'The lesser of two evils': A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings

Drug and Alcohol Review
Amanda J WilsonAshleigh Guillaumier

Abstract

The aim of this study was to explore beliefs about tobacco dependence treatment from the perspective of staff and clients in addiction treatment settings. A qualitative study was conducted between August and November 2013 using grounded theory methodology. Participants were recruited from four government-funded drug and alcohol services in a regional centre of New South Wales, Australia. Treatment centre staff (n = 10) were interviewed using a semistructured interview guide and two focus groups (n = 5 and n = 6) were held with clients of the same treatment centres. Both clients and staff wish to do more about tobacco use in addiction treatment services, but a number of barriers were identified. Staff barriers included lack of time, tobacco-permissive organisational culture, lack of enforcement of smoke-free policies, beliefs that tobacco is not a treatment priority for clients and that clients need to smoke as a coping strategy, and perceptions that treatment was either ineffective or not used by clients. Clients reported smoking as a habit and for enjoyment or stress relief, seeing staff smoking, nicotine replacement therapy unaffordability and perceptions that nicotine replacement therapy may be addictive, and inability to re...Continue Reading

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Citations

Dec 20, 2017·Journal of Ethnicity in Substance Abuse·Barbara A BermanWilliam J McCarthy
Oct 24, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Erin S RogersScott E Sherman
Jan 24, 2019·Australian and New Zealand Journal of Public Health·Ashleigh ParnellSimone Pettigrew
Aug 10, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Billie BonevskiDan I Lubman
Jul 16, 2021·Psychological Medicine·Renee D GoodwinLarry Davidson
Jul 25, 2021·International Journal of Environmental Research and Public Health·Kathy LeLorraine R Reitzel

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