{"id":572,"date":"2018-04-16T07:18:48","date_gmt":"2018-04-16T07:18:48","guid":{"rendered":"http:\/\/www.filha.fi\/news\/savuttomuuskoutsi-antaa-mielenterveyskuntoutujille-apua-tupakoinnin-lopettamiseen\/"},"modified":"2023-02-24T10:59:09","modified_gmt":"2023-02-24T08:59:09","slug":"savuttomuuskoutsi-antaa-mielenterveyskuntoutujille-apua-tupakoinnin-lopettamiseen","status":"publish","type":"post","link":"https:\/\/www.filha.fi\/en\/savuttomuuskoutsi-antaa-mielenterveyskuntoutujille-apua-tupakoinnin-lopettamiseen\/","title":{"rendered":"Savuttomuuskoutsi antaa mielenterveyskuntoutujille apua tupakoinnin lopettamiseen"},"content":{"rendered":"<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">NEW Ministry of Social Affairs and Health 13.4.2018 10.21\u00a0 <\/span><\/span><a title=\"n page\" href=\"http:\/\/stm.fi\/artikkeli\/-\/asset_publisher\/savuttomuuskoutsilta-apua-mielenterveyskuntoutujille\" target=\"_blank\" rel=\"noopener noreferrer\" name=\"n sivulle\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Link to STM&#8217;s website\u00a0<\/span><\/span><\/a><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Smoking does not bring mental health support to the mental health rehabilitator, but rather the spiral of addiction. <\/span><span style=\"vertical-align: inherit;\">Often outside help is needed to stop. <\/span><span style=\"vertical-align: inherit;\">Immediately after awakening, Heidi J\u00e4rvinen would have lit the first tobacco on his balcony in the morning at half past seven.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Not anymore. <\/span><span style=\"vertical-align: inherit;\">J\u00e4rvinen has stopped, and as a smoke-free person, he helps mental health rehabilitators to get rid of tobacco. <\/span><span style=\"vertical-align: inherit;\">&#8220;I have suffered from severe depression and was in the hospital. <\/span><span style=\"vertical-align: inherit;\">I often tried to stop smoking. <\/span><span style=\"vertical-align: inherit;\">I was afraid of withdrawal symptoms, but they were quite small and nicotine products were alleviated, \u201dsays J\u00e4rvinen.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">In 2018, he will go to smoke-free hospitals in HUS to train staff with Deputy Department Manager Maija Niemi. <\/span><span style=\"vertical-align: inherit;\">They provide medical staff with information and tools to encourage patients to smoke. <\/span><span style=\"vertical-align: inherit;\">Treatment should highlight those who have stopped or even reduced smoking.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00a0\u201cIt is good to ask if a person wants to quit, because it already thinks about the matter,\u201d says J\u00e4rvinen, your smoke-free partner. <\/span><span style=\"vertical-align: inherit;\">Nursing staff can provide addiction tests and nicotine withdrawal products. <\/span><span style=\"vertical-align: inherit;\">&#8220;However, the doctor must prescribe withdrawal products, but they are an important support,&#8221; Niemi says.\u00a0<\/span><\/span><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Smoking is not just a small evil! <\/span><\/span><\/strong><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Nursing staff may consider smoking as a minor issue when a person has many problems. <\/span><span style=\"vertical-align: inherit;\">\u201cThere is a mixed user with schizophrenia, hepatitis c and prison sentences. <\/span><span style=\"vertical-align: inherit;\">She is homeless, the children are taken care of. <\/span><span style=\"vertical-align: inherit;\">Then smoking may seem like a little freak, \u201dNiemi describes.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Heidi J\u00e4rvinen (right) is a non-smoker who, together with Deputy Chief of Staff Maija Niemi, helps mental health rehabilitators to stop smoking. <\/span><span style=\"vertical-align: inherit;\">Initially, the twin goes through the sharing of information and tools for medical staff in the HUS area. <\/span><span style=\"vertical-align: inherit;\">Still, tobacco is not just a bad evil for a mental health rehabilitator, and only 70 to 80 percent of schizophrenic patients burn.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u201cSmoking is a major cause of mortality, and quitting support contributes to the health and well-being of patients,\u201d Niemi says. <\/span><span style=\"vertical-align: inherit;\">Because of his physical illness, J\u00e4rvinen suffers from severe pain. <\/span><span style=\"vertical-align: inherit;\">\u201cQuitting smoking helped right away, the pains decreased and the movement became easier. <\/span><span style=\"vertical-align: inherit;\">I ended up in July and August, I was able to move without a roller, \u201dhe says.<\/span><\/span><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Many patients want to get rid of tobacco<\/span><\/span><\/strong><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> Maija Niemi made a written question on smoking habits at the HUS HYKS Psychiatric Opioid Dependency Clinic. <\/span><span style=\"vertical-align: inherit;\">Patients have double diagnosis, drug addiction and serious mental disorder. <\/span><span style=\"vertical-align: inherit;\">Compared to the rest of the population, patients smoke a lot. <\/span><span style=\"vertical-align: inherit;\">On average, there were about 20 years of smoking. <\/span><span style=\"vertical-align: inherit;\">One respondent started at the age of 7! <\/span><span style=\"vertical-align: inherit;\">There were 48 respondents, a comprehensive sample.\u00a0<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">According to the nicotine addiction test, strong or very strong dependence was nearly 80%. <\/span><span style=\"vertical-align: inherit;\">Only four had tried to quit, but many wanted to quit smoking. <\/span><span style=\"vertical-align: inherit;\">\u201cA large part of this patient group also wants to quit, and about half of them feel that they are receiving support from their close ones,\u201d says Niemi.\u00a0<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Your non-smoking education emphasizes that quitting brings a successful experience. <\/span><span style=\"vertical-align: inherit;\">\u201cSome mental health rehabilitators have many addictions. <\/span><span style=\"vertical-align: inherit;\">If you get out of the tobacco, you get the power to get out of it, \u201dsays J\u00e4rvinen. <\/span><span style=\"vertical-align: inherit;\">He has not suffered from substance abuse, but he saw at a young age how smoking in some young people led to cannabis use.<\/span><\/span><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Smoking does not take anxiety<\/span><\/span><\/strong><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> According to J\u00e4rvinen, many smokers have the idea that smoking is a spiritual support. <\/span><span style=\"vertical-align: inherit;\">According to Niemi, there are also misconceptions about the effects of smoking in the care sector. <\/span><span style=\"vertical-align: inherit;\">\u201cSome people assume that patients&#8217; aggression or anxiety will increase without tobacco, even though research suggests it is the opposite. <\/span><span style=\"vertical-align: inherit;\">Tobacco does not calm down, but a continuous spiral, the craving for nicotine and then relief, can increase anxiety, \u201dhe says.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Patients in the hospital are often bored, so many people smoke a lot. <\/span><span style=\"vertical-align: inherit;\">According to Niemi, something must be done for boredom rather than just accepting smoking. <\/span><span style=\"vertical-align: inherit;\">Still, Niemi or J\u00e4rvinen does not have to coercive measures to limit smoking in treatment. <\/span><span style=\"vertical-align: inherit;\">\u201cIf I tried to limit my smoking in the compartment, I would have missed it. <\/span><span style=\"vertical-align: inherit;\">It&#8217;s a different thing if you were encouraged or injected by asking to think, \u201dsays J\u00e4rvinen.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Niemi looked at cigarette-related records in a few days in the departments of the HABD clinic. <\/span><span style=\"vertical-align: inherit;\">There was no record of supporting the patient to reduce or stop smoking. <\/span><span style=\"vertical-align: inherit;\">Instead, there was a quarrel with tobacco parchment and labeling that the mother brought tobacco. <\/span><span style=\"vertical-align: inherit;\">Smoking is also an economic issue, and a low-income person may have to choose whether to buy food or cigarettes.<\/span><\/span><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">You may have to try again to quit.\u00a0<\/span><\/span><\/strong><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u201dBefore smoking, I was doing my job when I had to predict that I could burn. <\/span><span style=\"vertical-align: inherit;\">It is now a light feeling when there is no addiction anymore, \u201dsays Heidi J\u00e4rvinen, your smoke-free dogshow. <\/span><span style=\"vertical-align: inherit;\">Many smokers try to stop and collapse. <\/span><span style=\"vertical-align: inherit;\">\u201cI really understand people who burn. <\/span><span style=\"vertical-align: inherit;\">It does not go so that you just stick to yourself, \u201dJ\u00e4rvinen points out. <\/span><span style=\"vertical-align: inherit;\">It is meaningful to volunteer to support people to stop. <\/span><span style=\"vertical-align: inherit;\">\u201cIn the future, I want to meet patients directly, but it is important to work with the staff first,\u201d says J\u00e4rvinen.\u00a0<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Assistant Department Assistant Niemi is a former smoker. <\/span><span style=\"vertical-align: inherit;\">It is important for him that the staff also strives for non-smoking. <\/span><span style=\"vertical-align: inherit;\">&#8220;If you whit a white coat around the corner, it hardly adds credibility,&#8221; Niemi says.\u00a0<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">The silent acceptance of smoking by a mental health rehabilitator is discriminatory in nature. <\/span><span style=\"vertical-align: inherit;\">\u201cIn other parts of society, smoking is considered to be embarrassing and obsolete. <\/span><span style=\"vertical-align: inherit;\">In Finland, smoking among young people has decreased for years. <\/span><span style=\"vertical-align: inherit;\">Why Mental Health Rehabilitation should be something of an antiquity. <\/span><span style=\"vertical-align: inherit;\">They also need to be hoped that smoking can be stopped, \u201dNiemi says. <\/span><span style=\"vertical-align: inherit;\">&#8220;Already, addiction itself displaces people,&#8221; says J\u00e4rvinen.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Text: Tiina Torppa <\/span><\/span><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Photos: Kimmo Brandt \/ Compic <\/span><\/span><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ministry of Social Affairs and Health 13.4.2018 10.21 <\/span><\/span><a title=\"n page\" href=\"http:\/\/stm.fi\/artikkeli\/-\/asset_publisher\/savuttomuuskoutsilta-apua-mielenterveyskuntoutujille\" target=\"_blank\" rel=\"noopener noreferrer\" name=\"n sivulle\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Link to STM\u00a0<\/span><\/span><\/a><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">What is it about? <\/span><\/span><\/strong><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Supporting smoking cessation for people with mental health and substance abuse problems is part of the government&#8217;s flagship project to promote health and well-being and reduce inequality.\u00a0<\/span><\/span><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">The project funded by the Ministry of Social Affairs and Health includes 11 hospital districts, the A-Clinic Foundation, the Rehabilitation Foundation and the Mental Health Association. <\/span><span style=\"vertical-align: inherit;\">The project is coordinated by Filha ry.\u00a0<\/span><\/span><br \/>\n<a title=\"Multiple Project Pages\" href=\"http:\/\/www.filha.fi\/fi\/hankkeet\/mitu-mielenterveys-ja-paihdeongelmista-karsivien-tupakoinnin-lopettamisen-tukeminen\" target=\"_blank\" rel=\"noopener noreferrer\" name=\"Mitu-hankeen sivuille\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Read more about a project coordinated by Filha<\/span><\/span><\/a><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Support for ending smoking cessation for people with mental health and substance abuse <\/span><\/span><br \/>\n<span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Read more about the government&#8217;s flagship project\u00a0 <\/span><\/span><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Promoting health and well-being and reducing inequality<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NEW Ministry of Social Affairs and Health 13.4.2018 10.21\u00a0 Link to STM&#8217;s website\u00a0 Smoking does not bring mental health support to the mental health rehabilitator, but rather the spiral of &#8230; <a title=\"Savuttomuuskoutsi antaa mielenterveyskuntoutujille apua tupakoinnin lopettamiseen\" class=\"read-more\" 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