About Tobacco

Incorporation of tobacco addiction treatment into addiction facilities

Smoking cessation during substance abuse treatment : What you need to know

Source: smokingcessationleadership.ucsf.edu

Author: Catherine Theresa Baca, (M.D.), Carolina E. Yahne, (Ph.D.)

Synopsis: The authors present research that supports two key findings: (a) smoking cessation during substance abuse treatment does not impair outcome of the presenting substance abuse problem and (b) smoking cessation may actually enhance outcome success.

“Patients in substance abuse treatment frequently smoke cigarettes and often die of tobacco-related causes. Substance abuse treatment programs too often ignore tobacco use."

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Smoking Cessation Treatment at Substance Abuse Rehabilitation Programs

Source: ctndisseminationlibrary.org

Author: Malcolm S. Reid, PhD, New York University School of Medicine, Department of Psychiatry; Jeff Selzer, MD, North Shore Long Island Jewish Healthcare System; John Rotrosen, MD, New York University School of Medicine, Department of Psychiatry

Synopsis: The authors present a snapshot of the current treatment of smoking in the addictions field. They argue that treating

nicotine addiction requires a comprehensive approach, similar to treating most other forms of drug dependence. They conclude that combined therapy, with both medication and counseling, is considered to be the optimal approach.

“Implementation of an effective smoking cessation program will not be a quick or easy process. However, the process can be illuminating and enjoyable, and the effort expended is well spent…"

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Tobacco Use Cessation During Substance Abuse Treatment Counseling

Source: store.samhsa.gov

Synopsis: This advisory from the Substance Abuse and Mental Health Services Administration (SAMHSA) offers statistics and practical information about the prevalence of smoking among those who have another addiction and how those in the addictions industry can help.

“Smoking tobacco causes more deaths among clients in substance abuse treatment than the alcohol or drug use that brings them to treatment…Despite these statistics, most substance abuse treatment programs do not address smoking cessation."

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How Stimulant and Smoking Addictions Can Be Treated Together

Source: www.drugrehab.us

Synopsis: This summary of a recent study concludes that the core finding of the research suggests that treatment providers shouldn’t be opposed to drug users attempting to tackle nicotine addiction at the same time as their illicit drug problem.

“In the United States, 48 percent to 98 percent of illicit drug users smoke cigarettes compared to 19.8 percent of the general population."

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A Rationale and Model for Addressing Tobacco Dependence in Substance abuse Treatment

Source: link.springer.com

Author: Kimberly P Richter, Julia H Arnsten

Synopsis: This paper reviews the literature on the health benefits of quitting smoking for drug treatment patients, whether smoking causes relapse to other drug or alcohol abuse, the treatment of tobacco dependence, and good and bad times for quitting smoking among drug treatment patients. It also presents a conceptual model and recommendations for treating tobacco in substance abuse treatment, and provides references to internet and paper-copy tools and information for treating tobacco dependence.

“Most persons in drug treatment smoke cigarettes. Until drug treatment facilities systematically treat their patients' tobacco use, millions will flow through the drug treatment system, overcome their primary drug of abuse, but die prematurely from tobacco-related illnesses."

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Addressing Tobacco Dependence in Addiction Treatment Settings - System, Program and Clinical level Strategies

Source: www.umassmed.edu

Author: Douglas Ziedonis, M.D., M.P.H.

Synopsis: In this presentation, Dr Ziedonis makes a case for addressing tobacco dependence in addiction treatment settings.

“Why Address Tobacco Dependence in Addiction Treatment Settings?

  • Most clients smoke (50 to 95%)
    • NYS OASAS 2006 Data (63% - 84%)
    • Many of the cigarettes consumed in the US are by individuals with an addiction or mental illness (44%)
  • Most individuals in addiction recovery will die because of tobacco-caused medical diseases
  • Tobacco addiction is an addiction:
    • be pro-recovery and wellness
  • Second Hand Smoke
  • Nicotine use is a trigger for other substance use
  • Tobacco can alter psychiatric medication blood levels –smokers need more medication"

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Smoking Cessation in Addiction Treatment with Dr. Peter Selby

Source: knowledgex.camh.net

Author: Dr Peter Selby

Synopsis: Dr. Peter Selby talks about the importance of integrating smoking cessation into addiction treatment programs. Dr. Selby is the Clinical Director of the Addictions Program at the Centre for Addiction and Mental Health (CAMH).

"The tobacco industry...has strategically targeted addiction and mental health agencies because about 20 years ago they realized that this is the market that's going to keep them in business."

Smoking and Co-occurring Disorders: Implications for Smoking Cessation Interventions for Adolescents in Residential Addiction Treatment

Source: www.tandfonline.com

Author: Lisa R. Fortuna MD, MPHa, Michelle V. Porche EdDb, Nazmun Alam MPHa, Krista M. Douglass BAb & Sun S. Kim PhDa

Synopsis: Smoking is common in adolescents seeking drug and alcohol treatment and is correlated with the onset and progression of other drug use. Increasing motivation for change and addressing the interface of nicotine, other drugs, and mental health are important for smoking cessation interventions for adolescents in residential addiction treatment settings.

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Treatment of Smokers with Co-Occurring Disorders: Emphasis on Integration in Mental Health and Addiction Treatment Settings

Source: www.annualreviews.org

Author: Sharon M. Hall and Judith J. Prochaska

Synopsis: After reviewing current research findings, the authors discuss several reasons for integrating smoking treatment into mental health and addiction settings.

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Smoking Cessation Services in Addiction Treatment : Challenges for Organizations and the Counseling Workforce

Source: www.williamwhitepapers.com

Author: Hannah K. Knudsen, Ph.D. and William L. White, M.A.

Synopsis: “The debate over whether to address nicotine dependence has been ongoing for over a century, but accumulating scientific findings, shifts in cultural attitudes toward smoking and growing clinical experience within addiction treatment are tipping the scales in favor of addressing it."

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