Top

Published in:

01-06-2011 | Original Paper

Evaluation of the CHOICES Program of Peer-to-Peer Tobacco Education and Advocacy

Authors: Jill M. Williams, Martha Dwyer, Marie Verna, Mia Hanos Zimmermann, Kunal K. Gandhi, Magdalena Galazyn, Nancy Szkodny, Margaret Molnar, Robert Kley, Marc L. Steinberg

Published in: Community Mental Health Journal | Issue 3/2011

Abstract

CHOICES is a consumer driven program for addressing tobacco in people with mental illness that employs mental health peer counselors. Since 2005, CHOICES has conducted over 298 community visits reaching more than 10,000 smokers with mental illness (about 2500/year). A telephone based outcome study was conducted in 102 outpatient smokers who received a CHOICES peer-to-peer session. At 1-month follow up participants (N = 86; 84%) reported smoking an average of 13 cigarettes per day which was significantly reduced from a baseline of 19 (P < 0.001). Twenty-five individuals (29%) tried to quit smoking in the month after the peer session and another 47 (55%) reduced their smoking. Feedback from smokers about the program was positive. Most (N = 59, 71%) said it was a lot easier to talk with a consumer about smoking compared to their psychiatrist or staff. Peer-to-peer communication about tobacco use can be effective to increase awareness and change smoking behaviors.

Addington, J., el Guebaly, N., Addington, D., & Hodgins, D. C. (1997). Readiness to stop smoking in schizophrenia. Canadian Journal of Psychiatry, 42(1), 49–52.

American Psychiatric Association (1996). Practice guideline for the treatment of patients with nicotine dependence. Washington, DC: American Psychiatric Press 153(10), 1–30.

Baker, T. B., & Brandon, T. H. (1990). Validity of self-reports in basic research. Behavioral Assessment, 12(1), 33–51.

Breslau, N., Novak, S. P., & Kessler, R. C. (2004). Psychiatric disorders and stages of smoking. Biological Psychiatry, 55(1), 69–76.PubMedCrossRef

Brown, S., Inskip, H., & Barraclough, B. (2000). Causes of the excess mortality of schizophrenia. British Journal of Psychiatry, 177, 212–217.PubMedCrossRef

Campbell, J., & Leaver, J. (2003). Emerging new practices in organized peer support. Report from NTAC’s National Experts Meeting on Emerging New Practices in Organized Peer Support March 17-18, 2003, Alexandria, VA. Alexandria, VA: National Association of State Mental Health Program Directors (NASMHPD), National Technical Assistance Center for State Mental Health Planning (NTAC).

Carosella, A., Ossip-Klein, D. J., & Owens, C. A. (1999). Smoking attitudes, beliefs, and readiness to change among acute and long term care inpatients with psychiatric diagnoses. Addictive Behaviors, 24(3), 331–344.PubMedCrossRef

Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin, 32(3), 443–450.PubMedCrossRef

Etter, M., Mohr, S., Garin, C., & Etter, J. F. (2004). Stages of change in smokers with schizophrenia or schizoaffective disorder and in the general population. Schizophrenia Bulletin, 30(2), 459–468.PubMed

Gorber, S. C., Schofield-Hurwitz, S., Hardt, J., Levasseur, G., & Tremblay, M. (2009). The accuracy of self-reported smoking: A systematic review of the relationship between self-reported and cotinine-assessed smoking status. Nicotine & Tobacco Research, 11(1), 12–24.CrossRef

Hall, R. G., DuHamel, M., McClanahan, R., Miles, G., Nason, C., Rosen, S., et al. (1995). Level of functioning, severity of illness, and smoking status among chronic psychiatric patients. Journal of Nervous and Mental Disease, 183, 468–471.PubMedCrossRef

Haustein, K. O., Haffner, S., & Woodcock, B. G. (2002). A review of the pharmacological and psychopharmacological aspects of smoking and smoking cessation in psychiatric patients. International Journal of Clinical Pharmacology and Therapeutics, 40(9), 404–418.PubMed

Lasser, K., Wesley, B. J., Woolhandler, S., Himmestein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284, 2606–2610.PubMedCrossRef

Lichtermann, D., Ekelund, J., Pukkala, E., Tanskanen, A., & Lonnqvist, J. (2001). Incidence of cancer among persons with schizophrenia and their relatives. Archives of General Psychiatry, 58(6), 573–578.PubMedCrossRef

Longo, D. R., Feldman, M. M., Kruse, R. L., Brownson, R. C., Petroski, G. F., & Hewett, J. E. (1998). Implementing smoking bans in American hospitals: Results of a national survey. Tobacco Control, 7(1), 47–55.PubMedCrossRef

Mead, S., Hilton, D., & Curtis, L. (2001). Peer support: A theoretical perspective. Psychiatric Rehabilitation Journal, 25, 134–141.PubMed

Miller, B. J., Paschall, C. B., 3rd, & Svendsen, D. P. (2006). Mortality and medical comorbidity among patients with serious mental illness. Psychiatric Services, 57(10), 1482–1487.PubMedCrossRef

National Association of State Mental Health Program Directors (2006). Morbidity and mortality in people with serious mental illness. NASMHPD Research Institute, Inc., http://www.nasmhpd.org/publications.cfm.

Peterson, A. L., Hryshko-Mullen, A. S., & Cortez, Y. (2003). Assessment and diagnosis of nicotine dependence in mental health settings. American Journal on Addictions, 12(3), 192–197.PubMed

Solomon, P. (2004). Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatric Rehabilitation Journal, 27(4), 392–401.PubMedCrossRef

Steinberg, M. L., Ziedonis, D. M., Krejci, J. A., & Brandon, T. H. (2004). Motivational interviewing with personalized feedback: A brief intervention for motivating smokers with schizophrenia to seek treatment for tobacco dependence. Journal of Consulting and Clinical Psychology, 72(4), 723–728.PubMedCrossRef

Stotland, N. L., Mattson, M. G., & Bergeson, S. (2008). Perspectives Psychiatric Practice, 14, (Suppl 2), 45–54.

Substance Abuse and Mental Health Services Administration (2005). National Consensus Conference on Mental Health Recovery and Systems Transformation. Rockville, MD: Dept of Health and Human Services.

Substance Abuse and Mental Health Services Administration (2006) The National Consensus Statement on Mental Health Recovery, www.mentalhealth.samhsa.gov.

Thorndike, A. N., Stafford, R. S., & Rigotti, N. A. (2001). US physicians’ treatment of smoking in outpatients with psychiatric diagnoses. Nicotine & Tobacco Research, 3(1), 85–91.CrossRef

Vartiainen, E., Seppala, T., Lillsunde, P., & Puska, P. (2002). Validation of self reported smoking by serum cotinine measurement in a community-based study. Journal of Epidemiology and Community Health, 56, 167–170.PubMedCrossRef

Williams, J. M. (2007). Using peer counselors to address tobacco: The CHOICES program. Psychiatric Services, 58(9), 1225.PubMedCrossRef

Williams, J. M. (2008). Eliminating tobacco use in mental health facilities: Patients’ rights, public health, and policy issues. Journal of the American Medical Association, 299(5), 571–573.PubMedCrossRef

Williams, J. M., Steinberg, M. L., Hanos Zimmermann, M., Gandhi, K. K., Lucas, G. E., Gonsalves, D. A., et al. (2009). Training psychiatrists and advanced practice nurses to treat tobacco dependence. Journal of the American Psychiatric Nurses Association, 159(1), 50–58.CrossRef

Williams, J. M., & Ziedonis, D. M. (2004). Addressing tobacco among individuals with a mental illness or an addiction. Addictive Behaviors, 29(6), 1059–1270.CrossRef

Title: Evaluation of the CHOICES Program of Peer-to-Peer Tobacco Education and Advocacy
Authors: Jill M. Williams
Martha Dwyer
Marie Verna
Mia Hanos Zimmermann
Kunal K. Gandhi
Magdalena Galazyn
Nancy Szkodny
Margaret Molnar
Robert Kley
Marc L. Steinberg
Publication date: 01-06-2011
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 3/2011
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-010-9310-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation of the CHOICES Program of Peer-to-Peer Tobacco Education and Advocacy

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2011

Can Consumer-Led Mental Health Services be Equally Effective? An Integrative Review of CLMH Services in High-Income Countries

Lending an Ear to Feedback Systems: Evaluation of Recovery and Non-Response in Psychotherapy in a German Outpatient Setting

The Meaning of Community Rehabilitation for Schizophrenia Patients in Israel

The Children’s Psychosocial Rehabilitation Treatment Adherence Measure: Development and Initial Validation

Coping Resources as Explanatory Factors of Stress Reactions During Missile Attacks: Comparing Jewish and Arab Adolescents in Israel

Practice-Driven Evaluation of a Multi-layered Psychosocial Care Package for Children in Areas of Armed Conflict