A comprehensive model for the treatment of nicotine dependence in a medical setting

R. D. Hurt, L. C. Dale, F. L. McClain, K. M. Eberman, K. P. Offord, B. K. Bruce, G. G. Lauger

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

We have summarized the basic components of a comprehensive model for the treatment of nicotine addiction in a medical setting. It is a labor-intensive program with emphasis on individual assessment and the development of individual treatment programs adaptable to all levels of nicotine dependence. We anticipate that this model will be increasingly used by medical centers in the future. As more traditional programs successfully treat the less severely nicotine-dependent patients, more severely dependent smokers are left in need of more intensive services. We have already begun to see this trend in our practice, requiring more counselor time for individual follow-up and referral into our group therapy programs. Adjunctive pharmacologic therapy is an exciting and promising area, but best results include associated behavioral intervention. Reimbursement remains a major impediment to patient involvement in many of these programs. This impediment will be overcome when third-party payers begin to cover these services as endorsed by the Surgeon General and the United States Department of Health and Human Services.

Original languageEnglish (US)
Pages (from-to)495-514
Number of pages20
JournalMedical Clinics of North America
Volume76
Issue number2
StatePublished - 1992

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Tobacco Use Disorder
Nicotine
United States Dept. of Health and Human Services
Health Insurance Reimbursement
Patient Participation
Group Psychotherapy
Therapeutics
Referral and Consultation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hurt, R. D., Dale, L. C., McClain, F. L., Eberman, K. M., Offord, K. P., Bruce, B. K., & Lauger, G. G. (1992). A comprehensive model for the treatment of nicotine dependence in a medical setting. Medical Clinics of North America, 76(2), 495-514.

A comprehensive model for the treatment of nicotine dependence in a medical setting. / Hurt, R. D.; Dale, L. C.; McClain, F. L.; Eberman, K. M.; Offord, K. P.; Bruce, B. K.; Lauger, G. G.

In: Medical Clinics of North America, Vol. 76, No. 2, 1992, p. 495-514.

Research output: Contribution to journalArticle

Hurt, RD, Dale, LC, McClain, FL, Eberman, KM, Offord, KP, Bruce, BK & Lauger, GG 1992, 'A comprehensive model for the treatment of nicotine dependence in a medical setting', Medical Clinics of North America, vol. 76, no. 2, pp. 495-514.
Hurt RD, Dale LC, McClain FL, Eberman KM, Offord KP, Bruce BK et al. A comprehensive model for the treatment of nicotine dependence in a medical setting. Medical Clinics of North America. 1992;76(2):495-514.
Hurt, R. D. ; Dale, L. C. ; McClain, F. L. ; Eberman, K. M. ; Offord, K. P. ; Bruce, B. K. ; Lauger, G. G. / A comprehensive model for the treatment of nicotine dependence in a medical setting. In: Medical Clinics of North America. 1992 ; Vol. 76, No. 2. pp. 495-514.
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