Smoking cessation interventions in substance use treatment facilities: clinical implications and recommendations for implementation
DOI:
https://doi.org/10.20882/adicciones.1270Keywords:
Smoking, Smoking cessation, Substance use dependents, Barriers, Organizational changesAbstract
There exists an increasing recognition that smoking cessation treatments should be provided alongside substance abuse treatments. However, very scarce evidence of this practice has been reported in Spain. This study sought to provide data on the provision of smoking cessation treatments within substance use treatment facilities in Asturias, Spain. A total of 15 treatment facilities were contacted initially. An ad hoc survey was provided to the principal coordinator of each substance use treatment facility to collect data on the provision of smoking cessation treatments, centers’ restrictions on tobacco use, and barriers to effectively implementing smoking cessation treatments. Of the surveyed centers, only 3 systematically offered smoking cessation treatments. A total of 10 out of 15 centers (66.66%) self-reported any tobacco control measure: banning cigarette exchange (4/10; 40%), limiting time for rolling cigarettes (4/10; 40%), using cigarettes as a prize/punishment (2/10; 20%), and cigarette collection at night (1/10, 10%). Barriers to effectively implementing smoking cessation treatments have been identified at different levels (staff, patient, and organizational). Concerns that smoking abstinence would compromise substance use outcomes were detected as the main barrier to effectively implementing smoking cessation treatments within centers. Several clinical implications are discussed.References
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