Integrating Clinical Practice Guidelines for Smoking Cessation Into Mental Health Care for Veterans With Posttraumatic Stress Disorder

Inclusion Criteria

• Receive a minimum of four mental health treatment sessions from the SOPP that span at least a 1-month interval
• SOPP treatment plan must indicate intent to deliver ongoing PTSD care for at least 1 year, including visits at least once per month
• Diagnosis of PTSD resulting from military trauma using DSM-IV criteria
• Current nicotine use, smoking greater at least 10 cigarettes per day for at least 16 of the past 30 days prior to randomization
• Demonstrated motivation to quit smoking

Exclusion Criteria

• Use of smokeless tobacco or smoke pipes or cigars
• Any psychotic disorder that is not in remission
• Bipolar disorder that is not in remission
• Any substance dependence disorder that is not in remission (current substance abuse disorder and substance dependence disorder in remission for more than 1 month are not exclusions)
• Imminent risk for suicide or violence, as determined during routine assessment by SOPP clinical staff
• Severe psychiatric symptoms or psychosocial instability likely to prevent participation in the study protocol (i.e., attendance at scheduled sessions, ability to read study materials, and/or ability to comprehend interventions), as determined during routine assessment by SOPP clinical staff
• Gross impairment from organic mental disorder, as determined during routine assessment by SOPP clinical staff