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CE Course Description

Tobacco use remains the leading preventable cause of death worldwide and people with mental illness are disproportionately affected with high smoking prevalence.  This CE course reviews the determinants of tobacco use among smokers with mental illness, identifies the significant harms incurred, and looks at opportunities for prevention and intervention within a health care system and larger health policy perspective.

Author:  Prochaska, J., Das, S., and Young-Wolff, K.  (2017, March).  Smoking, Mental Illness, and Public Health.  Annual Review of Public Health, 38:1, 165-185.

References / Contributions by:

1. Adkison SE, O'Connor RJ, Bansal-Travers M, Hyland A, Borland R, et al. 2013. Electronic nicotine delivery systems: international tobacco control four-country survey. Am. J. Prev. Med. 44:207–15
2. Allen MH, Debanne M, Lazignac C, Adam E, Dickinson LM, Damsa C. 2011. Effect of nicotine replacement therapy on agitation in smokers with schizophrenia: a double-blind, randomized, placebo-controlled study. Am. J. Psychiatry 168:395–99
3. Anthenelli RM, Benowitz NL, West R, St Aubin L, McRae T, et al. 2016. Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. Lancet 387:2507–20

Retrieved from:  https://www.annualreviews.org/doi/10.1146/annurev-publhealth-031816-044618

CE Course Objectives

1. Conclude the most commonly held belief among mental health professionals for why they do not provide assistance with quitting smoking or provide treatment referrals for patients with mental illness.
2. Determine the mental health condition that comprehensive smoking bans in the home and workplace are associated with a significantly reduced risk of developing.
3. Identify which aspect of cigarettes promote experimentation, regular smoking, and increased likelihood of addiction in youth smokers and are associated with less success with quitting among African American smokers.

CE Outline with Main Points

1.  The HAVE Model: Host-Agent-Vector-Environment

2.  Host: Tobacco Users

a.  Prevalence of Smoking

b.  Self-Medication versus Causation or Bidirectional Models

c.  Tobacco-Related Morbidity and Mortality

3.  Tobacco Use and Mental Illness: A Compounded Problem

4.  Agent: Cigarettes and Emerging Nicotine Products

a.  Cigarettes

b.  Menthol

c.  Electronic Nicotine Delivery Systems

5.  Vector: Industry Efforts

a.  Tobacco Industry Marketing

b.  Tobacco Industry Research and Collaborators

c.  Tobacco Retailers

6.  Environment: Mental Health Settings and Smoke-Free Policies

a.  Provider Behavior

b.  Mental Health Settings

7.  Tobacco-Cessation Treatment Strategies

a.  Individual Focused

b.  Policy or Population Approaches

ACE credit is not offered for this course. A list of courses offering ACE credit can be found here.

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Added On: 03/01/2017