Proactive Tobacco Treatment in a Behavioral Health Home

Sandra J. Japuntich, Eugene M. Dunne, Naomi H. Krieger, Patricia M. Ryan, Erin Rogers, Scott E. Sherman, Steven S. Fu

Research output: Contribution to journalArticlepeer-review


Tobacco use is rarely addressed in community mental healthcare despite high patient smoking prevalence. Community mental health centers have systems in place that could be used to comprehensively address tobacco use. This study tested feasibility of, satisfaction with, and safety of proactive tobacco treatment (tobacco outreach to offer connection to tobacco cessation treatment). Behavioral health home patients who smoke were randomly assigned to usual care (UC; N = 11) or proactive care (PC; N = 9). All participants were called 3-months post-randomization for follow-up. PC patients reported high satisfaction with the program and experienced no adverse events or mental health symptom exacerbation during treatment. PC patients reported greater reductions in cigarettes per day, more quit attempts, and more cessation medication utilization than UC patients. Proactive outreach for tobacco cessation is feasible in a behavioral health home, acceptable to patients, and may reduce smoking heaviness and promote quit attempts.

Original languageEnglish (US)
Pages (from-to)328-332
Number of pages5
JournalCommunity Mental Health Journal
Issue number2
StatePublished - Feb 1 2020

Bibliographical note

Funding Information:
This study was funded by a Medical Research Fund Grant from the Rhode Island Foundation (#20164393).

Funding Information:
We would like to acknowledge the participation of the staff and patients at the Gateway Health Behavioral Health Home in Pawtucket, RI, for their participation in this research.

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.


  • Intervention
  • Randomized controlled trial
  • Serious mental illness
  • Smoking cessation

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Randomized Controlled Trial


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