Enhancing Provider Delivery of Tobacco Treatment Within the Inpatient Psychiatric Setting

People with mental illnesses (MI) smoke at higher rates than the general population. However, few mental health providers (MHPs) deliver tobacco treatment to patients with MI especially within inpatient psychiatric settings. According to evidence, fewer than half of MHPs in the US mental and behavioral health settings provide the recommended evidence-based tobacco treatment interventions to their clients with MI. This paper uses the theory of planned behavior to examine factors associated with provider intentions to deliver and their experiences in providing evidence-based tobacco treatment to clients with MI. Data were obtained from a cross-sectional survey of 219 providers in a state psychiatric hospital in Kentucky. Attitudes, subjective norms, and perceived behavioral control were associated with providers’ intentions to deliver tobacco treatment when controlling for demographic and work-related variables. However, only profession, subjective norms, and attitudes were associated with reported provision of evidence-based tobacco treatment. Given the underuse of routine tobacco treatment for this vulnerable population, understanding factors influencing provider delivery of tobacco treatment is needed to guide strategies for reducing the disproportionate rates of tobacco use and related burden among people with MI.

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Some of the information and research reported on the BH WELL website was supported, in part, by the Cabinet for Health and Family Services, Department for Medicaid Services under Agreement titled  "Assessing the Impact of Long-Acting Injectables on Psychiatric Treatment Outcomes among Medicaid Beneficiaries." The content is solely the responsibility of the authors and does not necessarily represent the official views of the Cabinet for Health and Family Services, Department for Medicaid Services.

Some of the information and research reported on the BH WELL website was supported, in part, by the Kentucky Department for Public Health Tobacco Prevention and Cessation Program. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Kentucky Department for Public Health Tobacco Prevention and Cessation Program. The Kentucky Tobacco Prevention and Cessation Program mission is to reduce the number of preventable and premature deaths caused by tobacco. Find them on Facebook or go to Kentucky Quit Now.