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Smoking Reduction for Persons with Mental Illnesses: 6-Month Results from Community-Based Interventions

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Abstract

Persons with mental illnesses use tobacco at significantly higher and heavier rates than the general population, and suffer greater tobacco- related morbidity and mortality. However, there are few existing tobacco cessation interventions for these individuals. This study examined two tobacco cessation interventions, a telephonic quitline intervention (counseling and nicotine replacement therapy) and a community-based group counseling intervention with adults currently receiving community mental health services. At 6-month follow-up, both groups demonstrated significantly reduced tobacco use, but participants who received both quitline services and the group counseling intervention were significantly more likely to have a 50% tobacco use reduction. Across groups, the overall intent-to-treat cessation rate was 7%. Tobacco dependence, depression symptoms, and psychotic symptoms decreased significantly for all treatment groups, while health and mental health functioning increased. Findings suggest that common community tobacco cessation services are effective for this population.

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Acknowledgments

This work was supported with proceeds from the Colorado tobacco tax (Amendment 35) which is administered by the Prevention Services Division at the Colorado Department of Public Health and Environment (CDPHE). CDPHE disclaims responsibility for any analyses, interpretations, or conclusions.

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Authors and Affiliations

  1. University of Colorado Denver, Denver, CO, USA

    Chad D. Morris, Jeanette A. Waxmonsky, Mandy G. May, Miriam Dickinson & Alexis A. Giese

  2. National Jewish Health, Denver, CO, USA

    David G. Tinkelman

  3. Department of Psychiatry, University of Colorado Anschutz Medical Campus, Campus Box F478, 1784 Racine Street, Building 401, Aurora, CO, 80045, USA

    Chad D. Morris

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  1. Chad D. Morris
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  2. Jeanette A. Waxmonsky
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Morris, C.D., Waxmonsky, J.A., May, M.G. et al. Smoking Reduction for Persons with Mental Illnesses: 6-Month Results from Community-Based Interventions. Community Ment Health J 47, 694–702 (2011). https://doi.org/10.1007/s10597-011-9411-z

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