title: Proposing concurrent alcohol and tobacco withdrawal. Analysis of the perceptions of Belgian nurses in the alcoholism unit.
abstract: BACKGROUND
  Dual tobacco-alcohol addiction is common, but the literature often considers only the issue of withdrawal from one substance at a time and emphasises that the assessment of tobacco use seems to be neglected in psychiatry.
  
  
  METHODS
  In this study, we analysed the perceptions of nurses working in alcoholism units before and after motivational interviewing trainingon proposing concurrent alcohol-tobacco withdrawal to patients.
  
  
  RESULTS
  Nurses, unlike psychiatry postgraduates, were able to achieve acomprehensive and systematic history of substance abuse, but bothtended not to recommend concurrent tobacco-alcohol withdrawal. Training in motivational interviewing was inclined to reverse this tendency.
  
  
  CONCLUSIONS
  Reducing feelings of helplessness that carers experience when patientsrelapse is one of the factors to change.
  
  
  CONCLUSIONS
  Recommendations for the development of concurrent alcohol tobacco withdrawal programmes.
authors.affiliation: Université Catholique de Louvain, CHU Dinant-Godinne, Unité de psychosomatique, 5530 Yvoir, Belgium, denis.jacques@uclouvain.be.
authors.forename: Denis
authors.initials: D
authors.lastname: Jacques
authors.forename: Pauline
authors.initials: P
authors.lastname: Manceaux
authors.forename: Philippe
authors.initials: P
authors.lastname: de Timary
authors.forename: Juan
authors.initials: J
authors.lastname: Tecco
authors.forename: Christine
authors.initials: C
authors.lastname: Reynaert
authors.forename: Nicolas
authors.initials: N
authors.lastname: Zdanowicz