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A Comprehensive Model for Mental Health Tobacco Recovery in New Jersey

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Abstract

Despite the high prevalence of tobacco use, disproportionate tobacco consumption, and excess morbidity and mortality, smokers with mental illness have reduced access to tobacco dependence treatment across the health care spectrum. We have developed a comprehensive model for Mental Health Tobacco Recovery in New Jersey (MHTR-NJ) that has the overarching goal of improving tobacco cessation for smokers with serious mental illness. Important steps involve engaging patients, professionals and the community to increase understanding that addressing tobacco use is important. In addition to increasing demand for tobacco treatment services, we must educate mental health professionals in evidence-based treatments so that patients can seek help in their usual behavioral health care setting. Peer services that offer hope and support to smokers are essential. Each of the policy or cessation initiatives described address the two core goals of this model: to increase demand for tobacco cessation services for mentally ill smokers and to help more smokers with mental illness to quit. Each has been pilot tested for feasibility and/or effectiveness and revised with feedback from stakeholders. In this way this implementation model has brought together academics, clinicians, administrators and mental health consumers to develop tobacco programming and policy that has been tested in a real world environment and serves as a model for other states.

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Acknowledgments

This work was supported by grants from the American Legacy Foundation, the New Jersey Department of Human Services, Division of Mental Health Services, the Cancer Institute of New Jersey and an unrestricted educational grant from Pfizer, Inc. The authors are also supported in part by the National Institute on Health (NIDA grants: K23-DA 018203-02, K23-DA14009-01, and R01-DA015537; NIMH grants: R01-MH076672-01A1 and R03-MH077273). The authors have also received funding from the New Jersey Department of Health and Senior Services, Office of the State Epidemiologist, through funds from New Jersey Comprehensive Tobacco Control Program. The authors also wish to thank the following individuals and organizations that made this work possible: Karen Martin from American Legacy Foundation; Mr. Kevin Martone, Robert Eilers and Margaret Molnar from the NJ Division of Mental Health Services; Betty Vreeland, Mark T Williams and Marie Verna from UMDNJ-University Behavioral Health Care; Peggy Swarbrick from Collaborative Support Programs; Nancy Speelman Edwards, Martha Dwyer and Philip McCabe from the UMDNJ-Tobacco Dependence Program; Douglas Ziedonis from the University of Massachusetts Medical Center.

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Authors and Affiliations

  1. Division of Addiction Psychiatry, UMDNJ-Robert Wood Johnson Medical School, 317 George Street, Suite 105, New Brunswick, NJ, USA

    Jill M. Williams, Mia Hanos Zimmermann, Marc L. Steinberg & Kunal K. Gandhi

  2. UMDNJ-School of Public Health, Piscataway, NJ, USA

    Jill M. Williams, Marc L. Steinberg, Kunal K. Gandhi, Cris Delnevo & Michael B. Steinberg

  3. UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Michael B. Steinberg

  4. Pennsylvania State University College of Medicine, Hershey, PA, USA

    Jonathan Foulds

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  1. Jill M. Williams
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Correspondence to Jill M. Williams.

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Williams, J.M., Zimmermann, M.H., Steinberg, M.L. et al. A Comprehensive Model for Mental Health Tobacco Recovery in New Jersey. Adm Policy Ment Health 38, 368–383 (2011). https://doi.org/10.1007/s10488-010-0324-x

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