Assessment and Diagnosis of Nicotine Dependence in Mental Health Settings

Peterson, Alan L.; Hryshko-Mullen, Ann S.; Cortez, Yvette

doi:10.1111/j.1521-0391.2003.tb00647.x

Cited by 13 publications

(14 citation statements)

References 24 publications

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“…Moreover, compared to other physicians, psychiatrists were among the least familiar with state funded tobacco treatment resources, thus leading to reduced utilization among mentally ill smokers (Steinberg et al 2006). Despite over 10 year old recommendations for psychiatrists to treat tobacco in all their patients (APA 1996), most still do not (Peterson et al 2003; Montoya et al 2005; Himelhoch and Daumit 2003). …”

Section: Elements Of the Mhtr-nj Modelmentioning

confidence: 99%

“…There is evidence that smokers with mental illness have less access to tobacco dependence treatment across the health care spectrum, but particularly in the behavioral health setting (Peterson et al 2003; Montoya et al 2005; Friedmann et al 2008). Barriers to addressing tobacco in mental health settings include undervaluing tobacco addiction as a problem, behavioral health professionals and systems have been slow to change despite recommendations that they treat tobacco, a lack the knowledge about evidence-based treatment for tobacco dependence and lack of hope and advocacy among consumers and mental health advocates (Williams et al 2009b).…”

Section: Introductionmentioning

confidence: 99%

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A Comprehensive Model for Mental Health Tobacco Recovery in New Jersey

Williams

Zimmermann

Steinberg

et al. 2010

Adm Policy Ment Health

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Despite the high prevalence of tobacco use, disproportionate tobacco consumption, and excess morbidity and mortality, smokers with mental illness have reduced access to tobacco dependence treatment across the health care spectrum. We have developed a comprehensive model for Mental Health Tobacco Recovery in New Jersey (MHTR-NJ) that has the overarching goal of improving tobacco cessation for smokers with serious mental illness. Important steps involve engaging patients, professionals and the community to increase understanding that addressing tobacco use is important. In addition to increasing demand for tobacco treatment services, we must educate mental health professionals in evidence-based treatments so that patients can seek help in their usual behavioral health care setting. Peer services that offer hope and support to smokers are essential. Each of the policy or cessation initiatives described address the two core goals of this model: to increase demand for tobacco cessation services for mentally ill smokers and to help more smokers with mental illness to quit. Each has been pilot tested for feasibility and/or effectiveness and revised with feedback from stakeholders. In this way this implementation model has brought together academics, clinicians, administrators and mental health consumers to develop tobacco programming and policy that has been tested in a real world environment and serves as a model for other states.

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Section: Elements Of the Mhtr-nj Modelmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Comprehensive Model for Mental Health Tobacco Recovery in New Jersey

Williams

Zimmermann

Steinberg

et al. 2010

Adm Policy Ment Health

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“…Most mental health centers do not provide tobacco treatment and most tobacco treatment programs do not target people with mental illnesses. Changing the behavior of mental health professionals has had limited success in addressing tobacco as evidenced by the continued low rates of nicotine dependence diagnosis and treatment planning (Peterson et al 2003;Thorndike et al 2001;Williams et al 2009). This is despite recommendations published more than decade ago for psychiatrists to treat tobacco in all their smoking patients (APA 1996).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the CHOICES Program of Peer-to-Peer Tobacco Education and Advocacy

Williams

Dwyer

Verna³

et al. 2010

Community Ment Health J

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CHOICES is a consumer driven program for addressing tobacco in people with mental illness that employs mental health peer counselors. Since 2005, CHOICES has conducted over 298 community visits reaching more than 10,000 smokers with mental illness (about 2500/year). A telephone based outcome study was conducted in 102 outpatient smokers who received a CHOICES peer-to-peer session. At 1-month follow up participants (N = 86; 84%) reported smoking an average of 13 cigarettes per day which was significantly reduced from a baseline of 19 (P < 0.001). Twenty-five individuals (29%) tried to quit smoking in the month after the peer session and another 47 (55%) reduced their smoking. Feedback from smokers about the program was positive. Most (N = 59, 71%) said it was a lot easier to talk with a consumer about smoking compared to their psychiatrist or staff. Peer-to-peer communication about tobacco use can be effective to increase awareness and change smoking behaviors.

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“…Unfortunately this is being done only infrequently in mental health systems 26,27 despite the decade-old recommendations of the American Psychiatric Association Practice Guideline for Nicotine Dependence 28 specifically recommending that mental health professionals address tobacco in all their patients who smoke. Perhaps one of the most vulnerable group of smokers are those with schizophrenia who would be expected to also have greater difficulty accessing treatments offered to the general public.…”

Section: Psychosocial Treatments For Tobacco Dependence In the Generamentioning

confidence: 99%