Date of Award


Document Type

Independent Study

Degree Name

Master of Science (MS)


Tobacco cigaret1es are a highly addictive and highly lethal consumer product which results in roughly six million deaths every year world-wide and is the # l cause of preventable death in the world (Mitrouska, Bouloukaki & Siafakas, 2007). The vast majority of smokers attempt to quit at least once during their lifetimes (Sutton, 2008). While as many as 70% of smokers may attempt to quit smoking in a given year, without assistance, more than 90% will be smoking again within one year (Hughes, Keely, & Naud, 2004). People with serious mental illness, such as schizophrenia are estimated to smoke at two to three times the rate of the general population (Williams & Ziedonis, 2004 ). As many as nine out of 10 people with schizophrenia diagnoses are smokers (D'Souza and Markou, 2012). Smoking cessation efforts have reduced the prevalence of smoking in the general population but not with those who have mental illness.