title: Tobacco use treatment in primary care patients with psychiatric illness.
abstract: The prevalence of smoking is higher in patients with psychiatric illness compared with the general population. Smoking causes chronic illnesses, which lead to premature mortality in those with psychiatric illness, is associated with greater burden of psychiatric symptoms, and contributes to the social isolation experienced by individuals with psychiatric disorders. Most patients with a psychiatric illness present initially to primary care rather than specialty care settings, and some patients receive care exclusively in the primary care setting. Therefore, family physicians and other primary care clinicians have an important role in the recognition and treatment of tobacco use disorders in patients with psychiatric illnesses. In this article we review common myths associated with smoking and psychiatric illness, techniques for implementing evidence-based tobacco use treatments, the evidence base for tobacco use treatment for patients with specific psychiatric diagnoses, and factors to consider when treating tobacco use disorders in patients with psychiatric illness.
authors.affiliation: the Department of Psychiatry and Behavioral Sciences, the Department of Family Medicine, School of Medicine, and the Department of Health Services, School of Public Health, University of Washington, Seattle; and the Veteran's Affairs Puget Sound Health Care System, Seattle, WA.
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Cerimele
authors.forename: Abigail C
authors.initials: AC
authors.lastname: Halperin
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Saxon
mesh_terms: D006801:Humans; D001523:Mental Disorders / Q000150:complications*; D011320:Primary Health Care; D016540:Smoking Cessation; D014029:Tobacco Use Disorder / Q000150:complications / Q000628:therapy*
keywords: Mental Disorders; Tobacco Use Cessation