This qualitative analysis of family and whānau perspectives of smoke-free mental health services identified a number of barriers to the implementation of successful smoke-free policy, including lack of coordination and consistency, and limited, if any, family and whānau inclusion. Family and whānau discussed smoking as a strategy for coping with anxiety and boredom; other activities and strategies to replace smoking are therefore necessary for effective service delivery. The thematic analysis also identified the attitude that mental health service policy should be different from general health policy, due to the experience of mental distress
