient
Education and Counselling 70(2008)357-362