Multidisciplinary barriers to addressing tobacco cessation during an inpatient psychiatric hospitalization

Prescription of Nicotine Replacement Therapy for Hospitalized Tobacco Users

“…In this study of hospitalized patients who smoke, only 34.9% received a prescription for NRT during an admission and only 12.6% were given a prescription for NRT during a discharge from the hospital at any point during the 4-year study period. Prior studies in the literature report NRT prescribing rates for hospitalized tobacco users, but their results show a wide range of prescription rates (5%–21%) 8–15 . Our study identified a baseline rate of NRT prescriptions that is higher than these previous studies.…”

“…Prior studies in the literature report NRT prescribing rates for hospitalized tobacco users, but their results show a wide range of prescription rates (5%-21%). [8][9][10][11][12][13][14][15] Our study identified a baseline rate of NRT prescriptions that is higher than these previous studies. This is likely because in our study patients were coded as positive for receipt of a NRT prescription if they were prescribed NRT during any hospitalization throughout the study period, even if the patient had other hospitalizations without NRT prescribed.…”

“…7 Prior studies have shown wide variations in NRT prescribing rates for hospitalized smokers (5%-21%). [8][9][10][11][12][13][14][15] This study aimed to add to the literature by evaluating NRT prescriptions during and after hospitalization at a large health system for patients who smoke. This study also defined a baseline rate of NRT prescriptions within our institution before the implementation of a hospital-wide program aimed to improve smoking cessation.…”

“…Patients who smoke and receive inpatient interventions for tobacco use have lower readmission rates, emergency department visits, and overall mortality 7 . Prior studies have shown wide variations in NRT prescribing rates for hospitalized smokers (5%–21%) 8–15 …”

Evaluating Simulation-Based Tobacco Treatment Scenarios for Providers Delivering Treatment for People Living With Mental Illnesses

“…In fact, only 48.6% of mental healthcare systems in the U.S. have smoke-free policies and only 21.5–48.9% have treatment policies supporting evidence-based tobacco cessation interventions ( 10 – 12 ). Moreover, the delivery of evidence-based tobacco treatment within mental healthcare settings faces multi-faceted challenges including patient barriers (e.g., stressors that are relieved by tobacco use), mental healthcare provider (MHP) barriers (e.g., being poorly equipped to provide tobacco treatment and believing patients are not interested in quitting) and organizational barriers (e.g., lack of training for clinicians and staff) ( 13 – 15 ). Therefore, examining approaches that facilitate provider delivery of tobacco treatment may guide the development of effective strategies to enhance tobacco treatment engagement for PMI.…”