NICOTINE CESSATION & SMOKING BANS IN ALCHOLISM TREATMENT

申请人摘要：该项目旨在发现两个过程： 尼古丁戒断治疗计划将在哪些条件下 纳入药物滥用治疗方案;以及， 哪些无烟政策将成功实施和维持， 药物滥用治疗计划。 该项目具有显著的健康 相关性，因为在重金属和重金属之间存在着强烈的正相关性， 饮酒和大量吸烟，以及酒精和烟草的消费 协同的负面健康影响，导致癌症风险增加， 尤其是口腔、食管和喉。 吸烟与 过量饮酒对酒精中毒的治疗有影响。先验经验 研究表明，戒烟可以改善治疗效果， 与保持清醒有正相关目前没有 记录药物滥用项目的程度的国家数据集 提供戒烟或无烟，以及他们如何或为什么这样做。 因为 我们想知道治疗方案中加入尼古丁的原因 戒烟，以及他们采用尼古丁戒烟的过程，我们将 通过半结构化，开放式，深入随机访谈收集数据 样本（按州分层）为1%的美国物质临床总监 虐待治疗项目 将询问临床主任， 导致他们在治疗中采用尼古丁戒烟的过程 计划，或者他们没有这样做的原因。 临床主任也将 问到实施和维持禁烟的过程， 他们的治疗方案，以及他们是如何成功或失败的，或者他们的原因， 不是无烟的。 其目的是描述治疗实践的状态 关于尼古丁戒断在酒精中毒治疗中的作用; 并汇编实施吸烟的集体经验， 酒精中毒治疗提供者可以利用禁令， 健康服务提供的挑战。

APPLICANT'S ABSTRACT: This project aims to discover two processes: the conditions under which nicotine cessation treatment programs will be integrated in substance abuse treatment programs; and, the conditions under which smoke-free policies will be successfully implemented and maintained in substance abuse treatment programs. This project has significant health relevance because there is a strong, positive correlation between heavy drinking and heavy smoking, and consumption of alcohol and tobacco have synergistic negative health effects that lead to increased risks of cancer, especially oral, esophageal, and laryngeal. Co-occurrence of smoking and excessive drinking has implications for alcoholism treatment. Prior empirical research has indicated that smoking cessation improves treatment outcome, and is positively related to the maintenance of sobriety. Currently there is no national data set that records the degree to which substance abuse programs offer nicotine cessation or are smoke-free, and how or why they do. Because we want to learn the reasons treatment programs incorporate nicotine cessation, and the process by which they adopt nicotine cessation, we will collect data via semi-structured, open-ended, in-depth interviews of a random sample (stratified by state) of 1% of the clinical directors of US substance abuse treatment programs. The clinical directors will be queried as to the process that led to their adopting nicotine cessation in their treatment program, or the reasons why they did not. The clinical directors also will be queried as to the process of implementing and maintaining a smoking ban in their treatment program, and how they succeeded or failed, or the reasons they are not smoke-free. The aim is to describe the state of treatment practice with respect to the role of nicotine cessation in alcoholism treatment; as well as compile the collective experiences on the implementation of a smoking ban that can be utilized by alcoholism treatment providers as they grapple with the challenges of health service provision.