Closing the Gap: The prevalence of tobacco use among individuals with Serious Mental Illness (SMI) is nearly twice that of the general population. Individuals with SMI die several years earlier, on average, compared to individuals without mental illness, and smoking is a major contributing factor. There is often a lack of tobacco treatment provision and utilization in mental and behavioral health settings. This is particularly evident within Assertive Community Treatment (ACT) programs that provide services for people living with SMI.
Promoting Positive Patient Outcomes:
ACT providers felt capable of providing treatment and showed strong intentions to deliver tobacco treatment. However, providers felt a lack of social or professional support for providing treatment. The ACT consumers report positive attitudes and intentions towards engaging in tobacco treatment but are not necessarily planning to do so. Consumers were infrequently advised to stop tobacco use. Additionally, consumers are exposed to hazardous levels of secondhand smoke.
Promoting tobacco-free policies and tobacco treatment within ACT programs increases the likelihood of patients stopping tobacco use. This decreases financial burden and increases health outcomes for patients.