Psychiatric Bulletin (2004) 28: 425. doi: 10.1192/pb.28.11.425-a
© 2004 The Royal College of Psychiatrists
Psychiatric Bulletin (2004) 28: 425
© 2004 The Royal College of Psychiatrists
Staff attitudes to smoking in an Irish mental health service
*Edmond OMahony
Consultant Psychiatrist, Sligo Mental Health Service, Sligo, Republic of
Ireland
Farukh Rahmani
Senior House Officer in Psychiatry, Sligo Mental Health Service, Sligo,
Republic of Ireland
Stubbs et al (Psychiatric Bulletin, June 2004, 28,
204207) found that the majority of mental health staff in an inpatient
setting did not favour a total ban on smoking. In the context of the ban on
smoking in enclosed workplaces introduced in the Republic of Ireland in March
2004 [Public Health (Tobacco) (Amendment) Act 2004], the smoking policy
committee of our mental health service in the Northwest of Ireland conducted a
survey seeking the views of, among others, staff (n=174, 28% smokers)
prior to its introduction. The legislation exempts patients (but not staff or
visitors) in psychiatric hospitals. Of the respondents, 89% were in favour of
the ban being implemented throughout our mental health service despite 78%
believing that this would prove difficult or very difficult. Support for the
ban among smokers was less (77%), although still quite high.
The Irish legislation has provoked much debate in Ireland and elsewhere
since its introduction and public support has been remarkably high with 82% of
Irish people still in favour five months after its implementation (Irish
Department of Health,
http;//www.dh.gov.uk/assetRoot/04/08/66/57/04086657.pdf
August 2004). Our findings appear to reflect the overall attitude of the Irish
people toward the smoking ban in public places rather than those of the mental
health staff surveyed by Stubbs et al. As this important public
health debate develops in the UK, it is incumbent upon mental health
professionals to add their voice, particularly in relation to the issue of
whether to exempt mental health facilities from any proposed smoking
legislation.