The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS) is accepting applications for fiscal year (FY) 2018 National Center of Excellence for Tobacco-Free Recovery (Short Title: National Center-TFR) grant. The purpose of this program is to establish a national center with specialized subject matter expertise to provide training and technical assistance to states, local governments, tribal communities, behavioral health organizations, primary care providers, clinicians, peers, families, and other stakeholders to help reduce tobacco use among persons with behavioral health disorders, with an emphasis on individuals with serious mental illness and co-occurring disorders1. The expectation is that the National Center-TFR will build upon and expand SAMHSA’s efforts to increase awareness, disseminate current research, educate behavioral health providers, and create results-oriented collaborations among stakeholder organizations in an effort to reduce tobacco use among individuals with behavioral health disorders.
As overall smoking rates have declined, the prevalence of smoking among people with behavioral health disorders has remained high2,3. Nearly half (49 percent) of all people with serious mental illness used tobacco in the past year4. Although people with behavioral health conditions represent about 25 percent of the U.S. adult population, they account for nearly 40 percent of all cigarettes smoked5. This disparity is causing serious health consequences. However, SAMHSA surveys of behavioral health facilities show that most do not provide tobacco cessation counseling.
A growing body of research shows that quitting smoking can improve health and wellness as well as mental health and addiction recovery outcomes. Studies show that quitting smoking can decrease depression, anxiety, and stress6. For persons in addiction recovery, smoking cessation can increase long-term abstinence from alcohol and other drugs7,8.
The National Center-TFR is authorized under Title V, Sec. 1920 (b) of the Public Health Services Act, as amended through P.L. 115-123 (42 U.S. Code 300x–9(b)). This announcement also addresses Healthy People 2020 Mental Health and Mental Health Disorders Topic Area HP 2020-MHMD and Substance Use Topic Area HP 2020-SA.
1 For the purpose of this FOA, co-occurring disorder refers to the presence of both a mental and substance use disorder.
2 Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and quality. The CBHSQ Report, March 30, 2017. Rockville MD. https://www.samhsa.gov/data/sites/default/files/report_2738/ShortReport-....
3 Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. The NSDUH Report, June 23, 2011, Rockville MD. https://archive/samhsa.gov/data/2k11/WEB_SR_031/WEB)SR_031_HTML.pdf
4 Center for Behavioral Health Statistics and Quality (CBHSQ). (2017d). 2016 national survey on drug use and health: detailed tables. (NSDUH 2016, Tables 820B). Rockville MD: Substance Use and Mental Health Services Administration.
5 Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. The N-MHSS Report. November 25, 2014. https://www.samhsa.gov/data/sites/default/files/Spot148_NMHSS_Smoking_Ce...
6 Taylor G, et al. Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ 2014;348:g1151.
7 Prochaska JJ, et al. A meta-analysis of smoking cessation interventions with individuals in substance abuse treatment or recovery. Journal of Consultation Clinical Psychology. 2004 Dec;72(6):1144-56.
8 Weinberger AH, et al. Cigarette smoking is associated with increased risk of substance use disorder relapse: a nationally representative, prospective longitudinal investigation. J Clin Psychiatry. 2017 Feb;78(2):e152-e160.