How Extensively are Tobacco Use Policies Implemented at Behavioral Health and Substance Treatment Facilities? A Pilot Investigation

2020 ◽  
Vol 7 (5) ◽  
pp. 440-451
Author(s):  
Yue Xie
Keyword(s):  
Behavioral Health ◽  
Tobacco Use ◽  
Pilot Investigation ◽  
Treatment Facilities ◽  
Substance Treatment

Addressing Tobacco Use Among Consumers and Staff at Behavioral Health Treatment Facilities Through Comprehensive Workplace Programming

2017 ◽  
Vol 18 (4) ◽  
pp. 561-570 ◽  
Author(s):  
Hannah L. Samaha ◽  
Virmarie Correa-Fernández ◽  
Cho Lam ◽  
William T. Wilson ◽  
Bryce Kyburz ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Tobacco Use ◽  
Community Outreach ◽  
The United States ◽  
Academic Community ◽  
Cigarette Smoke Exposure ◽  
Community Partnership ◽  
Persistent Mental Illness ◽  
Campus Policy ◽  
Treatment Facilities

Tobacco use is the leading cause of death and disability in the United States; cigarette smoking is the most common form of tobacco use. Smoking has become increasingly concentrated among individuals with behavioral health needs (e.g., persistent mental illness) and has led to increased morbidity and mortality in this group relative to the general population. Comprehensive tobacco-free workplace programs are effective in reducing tobacco use and cigarette smoke exposure among behavioral health consumers and the individuals who serve them. Taking Texas Tobacco-Free (TTTF) represents an academic–community partnership formed to address tobacco use among consumers and employees at behavioral health clinics across Texas via the dissemination of an evidence-based, multicomponent tobacco-free workplace program. Program components of TTTF include tobacco-free campus policy implementation and enforcement, staff education about tobacco use hazards, provider training to regularly screen for and address tobacco dependence via intervention, and community outreach. These components, the nature of the academic–community partnership, the process of behavioral health facility involvement and engagement, and the benefits and challenges of implementation from the perspectives of the project team and participating clinic leaders are described. This information can guide similar academic and community partnerships and inform the implementation of other statewide tobacco-free workplace programming.

scholarly journals Smokers With Behavioral Health Comorbidity Should Be Designated a Tobacco Use Disparity Group

2013 ◽  
Vol 103 (9) ◽  
pp. 1549-1555 ◽  
Author(s):  
Jill M. Williams ◽  
Marc L. Steinberg ◽  
Kim Gesell Griffiths ◽  
Nina Cooperman
Keyword(s):  
Behavioral Health ◽  
Tobacco Use

Outcomes and Predictors of Postoperative Pain Improvement Following Particulated Juvenile Cartilage Allograft Transplant for Osteochondral Lesions of the Talus

2020 ◽  
Vol 41 (5) ◽  
pp. 572-581 ◽  
Author(s):  
Kenneth A. Heida ◽  
Mikel C. Tihista ◽  
Nicholas A. Kusnezov ◽  
John C. Dunn ◽  
Justin D. Orr
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Behavioral Health ◽  
Tobacco Use ◽  
Clinical Success ◽  
Case Series ◽  
Osteochondral Lesions ◽  
Ankle Pain ◽  
Preoperative Pain ◽  
Level Of Evidence

Background: Particulated juvenile cartilage allograft transfer (PJCAT) is an emerging treatment option for management of osteochondral lesions of the talus (OCLTs). This series reports on outcomes and identifies predictors for success following PJCAT for isolated OCLTs. Methods: We reviewed 33 consecutive patients who underwent PJCAT by a single surgeon from 2013 to 2017. Preoperative demographic factors (age, body mass index [BMI], tobacco use, behavioral health comorbidity, and ankle pain visual analog score [VAS]) and OCLT morphologic data were collected. Outcomes included postoperative improvements in VAS and American Orthopaedic Foot & Ankle Society (AOFAS) score and clinical success/failure. Results of 7 second-look arthroscopies and complications are provided. Categorical data are reported as frequencies, and statistical means with P values are reported for continuous variables. We had a mean 3.5 years of follow-up. Results: Improvement in ankle pain VAS following isolated PJCAT was 51% ( P < .001). For the first 16 consecutive patients in whom complete AOFAS scores were available, 40% ( P < .001) improvement occurred. Presence of 1 or more behavioral health diagnoses was a risk factor for decreased pain relief, while moderate to severe preoperative pain (VAS >5.9) predicted improved postoperative pain relief. Age, BMI, tobacco use, and OCLT morphology did not affect outcomes. Conclusion: For treatment of large, high-stage OCLTs, PJCAT resulted in 40% to 50% improvement in ankle pain and disability within 3.5 years. The results may be better in patients with moderate to severe preoperative pain but worse in those with preexisting behavioral health diagnoses. Level of Evidence: Level IV, retrospective case series.

scholarly journals Older Adult Behavioral Health Issues in New England: Findings from the Healthy Aging Data Reports

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 782-782
Author(s):  
Taylor Jansen ◽  
Chae Man Lee ◽  
Shu Xu ◽  
Maki Karakida ◽  
Frank Porell ◽  
...  
Keyword(s):  
Older Adults ◽  
New England ◽  
Behavioral Health ◽  
Tobacco Use ◽  
Health Indicators ◽  
Opioid Use Disorder ◽  
Health Issues ◽  
Negative Consequences ◽  
Excessive Drinking ◽  
Opioid Use

Abstract Behavioral health issues in older adults are prevalent and have negative consequences on quality of life and overall health, yet are often untreated. The present study compares state and local community rates of behavioral health indicators of older adults age 60+ in Massachusetts (MA), New Hampshire (NH), Rhode Island (RI), and Connecticut (CT). For this study rates were calculated from the following data sources: Medicare Current Beneficiary Summary File 2014-2018 (2014-2015 MA, NH, and 2016-2017 RI, CT) and the Behavioral Risk Factor Surveillance System (2013-2015 MA, 2014-2016 NH, 2015-2017 RI, CT). Small area estimation techniques were used to calculate age-sex adjusted community rates for more than 170 health indicators (https://healthyagingdatareports.org/). This research examines disparities in rates across the 4 states for 4 behavioral health indicators: substance use disorder (SUD), tobacco use disorder (TUD), opioid use disorder (OUD), and excessive drinking. Results varied across states with RI reporting the highest rates of substance (7.0%) and tobacco use (10.8%) disorders, CT had the highest rate of opioid use disorder (2.2%), and MA and RI reporting the highest rates of excessive drinking (9.3%). Overall, MA had the greatest disparities in rates for all indicators (SUD: 6.6% (5.35-15.99%); TUD: 10.2% (2.67-24.20%); excessive drinking: 9.3% (5.63-19.98%)), indicating behavioral health disparities by community are most pronounced in MA. This study found behavioral health issues are prevalent among New England older adults and should no longer be overlooked. Furthermore, visualizing the community rates makes disparities evident and may guide resources and services to areas of highest need.

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