SMOKING

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SMOKING CESSATION WITHIN SPS

• Sandra Hands,
• Head of Health
• HMYOI Polmont
• Dundee
• June 2006

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SPS PRISONERS

• Average population 70005500 convicted 1500
  remand6650 men 350 women6100 adults 900
  young people

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SPS PRISONERS

• Receptions
• 19,182 remanded
• 19,092 sentenced in one year
• Sentences
• 2,559 lt 4 years
• 2,816 gt 4 years
• Source SPS Annual Report 2003-04

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CONSULTATIONS

• 1.Annual Prison Survey 2005
• 86 response
• 2.Consultation on Smoking in Public Places
• 5 response, part of a Scotland-wide exercise
• 3.Research Project on smoking cessation in young
  people
• Funded by NHS Health Scotland/ASH Scotland, a
  partnership project with Alliance Pharmacy

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Smoking prisoner or prisoner to smoking?
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1. Annual Prison Survey, 2005

• 86 response
• 77 smoked
• 24 in favour of a complete ban in prison
• including 17 of convicted prisoners who smoke

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Opportunities

• Of 77 of population who responded to the survey
  and identified as smokers
• 70 wanted to give up
• 73 would accept support to give up

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Annual Prison Survey

• Young offenders n-650 mean age 19 years
• 77 male smokers, lower desire than that of adult
  population to quit
• Women n-244
• 93 smokers, again lower desire to quit

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A Ban?

• Implications/Consequences
• Where prisoners live and staff work
• Choice to smoke
• Right to smoke free environment
• Addiction

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2. Smoking in Public Places

• A Consultation to Reduce Exposure to Second-hand
  Smoke- SE 2004
• 54,000 responses
• Scottish prisons - 450 responses

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Smoking in Public Places - the prison response

• 335 prisoners, 41 h.c.staff, 74 other staff
• 5 prisoner response rate in Scotland (pop. 6620)

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Smoking in Public Places - the prison response

• Q1. Need to take further action ?
• 68 yes
• Q.2. A law for smoke-free public places?
• 63 yes
• Q.3. Any exemptions to a law ?
• 54 yes

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Polmont Young Offenders Institution

• 680 places, young men aged 16-21
• 4.4 response rate
• Q.1 take action ? 73 yes
• Q.2 law ? 65 yes
• Q.3 exemptions ? 50 yes
• 9 provided comments

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Public Places Consultation

• Q.4. What more could be done to
  encouragevoluntary action?
• Have a smoking area or certain areas away from
  smokers i.e. outside. There is always your home
  to smoke and remember this is still a drug and
  damages your health i.e. the smoker and other
  people.

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Public Places Consultation

• Q.5. What else could we do to reduce peoples
  exposure to second-hand smoke ?
• In prisonI am forced to take in second hand
  smoke. I hate it. It makes me feel sick. It would
  be great if this new law came into action.
  Something needs to be done quick.
• Clamp down on smoking, put prices up. Its not
  just adults that suffer form smoke it is children
  as well. I am fed up with my clothes and hair
  smelling of smoke and my eyes stinging.. Stop
  now for a better and healthier future for all.

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Public Places Consultation

• Q.6. Please let us know about any other views you
  have about smoking in public places.
• Non-smokers shouldnt be exposed to smoke, this
  is why I feel designated smoking areas is the
  solution because people will always smoke.
• I fully support smoking bans in enclosed areas
  like trains, buses, pubs and restaurants. So that
  is an improvement but more needs to be done to
  make further progress, and help people who suffer
  from people being selfish thinking only about
  themselves.

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3.Research Project EQiPEncouraging Quitting in
Prison HMYOI Polmont

• Pilot project funded by health Scotland/ASH
  Scotland-4years
• Externally evaluated
• 8 pilot groups studying young people and smoking
  cessation

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EQiP Programme

• 12 week supported cessation
• NRT if requested and suitable
• CO monitoring
• Individual or group support
• Peer support and review
• Self-referral system

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EQiP results to date

• Awareness sessions n.450
• Participants to date n.210
• Low drop-out rate during 1st 2 weeks of programme
  3
• 20 quit rate after 3months
• 17 quit rate after 1 year
• High uptake of NRT

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Awards

• Charter Mark
• Pharmaceutical Care Award
• Butler Trust Award
• WHO Award

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Our response

• A major P.H.opportunity
• Smoking -
• more cessation capacity
• Implementation of a public places policy
• Participation, empowerment -
• regular patient focus groups
• expanding vision and strategy for self-care
• peer support - endless possibilities

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THANK YOU

• ANY QUESTIONS?