Survey of smoking cessation services in Canadian addiction programs

Currie, Shawn R.; Nesbitt, Kelly; Wood, Cathy; Lawson, Andrea

doi:10.1016/s0740-5472(02)00344-6

Cited by 48 publications

(46 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These rates of service delivery are higher than rates reported by U.S. facilities in 1998, 42 U.S. methadone facilities in 2004, 26 and rates of "formal" tobacco services reported in a survey of Canadian substance abuse treatment facilities in 2001. 41 Our findings confirm that two-in-five substance abuse treatment facilities offer behavioral treatment, but fewer than one in five provide access to pharmacotherapy for smoking cessation.…”

Section: Discussionsupporting

confidence: 74%

Cigarette smoking cessation services in outpatient substance abuse treatment programs in the United States

Friedmann

Jiang

Richter

2008

Journal of Substance Abuse Treatment

114

View full text Add to dashboard Cite

Objective-To estimate the prevalence and determinants of cigarette smoking cessation treatment in U.S. outpatient substance abuse treatment (OSAT) units. Results-Of OSAT programs in the U.S., 41% offer smoking cessation counseling or pharmacotherapy; 38% offer individual/group counseling and 17% provide quit-smoking medication. In multivariate models, hospital affiliation, service breadth, the priority given to physical health, availability of medication to treat addictive problems, assessment of cigarette smoking, and greater perception of the proportion of patients that smoke were associated with delivery of smoking cessation services. Program size and medical staffing also influenced availability of quit-smoking medication. Methods-ProgramConclusions-Of U.S. OSAT programs, two-in-five offer behavioral treatment for smoking cessation, but fewer than one in five provide access to pharmacotherapy. Substance abuse treatment programs that are medically-oriented, provide more comprehensive services, and recognize the burden of tobacco smoking among their patients are more likely to deliver evidencebased smoking cessation services.

show abstract

Section: Discussionsupporting

confidence: 74%

Cigarette smoking cessation services in outpatient substance abuse treatment programs in the United States

Friedmann

Jiang

Richter

2008

Journal of Substance Abuse Treatment

114

View full text Add to dashboard Cite

show abstract

“…High rates of nicotine dependence have been welldocumented among both mentally ill and substance-dependent patients , although nicotine cessation is rarely a major focus of treatment for either mood or other substance use disorders (Currie et al, 2003;Richter et al, 2004). Recent research has identified a potentially deleterious relationship between smoking and mood disorders, with bipolar smokers having an increased number of suicide attempts (Oquendo et al, 2004;Ostacher et al, 2006), worse illness course (Ostacher et al, 2006), and higher illness severity, including more psychotic symptoms (Waxmonsky et al, 2005), and co-occurring anxiety, attention deficit hyperactivity, and substance use disorders (Ostacher et al, 2006;Waxmonsky et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Predictors of dropout from group therapy among patients with bipolar and substance use disorders

Graff¹,

Griffin²,

Weiss³

2008

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Objective-Bipolar and substance use disorders frequently co-occur. Integrated treatment for these disorders has been shown to be effective at reducing substance use, but no study has examined attrition from dual diagnosis group therapy. The current study identified baseline demographic and clinical characteristics that predict treatment dropout among patients with co-occurring bipolar and substance use disorders.Method-Using binary and multivariate analyses, baseline data were analyzed as part of a randomized controlled trial of integrated group therapy for bipolar and substance use disorders.Results-Cigarette smoking, recent mood episode, and lack of a college education were strong predictors of dropout after controlling for demographic and substance use variables.Conclusions-Given the strength of smoking as a predictor of dropout as well as the high rate of smoking among this population, a greater focus on the relationship between smoking and bipolar disorder is warranted.

show abstract

“…7,8 Evins and colleagues 9 concluded that smoking rates in patients with serious mental disorders ranged from 75 to 85% with heavier and Befficient^smoking. 10,11 Among persons with addictions, Currie et al 12 reported that smoking was three times that in the general population (estimated at 23%). Substance abusers are more likely to die from tobacco…”

mentioning

confidence: 99%

“…13,14 Death due to smoking-related illnesses is two to six times greater in patients with major mental illness than in the general population. [9][10][11][12][13][14] It seems likely that smoking in these vulnerable populations has often been ignored, in part because of the belief that persons with mental illness benefit from smoking and that they lack the capacity to quit. Some clinicians fear that quitting will lead to worsening psychiatric symptoms and increased aggression.…”

mentioning

confidence: 99%

Effects of a Tobacco Ban on Long-term Psychiatric Patients

Harris

Parle

Gagné

2006

J Behav Health Serv Res

View full text Add to dashboard Cite

A total ban on all tobacco products was implemented in a diverse psychiatric institution. A post hoc evaluation examined the effect of the ban on long-term patients by comparing their characteristics the year before the ban to the year after. Several variables measuring physical health, psychiatric symptomatology, feelings of well-being, and interpersonal conflict were coded with very high reliability from health records. For the majority of patients who were in the maximum security forensic division, the tobacco ban was associated with almost no detectable ill effects with some clear benefits. Among the remainder of the long-term patients, the ban might have been associated with a temporary increase in physical aggression towards staff members. It was concluded that successful implementation, and the avoidance of ill effects, depended entirely on the success staff members had in actually preventing patient access to tobacco.

show abstract

Survey of smoking cessation services in Canadian addiction programs

Cited by 48 publications

References 31 publications

Cigarette smoking cessation services in outpatient substance abuse treatment programs in the United States

Cigarette smoking cessation services in outpatient substance abuse treatment programs in the United States

Predictors of dropout from group therapy among patients with bipolar and substance use disorders

Effects of a Tobacco Ban on Long-term Psychiatric Patients

Contact Info

Product

Resources

About