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Smoking Cessation for Persons with Serious Mental ...
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The document presents an overview of smoking cessation efforts, particularly targeting persons with serious mental illness. It is associated with the American Psychiatric Association and includes practical guidance, learning objectives, statistics, and findings from various studies. <br /><br />The smoking-related health effects are extensively outlined, highlighting the physical, psychological, and economic burdens, with particular attention given to vulnerable populations such as those with mental illness or substance use disorders. The document notes that this group consumes 40% of all cigarettes in the United States and experiences high mortality rates related to smoking.<br /><br />Strategies for smoking cessation include a comprehensive overview of pharmacotherapy, counseling, and behavioral interventions. Tools like the "5 A's" intervention model (Ask, Advise, Assess, Assist, Arrange) and the importance of tailored treatment plans were highlighted. The document also underscores the utility of quitlines and peer support in smoking cessation programs. <br /><br />The document evaluates the effectiveness of various nicotine replacement therapies and medications, such as varenicline and bupropion, and compares success rates in standard cessation methods. Myths related to smoking and mental health, such as the belief that tobacco is necessary for self-medication, are addressed and debunked. <br /><br />Emergent topics, like the role of e-cigarettes in cessation and implications of COVID-19 on smoking behaviors, are discussed, pointing to mixed evidence and ongoing research needs. <br /><br />Ultimately, the document emphasizes the need for integrating tobacco cessation interventions within mental health treatments to improve outcomes, dispel myths, and reinforce smoking cessation's positive impacts on mental health and general well-being.
Keywords
smoking cessation
serious mental illness
American Psychiatric Association
pharmacotherapy
behavioral interventions
nicotine replacement therapy
e-cigarettes
mental health
quitlines
COVID-19
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