Proactive Tobacco Treatment in a Behavioral Health Home

  • Sandra J. JapuntichEmail author
  • Eugene M. Dunne
  • Naomi H. Krieger
  • Patricia M. Ryan
  • Erin Rogers
  • Scott E. Sherman
  • Steven S. Fu
Brief Report


Tobacco use is rarely addressed in community mental healthcare despite high patient smoking prevalence. Community mental health centers have systems in place that could be used to comprehensively address tobacco use. This study tested feasibility of, satisfaction with, and safety of proactive tobacco treatment (tobacco outreach to offer connection to tobacco cessation treatment). Behavioral health home patients who smoke were randomly assigned to usual care (UC; N = 11) or proactive care (PC; N = 9). All participants were called 3-months post-randomization for follow-up. PC patients reported high satisfaction with the program and experienced no adverse events or mental health symptom exacerbation during treatment. PC patients reported greater reductions in cigarettes per day, more quit attempts, and more cessation medication utilization than UC patients. Proactive outreach for tobacco cessation is feasible in a behavioral health home, acceptable to patients, and may reduce smoking heaviness and promote quit attempts.


Smoking cessation Serious mental illness Intervention Randomized controlled trial 



We would like to acknowledge the participation of the staff and patients at the Gateway Health Behavioral Health Home in Pawtucket, RI, for their participation in this research.


This study was funded by a Medical Research Fund Grant from the Rhode Island Foundation (#20164393).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Hennepin Healthcare Research InstituteMinneapolisUSA
  2. 2.Centers for Behavioral and Preventive MedicineThe Miriam HospitalProvidenceUSA
  3. 3.Department of Psychiatry and Human BehaviorThe Alpert Medical School of Brown UniversityProvidenceUSA
  4. 4.Gateway HealthcareProvidenceUSA
  5. 5.VA New York Harbor Healthcare SystemNew York CityUSA
  6. 6.Department of Population HealthNew York University School of MedicineNew YorkUSA
  7. 7.VA HSR&D Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care SystemMinneapolisUSA
  8. 8.Department of MedicineUniversity of Minnesota Medical SchoolMinneapolisUSA

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