Outcome from a community-based smoking cessation program for persons with serious mental illness
Shawn R Currie1, Jordyn Karltyn, Debra Lussier
1Department of Psychiatry, Mental Health Information and Evaluation Unit, Calgary Health Region, Mental Health and Psychiatric Services, 206, 301-14th Street NW, Calgary, AB, Canada, T2N 2A1. scurrie@ucalgary.ca
Community smoking cessation programs are effective for individuals with mental illness, showing quit rates comparable to the general population. Program length did not significantly impact success, and quitting did not worsen mental health symptoms.
Area of Science:
- Psychiatry
- Addiction Medicine
- Public Health
Background:
- Smoking cessation interventions are crucial for vulnerable populations.
- Individuals with mental illness often have higher smoking rates and face unique challenges in quitting.
- Community-based group interventions offer a potential avenue for smoking cessation in this demographic.
Purpose of the Study:
- To evaluate the efficacy of community-based smoking cessation groups for individuals with mental illness.
- To compare outcomes of 4-session versus 8-session programs.
- To assess the impact of smoking cessation on mental health symptoms and functioning.
Main Methods:
- A cohort of 79 individuals with mental illness participated in either a 4- or 8-session community-based smoking cessation group.
- Quit rates were assessed at post-treatment, 3-, 6-, and 12-month follow-ups.
- Nicotine replacement therapy use, psychotropic medication dosages, and mental health symptoms were monitored.
Main Results:
- Quit rates at 12 months were 19%, with no significant difference between 4- and 8-session programs.
- These success rates are comparable to those observed in mentally healthy smokers undergoing group treatment.
- No adverse effects on mental illness symptoms or general functioning were observed in individuals who quit smoking.
Conclusions:
- Community-based smoking cessation groups are effective for individuals with mental illness.
- Program duration (4 vs. 8 sessions) did not influence quit rates.
- Smoking cessation in this population is safe and does not negatively impact mental health or functioning.
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Assessment
