Enhancing Provider Delivery of Tobacco Treatment Within the Inpatient Psychiatric Setting

Janet K. Otachi, Melanie Otis, Chris Flaherty, Chizimuzo T.C. Okoli

Research output: Contribution to journalArticlepeer-review


People with mental illnesses (MI) smoke at higher rates than the general population. However, few mental health providers (MHPs) deliver tobacco treatment to patients with MI especially within inpatient psychiatric settings. According to evidence, fewer than half of MHPs in the US mental and behavioral health settings provide the recommended evidence-based tobacco treatment interventions to their clients with MI. This paper uses the theory of planned behavior to examine factors associated with provider intentions to deliver and their experiences in providing evidence-based tobacco treatment to clients with MI. Data were obtained from a cross-sectional survey of 219 providers in a state psychiatric hospital in Kentucky. Attitudes, subjective norms, and perceived behavioral control were associated with providers’ intentions to deliver tobacco treatment when controlling for demographic and work-related variables. However, only profession, subjective norms, and attitudes were associated with reported provision of evidence-based tobacco treatment. Given the underuse of routine tobacco treatment for this vulnerable population, understanding factors influencing provider delivery of tobacco treatment is needed to guide strategies for reducing the disproportionate rates of tobacco use and related burden among people with MI.

Original languageEnglish
Pages (from-to)72-83
Number of pages12
JournalSocial Work in Public Health
Issue number1
StatePublished - 2023

Bibliographical note

Funding Information:
The author(s) reported there is no funding associated with the work featured in this article. We want to acknowledge the staff and department managers at Eastern State Hospital for their support in study execution.

Publisher Copyright:
© 2022 Taylor & Francis Group, LLC.


  • Tobacco treatment
  • mental health providers
  • mental illness
  • theory of planned behavior

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health


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