title: How is tobacco treatment provided during drug treatment?
abstract: The purpose of this study was to obtain descriptions of tobacco treatment services across different substance abuse treatment settings. We conducted mixed-method assessments in eight facilities among eight directors, 25 staff, 29 clients, and 82 client charts. Measures included systems assessment, chart reviews, and semistructured interviews. Although many programs reported they offer key components of evidence-based treatment, few actually provided any treatment and none did so systematically. Many addressed tobacco as part of drug education or part of a health promotion session. Chart reviews suggested that provision of tobacco treatment is rare. By many reports, clients had to specifically request treatment and few staff reported encouraging unmotivated smokers to quit. Systems to facilitate consistent, evidence-based tobacco treatment and to implement quality improvement were nonexistent. The findings imply that drug treatment facilities may need to build capacity in several domains to deliver care that is consistent with national guidelines.
authors.affiliation: University of Kansas Medical Center, Department of Preventive Medicine and Public Health, Kansas City, KS, USA. jhunt2@kumc.edu
authors.forename: Jamie J
authors.initials: JJ
authors.lastname: Hunt
authors.forename: A Paula
authors.initials: AP
authors.lastname: Cupertino
authors.forename: Susan
authors.initials: S
authors.lastname: Garrett
authors.forename: Peter D
authors.initials: PD
authors.lastname: Friedmann
authors.forename: Kimber P
authors.initials: KP
authors.lastname: Richter
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D003625:Data Collection; D019317:Evidence-Based Medicine; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000379:methods*; D016320:Substance Abuse Treatment Centers / Q000379:methods / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014029:Tobacco Use Disorder / Q000534:rehabilitation*; D014481:United States; D055815:Young Adult