Implementing tobacco-free policy in residential substance use disorders treatment: Practice changes among staff

•Tobacco-free grounds were adopted by 5/6 SUD programs during a policy intervention.•Intervention was associated with increased staff tobacco-related training.•Positive staff beliefs and provision of tobacco cessation services increased.•Only 3/6 programs provided NRT post-policy intervention.•Despi...

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Published in:Drug and alcohol dependence reports 2022-03, Vol.2, p.100033-100033, Article 100033
Main Authors: Campbell, Barbara K., Le, Thao, McCuistian, Caravella, Hosakote, Sindhushree, Kapiteni, Kwinoja, Guydish, Joseph
Format: Article
Language:English
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substance use treatment
tobacco cessation
tobacco-free policy
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Summary:•Tobacco-free grounds were adopted by 5/6 SUD programs during a policy intervention.•Intervention was associated with increased staff tobacco-related training.•Positive staff beliefs and provision of tobacco cessation services increased.•Only 3/6 programs provided NRT post-policy intervention.•Despite tobacco-free grounds, staff smoking prevalence did not change. Implementing tobacco-free policies in substance use disorders (SUD) treatment may reduce tobacco-related, health disparities. This study examined adoption of tobacco-related policy and practices in six residential programs participating in a California-sponsored, 18-month, tobacco-free policy intervention. Directors (N=6) completed surveys of tobacco-related policies before and after the intervention. Staff completed cross-sectional surveys assessing tobacco-related training, beliefs, practices, workplace smoking policy, tobacco cessation program services, and smoking status pre- (n=135) and post-intervention (n=144). Director surveys indicated no programs had tobacco-free grounds, one provided tobacco-related staff training, and two provided nicotine replacement therapy (NRT) pre-intervention. At post-intervention, 5 programs had implemented tobacco-free grounds, 6 provided tobacco cessation training, and 3 provided NRT. Across all programs, staff were more likely to report smoke-free workplaces (AOR = 5.76, 95% CI1.14,29.18) post- versus pre-intervention. Staff positive beliefs towards addressing tobacco use were higher post-intervention (p
ISSN:2772-7246
2772-7246
DOI:10.1016/j.dadr.2022.100033