Shared Decision Making and Behavioral Support Interventions for People With Severe Mental Illness and Tobacco Dependence

Objective: People with severe mental illness (e.g., schizophrenia and severe mood disorders) are more likely to smoke tobacco and less likely to quit than the general population. Current recommendations for treatment combine evidence-based medications and behavioral interventions tailored to each individual's needs. One way to individualize treatment is through shared decision making, in which the patient and the provider negotiate a research-based plan that accommodates the patient's preferences and values. This paper examines the current literature and discusses what role shared decision making might have in the treatment of tobacco dependence for people with severe mental illness. Methods: We conducted a search of Ovid/Medline using search terms (decision aid OR shared decision-making OR decision support) AND (smoking cessation OR tobacco dependence OR nicotine dependence). Results: Of the 202 reports found, three met the review criteria of assessing the impact of a decision aid or behavioral support i...