Attitudes toward the integration of smoking cessation treatment into drug abuse clinics

Bret E. Fuller, Oregon Health and Science University
Joseph Guydish, University of California
Janice Tsoh, University of California
Malcolm S. Reid, New York University School of Medicine
Michael Resnick, VA Medical Center
Lucy Zammarelli, Willamette Family Treatment Services
Douglas M. Ziedonis, University of Massachusetts Medical School
Clare Sears, University of California
Dennis McCarty, Oregon Health and Sciences University School of Medicine

Abstract

This article examines the variables associated with the presence of smoking cessation interventions in drug abuse treatment units, as well as staff attitudes toward the integration of smoking cessation services as a component of care. Surveys were administered to 106 organizations, 348 treatment clinics, and 3,786 employees in agencies that participated in the National Drug Abuse Treatment Clinical Trials Network. Organizational factors, attributes of the treatment setting, and staff attitudes toward smoking cessation treatment were assessed. Use of smoking cessation interventions was associated with the number of additional services offered at clinics, residential detoxification services, and attitudes of the staff toward smoking cessation treatment. Staff attitudes toward integrating smoking cessation services in drug treatment were influenced by the number of pregnant women admitted, the number of ancillary services provided, the attitudes of staff toward evidence-based practices, and whether smoking cessation treatment was offered as a component of care.