title: Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives.
abstract: Little is known about patients' electronic cigarette use, interest in and use of smoking cessation treatments, and providers' attitude towards such treatment. We assessed patients (N = 231) and providers (45 psychiatrists, 97 case workers) in four Community Mental Health Centers. Interestingly, 50% of smokers reported interest in using electronic cigarettes to quit smoking, and 22% reported current use. While 82% of smokers reported wanting to quit or reduce smoking, 91% of psychiatrists and 84% of case workers reported that patients were not interested in quitting as the lead barrier, limiting the provision of cessation interventions. Providers' assumption of low patient interest in treatment may account for the low rate of smoking cessation treatment. In contrast, patients report interest and active use of electronic cigarettes to quit smoking. This study highlights the need for interventions targeting different phases of smoking cessation in these patients suffering disproportionately from tobacco dependence.
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA. chenli@psychiatry.wustl.edu.|BJC Behavioral Health, BJC Healthcare, St. Louis, MO, USA. chenli@psychiatry.wustl.edu.
authors.forename: Li-Shiun
authors.initials: LS
authors.lastname: Chen
authors.affiliation: Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
authors.forename: Timothy
authors.initials: T
authors.lastname: Baker
authors.affiliation: Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO, USA.|Division of Public Health Sciences and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
authors.forename: Ross C
authors.initials: RC
authors.lastname: Brownson
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Carney
authors.affiliation: Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Jorenby
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Hartz
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA.
authors.forename: Nina
authors.initials: N
authors.lastname: Smock
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA.|BJC Behavioral Health, BJC Healthcare, St. Louis, MO, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Johnson
authors.affiliation: Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Ziedonis
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Box 8134, St. Louis, MO, 63110, USA.
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Bierut
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003155:Community Mental Health Centers / Q000706:statistics & numerical data; D066300:Electronic Nicotine Delivery Systems / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Electronic cigarettes; Implementation; Mental illness; Smoking cessation