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Is Implementation of the 5 A's of Smoking Cessation at Community Mental Health Centers Effective for Reduction of Smoking by Patients with Serious Mental Illness?
Author(s) -
Dixon Lisa B.,
Medoff Deborah,
Goldberg Richard,
Lucksted Alicia,
Kreyenbuhl Julie,
DiClemente Carlo,
Potts Wendy,
Leith Jaclyn,
Brown Clayton,
Adams Curtis,
Afful Joseph
Publication year - 2009
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490903077747
Subject(s) - smoking cessation , mental illness , psychiatry , mental health , medicine , pathology
We tested whether implementing the “5 A's” (Ask, Advise, Assess, Assist, Arrange) at six mental health centers reduces smoking among persons with serious mental illness. One hundred and fifty six patients were evaluated just before initiating the 5 A's and after six and 12 months. A delayed control condition evaluated 148 patients six months before 5 A's implementation, just before and then after six months. Six months of the 5 A's produced no effect. Modest cessation and reduction benefits were noted after 12 months. Implementing the 5 A's at community mental health centers may have modest benefit after twelve months.