Evaluating a Tobacco-free Policy Intervention in Residential Substance Use Disorder Programs
A Pagano1, C McCuistian1, J K Fokuo2
1Institute for Health Policy Studies, University of California, San Francisco, San Francisco CA 94118.
Introduction:
Individuals in treatment for substance use disorders (SUD) use tobacco at much higher rates than the general population. Qualitative research can help identify successful implementation approaches for tobacco-free policy interventions in SUD treatment, but qualitative post-intervention evaluation studies are limited.
Methods:
Directors of sixteen residential SUD treatment programs participated in a multi-year tobacco-free policy intervention. Semi-structured interviews (n = 32) were conducted at 12- and 18 months post-intervention. Interview transcripts were analyzed thematically to determine implementation barriers and supports.
Results:
Supports for tobacco-free policies included a broader wellness context, alternatives to smoking, community partnerships, gradual change, and patient inclusion. Barriers were patient cessation challenges, staff resistance, and insufficient capacity.
Conclusion:
Implementation of tobacco-free policies in residential SUD treatment programs is feasible but requires significant planning and support. Single state agencies and other substance use treatment authorities should allocate more resources to support implementation of tobacco-free policies in SUD treatment.
More Related Videos
09:25Methods to Evaluate Cytotoxicity and Immunosuppression of Combustible Tobacco Product Preparations
Published on: January 10, 2015
09:50Impact Assessment of Repeated Exposure of Organotypic 3D Bronchial and Nasal Tissue Culture Models to Whole Cigarette Smoke
Published on: February 12, 2015
Related Concept Videos
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Drug Dependence
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
CNS Depressants: Alcohol and Nicotine
