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- Title
Screening and Treatment of Tobacco Use Disorder in Mental Health Clinics in New York State: Current Status and Potential Next Steps.
- Authors
Zern, Adria; Seserman, Michael; Dacus, Heather; Wallace, Barbara; Friedlander, Susan; Manseau, Marc W.; Smalling, Maxine M.; Smith, Thomas E.; Williams, Jill M.; Compton, Michael T.
- Abstract
The prevalence of smoking is higher among individuals with serious mental illnesses than the general population. Evidence-based practices exist for tobacco cessation, but little is known about mental health clinics' tobacco cessation treatment practices/protocols. Mental health clinics in New York State were surveyed about their tobacco use treatment protocols and outdoor-smoking policies. One-third of clinics were not providing individual counseling for tobacco use disorder, 39% were not prescribing nicotine replacement therapy, and nearly half reported not prescribing bupropion or varenicline. Even smaller proportions reported implementing other clinical practice guidelines, with only 25.2% providing staff training and 20.3% having a dedicated staff member for coordinating tobacco use disorder treatment. Regarding outdoor smoke-free policies, 38% of clinics reported not allowing any tobacco use anywhere on grounds. Despite some successes, many clinics do not provide evidence-based tobacco use treatments, meaning important opportunities exist for mental health clinics and oversight agencies to standardize practices.
- Subjects
NEW York (State); COUNSELING; HEALTH facility administration; MEDICAL screening; INDIVIDUALIZED medicine; MEDICAL protocols; DESCRIPTIVE statistics; DRUG prescribing; BUPROPION; SMOKING; PHYSICIAN practice patterns; VARENICLINE; PSYCHIATRIC hospitals
- Publication
Community Mental Health Journal, 2021, Vol 57, Issue 6, p1023
- ISSN
0010-3853
- Publication type
Article
- DOI
10.1007/s10597-020-00726-0