Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives

UMMS Affiliation

Department of Psychiatry; Systems and Psychosocial Advances Research Center

Publication Date


Document Type



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

Journal/Book/Conference Title

Community mental health journal

Related Resources

Link to Article in PubMed

PubMed ID