NGO Smokefree Project Update and News November 2014 Last Forum • Would like more: – Personal smokefree journeys • Both service users and staff • No Butts – more stories welcome! • Forum programme – Organisational smokefree journeys – what has worked? • More specialist support • Breakfree smokefree service now operational! • Providing support to smoking cessation services • Working with specialist stop smoking practitioners so better support can be provided to mental health and addiction service users Last Forum • Clarifying the requirements around asking smoking status during recruitment process • Specialist advice provided via this Forum • More information available on medications • Varenicline paper developed in conjunction with Denise Barlow and circulated • The new MoH Guidelines for Helping People to Stop Smoking have been promoted to the sector • Provide workshops/presentations on new Guidelines, stop smoking medications to NGOs upon request. Testing the Water How are we going? Survey Participation By Service Type Service Description of Survey Respondents 15% Addiction Services Only 6% Mental Health Services Only 34% Mental Health and Addiction Services 45% Service Description Addiction Services Only Mental Health Services Only Mental Health and Addiction Services Other Total Respondents Excellent Level of Engagement! Other Number Percentage 6% 4 34% 22 45% 29 15% 10 65 Please note the survey was sent to 76 providers within the Northern Region in June 2014. Purpose of Survey • To gain snapshot of: – Smoking prevalence of service users – Smoking prevalence of staff • Understanding of key operational issues – How is staff smoking defined – What stop smoking support is being provided to staff? – Is smoking status being factored into the recruitment process? Please note: • • • This survey was not developed for research purposes. No attempt was made to gain a representative sample that matched the profile of service users or staff. Designed to provide operational ‘snap-shot’ to help inform programme development Tried to keep questions to 10 only! Smoking Prevalence – Service Users • 41 mental health and addiction organisations surveyed provided this information • Number of service users that are current smokers - 44% as at June 2013 • May be under-reported as “many say they don’t smoke when they do” • Very high compared to population as a whole 15% (NZ Census 2013) • Maori and Pacific providers were included in survey responses • Smoking prevalence by ethnic group not possible as many providers weren’t able to link smoking prevalence data to ethnicity data – This would be very useful to do, so help to quit smoking can be better tailored Smoking Prevalence - Staff • 27 responses - 3 excluded as incorrect • Smoking prevalence rate 22% as at 30 June 2014 • Actual rate may be higher - participating providers may reflect those that are more committed to supporting staff to become smokefree • Only 5 providers use definition of current smokers available in contract – a current smoker is anyone who has smoked within the past 30 days. – Most simply ask if staff member smokes How Often Is Staff Smoking Status Assessed? When staff are initially employed 29% Annually 36% Six monthly Monthly 2% Other 12% We do not collect information 19% 2% Contract expectations: “You will ensure that all staff who smoke are routinely offered advice on becoming smokefree and access to appropriate cessation support.” N= 41 organisations Type of Stop Smoking Support Available to Staff 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% N = 31 organisations Asking Smoking Status During Recruitment Process Yes 49.0% 51.0% N=35 organisations No Opportunities for Development • Embed practice of asking smoking status, and raising awareness of smokefree policy during staff recruitment phase • Definition of current smoking consistently defined when assessing smoking status of staff • Staff to be regularly provided with quit support – at least every 6 months – Reassessment of smoking status • Ability to cross reference smoking status of staff/service user with ethnicity/gender identity – Better able to tailor support and key messages Testing the Water How are we going? Testing the Water How are we going? NGO Smokefree Project Update and News November 2014