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

Li Shiun Chen, Timothy Baker, Ross C. Brownson, Robert M. Carney, Douglas Jorenby, Sarah Hartz, Nina Smock, Mark Johnson, Douglas Ziedonis, Laura J. Bierut

Research output: Contribution to journalArticle

10 Scopus citations

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.

Original languageEnglish
Pages (from-to)695-702
Number of pages8
JournalCommunity Mental Health Journal
Volume53
Issue number6
DOIs
StatePublished - Aug 1 2017

Keywords

  • Electronic cigarettes
  • Implementation
  • Mental illness
  • Smoking cessation

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