Implementing evidence-based smoking cessation treatment in psychosocial care units (CAPS) in Brazil
| Autor: | Gustavo Zabert, João Mauricio Castaldelli-Maia, J. Taylor Hays, Marta R. D. Campos, Helena Ferreira Moura, Beatriz M. Champagne, Katherine E. Kemper, Nilson Rodrigues da Silva |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Counseling Male Mental Health Services medicine.medical_specialty Evidence-based practice Attitude of Health Personnel Health Personnel medicine.medical_treatment media_common.quotation_subject education Population 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Epidemiology medicine Humans 030212 general & internal medicine Psychiatry media_common education.field_of_study Cognitive Behavioral Therapy business.industry Addiction Smoking Tobacco Use Disorder Mental health 030227 psychiatry Psychiatry and Mental health Evidence-Based Practice Family medicine Quality of Life Smoking cessation Female Smoking Cessation business Psychosocial Brazil |
| Zdroj: | International Journal of Social Psychiatry. 63:669-673 |
| ISSN: | 1741-2854 0020-7640 |
| DOI: | 10.1177/0020764017731462 |
| Popis: | The prevalence of smoking among mental health and addiction (MHA) patients is 3 times higher than it is in the general population, yet this patient population has received little help to combat smoking. Considering this, psychosocial care centers (CAPS - Centros de Atenção Psicossocial) are strategic locations for integrating tobacco dependence treatment (TDT) into existing treatment activities.Our team provided an 8-hour training package to the staff of CAPS that have not been providing specialized TDT for smokers. Our curriculum included the following topics focused on the implementation of treatment for MHA smokers: management, epidemiology, medications, psychotherapy, and smoking/mental health assessment instruments.Our team trained the staff of 17 CAPS units within 10 cities - which included more than 186 health professionals. There were many barriers encountered as we provided this training. A summary of problems we faced were as follows: resistance to incorporating TDT in addiction/mental health-care units, resistance to the implementation of cognitive-behavioral therapy (CBT) (psychodynamic therapy and harm reduction were preferred) and treatment for smoking is already implemented in primary care network; resistance to the use of medication in addiction treatment (a preference for psychotherapy and psychosocial approach).We learned a number of important lessons as we worked to improve the delivery of TDT to MHA patients in Brazil: provide clinicians an opportunity to explore how they feel/think about providing TDT to their clients at the very outset of the training, rather than focusing on a specific type of behavioral therapy for TDT (such as CBT), which some may find objectionable; use more generic descriptions of behavioral therapy such as 'supportive counseling'; include training professionals who are open to other forms of behavioral therapy in addition to psychoanalysis and discuss the important impact that MHA units can have in improving the quality of life for their patients who smoke. |
| Databáze: | OpenAIRE |
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