Needs assessment for a pilot smoking cessation clinic serving the homeless population

BACKGROUND: Smoking prevalence among homeless individuals in King County, Washington is estimated at 70%. Due to vulnerabilities such as poor health and inadequate access to primary care, the homeless population is more susceptible to the adverse consequences of tobacco use and bears a disproportionate burden of tobacco-related morbidity and mortality. Tobacco cessation is often not addressed in settings where homeless individuals receive care or services. The purpose of this study is to conduct a needs assessment to determine the best way to provide tobacco cessation services to the homeless population. METHODS: Two focus groups were conducted with homeless adults identified through their participation in local social service agencies or residence in a tent encampment. Key informant interviews were also conducted with service providers. Data gathered was analyzed to identify common themes and attitudes and to assess perceived feasibility of a walk-up or mobile clinic specifically for tobacco cessation. RESULTS: The information gathered in this study will help Public Health – Seattle & King County assess specific needs of a hard-to-reach population and identify potential issues that might arise during implementation of a pilot tobacco cessation program. Findings will help determine whether a walk-up or mobile clinic for tobacco cessation is a feasible means of providing services to homeless individuals in King County.