Low-Burden Strategies to Promote Smoking Cessation Treatment Among Patients With Serious Mental Illness

Psychiatr Serv. 2018 Aug 1;69(8):849-851. doi: 10.1176/appi.ps.201700399. Epub 2018 Jun 1.


Patients with serious mental illness have high smoking prevalence and early mortality. Inadequate implementation of evidence-based smoking cessation treatment in community mental health centers (CMHCs) contributes to this disparity. This column describes a study of the effects of quality improvement strategies on treatment and cessation outcomes among patients with serious mental illness at four CMHCs. Two low-burden strategies, decision support and academic detailing with data-driven feedback, were implemented in the CMHCs' clinics from 2014 to 2016. Pre- and postimplementation data from pharmacy and medical records were analyzed. The percentage of patients receiving cessation medication increased from 5% to 18% (p≤.001), and smoking prevalence decreased from 57% to 54% (p≤.001). This quality improvement approach holds great potential for increasing the level of smoking cessation care for patients treated in CMHC settings. Decision support and academic detailing with feedback may be effective strategies to promote best practices.

Keywords: Community Mental Health Center; Mental illness & Smoking cessation; Practice guidelines; Smoking.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Community Mental Health Centers
  • Decision Support Techniques
  • Feedback
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Middle Aged
  • Prevalence
  • Quality Improvement
  • Smoking / epidemiology*
  • Smoking / therapy
  • Smoking Cessation / methods*
  • Smoking Cessation / psychology*