Secondhand tobacco smoke (SHS) exposure causes several adverse physical health outcomes…
Journal Articles
A comparison of survey measures and biomarkers of secondhand tobacco smoke exposure among nonsmokers
WHAT IS KNOWN ON THE SUBJECT?: People admitted to psychiatric facilities have high rates of tobacco use and hospitalizations present an opportunity for patients to have conversations…
Compassion satisfaction (CS) among healthcare professionals is a sense of gratification derived from caring for their suffering patients. In contrast, compassion fatigue, often a consequence of burnout (BO) and secondary traumatic stress (STS), is detrimental to healthcare professionals’ productivity and patient care. While several studies have examined CS, BO, and STS among healthcare professionals, the majority have assessed samples in specific disciplines.
Individuals with substance use disorders (SUD) are increasingly admitted in emergency departments (EDs) nationwide. However, ED providers often have limited knowledge about and lack confidence in treating SUDs. This limited knowledge often results in poor treatment outcomes among patients with SUD in the ED setting.
Quit & Win contests are a community-based tobacco cessation strategy that has demonstrated success in supporting tobacco cessation efforts in the general population. However, such contests have not been implemented and evaluated among people living with mental illnesses (MIs). This pilot study aimed to evaluate the feasibility of implementing Quit & Win contests in terms of program delivery, engagement, and cessation outcomes among people with MIs.
Psychiatric patients have high tobacco use prevalence, dependence, and withdrawal severity. A tobacco-free psychiatric hospitalization necessitates the management of nicotine withdrawal (NW) for tobacco using patients…
Persons with different mental illnesses smoke for reasons based on their particular diagnosis…
It is common practice to individualize smoking cessation pharmacotherapy based on clinical judgment and patient response…
Due to the challenging nature of tobacco addiction, individuals with cardiac conditions often continue to smoke at high rates (up to 62%), even after experiencing life-threatening events…
Previous observational studies and systematic reviews have suggested that adherence to the Mediterranean diet is associated with a reduced risk of breast cancer, but have…
Most tobacco users know the power of addiction and want to quit. Evidence tells a vivid and chilling story of the dire and urgent need to support cessation. Tobacco is the leading preventable cause of death and disease globally, and it contributes to...
To examine the association between secondhand tobacco smoke exposure (SHSe) and smoking behaviors (smoking status, susceptibility, initiation, dependence, and cessation)…
Patient web portals are password-protected online websites that offer patients 24-hour access to personal health information from anywhere with an Internet connection…
The Diagnostic and Statistical Manual diagnostic criteria for nicotine dependence (DSM-ND) are based on the proposition that dependence is a syndrome that can be diagnosed only when a minimum of 3 of the 7 proscribed features are present…
Mental Health Care should be available, approachable, and affordable.
Aims: To examine differences in tobacco use and dependence between adolescents who are and are not marijuana users…
Few studies have examined health behavior interventions for African American women who are uterine cancer survivors. …
Background: Depressive symptoms (DS) are highly prevalent in patients with cardiovascular diseases (CVD). Sedentary behavior is associated with DS, and together they worsen CVD health outcomes. Rural patients exhibit greater incidence of DS and physical inactivity than their urban counterparts. While females and younger adults are more likely to experience DS in general, how sedentary time (ST) interacts with age and sex on DS in rural patients with CVD has not been elucidated.
Secondhand smoke (SHS) directly increases exposure to airborne nicotine, tobacco's main psychoactive substance…
Tobacco-related morbidity and mortality is high among people with mental illnesses (PMI), yet tobacco treatment (TT) is often not provided by mental health care providers (MHPs)…
People living with schizophrenia spectrum disorder (SSD) have poorer medication adherence compared to those with other mental illnesses. Long-acting injectable antipsychotic (LAI) medication use is associated with greater adherence, reduced re-hospitalizations, and improved recovery outcomes when compared to oral formulations.
Despite high tobacco use prevalence among those with serious mental illnesses, few Assertive Community Treatment (ACT) programs provide tobacco treatment. Understanding the factors associated with the intentions to engage in tobacco treatment from both provider and consumer perspectives is important.
Volume 2, Issue 4
April 2025
Secondhand smoke exposure (SHSe) is predictive of greater nicotine dependence (ND) and poor smoking cessation (SC) outcomes…
People with psychiatric disorders (PDs) are disproportionately affected by tobacco use and its associated harms. Although several unique risk factors are known for this population, few studies have examined differences based on urban or rural residence.
Objectives:
We aim to examine factors associated with tobacco use and consumption among rural and urban patients with PDs.
People with psychiatric disorders (PDs) have high risks for tobacco use and associated health effects; however, little is known about differences in tobacco use status and consumption by urban or rural residence. Among patients with PDs, we examined the association of smoke-free policy on tobacco use by rural/urban residence METHOD: A cross-sectional retrospective study (N = 2060) among patients in a psychiatric facility was conducted.
Despite the large amount that is known about the physical health effects of secondhand tobacco smoke (SHS) exposure, little is known about the behavioral health effects…
We have all likely experienced the shame, pain, and sting of being stigmatized at some point. Stigmatization appears in diverse forms-including derogatory comments about skin tone, hair texture, or body size; denial of resources due to social standing; and devaluation of persons because of sexual/gender identity, religious affiliation, or political preferences. Regardless of its form, stigmatization is never productive and poses a considerable threat to mental health and well-being.
Mental health is foundational to whole health! (American
Psychiatric Nurses Association [APNA], 2020;
McLoughin, 2016). Without such a key perspective, we
are disadvantaged in our efforts to prevent mental health
disorders and support recovery while navigating the com-
plex social determinants of health affecting our patients,
their families, their communities, and even our own
workforce.
SBIRT has been used among people living with HIV in primary HIV clinics …
Coaching as a practice has been used to facilitate personal and professional growth. However, many of the basic concepts of coaching can also be used to positively influence the culture of an organization.
Abstract
Background:
Using long-acting injectable (LAI) antipsychotic medications can improve the outcomes of patients with schizophrenia, such as reducing symptom severity and hospitalization risk. However, the outcomes of switching from oral to LAI antipsychotic medications are unclear.
Aims:
We write this editorial at a time of great civil unrest in the United States, following the public murder of George Floyd, an unarmed Black man who was killed by Minneapolis police officers, and Breonna Taylor, an innocent Kentucky woman killed by police serving a no-knock warrant. These 2 deaths were among the many unjust atrocities committed against Blacks that have been repeated far too many times in our history.
Background: Although several studies have recently described compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) in nurses, few to date have examined these issues across nursing specialties. Such examination is needed to inform future nursing-subspecialty tailored interventions.
Aims: Among nursing professionals, our aims were to examine (a) self-reported traumatic experiences, (b) differences in post-traumatic growth (i.e. positive psychological growth after experiencing a traumatic event) by nursing professional level and (c) demographic, work-related, behavioural and traumatic experience covariates of post-traumatic growth.
Individuals with substance use (SUD) and/or psychiatric disorders (PD) are disproportionately affected by tobacco use; yet, little is known about secondhand tobacco smoke (SHS) exposure in these populations…
To examine the correlates of secondhand tobacco smoke (SHS) exposure in a sample of individuals with severe and persistent mental illness (SPMI) accessing community mental health services…
Using a cross-sectional analysis, we assessed correlates of tobacco use and tobacco consumption from inpatient records (N = 2,060) from a state psychiatric hospital…
The authors regret the following error. The second affiliation of the first author was omitted from the article. The corrected affiliations are as follows:
We assessed costs and cost-effectiveness of implementing Fit Body and Soul (FBAS), a church-based 18-session lifestyle education intervention for African Americans…
At the time of this writing, the novel coronavirus disease (COVID-19) has infected over 13 million individuals worldwide, with over 3.4 million infected in the United States (US). The highly infectious virus has claimed over 137,000 US lives and this number increases daily. While COVID-19 does not discriminate, data illuminate an eerily familiar pattern of disproportionate infection and mortality among communities of color.
Uptake of low-dose computed tomography (LDCT) for lung cancer screening is extremely low…
Since 2010, the American Diabetes Association has endorsed both HbA1C (A1C) and fasting plasma glucose (FPG) to determine diabetes risk...
In December 2021, my wife and I took a brief week-long
trip to a beautiful coastal city in the Southeast United
States. On the last day, while returning from the beach, I
noticed a patrol car trailing behind me. Approaching the
street of my accommodation, I turned on my left-turn sig-
nal and eased into the turning lane. The patrol car fol-
lowed.
People with mental illnesses (MI) smoke at higher rates than the general population. However, few mental health providers (MHPs) deliver tobacco treatment to patients with MI especially within inpatient psychiatric settings. According to evidence, fewer than half of MHPs in the US mental and behavioral health settings provide the recommended evidence-based tobacco treatment interventions to their clients with MI.
"All have their worth and each contributes to the worth of
the others." The Silmarillion, by J.R.R. Tolkien
In my view, this quote captures the drive to achieve
equity in mental health care. All people have worth, and
every person's worth adds to the worth of every other per-
son. Our psychiatric-mental health nursing care is driven
by this absolute belief that all people are of equal worth,
of equal value.
Background: Compassion fatigue is a work-related professional hazard acquired when providing healthcare for patients. This hazard can lead to physical and mental health problems for nurses and may also affect the nursing care quality for patients. However, studies on Chinese nurses’ compassion fatigue are scarce, especially large sampled, multi-center empirical research.
Compassion fatigue is a work-related professional hazard acquired when providing healthcare for patients…
The United States is steadily becoming more diverse. If current trends continue, the minority population will be the majority by 2043…
BACKGROUND: Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non–tobacco-using counterparts. Therefore, engaging them in treatment is an important aspect of evidence-based care.
Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non–tobacco-using counterparts…
Compassion satisfaction (CS) among healthcare professionals is a sense of gratification derived from caring for their suffering patients…
Several effective evidence-based tobacco treatment approaches can optimize cessation attempts; however, little is known…
We examined demographic, work-related, and behavioral factors associated with witnessing and/or experiencing workplace violence among healthcare workers.
Background: The nurse workforce shortage, partially caused by high work turnover, is an essential factor influencing the quality of patient care. Because previous studies concerning Chinese nurse work turnover were predominantly quantitative, they lacked insight into the challenges nurses face as they transition from university to their careers. A successful transition can result in new nurses’ commitment to their careers.
In many countries, smoking remains the leading preventable cause of death. In North America, reductions in population smoking levels are stabilizing and, in recent years, those involved in tobacco control programming…
Background Cancer of the uterine corpus is the most common gynecologic malignancy and the fourth most common cancer in U.S. women…
Read this pdf to learn more about how you can practice self-care.
The simplicity of the SBIRT components confirmed to be appropriate, and not requiring a specific mode of training …
SBIRT was successfully implemented throughout the state of New Mexico …
SBIRT was found to be an effective approach in empowering health care providers in identifying people at risk of developing substance use problem...
Serious complications of stroke, one of the leading causes of morbidity and mortality in the United States can be mitigated if treated in a timely manner…
Background: Healthcare workers' risk perceptions towards contracting Coronavirus 2019 (COVID-19) may determine their adoption of preventive behaviors. The adoption of six-feet physical distancing and wearing face coverings reduces the spread of COVID-19 in the community setting.
Despite evidence of differences in smoking behavior between women and men, few studies have assessed these differences in individuals with mental illnesses…
Volume 1, Issue 1
October 2024
Closing the Gap: This research brief emphasizes the connection between mental health and overall wellbeing, highlighting the significance of addressing social determinants surrounding mental health disorders.
Tobacco use remains the leading cause of preventable disease, disability, and death in the United States and is a significant cause of health disparities.
Background: Although the nursing staff is fundamental in assisting individuals with mental illnesses (MI) to stop tobacco use, they often have mixed feelings about providing tobacco treatment (TT) services to people with MI in inpatient psychiatric settings.
Individuals with severe and persistent mental illnesses have a greater prevalence of smoking than the general population and are disproportionately affected by tobacco-related morbidity and mortality…
The Butt Out program is a tobacco dependence intervention that provides smoking cessation counselling and pharmacotherapy for clients with severe mental illness through Vancouver Community Mental Health Services...
Efforts aimed at health care reform and continued advances in information technologies have prompted interest among providers and researchers in patient web portals…
To calculate the percent weight reduction required to achieve minimal clinically important improvement (MCII) in health-related quality of life (HRQOL)…
All-cause and cardiovascular mortality risk in U.S. adults with and without type 2 diabetes: Influence of physical activity, pharmacological treatment and glycemic control...
The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric-mental health nurses.
OBJECTIVE: The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric- mental health nurses.
Individuals with substance use and psychiatric disorders have a high prevalence of tobacco use disorders and are disproportionately affected by tobacco-related morbidity and mortality…
Compassion fatigue has emerged as a detrimental consequence of experiencing work-related stress among psychiatric nurses, and affected the job performance, emotional and physical health of psychiatric nurses. However, researches on Chinese psychiatric nurses' compassion fatigue are dearth.
A discrepancy was found at the cost of delivering and time to perform SBIRT in multiple observational sites …
Lung cancer is the no. 1 cause of cancer death in the United States. Racial/ethnic minority and medically underserved populations suffer higher mortality than whites…
Individuals with mental illnesses (MIs) are disproportionately affected by tobacco-related disease burden because of higher tobacco use prevalence and poor tobacco treatment outcomes…
People with mental illness (MI) have a disproportionate tobacco-related disease burden and mortality. Tobacco-use rates in people with MI are nearly twice that of the general population. Reasons for tobacco-use in this population may be a result of diminished tobacco-related disease risk perceptions. The purpose of this study was to examine the reasons for tobacco-use and perceived tobacco-related health risks among psychiatric inpatients.
People with mental illness (MI) have a disproportionate tobacco-related disease burden and mortality…
Volume 2, Issue 3
February 2025
Closing the Gap: The implementation of an afternoon snack was shown to decrease staff reliance on seclusion and restraints in a psychiatric inpatient setting. By providing patients with structured and supportive intervention, the hospital was able to manage challenging behaviors more effectively while improving safety for both patients and staff.
Volume 1, Issue 2
December 2024
New ways in SBIRT have the potential to enhance the identification of adolescents with substance use disorders in primary care setting …
To examine the association of secondhand smoke (SHS) exposure with susceptibility to smoking perceived addiction, and psychobehavioral effects of exposure among never- and ever-smoking college students…
The purpose of this study was to examine differences in substance use disorders, psychiatric disorders and nicotine dependence among 323 women and men accessing a smoking cessation program…
Tobacco use is highly prevalent among individuals with a history of substance use disorders (SUD) and/or mental illness (MI)…
To assess prevalence rates of tobacco use and dependence in a sample of homeless individuals and to investigate trends for demographic and clinical characteristics across different levels of nicotine dependence…
Correlations among smoking behaviors and co-morbid medical illnesses were examined among 982 smokers with mental illnesses enrolled in a smoking cessation program within Mental Health and Addictions Services in Vancouver, Canada…
Aims: A history of either a substance use disorder (SUD) or psychiatric disorder (PD) is associated with tobacco use…
In this paper we aimed to explore: (1) challenges that people with mental illnesses (MIs) describe in engaging in smoking cessation, (2) challenges that mental health providers (MHPs) perceive that people living with MIs face, and (3) how the perceived challenges are similar and/or different from both perspectives. Semi-structured interviews were used to obtain narrative data from 16 MHPs and 13 psychiatric inpatients with MIs.
Individuals in methadone maintenance treatment are motivated to quit smoking and are interested in smoking cessation treatment…
Individuals with substance use and psychiatric disorders have a high prevalence of tobacco use disorders and are disproportionately affected by tobacco-related morbidity and mortality…
Hospital visits are an opportunity to engage smokers in tobacco treatment. However, little is known about engagement in follow-up referrals…
People living with schizophrenia and other serious mental illnesses (SMI) face a disproportionate burden of tobacco-related prevalence and, consequently, tobacco-induced morbidity, in comparison to those without SMI.
People living with serious mental illnesses (SMI) continue to face a disproportionate burden of tobacco-related prevalence, morbidity, and mortality as compared to those without SMI. The risk of mortality related to cigarette smoking among those with SMI is six-times that for persons without SMI.
Purpose: Continued cigarette smoking after a major cardiac event predicts worse health outcomes and leads to reduced participation in cardiac rehabilitation (CR). Understanding which characteristics of current smokers are associated with CR attendance and smoking cessation will help improve care for these high-risk patients. We examined whether smoking among social connections was associated with CR participation and continued smoking in cardiac patients.
This brief presents the tobacco use disparities among individuals living with mental illness. Tobacco use hinders recovery by increasing poor physical health outcomes, exacerbating mental health symptoms, causing individuals to have less expendable income, and presenting challenges to affordable housing.
Objective: Baduanjin is a traditional Chinese regimen involving flowing movements, breath control, and strengthening to benefit health and well-being. We investigated the effectiveness of Baduanjin for older adults with insomnia.
The Centers for Medicare and Medicaid Services (CMS) requires reporting of specific tobacco treatment (TT) measures…
Long-acting injectable (LAI) antipsychotic medications may be an important modality of reducing costs, improving symptoms, and fostering quality of life outcomes for those with schizophrenia. Our objective was to systematically review and conduct a meta-analysis of the effectiveness of LAIs compared with oral antipsychotics on medication adherence, symptom remission/relapse, rehospitalization, outpatient visits, emergency department visits, healthcare costs, and social functioning.
Cigarette smoking is highly prevalent, despite being a primary preventable cause of disease and mortality.
Smoking is among the greatest international public health concerns, causing excessive levels of preventable premature death, disability, and economic costs...
Compassion fatigue is a consequence of chronic work-related stress exposure among healthcare providers. Nursing is a high-risk, stressful profession which increases nurses’ vulnerability to compassion fatigue symptoms compared to other healthcare workers.
Background and Objectives: Approximately 65% of psychiatric inpatients experience moderate-to-severe nicotine withdrawal (NW), a set of symptoms appearing within 24 hr after an abrupt cessation or reduction of use of tobacco-containing products in those using nicotine daily for at least a couple of weeks. The Minnesota Tobacco Withdrawal Scale (MTWS) is a widely used instrument for detecting NW.
Trauma exposure is prevalent in the general population, but healthcare workers may be at greater risks for additional work-related trauma. Trauma is a known risk factor for substance use, particularly tobacco and risky alcohol use. Few studies have examined the relationship between trauma and substance use in healthcare workers.
We present outcomes from an intensive tobacco-dependence treatment program for addiction services clients at three different sites…
Tobacco use remains one of the most used substances among adults globally and substantially impacts individuals and society. Adverse childhood experiences (ACEs) contribute to tobacco use. However, the association between cumulative ACEs and tobacco use behaviors (TUB) has not been established in the literature. In this review, we aimed to estimate the prevalence of ACEs among adult tobacco users and evaluated the relationship between cumulative ACEs and TUB.
There are an estimated 52.9 million adults (21.0% of the adult population) suffering
from mental health disorders (MHDs) in the United States (1). Among those with
mental health disorders,~ 17 million are also diagnosed with a cooccurring …
Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood neurodevelopmental diseases and nearly two thirds of children with ADHD have symptoms that persist into adulthood. Approximately 750,000 children with special health care needs transition from pediatric to adult health care annually in the United States.
Adolescent in school with no school-based clinic show positive responses in terms of delaying or reducing substance use after SBIRT …
To determine the number of adult clinic patients seen for type 2 diabetes mellitus (T2DM) at an academic medical center and to examine characteristics of …
An increasing number of studies have examined the use of information technology to improve diabetes care and patient self-management...
National lung cancer screening with low dose computed tomography (LDCT) uptake is suboptimal. One factor contributing to slow uptake is lack of awareness. Trained Community Health Workers (CHWs) may be effective in increasing lung cancer screening awareness among disparate populations, however little is known about the processes necessary to scale an intervention for implementation by CHWs in a new area.
Physicians, physician assistants, and nurses responded positive to a simple, distance, web-based training to SBIRT …
People with schizophrenia and other psychotic disorders (PWS) consume tobacco at high rates, resulting in disproportionate tobacco-related morbidity and mortality…