Department of Emergency Medicine
Behavior and Behavior Mechanisms | Neuroscience and Neurobiology | Psychiatry and Psychology | Substance Abuse and Addiction
Tobacco use remains a global problem, and options for consumers have increased with the development and marketing of e-cigarettes and other new nicotine and tobacco products, such as "heat-not-burn" tobacco and dissolvable tobacco. The increased access to these new products is juxtaposed with expanding public health and clinical intervention options, including mobile technologies and social media. The persistent high rate of tobacco-use disorders among those with psychiatric disorders has gathered increased global attention, including successful approaches to individual treatment and organizational-level interventions. Best outcomes occur when medications are integrated with behavioral therapies and community-based interventions. Addressing tobacco in mental health settings requires training and technical assistance to remove old cultural barriers that restricted interventions. There is still "low-hanging fruit" to be gained in educating on the proper use of nicotine replacement medications, how smoking cessation can change blood levels of specific medications and caffeine, and how to connect with quitlines and mobile technology options. Future innovations are likely to be related to pharmacogenomics and new technologies that are human-, home-, and community-facing.
neurobiology, nicotine, pharmacotherapy, tobacco, treatment
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Copyright : © 2017 AICH - Servier Research Group. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Dialogues Clin Neurosci. 2017 Sep;19(3):271-280. Link to article on publisher's website
Dialogues in clinical neuroscience
Ziedonis, Douglas; Das, Smita; and Larkin, Celine, "Tobacco use disorder and treatment: new challenges and opportunities" (2017). Open Access Articles. 3255.
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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.