When to begin smoking cessation in substance abusers

J Subst Abuse Treat. Mar-Apr 1993;10(2):189-95. doi: 10.1016/0740-5472(93)90044-3.


During the past several years, there has been an increasing recognition and acceptance that the use of tobacco products often produces nicotine dependence and nicotine addiction. Despite this, the substance abuse treatment community has been slow to promote smoking cessation for patients who are in substance abuse treatment for another addiction. Dogma, although starting to change, persists that cigarette smoking pales in comparison to other addictions and should not be addressed at the time of initial treatment for another addiction. The limited research to date, which will be reviewed in this article, does not support this dogma. In addition, patients presenting for substance abuse treatment report high interest in stopping smoking, including interest in stopping when they initially present for substance abuse treatment.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Alcoholism / psychology
  • Alcoholism / rehabilitation*
  • Cocaine
  • Combined Modality Therapy
  • Comorbidity
  • Heroin Dependence / psychology
  • Heroin Dependence / rehabilitation
  • Humans
  • Illicit Drugs*
  • Outcome and Process Assessment, Health Care
  • Psychotropic Drugs*
  • Smoking Cessation / methods*
  • Substance-Related Disorders / psychology
  • Substance-Related Disorders / rehabilitation*


  • Illicit Drugs
  • Psychotropic Drugs
  • Cocaine