Barriers to Implementing Evidence-based Smoking Cessation Practices in Nine Community Mental Health
Tuesday, January 14, 2014
Posted by: Natalia Gromov
Psychiatr Serv. 2014 Jan 1;65(1):75-80.
Barriers to Implementing Evidence-based Smoking Cessation Practices in Nine Community Mental Health Sites.
Himelhoch S, Riddle J, Goldman HH.
The goal of this study was to evaluate the resources, barriers, and willingness to use evidence-based interventions in mental health settings. Clinicians at nine community mental health settings (five psychosocial rehabilitation programs and four community mental health clinics) in four counties in Maryland were surveyed. Less than half (42%) of the clinicians reported asking their patients about smoking. Less than a third (33%) advised or assisted in smoking cessation. Very few (10%) reported referring identified smokers to telephone quitlines. About a quarter (26%) reported being confident about their ability to provide smoking cessation counseling. A major barrier to providing cessation counseling was the belief that patients were not interested in quitting (77%). On average, clinicians reported a great willingness to use evidence-based smoking cessation interventions if they received appropriate training.