Should big tobacco be involved in harm reduction?

Smoking amongst people with mental health problems

I recently attended a fascinating talk on the topic of smoking cessation amongst people with mental health problems.The argument the presentation made was (as I understood it) that for many people with mental health problems, nicotine is actually a fairly helpful psychoactive substance – in that it can allow people to experience a reduction in anxiety, increase cognitive focus and help them structure their lives. The presenter also argued that e-cigarettes appear to be a low harm way of delivering nicotine and, as such, we should consider ways of encouraging uptake amongst this population. What did I think of  the ideas?

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