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The majority of respondents felt that it was not within their remit of responsibility as a mental health professional, indicating that staff attitudes remain overall ambivalent as shown previously [ 15, 17, 18].
Sixty percent of respondents felt that addressing tobacco dependence among young people with mental disorders was important; staff provided an overall mean rating of 6.27 (SD 2.1) and less than half (48.3%) of the respondents felt that addressing patients smoking was within their remit of responsibility as a mental health professional.
However, while the majority of clinicians believed that it was within their remit of responsibility as a healthcare professional to assist older smokers to address their tobacco dependence and a significant number of respondent medical staff reported having sufficient knowledge and skills to support cessation, non-medical staff reported feeling less confident in their ability.
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"It's a valid issue, the issue of the level playing field but... that is beyond the remit of the responsibility of CEBS".
However, these roles have often developed in an ad hoc manner, with time limited funding, tied to local settings with little national consensus about their remit, range of responsibilities or even titles [ 30].
"Above all, there has to be a significant remit in terms of responsibility by the community and by the parents.
This placed a significant onus of accountability on the research team to ensure that no promises of specific outcomes were made to the community that were outside the remit or responsibility of the research team to provide – and that the nature of the HDSS design was made clear to participants.
Second, the presence of non-sibling migrants in the household potentially decreases the probability of remitting as the remitting responsibility is distributed across more individuals.
The Mental Welfare Commission for Scotland has, as part of its remit, a responsibility to develop good practice guidelines in respect of medical treatment in the setting of mental disorders.
For example, there could be some form of sharing of remitting responsibilities among multiple migrants.
It may seem to some that events on a large scale are the remit of someone else's planning responsibility.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com