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Adel Fernane¹, Sébastien Saetta², Christian Trichard³

¹Directeur d'établissement social et médico-social, ingénieur d'études ; plateforme de recherche sur la santé mentale et le handicap psychique (PRSM-HP), France.

Sante Publique (Vandoeuvre-Les-Nancy, France)

|February 13, 2026

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Summary

This summary is machine-generated.

Many professionals and users in mental health facilities smoke, with over half of users wanting to quit. Targeted smoking prevention interventions are needed in these residential mental health services.

Area of Science:

Public Health
Mental Health Services Research
Addiction Medicine

Background:

Residential mental health services (ESMS) often grapple with high smoking rates among both users and professionals.
Understanding smoking behaviors and prevention strategies within these unique settings is crucial for improving user well-being.

Purpose of the Study:

To describe smoking management and prevention in ESMS for individuals with mental health disorders.
To characterize smoking behaviors and perceptions of both users and professionals in these facilities.

Main Methods:

A multi-center observational study employing mixed methodologies.
Data collection included site visits, questionnaires, and semi-directive group and individual interviews.

Keywords:

Medical-social establishments Mental disability Mixed methodological approach Prevention Tobacco

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Main Results:

Significant proportions of both professionals (37%) and users (47%) reported smoking.
A majority of smoking users (55%) expressed a desire to quit, with some actively seeking professional assistance.
Professionals showed consensus on supporting users who wish to quit but were divided on proactive prevention methods.

Conclusions:

ESMS present a distinct environment for smoking prevention efforts.
Intervention research is recommended to develop and implement effective smoking cessation programs tailored for mental health service users.
Identified prevention actions within facilities could significantly benefit users with mental health disorders.