title: The effect of a no-smoking policy on recruitment and retention in outpatient cocaine treatment.
abstract: Historically, directors of substance abuse treatment programs have been reluctant to adopt a smoke-free policy because of the fear of patient attrition. According to a recent survey, however, a number of program directors now believe that such fears may be unwarranted. The purpose of the present study was to examine the impact on admissions and attendance of adopting a smoke-free policy at a cocaine treatment program offering outpatient group therapy sessions 3 half days a week. Results indicated that implementation of this policy had no impact on the number of patients who sought treatment at the facility or the number of group sessions patients attended. It was also noteworthy that for a sample of cases active in the month prior to and the month following the ban there were no changes in attendance patterns or in the proportion of patients failing to return from a 10-15 minute therapy break despite the fact that 89% of these patients were cigarette smokers.
authors.affiliation: Department of Psychiatry and Human Behavior, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19146, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Sterling
authors.forename: E
authors.initials: E
authors.lastname: Gottheil
authors.forename: S P
authors.initials: SP
authors.lastname: Weinstein
authors.forename: J W
authors.initials: JW
authors.lastname: Kurtz
authors.forename: H
authors.initials: H
authors.lastname: Menduke
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D003042:Cocaine; D003131:Combined Modality Therapy; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D016134:Organizational Policy; D010349:Patient Compliance / Q000523:psychology; D010352:Patient Dropouts / Q000523:psychology*; D018579:Patient Selection; D011615:Psychotherapy, Group; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation / Q000523:psychology*; D000074606:Smoking Prevention; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*
chemical_list: D003042:Cocaine