Smoking, Mental Illness, and Public Health

$5.00 | CE Hours:1.00 | Beginning

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CE Course Description

Tobacco use remains the leading preventable cause of death worldwide and people with mental illness are disproportionately affected with high smoking prevalence.  This CE course reviews the determinants of tobacco use among smokers with mental illness, identifies the significant harms incurred, and looks at opportunities for prevention and intervention within a health care system and larger health policy perspective.

Author:  Prochaska, J., Das, S., and Young-Wolff, K.  (2017, March).  Smoking, Mental Illness, and Public Health.  Annual Review of Public Health, 38:1, 165-185.

References / Contributions by:

Adkison SE, O'Connor RJ, Bansal-Travers M, Hyland A, Borland R, et al. 2013. Electronic nicotine delivery systems: international tobacco control four-country survey. Am. J. Prev. Med. 44:207–15

Allen MH, Debanne M, Lazignac C, Adam E, Dickinson LM, Damsa C. 2011. Effect of nicotine replacement therapy on agitation in smokers with schizophrenia: a double-blind, randomized, placebo-controlled study. Am. J. Psychiatry 168:395–99

Anthenelli RM, Benowitz NL, West R, St Aubin L, McRae T, et al. 2016. Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. Lancet 387:2507–20

Retrieved from:

CE Course Objectives

1.  Conclude the most commonly held belief among mental health professionals for why they do not provide assistance with quitting smoking or provide treatment referrals for patients with mental illness.

2.  Determine the mental health condition that comprehensive smoking bans in the home and workplace are associated with a significantly reduced risk of developing.

3.  Identify which aspect of cigarettes promote experimentation, regular smoking, and increased likelihood of addiction in youth smokers and are associated with less success with quitting among African American smokers.

CE Outline with Main Points

1.  The HAVE Model: Host-Agent-Vector-Environment

2.  Host: Tobacco Users

a.  Prevalence of Smoking

b.  Self-Medication versus Causation or Bidirectional Models

c.  Tobacco-Related Morbidity and Mortality

3.  Tobacco Use and Mental Illness: A Compounded Problem

4.  Agent: Cigarettes and Emerging Nicotine Products

a.  Cigarettes

b.  Menthol

c.  Electronic Nicotine Delivery Systems

5.  Vector: Industry Efforts

a.  Tobacco Industry Marketing

b.  Tobacco Industry Research and Collaborators

c.  Tobacco Retailers

6.  Environment: Mental Health Settings and Smoke-Free Policies

a.  Provider Behavior

b.  Mental Health Settings

7.  Tobacco-Cessation Treatment Strategies

a.  Individual Focused

b.  Policy or Population Approaches



Social Work Approval

Social Work CE Credit for this course is offered with the following approvals. Many state boards of social work will accept the approvals listed. Provider Approvals by state and license type can be found here.

  • Quantum Units Education is approved by the California Association of Marriage and Family Therapists, CAMFT Provider #89970, to sponsor continuing education for LMFTs, LCSWs, LPCCs, and/or LEP. Quantum Units Education maintains responsibility for this program/course and its content.
  • Florida board for Social Workers CE Provider #50-8650 (Quantum 'immediately' reports CE Credits to Florida licensees) 
  • Illinois Department of Professional Regulation, License No. 159.001261 approved CE Sponsor
  • Ohio CSWMFTB #RCST091701 approved CE Provider
  • Texas Board of SWE #5070 approved CE Provider
  • ACE credit is offered for this course for social workers (followed by ACE approval statement that is currently on every ACE course page) Quantum Units Education, #1289, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Quantum Units Education maintains responsibility for this course. ACE provider approval period: 01/03/2020 – 01/03/2023.

To see other approvals in your state, see our state by state provider approval listings here.


CAADE Approval

This course is CAADE approved.


Course Development: Each course is identified and reviewed by the appropriate Quantum Units Education consultant with professional and licensed expertise in the various disciplines we serve. Our professional consultants oversee course development to satisfy the needs of various professionals based on their board requirements, rate course degrees of difficulty and ensure the course content and exam questions are appropriate, relevant and comprehensive. See our professional staff and their bios here.

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Added On: 2019-10-13

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