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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends


SMI, SBIRT, clinical staff, screening, tobacco cessation


Introduction: The chronic use of tobacco is a health concern for persons with mental illness, contributing to both morbidity and mortality. Ideally positioned to address this concern are licensed clinical staff who are employed at community mental health centers. Evidence Summary: Although the disproportionately high use of tobacco and smoking in the seriously mentally ill (SMI) patient population has been well documented, screening, intervention and referral to treatment often do not occur. Screening, Brief Intervention, and Referral for Treatment (SBIRT) is an effective evidence-based approach to assess and promote early intervention for persons with or at risk for substance abuse. Clinical staff knowledge and skill in addressing tobacco dependence is improved with SBIRT training. Gaps: There is paucity in the literature regarding intervention for tobacco use in community mental health settings and the use of SBIRT to address tobacco use. Recommendation for Practice: The evidence strongly supports a recommendation that clinical staff in a rural community mental health center receive training on the use of SBIRT. Through the use of SBIRT, it is the goal of this project for clinical staff to routinely assess for tobacco use and develop a treatment plan with the client to address tobacco dependence.

Library of Congress Subject Headings

Mentally ill -- Tobacco use.
Smoking cessation.
Nicotine addiction -- Treatment.
Community mental health services.
Rural mental health services.


Includes bibliographical references


South Dakota State University


Copyright © Pamila G. VanMeeteren