Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2006;29(3):228-35.

Barriers and solutions to addressing tobacco dependence in addiction treatment programs

Affiliations
Review

Barriers and solutions to addressing tobacco dependence in addiction treatment programs

Douglas M Ziedonis et al. Alcohol Res Health. 2006.

Abstract

Despite the high prevalence of tobacco use among people with substance use disorders, tobacco dependence is often overlooked in addiction treatment programs. Several studies and a meta-analytic review have concluded that patients who receive tobacco dependence treatment during addiction treatment have better overall substance abuse treatment outcomes compared with those who do not. Barriers that contribute to the lack of attention given to this important problem include staff attitudes about and use of tobacco, lack of adequate staff training to address tobacco use, unfounded fears among treatment staff and administration regarding tobacco policies, and limited tobacco dependence treatment resources. Specific clinical-, program-, and system-level changes are recommended to fully address the problem of tobacco use among alcohol and other drug abuse patients.

PubMed Disclaimer

Conflict of interest statement

Financial Disclosure

The authors declare that they have no competing financial interests.

Figures

None
Comparative causes of annual deaths in the United States. Tobacco use is the number one preventable cause of death in the United States. SOURCE: Centers for Disease Control and Prevention (CDC), 2001. Available at: www.cdc.gov/tobacco/research_data/health_consequences/andths.htm

References

    1. American Psychiatric Association (APA) Substance Use Disorder Practice Guidelines. Washington, D.C.: American Psychiartic Publishing Press; 2006.
    1. Asher MK, Martin RA, Rohsenow DJ, et al. Perceived barriers to quitting smoking among alcohol dependent patients in treatment. Journal of Substance Abuse Treatment. 2003;24:169–174. - PubMed
    1. Bernstein SM, Stoduto G. Adding a choice-based program for tobacco smoking to an abstinence-based addiction treatment program. Journal of Substance Abuse Treatment. 1999;17:167–173. - PubMed
    1. Bierut LJ, Rice JP, Goate A, et al. A genomic scan for habitual smoking in families of alcoholics: Common and specific genetic factors in substance dependence. American Journal of Medical Genetics Part A. 2004;124:19–27. - PubMed
    1. Bobo JK, Davis CM. Recovering staff and smoking in chemical dependency programs in rural Nebraska. Journal of Substance Abuse Treatment. 1993;10:221–227. - PubMed

Publication types

MeSH terms