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Training in Tobacco Treatments in Psychiatry: A National Survey of Psychiatry Residency Training Directors

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Abstract

Objective

Nicotine dependence is the most prevalent substance abuse disorder among adult psychiatric patients and is a leading cause of death and disability. This study examines training in tobacco treatment in psychiatry residency programs across the United States.

Method

The authors recruited training directors to complete a survey of their program’s curriculum related to tobacco treatment, attitudes related to treating tobacco in psychiatry, and perceptions of residents’ skills for addressing nicotine dependence in psychiatric patients.

Results

Respondents were representative of the national pool. Half of the programs provided training in tobacco treatments for a median duration of 1 hour. Content areas covered varied greatly. Programs with tobacco-related training expressed more favorable attitudes toward addressing tobacco in psychiatry and were more likely to report confidence in their residents’ skills for treating nicotine dependence. Programs without tobacco training reported a lack of faculty expertise on tobacco treatments. Most training directors reported moderate to high interest in evaluating a model tobacco curriculum for psychiatry and stated they would dedicate an average of 4 hours of curriculum time.

Conclusions

The findings demonstrate the need for and interest in a model tobacco treatment curriculum for psychiatry residency training. Training psychiatrists offers the potential of delivering treatment to one of the largest remaining groups of smokers: patients with mental disorders.

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Author information

Authors and Affiliations

  1. Department of Psychiatry, University of California, 401 Parnassus Avenue - TRC 0984, San Francisco, California, 94143, USA

    Judith J. Prochaska Ph.D., M.P.H.,  Marc H. Jacobs M.D. &  Sharon M. Hall Ph.D.

  2. San Mateo County Mental Health Services, San Mateo, California, USA

    Alan K. Louie M.D.

  3. University of California, San Francisco, California, USA

    Sebastien C. Fromont M.D. &  Alan K. Louie M.D.

  4. Alta Bates Summit Medical Center, Berkeley, California, USA

    Sebastien C. Fromont M.D.

Authors
  1. Judith J. Prochaska Ph.D., M.P.H.
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  2. Sebastien C. Fromont M.D.
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  3. Alan K. Louie M.D.
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  4. Marc H. Jacobs M.D.
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  5. Sharon M. Hall Ph.D.
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Corresponding author

Correspondence to Judith J. Prochaska Ph.D., M.P.H..

Additional information

This work was supported by the American Cancer Society (IRG AC-08-04), the State of California Tobacco-Related Disease Research Program (13KT-0152), and the National Institute on Drug Abuse (K23DA018691 and P50DA09253). The authors thank Kelly Koo, Desiree Leek, and Christianne Wa for their assistance with study recruitment.

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Prochaska, J.J., Fromont, S.C., Louie, A.K. et al. Training in Tobacco Treatments in Psychiatry: A National Survey of Psychiatry Residency Training Directors. Acad Psychiatry 30, 372–378 (2006). https://doi.org/10.1176/appi.ap.30.5.372

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  • DOI: https://doi.org/10.1176/appi.ap.30.5.372

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