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

Community Mental Health Journal volume 53, pages 695–702 (2017)Cite this article

Abstract

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.

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Affiliations

  1. Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA

    Li-Shiun Chen, Robert M. Carney, Sarah Hartz, Nina Smock, Mark Johnson & Laura J. Bierut

  2. BJC Behavioral Health, BJC Healthcare, St. Louis, MO, USA

    Li-Shiun Chen & Mark Johnson

  3. Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA

    Timothy Baker & Douglas Jorenby

  4. Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO, USA

    Ross C. Brownson

  5. Division of Public Health Sciences and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, USA

    Ross C. Brownson

  6. Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA

    Douglas Ziedonis

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  1. Li-Shiun Chen
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  2. Timothy Baker
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  6. Sarah Hartz
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  7. Nina Smock
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  8. Mark Johnson
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  9. Douglas Ziedonis
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  10. Laura J. Bierut
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Correspondence to Li-Shiun Chen.

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Conflict of interest

Dr. Bierut is listed as inventor on issued U.S. Patent 8,080,371, “Markers for Addiction” covering the use of certain SNPs in determining the diagnosis, prognosis, and treatment of addiction. Dr. Carney or a member of his family owns stock in Pfizer, Inc. All other authors declare no potential conflict of interest.

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Chen, LS., Baker, T., Brownson, R.C. et al. Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives. Community Ment Health J 53, 695–702 (2017). https://doi.org/10.1007/s10597-016-0065-8

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  • DOI: https://doi.org/10.1007/s10597-016-0065-8

Keywords

  • Smoking cessation
  • Implementation
  • Mental illness
  • Electronic cigarettes