Community mental healthcare providers’ attitudes and practices related to smoking cessation interventions for people living with severe mental illness

Care Provision to Prevent Chronic Disease by Community Mental Health Clinicians

“…[16][17][18][19][20]23,25,27 Similarly, the low rates of referral are consistent with previous findings regarding smoking-cessation care 20,24,26 and care for nutrition 52 in these settings. The latter findings contrast with the particular importance of referral and follow-up care in ensuring successful change in health risk behaviors.…”

“…Similarly, in a recent Australian survey of service managers of all community mental health services in the state of New South Wales (NSW), Australia, 20 only 14% reported providing "most" smokers with referral to a free, government-funded telephone cessation service. The majority of such studies have focused on either the provision of smoking-cessation care, [20][21][22][23][24][25][26] care provision by a single type of provider, 18,19,27 or provision of single elements of preventive care (either assessment, advice, or referral/follow-up), [16][17][18]27 with no study reporting the prevalence of all such preventive care elements for multiple health risk behaviors.…”

Making a Case for Systematic Integration of Theory-Based Tobacco Education Into Graduate Psychiatric/Mental Health Nursing Curriculum

“…PMHAPNs with a higher level of education provide interventions more frequently, as do those who work in an outpatient setting or in an institution that values tobacco treatment programs (Sharp et al, 2009). Mental health providers, as well as other healthcare professionals, who smoke are also less likely to report a positive attitude toward tobacco treatment (Essenmacher et al, 2008;Hall et al, 2005;Johnson et al, 2009;Ratschen et al, 2009).…”

“…Psychiatric nurses' willingness to assist patients in their efforts to stop smoking depends heavily on their grasp of current practice guidelines, as do the quality of interventions delivered (Johnson et al, 2009;Ratschen et al, 2009;Sharp et al, 2009). Providers with higher levels of self-reported knowledge about cessation counseling strategies, appropriate use of nicotine replacement therapy, the effect of tobacco cessation on the absorption of psychotropic medications, and the awareness of referral resources, are significantly more likely to engage in tobacco cessation interventions, and to develop a more comprehensive treatment plan (Ratschen et al, 2009;Sharp et al, 2009).…”

“…Providers with higher levels of self-reported knowledge about cessation counseling strategies, appropriate use of nicotine replacement therapy, the effect of tobacco cessation on the absorption of psychotropic medications, and the awareness of referral resources, are significantly more likely to engage in tobacco cessation interventions, and to develop a more comprehensive treatment plan (Ratschen et al, 2009;Sharp et al, 2009). In contrast, those healthcare providers who are not trained in tobacco dependence treatment are less willing to offer assistance to their patients (Hall et al, 2005;Johnson et al, 2009;Merrill, Madanat, & Kelley, 2010).…”