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​​​Mental Health and/or Other Addiction(s)   Overview of Evidence



The following recommendations, and supporting evidence, have been extracted from existing clinical practice guidelines to inform the development of the CAN-ADAPTT Summary Statements. 

 
CAN-ADAPTT worked with the Guidelines Advisory Committee (GAC) to conduct a literature search (years: 2002-2009) to identify existing clinical practice guidelines (CPGs). Five existing clinical practice guidelines were identified as meeting the high quality criteria set out in the AGREE Instrument. The recommendations contained in these high-quality CPGs have been used as the evidence base for the CAN-ADAPTT guideline development process. Click here to view CAN-ADAPTT’s guideline development process flowchart.
 

 
New Zealand Ministry of Health (2007)1
 
Provide brief advice to stop smoking to all users of mental health services who smoke. (Grade = A)  Offer smoking cessation interventions that incorporate known effective components (such as those identified in the previous sections) to people with mental health disorders who smoke. (Grade = √)  People with mental health disorders who stop smoking while taking medications for their illness should be monitored to determine if dosage reductions in their medication are necessary.  (Grade = A)
 
Provide brief advice to stop smoking to all users of addiction services who smoke. (Grade = A) Offer smoking cessation interventions that incorporate known effective components (such as those identified in the previous sections) to people who smoke tobacco and who use addiction services. (Grade = √)
 
 
U.S. Department of Health and Human Services Public Health Service (2008)2 
 
Psychiatric comorbidity and substance use are variables associated with lower abstinence rates, but treatment can be effective despite the presence of risk factors for relapse. All smokers with psychiatric disorders, including substance use disorders, should be offered tobacco dependence treatment, and clinicians must overcome their reluctance to treat this population. Clinicians should closely monitor the level or effects of psychiatric medications in smokers making a quit attempt. (no Grade assigned)

1. Ministry of Health. (2007, August). New Zealand smoking cessation guidelines​. Wellington: Ministry of Health.
2. U.S. Department of Health and Human Services Public Health Service. (2008, May). Clinical practice guideline: Treating tobacco use and dependence: 2008 update​.​


  Mental Health and/or Other Addiction(s)