Increasing Tobacco Dependence Treatment Through Continuing Education Training for Behavioral Health Professionals

Williams, Jill M.; Miskimen, Theresa; Minsky, Shula; Cooperman, Nina A.; Miller, Michelle; Budsock, Patricia Dooley; Cruz, José Fernando A.; Steinberg, Marc L.

doi:10.1176/appi.ps.201300523

Cited by 37 publications

(50 citation statements)

References 19 publications

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“…To extend existing knowledge (Ashton et al 2010; Hitsman et al 2009; Price et al 2007; Williams et al 2015), this is the first study to directly assess patient interest in and practice of smoking cessation, and to contrast patient and provider perspectives in the same CMHC setting. The study also suggests that the perception of low motivation to quit becomes a barrier in which clinicians don't offer smoking cessation counseling treatment options designed for low motivation smokers such as Learning About Healthy Living, motivation-phase treatment, and behavioral reduction (Cook et al 2015; Williams et al 2009; Ziedonis et al 2008).…”

Section: Discussionmentioning

confidence: 99%

“…The 2008 PHS Clinical Practice Guideline offers multiple suggestions for system changes that might improve tobacco intervention rates in healthcare (Fiore et al 2008). It may be that some of these interventions (e.g., electronic health record that prompts for smoker identification and/or referral for smoking intervention (Piper et al 2013), enhanced training, individual provider feedback on their status with regard to best practices) would foster better performance (Adsit et al 2014; Bentz et al 2007; Williams et al 2015). …”

Section: Discussionmentioning

confidence: 99%

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Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

Chen

Baker

Brownson

et al. 2016

Community Ment Health J

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Little is known about patients' electronic cigarette use, interest in and use of smoking cessation treatments, and providers' attitude towards such treatment. We assessed patients (N = 231) and providers (45 psychiatrists, 97 case workers) in four Community Mental Health Centers. Interestingly, 50% of smokers reported interest in using electronic cigarettes to quit smoking, and 22% reported current use. While 82% of smokers reported wanting to quit or reduce smoking, 91% of psychiatrists and 84% of case workers reported that patients were not interested in quitting as the lead barrier, limiting the provision of cessation interventions. Providers' assumption of low patient interest in treatment may account for the low rate of smoking cessation treatment. In contrast, patients report interest and active use of electronic cigarettes to quit smoking. This study highlights the need for interventions targeting different phases of smoking cessation in these patients suffering disproportionately from tobacco dependence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

Chen

Baker

Brownson

et al. 2016

Community Ment Health J

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“…Additionally, tobacco dependence treatment services are often unavailable in behavioral health programs 21 and clinicians overestimate the amount of treatment they provide. 22 …”

Section: Discussionmentioning

confidence: 99%

Poor Mental Health and Reduced Decline in Smoking Prevalence

Steinberg

Williams

2015

American Journal of Preventive Medicine

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Introduction Although smoking prevalence has been declining for smokers without mental illness, it has been static for those with mental illness. The purpose of this study is to examine differences in smoking rates and trajectories of smoking prevalence in the often-overlooked population of smokers with poor mental health, compared with those with better mental health. Methods Data were obtained from the Behavioral Risk Factor Surveillance System from 2001 to 2010 to examine the relationship between poor mental health and current, daily, and intermittent tobacco use in New Jersey. Data were analyzed in 2014. Results During 2001–2010, current, daily, and intermittent smoking prevalence was higher in participants with poor mental health than those with better mental health. In addition, with the exception of 2 years, prevalence rates remained unchanged in this 10-year period for those with poor mental health while they significantly decreased for those with better mental health. Conclusions The disparity in which smokers with poor mental health are more likely to be current smokers and less likely to be never smokers as compared with those with better mental health has increased over time. These data suggest the need to more closely examine tobacco control and treatment policies in smokers with behavioral health issues. It is possible that tobacco control strategies are not reaching those with poor mental health, or, if they are, their messages are not translating into successful cessation.

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“…; Williams et al . ). The most recent studies undertaken in NSW, Australia include a survey of psychiatric inpatients who smoke ( N = 97) completed between May 2009 and 2010 (Stockings et al .…”

Section: Introduction/backgroundmentioning

confidence: 97%

“…However, clinician perceived patient interest in quitting has been identified by nurse managers (Lawn & Pols ) and behavioural health professionals (Williams et al . ) as a factor likely to influence the provision of smoking care in psychiatric settings.…”

Section: Introduction/backgroundmentioning

confidence: 99%

Patient receipt of smoking cessation care in four Australian acute psychiatric facilities

Metse

Wiggers

Wye

et al. 2018

Int J Mental Health Nurs

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This study aimed to report the receipt of smoking care, and associated clinical and smoking characteristics among smokers admitted to four public psychiatric inpatient facilities in New South Wales, Australia. Between October 2012 and July 2014, adult smokers (N = 236) were surveyed during admission to and 1 month following discharge from the facilities. Measures of smoking care receipt were reported descriptively, and logistic regression analyses were used to explore characteristics associated with care receipt. The majority of participants were offered (78%) and used (78%) nicotine replacement therapy (NRT), with 66% of NRT-users reporting the amount provided was sufficient to reduce cravings. A minority of participants (16%) received information or advice to quit smoking, and 60% reported smoking throughout their admission. Patients not contemplating quitting and those with non-psychotic disorders were more likely to receive an offer of NRT. The findings suggest the provision of smoking care in Australian acute psychiatric units is sub-optimal overall, with an indication that care may be provided selectively to certain patients, rather than systematically to all. Development and dissemination of interventions to increase smoking care provision in inpatient psychiatry are needed.

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Increasing Tobacco Dependence Treatment Through Continuing Education Training for Behavioral Health Professionals

Abstract: An intensive training program for behavioral health professionals increased tobacco treatment and patient quit attempts. Strategies beyond training may be needed to enhance prescribing by these practitioners.

Cited by 37 publications

References 19 publications

Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

Poor Mental Health and Reduced Decline in Smoking Prevalence

Patient receipt of smoking cessation care in four Australian acute psychiatric facilities

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