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A Tobacco Reconceptualization in Psychiatry: Toward the Development of Tobacco‐Free Psychiatric Facilities
Author(s) -
Moss Taryn G.,
Weinberger Andrea H.,
Vessicchio Jennifer C.,
Mancuso Vincenza,
Cushing Sandra J.,
Pett Michael,
Kitchen Kate,
Selby Peter,
George Tony P.
Publication year - 2010
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 - 10.1111/j.1521-0391.2010.00051.x
Subject(s) - psychiatry , accreditation , addiction , commission , medicine , tobacco control , psychology , public health , nursing , political science , medical education , law
Tobacco dependence is the leading cause of death in persons with psychiatric and substance use disorders. This has lead to interest in the development of pharmacological and behavioral treatments for tobacco dependence in this subset of smokers. However, there has been little attention paid to the development of tobacco‐free environments in psychiatric institutions despite the creation of smoke‐free psychiatric hospitals mandated by the Joint Commission for Accreditation of Health Organizations (JCAHO) in 1992. This review article addresses the reasons why tobacco should be excluded from psychiatric and addictions treatment settings, and strategies that can be employed to initiate and maintain tobacco‐free psychiatric settings. Finally, questions for further research in this field are delineated. This Tobacco Reconceptualization in Psychiatry is long overdue, given the clear and compelling benefits of tobacco‐free environments in psychiatric institutions . (Am J Addict 2010;00:1–19)