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Kuitunen-Paul, Soren; Teichmann, Marko; Mühlig, Stephan; Lochbühler, Kirsten; Roessner, Veit; Rustler, Christa; Rüther, Tobias; Smolka, Michael N. und Rabenstein, Andrea (2022): Umsetzung von Tabakkontrollmaßnahmen in Einrichtungen der Kinder- und Jugendpsychiatrie: Eine Online-Befragung von leitenden Mitarbeitenden. In: Fortschritte der Neurologie - Psychiatrie, Bd. 92, Nr. 1/2: S. 19-26

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Abstract

Objective Tobacco control measures are relevant also in child and adolescent psychiatric institutions and their implementation in Germany will be assessed in this study. Methods In an online survey, n=78 leading staff members responded to standardized questions assessing how smoking in patients was dealt in such institutions. Results The majority of institutions (70-87%) had smoking bans in the psychiatric clinic buildings and premises. Depending on the type of psychiatric ward, exceptions were in place in the form of a designated smoking area (38%), smoking pavilion (19%), or when patients suffered from certain mental disorders (28%). Documentation of violations of the ban varied with the type of ward (30-79%), while in most cases violations led to consequences (84-93%) including confiscation of smoking utilities (42-63%) or a curfew (25-38%). Smoking cessation aids were reported by 78% of the institutions, most often as consultations (64%). Pharmacological treatments for smoking were provided in inpatient wards (71-83%). One in two institutions documented the result of cessation attempts (54%). Smoking-related working groups (14%) or the use of standardized diagnostic instruments (0-4%) were much less frequently reported. Discussion We provide a first look at tobacco control policy measures in child and adolescent psychiatric institutions on a national scale. This allows us to derive future areas for tobacco control.

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