Program and System Level Interventions to Address Tobacco Amongst Individuals with Schizophrenia
Titel:
Program and System Level Interventions to Address Tobacco Amongst Individuals with Schizophrenia
Auteur:
Ziedonis, Douglas Parks, Joe Zimmermann, Mia Hanos McCabe, Philip
Verschenen in:
Journal of dual diagnosis
Paginering:
Jaargang 3 (2007) nr. 3-4 pagina's 151-175
Jaar:
2007-11-01
Inhoud:
Most individuals with schizophrenia are tobacco smokers, and smoking is associated with increased morbidity and mortality, changes in psychiatric medication metabolism, increased psychiatric hospitalizations, and increased risk for other substance use. Since individuals with schizophrenia receive most of their clinical care within psychiatric settings, there is a need to integrate tobacco assessment and smoking cessation treatment within the mental health system. Better addressing of tobacco will require program-level changes as well as broader system-level changes. Organizational change strategies can be effective in addressing the barriers to integrated care. Broader system-level changes include initiatives by national organizations to enhance training and create consensus on implementing change, establishing networks with existing tobacco control efforts, and increasing funding for treatment and research for this population. The purpose of this article is to address the barriers to change and share strategies to better address tobacco and integrate treatment into routine practice.