Smoking is significantly more common amongst those with mental illness. At Sheppard Pratt, over 80% of patients on our co-occurring disorders unit, and 49% of all other adult inpatients, are smokers. Compared with 15.1% of the U.S. adult population, smoking is a staggering problem among those afflicted by mental illness. The negative health effects of smoking can be truly dangerous — both to smokers and their loved ones. Smoking is the main preventable reason that causes people with mental illness to die about 15-25 years before their peers.
Why Quit Smoking?
There are many health benefits to quitting smoking, including:
- A lowered risk of developing smoking-related health conditions, including many types of cancer, heart disease and heart attacks, and stroke
- Improving your sense of smell and your sense of taste
- A reduction in breathing-related issues, including wheezing, shortness of breath, and coughing
- Improved vision at night – smoking damages your eyes
- Clearer skin – when you quit smoking, blemishes usually clear up and you will see less premature aging and wrinkles
- Stronger muscles and bones
How to Quit Smoking
Quitting smoking is not easy. But, there are lots of tools available to help you kick the habit.
- First, prepare to quit:
- Figure out your ‘why.’ It is helpful to have an important reason that will keep you motivated.
- Figure out how to tackle any cravings you have, and determine how you will address nicotine withdrawal. Nicotine replacement therapies, like the patch, gum, or lozenge, are a good and effective way to tackle nicotine withdrawal.
- Tell your loved ones that you are going to quit, and let them be a part of your plan to quit smoking.
- Look into free support options for when you need a little extra help. We recommend the Maryland Quit Line.
- Create your quit plan. Use the free resources available here to make your plan to help you tackle your smoking habit.
- Pick your ‘quit day.’ The first day without tobacco can be hard, but make sure to reference your quit plan and address your cravings in a healthy way on quit day.
Support for Patients Who Smoke in an Inpatient Setting
When a patient who smokes is admitted to the hospital, doctors aim to prevent nicotine cravings and help them to consider smoking cessation.
- All patients are screened for tobacco and nicotine use
- Patients who smoke are offered nicotine replacement options, like the patch, gum, or lozenge
- Patients who smoke are offered individualized smoking cessation counseling for education, encouraging the idea of quitting, and developing a quit plan for when they are ready
- Smoking cessation groups are offered on several of our units. Topics cover coping with mental illness without cigarettes, costs and benefits of smoking, and dealing with craving and triggers
- At discharge, patients who smoke are offered nicotine replacement therapy and a referral to a quit line (at Sheppard Pratt, we refer patients to the Maryland Quit Line), which can help them maintain the nicotine-free lifestyle they began in the hospital
Here at Sheppard Pratt, our smoking cessation program reaches most adult smokers in our hospitals. In fiscal year 2018, approximately 76 percent of inpatient smokers received smoking cessation counseling. In the first three years of our smoking cessation program, more than 5,000 patients have received smoking cessation treatment.