An integrated approach to the treatment of nicotine dependence in a medical center setting : description of the initial experience

A nicotine-dependence treatment program can be implemented in a medical center setting by using a model that involves physician, patient, and nicotine-dependence counselor. The physician-referred and counselor-directed consultations are followed by a systematic relapse-prevention program. The counse...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 1992, Vol.7 (1), p.114-116
Main Authors: HURT, R. D, LAUGER, G. G, OFFORD, K. P, BRUCE, B. K, DALE, L. C, MCCLAIN, F. L, EBERMAN, K. M
Format: Article
Language:English
Subjects:
Adult
Behavior Therapy
Biological and medical sciences
Female
Humans
Male
Medical sciences
Middle Aged
Physician-Patient Relations
Referral and Consultation
Smoking Cessation - methods
Substance Abuse Treatment Centers
Tobacco Use Disorder - therapy
Tobacco, tobacco smoking
Toxicology
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Description
Summary:A nicotine-dependence treatment program can be implemented in a medical center setting by using a model that involves physician, patient, and nicotine-dependence counselor. The physician-referred and counselor-directed consultations are followed by a systematic relapse-prevention program. The counselors utilize behavioral approaches, the philosophy and principles of the addictive disorders field, and adjunctive pharmacologic therapy. The patients are chronic, heavy smokers who have had many previous quit attempts and are highly nicotine-dependent. Important factors include: 1) referral by physicians, 2) physicians' active role in the intervention, 3) expertise of the counselors, 4) structured relapse-prevention program, and 5) provision of services in a smoke-free medical center.
ISSN:0884-8734
1525-1497
DOI:10.1007/BF02599113