John Brown

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NHS Health Scotland/ASH Scotland Young People
and Smoking Cessation Pilot Programme Update
John Brown NHS Health Scotland
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• Background
• 8 Young People and Smoking Cessation Pilot
  Projects
• 3 year funding (2002-2005) Health Improvement
  Fund
• Evaluated Consortium (RUHBC)
• Determine the effectiveness of the different
  interventions

• Pilot period ends June 2005
• Final written report due March 2006
• National strategy for smoking cessation and
  young people in Scotland

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Smokin-at-pace Shetland
WI Quit Western Isles
Fag Break Elgin
YASCAP Tayside
CATCH Argyll Clyde
EQiP Polmont
L2Q Easterhouse
Cloud 9 West Lothian
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1. Smoking-at-pace Main aim to explore and
evaluate the use of computer-mediated
communication (chat rooms) to tackle smoking
cessation issues for young people.
2. WI Quit Setting FE college community-based.
Main aim develop accessible smoking cessation
service for young people within the Western Isles.
3. Fag Break Setting community-based, youth
settings. Main aim community development
approach, working with community workers and
young people 15-24.
4. YASCAP Setting FE college. Main aim deliver
smoking cessation interventions to age 16-24 in,
Arbroath.
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5. CATCH Setting hospital, primary care,
community. Main aim develop responsive smoking
cessation service for young pregnant women under
25 years and their partners.
6. L2Q Setting community-based, youth settings,
schools. Main aim To promote smoking cessation
and support to young people 11 to 18 years
wishing to quit.
7. Cloud 9 Setting communities, youth centers,
schools. Main aim develop youth-centered,
smoking cessation service to vulnerable young
people, 12-18 in West Lothian.
8. EQiP Setting YOI. Main aim deliver effective
supported smoking cessation programme to young
male offenders aged 16 21 detained _at_ HMYOI,
Polmont.
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• Start Up
• Identify Issues in their area
• Methods Needs Assessments Participatory
  Appraisal 11 Street Work Focus Groups
  Questionnaires

• Steering Groups
• Identify local partners
• midwives school nurses smoking cessation
  officers residential staff youth workers
  prison officers young people themselves.
• Offered access to local resources and experience.

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Involving Young People in

• Design
• Naming the project (L2Q Fag Break
  smokin-at-pace)
• Designing leaflets and posters, website design

• and Delivery
• Where? (youth clubs, schools, residential units
  colleges, own home)
• When? (flexibility lunch time, late afternoon,
  early evening, online)
• How? (group work, 11 support. incentives,
  encouragement)
• Who delivers? projects themselves, training
  others such as youth workers school nurses use
  of peer education.

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Partnership Working

• Existing expertise, experience and different
  skills
• Access to where young people are youth clubs,
  schools, workplace)
• Access to available resources (MIB bus healthy
  living centres, sport and leisure centres,
  swimming pools). Using vouchers encourage
  healthier lifestyles and identify choices,
  tackling accessibility issues

• Responding to support request access to
  activities and alt therapies requested by young
  people
• Address barriers to NRT (pharmacies, drafting
  PGDs)
• Establish and maintain referral pathways -GPs,
  adult services, schools

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Current Issues

• Young people not viewing themselves as smokers.
• Peer and family influences emerged as
  significant factors.
• Different smoking patterns culture of young
  people.
• Range of issues identified (as opposed to just
  smoking).
• Showing health benefits to young people smoking
• Smoking Head (gas to liquid)
• Ageing process due to tobacco
• Use of cannabis.

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Early Indications young people want a service
which

• Listens.
• Offers visible sense of ownership and encourages
  involvement.
• Is safe, friendly, accessible, and non
  judgmental.
• Is confidential.
• Is flexible Location, times, options of support
  (group and 11, peer support, offers choice,
  Offers NRT. Alternative therapies and incentives
  for support.

• Peer Support (groups of friends more likely to
  take part).
• Turn up to see familiar faces (staff).
• Flexibility (no pressure, freedom drop in and
  out).
• Identifies/ offers alternatives to unhealthy
  lifestyle .

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In Summary

• Smoking Cessation pilot projects are
• Using a range of different methods to identify
  issues in their locality
• Applying significant time and resources to
  awareness-raising
• Working in partnership with a wide range of
  organisations
• Able to respond to different support requests
• Adopting a flexible approach
• Involving young people
• Delivering support where young people feel
  comfortable
• Providing SC training (young workers, sessional
  support workers)

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t.nhs.uk