Samaha Hannah L, Correa-Fernández Virmarie, Lam Cho, Wilson William T, Kyburz Bryce, Stacey Tim, Williams Teresa, Reitzel Lorraine R
1 University of Houston, Houston, TX, USA.
2 Rice University, Houston, TX, USA.
Health Promot Pract. 2017 Jul;18(4):561-570. doi: 10.1177/1524839917696713. Epub 2017 Mar 7.
Tobacco use is the leading cause of death and disability in the United States; cigarette smoking is the most common form of tobacco use. Smoking has become increasingly concentrated among individuals with behavioral health needs (e.g., persistent mental illness) and has led to increased morbidity and mortality in this group relative to the general population. Comprehensive tobacco-free workplace programs are effective in reducing tobacco use and cigarette smoke exposure among behavioral health consumers and the individuals who serve them. Taking Texas Tobacco-Free (TTTF) represents an academic-community partnership formed to address tobacco use among consumers and employees at behavioral health clinics across Texas via the dissemination of an evidence-based, multicomponent tobacco-free workplace program. Program components of TTTF include tobacco-free campus policy implementation and enforcement, staff education about tobacco use hazards, provider training to regularly screen for and address tobacco dependence via intervention, and community outreach. These components, the nature of the academic-community partnership, the process of behavioral health facility involvement and engagement, and the benefits and challenges of implementation from the perspectives of the project team and participating clinic leaders are described. This information can guide similar academic and community partnerships and inform the implementation of other statewide tobacco-free workplace programming.
在美国，烟草使用是导致死亡和残疾的首要原因；吸烟是最常见的烟草使用形式。吸烟在有行为健康需求的人群（如持续性精神疾病患者）中越来越集中，相对于普通人群，这一群体的发病率和死亡率有所上升。全面的无烟工作场所计划对于减少行为健康消费者及其服务人员的烟草使用和接触香烟烟雾是有效的。“德州无烟”（TTTF）项目是一个学术-社区合作伙伴关系，旨在通过传播基于证据的多成分无烟工作场所计划，解决德克萨斯州行为健康诊所的消费者和员工中的烟草使用问题。TTTF的项目组成部分包括无烟校园政策的实施和执行、对员工进行烟草使用危害教育、培训提供者通过干预定期筛查和解决烟草依赖问题，以及社区宣传。本文描述了这些组成部分、学术-社区合作伙伴关系的性质、行为健康机构参与和介入的过程，以及从项目团队和参与诊所领导的角度看实施过程中的益处和挑战。这些信息可为类似的学术和社区合作伙伴关系提供指导，并为其他全州范围的无烟工作场所计划的实施提供参考。
