RT Journal Article SR Electronic T1 Smoke-free policies in psychiatric services: identification of unmet needs JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 549 OP 554 DO 10.1136/tobaccocontrol-2011-050029 VO 21 IS 6 A1 Montse Ballbè A1 Gemma Nieva A1 Sílvia Mondon A1 Cristina Pinet A1 Eugeni Bruguera A1 Esteve Saltó A1 Esteve Fernández A1 Antoni Gual A1 and the Smoking and Mental Health Group YR 2012 UL http://tobaccocontrol.bmj.com/content/21/6/549.abstract AB Introduction Smoke-free policies have been extended to enclosed workplaces in many countries; however, smoking continues to be commonly allowed on psychiatric premises. The aim of this study was to describe tobacco control strategies undertaken in psychiatric inpatient services and day centres in Spain. Methods This cross-sectional survey included all psychiatric service centres that offered public services in Catalonia, Spain (n=192). Managers responded to a questionnaire of 24 items that covered four dimensions, including clinical intervention, staff training and commitment, smoking area management and communication of smoke-free policies. Results A total of 186 managers (96.9%) completed the questionnaire. Results showed low tobacco control in psychiatric services: 41.0% usually intervened in patient tobacco use, 34.1% had interventional pharmacotherapy available and 38.9% had indoor smoking areas. Day centres showed the lowest implementation of tobacco control measures. Out of 186 managers, 47.3% stated that the staff had insufficient knowledge on smoking cessation interventions. Conclusions The former Spanish partial law has not been sufficiently successful in promoting tobacco control in psychiatric services. There is room for improvement in tobacco control policies, specifically in smoking interventions, staff training and resource availability.