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Kirsten Hansen

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Online Tobacco Cessation and Behavioral Health CME

Posted by Kirsten Hansen

Dec 6, 2012 4:34:00 PM

Online Tobacco Cessation and Behavioral Health CMEPersons with mental illnesses die up to 25 years earlier and suffer increased medical co-morbidity. They often die from tobacco-related diseases.

A growing body of research shows that smokers with co-occurring psychiatric and/or addictive disorders want to quit, are able to quit, and quitting does not threaten their recovery.

With this knowledge, behavioral health and primary care provid­ers can encourage and help their patients with mental illness and/or substance use disorders to quit smoking.

The purpose of this course is to provide mental health and substance use disorder provid­ers and counselors with the knowledge, skills and confidence necessary to assess and treat tobacco dependence in smokers with co-occurring psychiatric and/or addictive disorders.

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Course Objectives

At the conclusion of the course, participants should be able to:

1. Describe population-based trends of tobacco use among smokers with co-occurring mental health and/or substance abuse disorders.

2. Recognize and counter the factors in mental health and addiction treatment settings that have served to maintain tobacco use in populations with mental health and/or substance use disorders.

3. Identify and implement evidence-based treatment for treating tobacco dependence.


The University of California, San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physi­cians.

AMA: The University of California, San Diego School of Medicine designates this enduring, online course for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

APA: (Full attendance is required): The University of California, San Diego School of Medicine, Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The University of California, San Diego School of Medicine, Department of Psychiatry maintains responsibility for this program and its content.

BBS: Course meets the qualifications for 2.0 hours of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences. (UCSD Provider Number PCE 683).

BRN: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organiza­tions accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report up to 2.0 hours of credit and list “CME Category 1” as the provider number).

NAADAC: UC San Diego Continuing Medical Education is approved by the National Associa­tion of Alcohol and Drug Abuse counselors to provide continuing education for NAADAC certified counselors. This course is approved for up to 2.0 credits. (NAADAC approved provider #849).

Four Myths About Smokers With Behavioral Health Conditions

Posted by Kirsten Hansen

Mar 14, 2012 2:23:00 PM

describe the imagePeople with mental illness and substance use disorders want to quit smoking and can quit successfully.  And mental health professionals can help.  Until a few years ago, it was uncommon for people with mental illness or substance use disorders to be treated for their tobacco dependence, even though their smoking rates are 2-4 times higher than in the general population.

The 2006 Morbidity and Mortality in People with Serious Mental Illness report issued by the National Association of State Mental Health Program Directors, found that persons with serious mental illness die, on average, 25 years earlier and suffer increased medical co-morbidity.  They often die from tobacco related diseases and are more likely to die from these diseases than from alcohol use.

The need to help this clientele quit tobacco is clear.  Some strongly held myths have stood in the way of progress in this area.  Fortunately, a growing body of research is debunking these myths, making way for new interventions. 

  • Myth #1: Persons with mental illness and substance use disorders do not want to quit smoking. Research argues that the majority of persons with mental illness and substance use disorders want to quit smoking and want information on cessation services and resources. Among hospitalized psychiatric patients who smoke, one study found that 79% were not only interested in quitting, but agreed to participate in a clinical study to help them quit (Prochaska, Hall, & Hall, 2009).  
  • Myth #2: Persons mental illness and substance use disorders are unable to quit smoking.  In fact, a review of 24 studies, the recorded quit rates of patients with mental illness or addictive disorders were similar to those of the general population.
  • Myth #3: Smoking cessation worsens psychiatric symptoms. On the contrary, smoking cessation can actually improve psychiatric symptoms.  This myth has historical ties to the tobacco industry which has directly funded, or monitored, research supporting the idea that individuals with schizophrenia were less susceptible to the harms of tobacco and that they needed tobacco as self-medication.  One randomized trial found that actively depressed smokers who quit reported a significant decline in depression symptoms and a reduction in alcohol use compared with participants who continued smoking (Prochaska et al., 2008).
  • Myth #4: Smoking cessation can threatens recovery for persons with substance abuse issues.  Smoking cessation can actually enhance long-term recovery for persons with substance use disorders. A systematic review of 17 studies found that concurrent tobacco cessation treatment with individuals in addictions treatment was associated with 25% increased abstinence from alcohol and illicit drugs six months or longer after treatment (Prochaska, Delucchi, & Hall, 2004).  

Clinicians are encouraged to talk with their patients and offer them assistance in quitting.  Many of the treatment strategies that work for smokers without behavioral health issues (e.g., cessation pharmacotherapy and behavioral counseling) can work for this clientele as well.

The California Smokers' Helpline has developed a free toolkit for you to help your patients quit smoking. To download the kit now, click below:

Download Materials Now!

About this Blog

The California Smokers' Helpline offers free, evidence-based tobacco cessation services in multiple languages to help smokers quit. We also offer free training and resources to health professionals to increase their knowledge and capacity for tobacco cessation.

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Contact Us

For more information about our free training and resources for health professionals, please contact the Helpline Communications Department at (858) 300-1010 or cshoutreach@ucsd.edu.

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