Date of Award

Spring 5-13-2016

Degree Type

Thesis

Degree Name

Master of Public Health (MPH)

Department

Public Health

First Advisor

Ashli Owen-Smith, Ph.D

Second Advisor

Sheryl Strasser, Ph.D

Third Advisor

Michael Eriksen, Sc.D

Abstract

Introduction

This study aims to provide an assessment of tobacco control methods (e.g., smoking ban policies and smoking cessation services) implemented in mental health facilities (MHFs) by characteristics such as facility type, ownership, Joint Commission Accreditation Healthcare Organization (JCAHO) status, and region in the United States.

Methods

Secondary analysis was conducted using the 2010-2011 National Mental Health Services Survey (N-MHSS). Binomial frequency, chi-square, and logistic regression were used to determine the proportion of tobacco control methods, the relationship between characteristics and tobacco control methods, and predictors of facilities that use tobacco control methods, respectively.

Results

Findings show smoking ban policies were in less than half of MHFs and smoking cessation services were offered in less than a quarter of all MHFs. Analyses revealed a strong association across all characteristics and tobacco control methods in MHFs. Multivariate analysis showed that when compared to inpatient facilities, residential treatment centers for adults were less likely to have a smoking ban policy, OR=0.050, CI (0.039-0.065) and less likely to offer smoking cessation services, OR=0.072 CI (0.054- 0.095). Compared to MHFs accredited by JCAHO, MHFs unaccredited by JCAHO were less likely to have a smoking ban policy, OR =0.386 CI, (0.354-0.423) and less likely to offer smoking cessation services, OR =0.295, CI, (0.267-0.327).

Discussion

There is a clear deficit in tobacco control methods that vary across facility characteristics of MHFs. Findings of facility characteristics and tobacco control methods may direct future researchers, program interventionists, policymakers to target facilities where tobacco control is needed the most.

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