Addressing tobacco in Australian alcohol and other drug treatment settings: a cross-sectional survey of staff attitudes and perceived barriers

Table 4 Staff-reported barriers to the provision of smoking cessation care to AOD clients^a

Barrier	Very/Quite Important
	n^b	%
Clients are unable to afford smoking cessation medicines	279	61
Lack of funding to the organisation to address client tobacco smoking	278	61
Lack of a coordinated staff approach	275	61
Lack of staff training in smoking counselling	271	60
Lack of staff time to provide smoking cessation support	235	52
Staff are uncertain about effective smoking cessation interventions^a	175	51
Clients are unable to access smoking cessation services once back in the community	218	48
Addressing smoking is not regarded as part of core business for the organisation	206	45
There could be a potential impact of providing this support to clients and that it will affect their other drug issues	187	41
Clients spend too little time at the organisation to be counselled about their smoking	173	38

^aPerceived barriers to providing smoking cessation care were rated on a 4-point likert-type scale. For analysis purposes responses were grouped as: very important/quite important, a little important/not important. Counts and percentages are presented for barriers rated as very important/quit important
^bPresented to n = 343 as the survey item was introduced later

ISSN: 1747-597X