Attitudes toward the integration of smoking cessation treatment into drug abuse clinics

Abstract

This article examines the variables associated with the presence of smoking cessation interventions in drug abuse treatment units, as well as staff attitudes toward the integration of smoking cessation services as a component of care. Surveys were administered to 106 organizations, 348 treatment clinics, and 3,786 employees in agencies that participated in the National Drug Abuse Treatment Clinical Trials Network. Organizational factors, attributes of the treatment setting, and staff attitudes toward smoking cessation treatment were assessed. Use of smoking cessation interventions was associated with the number of additional services offered at clinics, residential detoxification services, and attitudes of the staff toward smoking cessation treatment. Staff attitudes toward integrating smoking cessation services in drug treatment were influenced by the number of pregnant women admitted, the number of ancillary services provided, the attitudes of staff toward evidence-based practices, and whether smoking cessation treatment was offered as a component of care.

Barriers to Telephone Quitline Use Among Methadone-Maintained Smokers

“…9,10 Despite the need, there is limited provision of smoking cessation services in drug treatment programs. 11,12 Telephone quitlines have a decentralized and flexible structure, and broad population reach. Quitlines may reduce treatment barriers, including transportation and cost, and have the potential to address the limited smoking cessation treatment capacity in substance abuse treatment systems.…”

Sustainment of Smoking Cessation Programs in Substance Use Disorder Treatment Organizations

“…Counselors generally receive little training about smoking cessation and report limited knowledge about the PHS guideline Knudsen, Studts, & Studts, 2012;Rothrauff & Eby, 2011), posing additional barriers. Although smoking cessation programs are rarely available, cross-sectional studies have shown that they are more likely to be offered when organizational cultures value smoking cessation (Fuller et al, 2007) and provide training to staff Richter, Choi, McCool, Harris, & Ahluwalia, 2004).…”

“…Most previous research on the availability of smoking cessation services in SUD treatment has used cross-sectional designs (Delucchi et al, 2009;Fuller et al, 2007;Guydish et al, 2011;Hahn, Warnick, & Plemmons, 1999;McCool et al, 2005;Richter et al, 2004), with one recent study on the effectiveness of organizational change interventions to promote adoption (Guydish et al, 2012). Guydish and colleagues found that residential treatment programs were able to increase their delivery of nicotine replacement therapy (NRT) and tobacco-related practices after the programs completed a structured change process.…”

Treatment of Comorbid Tobacco Addiction in Substance Use and Psychiatric Disorders

“…Tobacco use disorders have been notoriously neglected when other substances are involved, with an infrequent number of clinicians expressing encouragement of unmotivated smokers to consider cessation [23]. In addition, there is strong evidence that addictions clinicians smoke at a higher rate than the general population [24]. Moreover, staff members who are smokers themselves may contribute to the barriers of tobacco use disorder treatment, as they are less likely to encourage their patients to quit compared with staff who are nonsmokers [25].…”