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SMOKING CESSATION


WhIlE thE 2016/17 hEalth SUrvEy for northErn IrEland ShoWEd that SMoKIng PrEvalEncE had droPPEd By tWo PEr cEnt – thE PrEvalEncE of SMoKIng WIthIn thE ProvIncE’S PrISonS haS rEMaInEd hIgh. or at lEaSt, UntIl noW…


PrISonErS add yEarS to lIfE By goIng SMoKE frEE


W


hile smoking prevalence rates may have declined among the general


population, the figures remain high for northern Ireland’s (nI’s) prison population.


It’s currently estimated that more than 70 per cent of nI prisoners smoke – with some only actually starting to smoke once they are incarcerated.


the reasons for this high prevalence are many and varied. the fact that mental health issues are extremely prevalent in the prison population is one contributing factor, as is the high prevalence of substance use disorder.


In general, people in prison are more likely to have come from socially-deprived areas, where levels of smoking prevalence tend to be higher.


Just as in the community, however, steps are already being taken to help those in prison to quit.


the Stop Smoking team from the South Eastern health & Social care trust have been involved in one exciting initiative that has already produced great results.


the initiative began more than a year ago when the team began working in the province’s three prisons – hMP Maghaberry, hMP hydebank Wood and hMP Magilligan.


despite the fact that smoking rates in the general community have decreased slightly, nI’s prisons – just as those in the rest of the UK – continue to have a relatively high prevalence of smokers.


6 - PharMacy In focUS


the team began its work in Maghaberry, where it worked with a cohort of ten particpants, who had volunteered for the smoking cessation programme.


By the end of the twelve-week programme, nine of the group had quit.


although the team worked across the three prisons, the techniques and format varied from prison to prison.


dedicated machine and was able to provide them with their scores.


at Maghaberry the team found that the programme was very much led by the participants; many of whom wanted to talk about the reasons why they wanted to quit.


the younger men, for example, were using the gym a lot in the prison and so wanted to increase their lung capacity.


at the end of the


programme, the team was particularly pleased to hear one participant say that, although he would be in


prison for a further two years, he had added ten years to his life by stopping smoking!


In Maghaberry, for example, the team was involved in group work with two different groups. the team began by carrying out carbon monoxide testing – a process, which involved the prison pharmacists.


the team was particularly fortunate to have the pharmacists working with them since they were able to obtain champix, which proved to be very successful.


the team also assessed the participants’ lung age through the


at the end of the programme, the team was particularly pleased to hear one participant say that, although he would be in prison for a further two years, he had added ten years to his life by stopping smoking!


all of the participants seemed to appreciate the fact that the health development team came into the prison each week to support them, s o it was a very successful working relationship.


the team in Magilligan achieved even better results, reaching quit rates of 100 per cent! Every one of the 16 participants had quit by the eight-week mark, which was an excellent achievement by all concerned.


Just as with hMP Maghaberry, this programme was much more of a one-to-one nature and, again, was very much led by the prisoners themselves.


Just as in the community Smoking cessation programme, each person engaged was seen initially for a half-hour consultation and then had a fifteen-minute session each week with one of the team.


In the case of hMP Magilligan, thanks to the existence of a Pgd, the team was able to access the products much more easily.


at hMP hydebank two members of the team delivered a one-to-one programme in partnership with the dental staff there and this initiative proved to be extremely effective.


although the initial pilots have ended, plans are now already afoot to continue this work, albeit with some amendments that have resulted from the pilot evaluation, with rolling sessions running from april.


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