title: Measuring the Integration of Tobacco Policy and Treatment into the Behavioral Health Care Delivery System: How Are We Doing?
abstract: People with a mental illness and/or drug use disorder have a higher rate of smoking than adults in general. To address this challenge, recommendations include integrating tobacco-free policies and tobacco dependency treatment into the behavioral health care delivery system. Currently, little is known regarding levels of such integration. A 65-item Internet survey measuring integration assessed three areas: a) policies addressing the use of tobacco products; b) provision of evidence-based tobacco dependence treatment; and, c) capacity to help employees/volunteers quit tobacco use. The survey was distributed to representatives of all behavioral health programs in Wisconsin. The survey response rate was 27.1%. Programs, on average, were 40% integrated. A significant proportion of programs (20%) were less than 20% integrated. A few programs (4.3%) exceeded 80% integration. Integration of tobacco policies and treatment into the behavioral health care delivery system remains limited and there is a need for technical assistance and training.
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Christiansen
authors.forename: David R
authors.initials: DR
authors.lastname: Macmaster
authors.forename: Eric L
authors.initials: EL
authors.lastname: Heiligenstein
authors.forename: Randal L
authors.initials: RL
authors.lastname: Glysch
authors.forename: Donna M
authors.initials: DM
authors.lastname: Riemer
authors.forename: Robert T
authors.initials: RT
authors.lastname: Adsit
authors.forename: Kristine A
authors.initials: KA
authors.lastname: Hayden
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Hollenback
authors.forename: Michael C
authors.initials: MC
authors.lastname: Fiore
mesh_terms: D003695:Delivery of Health Care; D006801:Humans; D011640:Public Policy; D016540:Smoking Cessation; D000074606:Smoking Prevention; D014029:Tobacco Use Disorder; D014922:Wisconsin; D014026:Nicotiana