Tobacco Quitlines and Persons With Mental Illnesses: Perspective, Practice, and Direction

Morris, Chad; Tedeschi, Gary J.; Waxmonsky, Jeanette; May, Mandy G.; Giese, Alexis A.

doi:10.1177/1078390308330050

Cited by 32 publications

(27 citation statements)

References 32 publications

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“…Another study found that self-reported, 7-day point prevalence tobacco abstinence at 6 months among persons with mental illnesses equaled the overall quit www.annualreviews.org • Confronting a Neglected Epidemicrate (48). A randomized study of persons treated in public mental health systems showed that quitline counseling plus nicotine replacement therapy led to a significant reduction in selfreported number of cigarettes smoked per day (80). Unpublished data from the California Helpline reveal similar results.…”

Section: How Well Do Telephone Quitlines Work For These Populations?supporting

confidence: 65%

“…Also, quitline staff work more effectively with persons with diagnosed-and undiagnosedbehavioral health issues after receiving training on behavioral health issues (80). Though quitlines appear to be one cost-effective cessation strategy for this population, unfortunately, far too few smokers avail themselves of this free service (37).…”

Section: How Well Do Telephone Quitlines Work For These Populations?mentioning

confidence: 99%

“…Quitlines can overcome common barriers to access faced by persons served in the public mental health system (e.g., transportation and cost), and have extended the reach of more traditional cessation programs (80).…”

Section: How Well Do Telephone Quitlines Work For These Populations?mentioning

confidence: 99%

See 2 more Smart Citations

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Schroeder

Morris

2010

Annu. Rev. Public Health

Self Cite

317

309

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Tobacco use exerts a huge toll on persons with mental illnesses and substance abuse disorders, accounting for 200,000 of the annual 443,000 annual tobacco-related deaths in the United States. Persons with chronic mental illness die 25 years earlier than the general population does, and smoking is the major contributor to that premature mortality. This population consumes 44% of all cigarettes, reflecting very high prevalence rates plus heavy smoking by users. The pattern reflects a combination of biological, psychosocial, cultural, and tobacco industry-related factors. Although provider and patient perspectives are changing, smoking has been a historically accepted part of behavioral health settings. Additional harm results from the economic burden imposed by purchasing cigarettes and enduring the stigma attached to smoking. Tailored treatment for this population involves standard cessation treatments including counseling, medications, and telephone quitlines. Further progress depends on clinician and patient education, expanded access to treatment, and the resolution of existing knowledge gaps.

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Section: How Well Do Telephone Quitlines Work For These Populations?supporting

confidence: 65%

Section: How Well Do Telephone Quitlines Work For These Populations?mentioning

confidence: 99%

See 1 more Smart Citation

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Schroeder

Morris

2010

Annu. Rev. Public Health

Self Cite

317

309

View full text Add to dashboard Cite

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“…Many mental health patients have also received messages from their providers that using tobacco is a relatively minor problem and that smoking cigarettes is actually beneficial to their mental health due to the temporary symptom reduction that psychiatric patients experience during smoking. A study by Morris et al (2009) found that most mental health providers receive little or no training on smoking cessation, and frequently have misconceptions such as the ideas that persons with mental illnesses need to smoke to control their psychiatric symptoms and that these individuals have no desire to quit.…”

Section: Stigma and Provider Beliefsmentioning

confidence: 97%

“…In the long term, tobacco use also adversely affects the user's personal income. Research has shown that over their lifetime, people with mental illnesses who smoke will spend up to one-third of their income on tobacco (Morris et al, 2009). …”

Section: Tobacco Related Morbidity Mortality and Functional Impactmentioning

confidence: 98%

Tobacco use in youth with mental illnesses

et al. 2011

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Despite an abundance of literature documenting the prevalence and dangers of youth tobacco use, there is a relative dearth of literature in the area of effective cessation treatments for youth (Fiore et al. in Clinical tobacco guideline: treating tobacco use and dependence, 2008). Additionally, although it has been widely accepted that mental illness is highly correlated with tobacco use and dependence, little research has been done to support prevention and cessation efforts for youth with mental illnesses. This paper summarizes the literature on tobacco use and cessation in youth, with a focus on describing the existing knowledge base for youth with mental illnesses.

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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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Tobacco Quitlines and Persons With Mental Illnesses: Perspective, Practice, and Direction

Cited by 32 publications

References 32 publications

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Tobacco use in youth with mental illnesses

A Comprehensive Model for Mental Health Tobacco Recovery in New Jersey

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