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  • NHS Mental Health Inpatient Tobacco Dependence Adviser Training Resources

    On behalf of NHS England (NHSE) we are pleased to host a comprehensive suite of training resources to support the training of Tobacco Dependence Advisers (TDAs) who work with patients hospitalised in mental health trusts.

    The materials provide trainers with high-quality, evidence-based training resources to support local training delivery. The resources have been developed by national experts and covers the NHS-NCSCT core competencies for TDAs.

    These training resources are designed for delivery by in-house trainers. They can also be delivered by external training organisations and the NCSCT can be commissioned to deliver this training on your behalf. To learn more about commissioning a training course from the NCSCT see the Virtual training page in the TRAINING RESOURCES section of this website, or contact NCSCT Training Coordinator Tom Coleman-Haynes tom@ncsct.co.uk to discuss your training needs.

    Introduction

    This training will support TDAs to have confidence in delivering the core competences (knowledge and skills) needed for inpatient tobacco treatment delivery. The course materials support delivery of the newly published NHS-NCSCT Standard Treatment Plan for Inpatient Tobacco Dependence.

    Target audience
    Course materials are designed for the training of NHS TDAs working with inpatients who smoke in mental health trusts or on mental health wards. The training is also suitable for other health care professionals who will be delivering specialist tobacco dependence treatment to patients admitted to a mental health hospital.

    About the training materials
    Training materials have been designed for both virtual (via Zoom, Teams) or face-to-face delivery. Course content is also available in modular format so that localities can tailor training delivery to meet local needs.

    The training suite includes all the necessary resources for delivering a two-day training course, including:
    • Participant registration form, course outline and timetable
    • Comprehensive trainer's guides
    • PowerPoint slides
    • Detailed presenter's notes
    • Film clips
    • Participant handouts
    • Course evaluation materials

    The training materials include presentations, case studies, film clips, group work and experiential-based learning techniques.

    Modifying the training materials for local use
    These training resources have been developed by national experts to deliver current evidence-based best practice, and reflect the core components of the NHSE tobacco treatment pathway for mental health inpatients. As such, training content should not be modified. There are specific sections indicated where you can add local data, pathways or other information to tailor the training to your locality provided it is consistent with the learning objectives of this course.

    We welcome your feedback
    The NCSCT has been commissioned by NHSE to formally review and update these resources annually. If you have any suggestions for improvements to the training resources then please use the feedback form below or email enquiries@ncsct.co.uk

    If you experience problems downloading the suite of training materials, please contact your IT department for help as it is likely that the problem lies with access from your trust.

    Evaluation materials

    This page includes resources to support local evaluation of the Tobacco Dependence Adviser training course for inpatient mental health. This includes pre- and post-course questionnaires, a trainer feedback form, and a template course report.

    All groups delivering local training should ensure that course evaluations are completed using these tools. Course evaluations are important for assessing how well the training has met the learning needs of trainees. Having a common approach to course evaluation allows us to gain learning and insights that can inform improvements and updates to the suite of training materials.

    Course evaluation resources
    The following materials to support course evaluation are available in the folder:

    • Pre-course confidence in competence questionnaire
    • Post-course confidence in competence questionnaire
    • Course evaluation feedback form for participants
    • Course evaluation form for local trainers
    • Template course evaluation report
    Click here to download these course evaluation materials

    Two-Day Course Materials

    This page contains a comprehensive set of resources for trainers to support local course delivery. Materials include trainer guides for virtual course delivery, key messages for trainers, presenter notes, course checklists and all the training support materials needed to deliver this course.

    Training can be delivered online (Teams or Zoom) or face-to-face. The trainer’s guides provide instruction on how training may be modified for each delivery format.

    Training resources
    The comprehensive suite of training resources have been divided into sections and are contained in folders that you can download by clicking the link below each section.

    Course materials
    The following resources for trainers are contained within the folder in the link below:

    • Index of training materials
    • Day 1 TDA Inpatient Mental Health Trainer’s Guide
    • Day 2 TDA Inpatient Mental Health Trainer’s Guide
    • Day 1 AM TDA Inpatient Mental Health PowerPoint presentation
    • Day 1 PM TDA Inpatient Mental Health PowerPoint presentation
    • Day 2 AM TDA Inpatient Mental Health PowerPoint presentation
    • Day 2 PM TDA Inpatient Mental Health PowerPoint presentation
    Click here to download these course materials

    Pre-course materials
    The following resources for trainers are contained within the folder in the link below:
    • Two-day course outline
    • Registration form
    • Inpatient Tobacco Dependence Treatment Best Practices and Key Messages
    • Standard Treatment Plan for Tobacco Dependence Treatment in Mental Health Hospitals
    Click here to download the pre-course materials

    Participant handouts (Day 1)
    The following resources for participants are contained within the folder in the link below:
    • Patient statements
    • Best practices for tobacco treatment in people with SMI
    • Tobacco Dependence aids quick reference
    • Medications and aids worksheet
    • Individualised dosing
    • Staff statements
    Click here to download Day 1 participant handouts

    Participant handouts (Day 2)
    The following resources for participants are contained within the folder in the link below:
    • Inpatient STP checklists
    • Patient profiles
    • Skills practice checklist for CDTS
    • CDTS support pack
    • Activity and interest ideas
    • Strategies worksheet
    Click here to download Day 2 participant handouts

    Post-course materials
    The following resources for participants are contained within the folder below:
    • NICE Guidance
    • CQC Brief guide: smokefree policies in inpatient mental health services
    • NCSCT Combination NRT briefing
    • RCPsych Position Statement on prescribing of varenicline and vaping
    • MHSP Vaping briefing
    • NCSCT Vaping briefing
    • NCSCT Cytisine briefing
    • NCSCT Smoking and cannabis use briefing
    Click here to download the post-course materials

    Modular Training Materials

    COMING SOON!

    The two-day training course materials have been divided into individual modules to allow flexible delivery. The training modules vary from 10 to 40 minutes in length and cover specific topics and skills. Some modules may also be used when training other NHS staff.

    We have included a training guide and all the necessary training resources to deliver each individual module.

    Modules are contained in folders that you can download by clicking the link below each module section.

    Training module overview
    Click here to access and download the training module overview

    • Overview of training modules
    Click here to access and download the training module overview

    Module 1: Introduction
    The following resources for Module 1 are contained within the folder below.
    • Introduction: Trainer’s Guide
    • Introduction: PowerPoint presentation
    Click here to access and download Module 1 materials

    Module 2: Mental illness, smoking and stopping: changing lives
    The following resources for Module 2 are contained within the folder below.
    • Mental illness, smoking and stopping: changing lives: Trainer’s Guide
    • Mental illness, smoking and stopping: changing lives: PowerPoint presentation
    Click here to access and download Module 2 materials

    Module 3: Understanding tobacco dependence in people with SMI
    The following resources for Module 3 are contained within the folder below.
    • Understanding tobacco dependence in people with SMI: Trainers Guide
    • Understanding tobacco dependence in people with SMI: PowerPoint presentation
    Click here to access and download Module 3 materials

    Module 4: Behaviour change techniques and core communication skills
    The following resources for Module 4 are contained within the folder below.
    • Behaviour change techniques and core communication skills Mental Health: Trainers Guide
    • Behaviour change techniques and core communication skills Mental Health: PowerPoint presentation
    Click here to access and download Module 4 materials

    Module 5: Treating tobacco dependence: a new standard of care in inpatient Mental Health
    The following resources for Module 5 are contained within the folder below.
    • Treating tobacco dependence: a new standard of care in inpatient Mental Health: Trainers Guide
    • Treating tobacco dependence: a new standard of care in inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 5 materials

    Module 6: Point of admission care: acute management of nicotine withdrawal
    The following resources for Module 6 are contained within the folder below.
    • Point of admission care: acute management of nicotine withdrawal: Trainers Guide
    • Point of admission care: acute management of nicotine withdrawal: PowerPoint presentation
    Click here to access and download Module 6 materials

    Module 7: Engaging patients in treatment: best practices
    The following resources for Module 7 are contained within the folder below.
    • Engaging patients in treatment: best practices: Trainers Guide
    • Engaging patients in treatment: best practices:PowerPoint presentation
    Click here to access and download Module 7 materials

    Module 8: Effective use of tobacco dependence medications and aids
    The following resources for Module 8 are contained within the folder below.
    • Effective use of tobacco dependence medications and aids: Trainers Guide
    • Effective use of tobacco dependence medications and aids: PowerPoint presentation
    Click here to access and download Module 8 materials

    Module 9: Vaping in the treatment of tobacco dependence
    The following resources for Module 9 are contained within the folder below.
    • Vaping in the treatment of tobacco dependency: Trainers Guide
    • Vaping in the treatment of tobacco dependency: PowerPoint presentation
    Click here to access and download Module 9 materials

    Module 10: Nicotine replacement therapy: Getting to know the products
    The following resources for Module 10 are contained within the folder below.
    • Nicotine replacement therapy: Getting to know the products:Trainers Guide
    • Nicotine replacement therapy: Getting to know the products: PowerPoint presentation
    Click here to access and download Module 10 materials

    Module 11: Nicotine analogues and bupropion
    The following resources for Module 11 are contained within the folder below.
    • Nicotine analogue and bupropion: Trainers Guide
    • Nicotine analogue and bupropion: PowerPoint presentation
    Click here to access and download Module 11 materials

    Module 12: Discussing tobacco dependence aids with patients
    The following resources for Module 12 are contained within the folder below.
    • Discussing tobacco dependence aids with patients: Trainers Guide
    • Discussing tobacco dependence aids with patients: PowerPoint presentation
    Click here to access and download Module 12 materials

    Module 13: Challenging conversations: Responding to staff scenarios
    The following resources for Module 13 are contained within the folder below.
    • Challenging conversations: Responding to staff scenarios: Trainers Guide
    • Challenging conversations: Responding to staff scenarios: PowerPoint presentation
    Click here to access and download Module 13 materials

    Module 14: Carbon monoxide monitoring as a motivational tool
    The following resources for Module 14 are contained within the folder below.
    • Module 14 Trainers Guide
    • Module 14 PowerPoint presentation
    [Documents= Carbon monoxide monitoring: PPT]
    [Documents= Carbon monoxide monitoring: Trainer’s Guide]
    Click here to access and download Module 14 materials

    Module 15: Smoking and psychotropic medications interactions
    The following resources for Module 15 are contained within the folder below.
    • Carbon monoxide monitoring: Trainers Guide
    • Carbon monoxide monitoring: PowerPoint presentation
    Click here to access and download Module 15 materials

    Module 16: Tobacco and cannabis use
    The following resources for Module 16 are contained within the folder below.
    • Tobacco and cannabis use: Trainers Guide
    • Tobacco and cannabis use: PowerPoint presentation
    Click here to access and download Module 16 materials

    Module 17: Initial assessment and treatment plan - Inpatient Mental Health
    The following resources for Module 17 are contained within the folder below.
    • Initial assessment and treatment plan -inpatient Mental Health: Trainers Guide
    • Initial assessment and treatment plan -inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 17 materials

    Module 18: Follow-up scenarios - Inpatient Mental Health
    The following resources for Module 18 are contained within the folder below.
    • Follow-up support and patient scenarios - Inpatient Mental Health: Trainers Guide
    • Follow-up support and patient scenarios - Inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 19 materials

    Module 19: Discharge planning and post-discharge support - Inpatient Mental Health
    The following resources for Module 19 are contained within the folder below.
    • Discharge planning and post-discharge support - Inpatient Mental Health: Trainers Guide
    Discharge planning and post-discharge support - Inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 19 materials

    Module 20: FAQs 1 – Inpatient Mental Health
    The following resources for Module 20 are contained within the folder below.
    • FAQs 1- Inpatient Mental Health: Trainers Guide
    • FAQs 1- Inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 20 materials

    Module 21: FAQs 2 – Inpatient Mental Health
    The following resources for Module 21 are contained within the folder below.
    • FAQs 2 – Inpatient Mental Health: Trainers Guide
    • FAQs 2 – Inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 21 materials

    Module 22: Course wrap-up
    The following resources for Module 22 are contained within the folder below.
    • Course wrap-up - Inpatient Mental Health: Trainers Guide
    • Course wrap-up - Inpatient Mental Health: PowerPoint presentation
    Click here to access and download Module 22 materials

    Acknowledgements

    These training materials were produced by NHS England and the NCSCT with the support of the Expert Task Group listed below without whom we could not have produced these high-quality resources.

    Authorship Group
    Mary Yates, Expert Mental Health Consultant
    Dr Debra Robson, Mental Health Expert Consultant and Senior Lecturer in Tobacco Harm Reduction, National Addiction Centre, Addictions Department, King’s College London
    Dr Sophia Papadakis, NCSCT Academic and Health System Consultant
    Melanie Perry, NCSCT Inpatient Tobacco Dependence Consultant
    Susan Montgomery, NCSCT Lead Trainer
    Dr Andy McEwen, NCSCT Chief Executive
    Tom Coleman-Haynes, NCSCT Training Coordinator

    Expert Task Group Members
    Kerry Apedaile, Specialist Tobacco Dependence Service Lead, Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust
    Raf Hamazia, Expert by Experience Lead
    Moira Leahy, Consultant Clinical Psychologist, Sheffield Health and Social Care NHS Foundation Trust
    Martin Lever, Tobacco Reduction Programme Manager
    Helen Philips, Drug Alcohol and Smokefree Lead, Mental Health Inpatients, Berkshire Healthcare Foundation Trust
    Pete Stewart, Healthy Hospital and Community Programme Manager
    QUIT Team, Sheffield Health and Social Care NHS Foundation Trust
    Tracy Sutton, Acute MH LTP Lead and Service Manager, Blackpool NHS Foundation Trust

    NHS England Prevention Team
    Paul Cillia LaCorte, Senior Programme Manager - Prevention
    Hanna Ellison, Manager, Programme Manager, Tobacco Prevention Team, Medical Directorate
    Bea Petrovica, Programme Delivery Manager, Prevention Programme – Tobacco Medical Directorate
    Heidi Croucher, NHS Clinical Consultant and Programme Manager, Public Health Dorset, Dorset ICS