Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives
Department of Psychiatry; Systems and Psychosocial Advances Research Center
Community Health | Community Health and Preventive Medicine | Psychiatry | Psychiatry and Psychology | Substance Abuse and Addiction
Little is known about patients' electronic cigarette use, interest in and use of smoking cessation treatments, and providers' attitude towards such treatment. We assessed patients (N = 231) and providers (45 psychiatrists, 97 case workers) in four Community Mental Health Centers. Interestingly, 50% of smokers reported interest in using electronic cigarettes to quit smoking, and 22% reported current use. While 82% of smokers reported wanting to quit or reduce smoking, 91% of psychiatrists and 84% of case workers reported that patients were not interested in quitting as the lead barrier, limiting the provision of cessation interventions. Providers' assumption of low patient interest in treatment may account for the low rate of smoking cessation treatment. In contrast, patients report interest and active use of electronic cigarettes to quit smoking. This study highlights the need for interventions targeting different phases of smoking cessation in these patients suffering disproportionately from tobacco dependence.
Electronic cigarettes, Implementation, Mental illness, Smoking cessation
DOI of Published Version
Community Ment Health J. 2016 Nov 30. Link to article on publisher's site
Community mental health journal
Chen, Li-Shiun; Baker, Timothy; Brownson, Ross C.; Carney, Robert M.; Jorenby, Douglas; Hartz, Sarah; Smock, Nina; Johnson, Mark; Ziedonis, Douglas M.; and Bierut, Laura J., "Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives" (2016). Psychiatry Publications and Presentations. 777.