DIMENSIONS: Tobacco Free Program
|
|
- Ralf Waters
- 6 years ago
- Views:
Transcription
1 DIMENSIONS: Tobacco Free Program Fundamentals v.4.0
2 DIMENSIONS: Tobacco Free Program Introduction: Program Overview
3 Our Wellness Philosophy Leading a meaningful and fulfilling life through conscious and self-directed behaviors, focused upon living at one s fullest potential.
4 Eight Dimensions of Wellness Emotional Environmental Financial Intellectual Occupational Physical Social Spiritual
5 This is a Critical Issue What is killing the majority of us is not infectious disease, but our chronic and modifiable behaviors.
6 DIMENSIONS: Tobacco Free Program Discussion
7 DIMENSIONS: Tobacco Free Program Module 1: Persons with Behavioral Health Conditions and Tobacco Use
8 Behavioral Causes of Death in U.S. 500, , , , , , , , ,000 50,000 0 * Persons with Behavioral Health Conditions 8,300 25,700 31,700 16,300 33,700 43,000 38, , ,000 *
9 700 Annual Causes of Death in the United States, 2011 Number of deaths (thousands) Heart Disease* Cancer* Chronic Respiratory Diseases* *Tobacco Related Illnesses Cerebrovascular Disease* Accidents 0
10 Morbidity and Mortality Leading causes of illness and premature death related to chronic disease among U.S. adults: Modifiable health behaviors Lack of Physical Activity Poor Nutrition Tobacco Use Excessive Alcohol Consumption
11 Rates of Tobacco Use 25.2% of adults in the U.S. currently use tobacco products Cigarettes 19.5% Cigars, cigarillos or small cigars 6.6% Chew, snuff, or dip 3.4% Water pipes 1.5% Snus 1.4% Pipes 1.1%
12 Rates of Tobacco Use Smoking rates by state: Ranges from 9.1% in Utah to 26.8% in West Virginia Smoking rates by region: Highest in the Midwest (21.8%) and South (21.0%) and lowest in the West (15.9%)
13 Demographic Characteristics There are several demographic characteristics that may influence patterns of tobacco use among the U.S. population: Age Gender Race/Ethnicity Geography Income Education Behavioral Health Sexual Orientation
14 Tobacco and Youth 20% of U.S. high school students report cigarette use in the last 30 days Approximately 80% of daily adult smokers became daily tobacco users by the age of 18 years As with adults, rates of tobacco use are higher among youth with a behavioral health diagnosis
15 Tobacco and Youth Youth are more likely to: Benefit long-term from preventative interventions Be a target of aggressive marketing by tobacco companies Become susceptible to social and environmental pressures to use tobacco
16 Tobacco and Older Adults Older adults are more likely to: Be motivated by negative health consequences Not receive tobacco cessation resources due to provider beliefs about their desire to quit Have increased rate of mortality for a tobaccorelated illness
17 Tobacco and Women Age appears to be a mediating factor for cessation rates among women Women tend to smoke less for nicotine reinforcement and more for non-nicotine reinforcement, such as: Sensory effects of smoking Management of stress and negative affect Secondary social reinforcement Weight management
18 Tobacco and Women Greater risk of developing a smoking-related disease than men Gender-specific health issues and pregnancy complications More difficulty quitting
19 Tobacco Use and Race/ Ethnicity Rates of tobacco use: 31.4% of American Indians/ Alaska Natives 9.2% of Asians 20.6% of blacks 12.5% of Hispanics 21.0% of whites Tobacco industry targets specific racial/ ethnic groups through advertising, product development and sponsoring cultural events
20 Tobacco and Poverty Individuals who are working class, low income, and have low educational levels have the highest percentages of smoking behaviors
21 Tobacco and Poverty 70%-81% of adults who are homeless smoke 41% of homeless service organizations offer tobacco cessation services Tobacco needs to be addressed not only as a health issue, but as a social justice issue
22 Tobacco and Behavioral Health Populations Persons with behavioral health conditions: Are nicotine dependent at rates 2-3 times higher Represent over 44% of the U.S. tobacco market Consume over 34% of all cigarettes smoked
23 Tobacco Use by Diagnosis Schizophrenia 62-90% Bipolar disorder 51-70% Major depression 36-80% Anxiety disorders 32-60% Post-traumatic stress disorder 45-60% Attention deficit/ hyperactivity disorder 38-42% Alcohol abuse 34-80% Other drug abuse 49-98%
24 Tobacco Use Affects Mental Health Care and Treatment Persons with behavioral health conditions who use tobacco: Have more psychiatric symptoms; Have increased hospitalizations; Require higher dosages of medications; Are twice as likely to leave against the advice of their doctors, if withdrawal symptoms are not treated.
25 ANTIPSYCHOTICS ANTIDEPRESSANTS MOOD STABLIZERS ANXIOLYTICS OTHERS Medications Known or Suspected To Have Their Levels Affected by Smoking and Smoking Cessation Chlorpromazine (Thorazine) Clozapine (Clozaril) Fluphenazine (Permitil) Haloperidol (Haldol) Mesoridazine (Serentil) Amitriptyline (Elavil) Clomipramine (Anafranil) Desipramine (Norpramin) Doxepin (Sinequan) Duloxetine (Cymbalta) Carbamazepine (Tegretol) Alprazolam (Xanax) Diazepam (Valium) Acetaminophen Caffeine Heparin Insulin Rasagiline (Azilect) Olanzapine (Zyprexa) Thiothixene (Navane) Trifluoperazine (Stelazine) Ziprasidone (Geodon) Fluvoxamine (Luvox) Imipramine (Tofranil) Mirtazapine (Remeron) Nortriptyline (Pamelor) Trazodone (Desyrel) Lorazepam (Ativan) Oxazepam (Serax) Riluzole (Rilutek) Ropinirole (Requip) Tacrine Warfarin
26 Tobacco Use Affects Treatment & Recovery from Addiction People who are alcohol dependent are three times more likely to use tobacco Tobacco use is a strong predictor in use of illegal substances, such as methamphetamines, cocaine, and opiates Addressing tobacco dependence during treatment for other substances is associated with a 25% increase in long-term abstinence rates from alcohol and other substances
27 Tobacco Industry Targeting Tobacco companies sought out individuals with limited resources to cessation services Promoted smoking in treatment settings Monitored or directly funded research supporting the idea that individuals with schizophrenia need to smoke to manage symptoms
28 Contributing Factors Bio-psycho-social model Systems factors Provider factors Personal factors
29 Bio-psycho-social Model Psychological Factors Biological Factors Social Factors Tobacco Use
30 Systems Factors Tobacco as reward Disruption of treatment setting Fear of increased symptoms & relapse Financial gain
31 Provider Factors Expectation of failure Competing demands Lack of training Minimization
32 Personal Factors Boredom Self-identity Lack of recovery Expectation of failure Fear of withdrawal symptoms Coping with tension and anxiety Fear of gaining weight
33 Quitting: It Can Be Done Persons with behavioral health conditions: Are able to quit using 75% want to quit using 65% tried to quit in the last 12-months
34 Cessation Rates Although tobacco cessation rates for persons with behavioral health conditions are less than the general population, smoking cessation rates are still substantial. Major Depression up to 38% Schizophrenia between 10-30% Most studies combine medications & psychoeducation and/or Cognitive Behavioral Therapy (CBT)
35 Concurrent to Addictions Treatment 75% of clients believe tobacco treatment should be offered while in addictions treatment At discharge, 50% of smokers thought the tobaccofree policy helped them address their tobacco use Does not cause people to experience worsening psychiatric symptoms
36 Why Help People Quit? Improve health and overall quality of life Increase healthy years of life Improve the effect of medications for mental health problems Decrease social isolation Save money by not buying cigarettes Quitting smoking is a right and is important for recovery
37 DIMENSIONS: Tobacco Free Program Discussion
38 DIMENSIONS: Tobacco Free Program Module 2: Understanding Tobacco Addiction
39 Burden of Tobacco 443,000 tobacco-related deaths in the U.S. each year 6 million tobacco-related deaths worldwide each year 8.6 million people living with tobaccorelated chronic illness 50,000 deaths each year in the U.S. due to second-hand smoke exposure
40 Tobacco Products that are Smoked Cigarettes: Most common form of tobacco in the U.S. Cigars: One cigar has as much tobacco as a pack of cigarettes Contain high levels of nicotine Clove Cigars/ Bidis: Cloves are a mixture of tobacco and cloves and have twice the nicotine compared to cigarettes Bidis look like marijuana joints, come in candy flavors, and have higher levels of tar, carbon monoxide, and nicotine than cigarettes
41 Tobacco Products that are Smoked Waterpipe smoking (hookah): Tobacco flavored with fruit pulp, honey, and molasses Often used for longer amounts of time than cigarettes, so more tar and nicotine is inhaled Pipes: Puffed into the mouth, typically not inhaled One of the least commonly used forms of tobacco
42 Smokeless Tobacco Products In 2007, about 8.1 million people used smokeless tobacco in the U.S. Smokeless tobacco contains at least 28 known cancer causing chemicals! Chewing Tobacco Dissolvable Tobacco Snus Snuff
43 A battery-powered electronic device that provides doses of nicotine in a vapor form Ingredients Propylene glycol Nicotine, 0-20mg/ml Flavoring Other additives? Unknown health risks E-Cigarettes
44 Chemicals in Tobacco Products Arsenic Ammonia Butane Cadmium
45 Marijuana Smoke Marijuana smoke contains several of the same carcinogens as the tar from tobacco Secondhand marijuana smoke contains 50 70% more harmful chemicals than tobacco smoke Marijuana smoke contains significant amounts of mercury, lead, ammonia, and hydrogen cyanide, among others
46 Tobacco Dependence Has Two Parts Tobacco dependence is a 2-part problem Physical The addiction to nicotine Treatment Behavior The habit of using tobacco Treatment Medications for cessation Behavior change program Treatment should address both the addiction and the habit. Courtesy of the University of California, San Francisco
47 Nicotine Addiction Cycle Courtesy of Signal Behavioral Health Network
48 Prefrontal cortex Dopamine Reward Pathway Dopamine release Stimulation of nicotine receptors Nucleus accumbens Ventral tegmental area Nicotine enters brain
49 Nicotine Withdrawal Effects Irritability/ Frustration/ Anger Anxiety Difficulty Concentrating Restlessness/ Impatience Depressed Mood Insomnia Increased Appetite Most symptoms: Appear within the first 1 2 days Peak within the first week Decrease within 2 4 weeks
50 2010 Report of the Surgeon General: MAJOR FINDINGS: Smoking and Health Any level of exposure to tobacco smoke is harmful Smoking harms almost every part of the body Severity of health problems are directly related to how long a person smokes or is exposed to smoke Smoking light, organic, or filtered cigarettes does not decrease your risk of disease
51 How Tobacco Harms You From The Tobacco Atlas Third Edition
52 The Dangers of Second-Hand Smoke There is no safe level of second-hand smoke Being around tobacco smoke is directly linked to disease and premature death in nonsmokers Serious health effects on children and adults sudden infant death syndrome (SIDS), lung and ear problems, and asthma include
53 Within Quitting Smoking has Many Health Benefits 20 minutes blood pressure returns to baseline 48 hours sense of smell and taste begin to return to normal 12 hours oxygen levels return to normal; carbon monoxide drops significantly 72 hours breathing is easier and lung function increases 1-9 months chronic cough decreases; breathing improves, overall energy levels increase 1 year risk of heart disease, stroke, and heart attack less than half that of a smoker 10 years lowered risk of some cancers 15 years risk of heart disease is equal to someone who has never smoked
54 Quitting Smoking Leads to a Longer and Healthier Life Years of extended life It is estimated that one person dies from a tobacco-related illness every 6 seconds Age at cessation (years)
55 DIMENSIONS: Tobacco Free Program Discussion
56 DIMENSIONS: Tobacco Free Program Module 3: Tobacco Cessation Strategies
57 Tobacco Cessation Interventions: The 5 A s and 2A s & R Models The 5 A s: Ask Advise Assess Assist Arrange The 2 A s & R: Ask Advise Refer
58 Tobacco Cessation Interventions: The 5 A s
59 Tobacco Cessation Interventions: 5 A s ASK all individuals about tobacco use Do you, or does anyone in your household, use any type of tobacco? How many times have you tried to quit? Explore tobacco use history
60 Tobacco Cessation Interventions: 5 A s ADVISE people who use tobacco to quit Provide a clear, personalized and non-judgmental message about the health benefits of quitting tobacco What would motivate the person to quit?
61 Tobacco Cessation Interventions: 5 A s ASSESS readiness to quit How do you feel about your smoking? Have you considered quitting? Explore barriers to quitting Assess nicotine dependence How many cigarettes do you smoke a day? How soon after you wake do you have your first cigarette?
62 Tobacco Cessation Interventions: 5 A s ASSIST individuals interested in quitting Set a quit date or gradually cut down Discuss their concerns Encourage social support
63 Tobacco Cessation Interventions: 5 A s ARRANGE follow-up visits to track progress Encourage individuals to join the Tobacco Free group Discuss ways to remove barriers Congratulate successes Encourage individuals to talk with their providers
64 Tobacco Cessation Interventions: ASK if s/he uses tobacco 2 A s and R Model ADVISE Provide a clear, personalized and nonjudgmental message about the health benefits of quitting tobacco REFER To Tobacco Free group To a provider/counselor To a quitline or helpline
65 Tobacco Dependence Has Two Parts Tobacco dependence is a 2-part problem Physical The addiction to nicotine Treatment Behavior The habit of using tobacco Treatment Medications for cessation Behavior change program Treatment should address both the addiction and the habit. Courtesy of the University of California, San Francisco
66 Why Use a Medication for Quitting? Medications: Make people more comfortable while quitting by reducing withdrawal symptoms Allows people to focus on changing their behavior Improve chances of a successful quit attempt
67 Tobacco Cessation Medications The only medications approved by the Food and Drug Administration (FDA) for tobacco cessation are: Nicotine gum Nicotine lozenge Nicotine patch Nicotine nasal spray Nicotine inhaler Bupropion SR tablets Varenicline tablets
68 Long-Term (36-month) Quit Rates for Cessation Medications Active drug Placebo Percent quit Nicotine gum Nicotine patch Nicotine lozenge Nicotine nasal spray Nicotine inhaler Bupropion Varenicline
69 Sugar-free chewing gum Nicotine Gum Available in different flavors Absorbed through the lining of the mouth Available in two strengths Sold without a prescription May not be a good choice for people with jaw problems, braces, retainers, or significant dental work
70 Sugar-free lozenge Nicotine Lozenge Available in different flavors Absorbed through the lining of the mouth Available in two strengths Sold without a prescription
71 Nicotine is absorbed through the skin Sold without a prescription Do not cut in half Apply a new patch every 24 hours Nicotine Patch
72 Nicotine Nasal Spray About 100 doses per bottle Quickly absorbed through the lining of the nose Sold with a prescription as Nicotrol NS
73 Nicotine Inhaler Absorbed through the lining of the mouth Allows for similar hand-tomouth ritual of smoking Sold with a prescription
74 Bupropion SR Tablets Does not contain nicotine The tablet is swallowed whole, and the medication is released over time Sold with a prescription as Zyban or generic
75 Varenicline Does not contain nicotine The tablet is swallowed whole Sold with a prescription only as Chantix People who take Chantix should be in regular contact with their doctor NOTE: Some people who used varenicline have reported experiencing changes in behavior, agitation, depressed mood, suicidal thoughts or actions. People should talk to their doctor before taking this medication.
76 Combination Therapy Use of two or more forms of tobacco cessation medications can improve cessation rates: PLUS OR OR OR PLUS PLUS OR
77 Pre-Cessation Nicotine Replacement Studies show individuals who used NRT before their quit date: Did not experience any significant side effects Experienced an increase in their quit rates Were twice as likely to maintain their abstinence at 6 months
78 Daily Costs of Treatment vs. Smoking Cigarettes Dollars
79 Talking About Tobacco Cessation Medications Encourage people to talk with their primary care provider before starting any tobacco cessation medications Inform people about their different options for tobacco cessation medications Encourage people to read all the directions before they start using a tobacco cessation medication
80 Tobacco Dependence Has Two Parts Tobacco dependence is a 2-part problem Physical The addiction to nicotine Treatment Behavior The habit of using tobacco Treatment Medications for cessation Behavior change program Treatment should address both the addiction and the habit. Courtesy of the University of California, San Francisco
81 Counseling and Support People are more likely to be successful in stopping their tobacco use, if: They get help through counseling and social support They PREPARE and PLAN for their quit attempt They change their behaviors related to tobacco use
82 Changing Behaviors People smoke in many different situations: When drinking coffee While driving in the car When bored While stressed When on the computer After meals During breaks at work While on the telephone When spending time with family or friends who use tobacco While drinking alcohol or using drugs
83 The Challenges of Quitting Quitting requires: Motivation New coping skills Changing behaviors
84 DIMENSIONS: Tobacco Free Program An evidence-based tobacco cessation program that promotes positive health behavior change Initially developed in 2006 Implemented in 17 states (and counting!) The program supports tobacco cessation through motivational engagement strategies, group process, community referrals, and educational activities
85 Who can be Tobacco Free Program Facilitators? Tobacco Free Program can be led by: Peer Advocates Persons who are trained and supervised to provide services for people with a similar history or background, for example, a history of a behavioral health condition, a university student, a co-worker or colleague, among others Providers Healthcare providers who have experience with training, facilitation, or direct healthcare services
86 Role of the Tobacco Free Program Facilitators Raise awareness through center in-services, lunch and learns, and trainings Conduct individual motivational interventions Facilitate Tobacco Free groups Make referrals to other healthcare providers and community cessation services Create a positive social network
87 Motivational Intervention Conduct 30-minute semi-structured interview Work with individuals to increase their readiness for tobacco cessation Provide brief, personalized feedback about their carbon monoxide levels and the cost of smoking Encourage individuals to set concrete and manageable goals Discuss and list the supports they need to set a quit date and sustain their quit attempt
88 Tobacco Free Group Overview Weekly, 60- to 90-minute, open group Participants may join at any time Some information does build on previous sessions Participants may attend as many sessions as needed Session topics cycle over a 6-week period
89 Quitlines Telephone counseling Referrals for additional support May provide NRT or other medications May be available in multiple languages
90 Relapse Relapse - (tobacco use after tobacco cessation) can be another challenge For many people, quitting takes more than one try People may need to practice quitting first Discussion: What can be learned from past quit attempts?
91 Tobacco-Free Policies Benefits for clients in healthcare settings: Increased quality of life Decreased disease, disability and death Decreased hospital admissions Benefits for employees: Increased productivity Increased job satisfaction Decreased hospital admissions Decreased absenteeism Decreased presenteeism
92 DIMENSIONS: Tobacco Free Toolkits for Healthcare Providers Toolkit.pdf Behavioral-Health.pdf
93 DIMENSIONS: Tobacco Free Program Module 4: Next Steps
94 Plan-Do-Study-Act Process Three key questions: Act Study Plan Do What are we trying to accomplish? How will we know a change is an improvement? What change can we make that will result in improvement?
95 Steps for PDSA Process Plan: Decide what change will be made, who will do it, and when it will be done Do: Carry out the change Study: Ensure that you leave time to reflect and use experience of change to discuss results Act: Based on what you learned, what will your next plan be? What will be different? Act Study Plan Do
96 Change Exercise
97 DIMENSIONS Action Plan
98 Behavioral Health & Wellness Program Behavioral Health and Wellness Program BHWP_UCD
DIMENSIONS: Our Wellness Philosophy 10/11/2013 DIMENSIONS: Tobacco Free Program. Fundamentals. Introduction: Program Overview
DIMENSIONS: Tobacco Free Program Fundamentals v.4.0 DIMENSIONS: Tobacco Free Program Introduction: Program Overview Our Wellness Philosophy Leading a meaningful and fulfilling life through conscious and
More informationDIMENSIONS: Tobacco Free Fundamentals Training Objectives 1/7/2015 DIMENSIONS: Tobacco Free Program. Introduction: Program Overview.
DIMENSIONS: Tobacco Free Program Fundamentals v.4.0 DIMENSIONS: Tobacco Free Program Introduction: Program Overview Tobacco Free Fundamentals Training Objectives This specialized training is designed to:
More informationDIMENSIONS: Tobacco Free Program
DIMENSIONS: Tobacco Free Program Advanced Techniques v.4.0 DIMENSIONS: Tobacco Free Program Introduction: Program Overview Our Wellness Philosophy Leading a meaningful and fulfilling life through conscious
More informationWelcome and Webinar Logistics
Welcome and Webinar Logistics We recommend calling in on your telephone Remember to enter your Audio PIN so we can unmute your line when you have a question Audio PIN: Will be displayed after you login
More informationTobacco Cessation Best Practices: Pharmacotherapy
Tobacco Cessation Best Practices: Pharmacotherapy Please do the following Housekeeping Turn off or mute your computer speakers. Mute your phone by dialing *6* (dial *6* again to unmute yourself) Copy this
More informationNational Behavioral Health Network for Tobacco & Cancer Control:
National Behavioral Health Network for Tobacco & Cancer Control:. Community Behavioral Health Organization Community of Practice Prescribing FDA-approved Pharmacotherapy July 12 th, 2016 WELCOME! Shelina
More informationTRENDS IN TOBACCO UNDERSTAND 5/26/2017 LEARNING OBJECTIVES. Understand the types of tobacco products trending in today s market & associated risks
TRENDS IN TOBACCO And What Employers Can Do to Support Cessation Katy Tombaugh, Certified Tobacco Treatment Specialist Founder & CEO, Wellness Collective LEARNING OBJECTIVES Understand the types of tobacco
More informationTobacco Dependence Screening and Treatment in Behavioral Health Settings. Prescribing
Tobacco Dependence Screening and Treatment in Behavioral Health Settings Prescribing GOAL To build the capacity of prescribing clinicians in behavioral health settings to integrate best practices for prescribing
More informationCigarettes and Other Tobacco Products
Cigarettes and Other Tobacco Products Tobacco use is the leading preventable cause of disease, disability, and death in the United States. According to the Centers for Disease Control and Prevention (CDC),
More informationEffectively Addressing Co-Occurring Nicotine Dependence and Marijuana Use. Chad Morris, PhD March 7, 2018
Effectively Addressing Co-Occurring Nicotine Dependence and Marijuana Use Chad Morris, PhD March 7, 2018 2018 BHWP Behavioral Causes of Death in U.S. 2018 BHWP 2018 BHWP Health Disparities Population Behavioral
More informationSmoking Cessation. Samer Kanaan, M.D.
Smoking Cessation Samer Kanaan, M.D. Goals Understand the Societal impact of Smoking Smoking Cessation: The 5 A Model - Ask, Advise, Assess, Assist, Arrange Review The Stages of Change Review smoking cessation
More informationEffective Treatments for Tobacco Dependence
Effective Treatments for Tobacco Dependence Abigail Halperin MD, MPH Director, University of Washington Tobacco Studies Program Ken Wassum Associate Director of Clinical Development and Support Quit for
More informationIntegrating Tobacco Cessation Tools and Practices within Behavioral Health Settings
Integrating Tobacco Cessation Tools and Practices within Behavioral Health Settings Tuesday, June 23 rd, 2015 Jim Pavlik, MA Mike Luxemburger, BSW, CTTS Linda Hurley, MA, CAGS, SCDCS, CCJP Carolyn James,
More informationHealth benefits for tobacco users who quit As soon as you quit using tobacco, your body begins to heal.
Quitting Tobacco Quitting Tobacco Think about your tobacco use Think back to when you first started to use tobacco. What caused you to start? What were you feeling about tobacco? Do you still feel the
More informationIMPORTANT NOTICE. Changes to dispensing of some Behavioral Health Medications for DC Healthcare Alliance members
IMPORTANT NOTICE Changes to dispensing of some Behavioral Health Medications for DC Healthcare Alliance members These changes apply only to members covered under the DC Healthcare Alliance program Alliance
More informationIndependence from Tobacco: Strategies to Lead You to a Tobacco-Free Lifestyle
Independence from Tobacco: Strategies to Lead You to a Tobacco-Free Lifestyle Congratulations on your decision to quit tobacco! Quitting tobacco is the single most important change you can make to improve
More informationCigarettes and Other Nicotine Products
Cigarettes and Other Nicotine Products Nicotine is one of the most heavily used addictive drugs in the United States. In 2002, 30 percent of the U.S. population 12 and older 71.5 million people used tobacco
More information16851 Mount Wolfe Road Caledon ON L7E 3P or 1 (855)
2 Copyright 2015, Canadian Network for Respiratory Care 16851 Mount Wolfe Road Caledon ON L7E 3P6 905 880-1092 or 1 (855) 355-4672 www.cnrchome.net www.cnrchome.net Contents 1 Health Promotion and Tobacco
More informationGet ready for plain packaging
Get ready for plain packaging The country is enforcing a new law which will force tobacco products to have plain packaging and graphic warning signs. Plain packaging is an important demand reduction measure:
More informationA systems approach to treating tobacco use and dependence
A systems approach to treating tobacco use and dependence Ann Wendland, MSL Policy Analyst & Cessation Programs Manager NYSDOH Bureau of Tobacco Control ann.wendland@health.ny.gov A systems approach to
More informationEVIDENCE-BASED INTERVENTIONS TO HELP PATIENTS QUIT TOBACCO
EVIDENCE-BASED INTERVENTIONS TO HELP PATIENTS QUIT TOBACCO Lena Matthias Gray, MSA, CTTS-M University of Michigan MHealthy Tobacco Consultation Service Overview of Tobacco Use The World Health Organization
More informationContents. Smoking. Staying stopped. Preparing to stop. Relapsing. Stopping
Contents Stage 1: Preparing to stop smoking 1 Stage 2: Stopping 3 Stage 3: Staying stopped 5 Nicotine replacement therapy 7 Non-nicotine treatments 10 Where to get help and advice 11 Stopping smoking isn't
More informationThe 5A's are practice guidelines on tobacco use prevention and cessation treatment (4):
Smoking Cessation Module Tobacco use is the single greatest preventable cause of chronic diseases and premature deaths worldwide. The Canadian Cancer Society reports that tobacco product use is responsible
More informationPSYCHIATRY INTAKE FORM
Please complete all information on this form. PSYCHIATRY INTAKE FORM Name Date Date of Birth Primary Care Physician Current Therapist/Counselor What are the problem(s) for which you are seeking help? 1.
More informationHIV and Aging. Making Tobacco Cessation a Priority in HIV/AIDS Services. Objectives. Tobacco Use Among PLWHA
HIV and Aging Making Tobacco Cessation a Priority in HIV/AIDS Services June 27, 2008 Amanda Brown, MPH Ruth Tripp, MPH, RN Objectives To explore existing knowledge of the HIV and smoking connection. To
More informationBOOK 3: LIVING SMOKE-FREE
BOOK 3: LIVING SMOKE-FREE Start reading this book on your Quit Day. The information in this book will help you stay smoke-free. Read through it over the next few days. It is divided into five sections.
More informationLindsey White. Tobacco Control Program Coordinator
Lindsey White Tobacco Control Program Coordinator History Tobacco Targets Tobacco Products Dangers and Tobacco Tolls The Trust America s Brown Gold World War I and II NAACP Nicotine= Insecticide 50-70mg
More informationIMPORTANT POINTS ABOUT MEDICATIONS
IMPORTANT POINTS ABOUT MEDICATIONS The U.S. Food & Drug Administration (FDA) advises that there are significant health benefits to quitting smoking. The health benefits of quitting smoking include a reduction
More informationReady to give up. Booklet 3
Ready to give up Booklet 3 This booklet is written for people who have decided that they want to stop smoking. You can use this booklet on its own or go through it with the person who gave it to you. You
More informationChapter 14. Lessons. Bellringer
Tobacco Tobacco Lessons Lesson 1 Tobacco Products: An Overview Lesson 2 Tobacco s Effects Lesson 3 Tobacco, Disease, and Death Lesson 4 Tobacco and Addiction Lesson 5 Quitting Lesson 6 Why People Use Tobacco
More informationMental Health Intake Form
Current Symptoms Checklist: (check once for any symptoms present, twice for major symptoms) ( ) ( ) Depressed mood ( ) ( ) Racing thoughts ( ) ( ) Excessive worry ( ) ( ) Unable to enjoy activities ( )
More informationMedications and Children Disorders
Mental Health Comprehensive Services Providing Family Stability and Developing Life Coping Skills Medications and Children Disorders Psychiatric medications can be an effective part of the treatment for
More informationTobacco Basics and Brief Cessation Interventions. Prepared by: Margie Kvern, RN, MN Diane Mee, RN, BN October 2014
Tobacco Basics and Brief Cessation Interventions Prepared by: Margie Kvern, RN, MN Diane Mee, RN, BN October 2014 Outline Tobacco Basics WRHA Clinical Practice Guideline for Management of Tobacco Use and
More informationSmoking vs Smokeless. Tobacco is a plant that contains nicotine. Cigars and pipes contain more tar and other chemicals.
Tobacco Smoking vs Smokeless Tobacco is a plant that contains nicotine. Cigars and pipes contain more tar and other chemicals. Smoking Tobacco is tobacco that is smoked or inhaled. Smokeless tobacco is
More informationCancer Control Office YOUR GUIDE TO QUIT SMOKING
Cancer Control Office YOUR GUIDE TO QUIT SMOKING ARE YOU THINKING ABOUT QUITTING SMOKING? IF YOU ARE, CONGRATULATIONS FOR TAKING THIS IMPORTANT STEP! This brochure will help you: Set your own reasons to
More informationWE QUIT! Between percent of people living with HIV smoke cigarettes. Quitting is one of the biggest steps you can take to stay healthy.
WE QUIT! Between 60-70 percent of people living with HIV smoke cigarettes. Quitting is one of the biggest steps you can take to stay healthy. People living with HIV/ AIDS who smoke tobacco now lose more
More informationEvaluation of the Workplace-based Quit Smoking Programs. Intake Survey
Evaluation of the Workplace-based Quit Smoking Programs Intake Survey Information about You and Your Smoking Please check your answer or write your answer in the spaces provided. PLEASE COMPLETE - Your
More informationChapter 11 Tobacco Section 1: Tobacco Use
Chapter 11 Tobacco Section 1: T obacco Use Do Now 1. Read the article The facts behind e-cigarettes and their health risks 2. Annotate 3. Summary Key Terms Ø Nicotine Ø Carcinogen Ø Tar Ø Carbon monoxide
More informationSmoking Cessation: Where Are We Now? Nancy Rigotti, MD
Smoking Cessation: Where Are We Now? Nancy Rigotti, MD Director, MGH Tobacco Research and Treatment Center Professor of Medicine, Harvard Medical School nrigotti@partners.org OVERVIEW The challenge for
More informationSmoking Cessation for Persons with Serious Mental Illness
Smoking Cessation for Persons with Serious Mental Illness MDQuit Best Practices Conference January 22, 2009 Faith Dickerson, Ph.D., M.P.H. Sheppard Pratt Health System Lisa Dixon, M.D., M.P.H. Melanie
More informationRegistered Nurses Referral to Quitlines: Helping Smokers Quit (RNQL HSQ) in Louisiana
Rx for change Registered Nurses Referral to Quitlines: Helping Smokers Quit (RNQL HSQ) in Louisiana Linda Sarna, RN, PhD, FAAN UCLA School of Nursing Stella Aguinaga Bialous, RN, DrPH, FAAN Tobacco Policy
More informationQuit (RNQL-HSQ) in Louisiana
Rx for change Registered Nurses Referral to Quitlines: Helping Smokers Quit (RNQL-HSQ) in Louisiana Linda Sarna, RN, PhD, FAAN UCLA School of Nursing Stella Aguinaga Bialous, RN, DrPH, FAAN Tobacco Policy
More informationFREEDOM FROM SMOKING INFORMATIONAL SESSION
FREEDOM FROM SMOKING INFORMATIONAL SESSION How to Quit Tobacco Presented by Laura Frick, MSW Health Promotions Coordinator American Lung Association of the Plains-Gulf Region AMERICAN LUNG ASSOCIATION
More informationUpdate on Medications for Tobacco Cessation
Update on Medications for Tobacco Cessation Marc Fishman MD Johns Hopkins University Dept of Psychiatry Maryland Treatment Centers Baltimore MD MDQuit Best Practices Conference Jan 2013 Nicotine Addiction
More informationBASIC SKILLS FOR WORKING WITH SMOKERS
BASIC SKILLS FOR WORKING WITH SMOKERS Course Description Goals and Learning Objectives 55 Lave Ave No, Worcester, MA 01655 www.umassmed.edu/tobacco 2016 Basic Skills for Working with Smokers 1 Table of
More informationA Guide to Help You Reduce and Stop Using Tobacco
Let s Talk Tobacco A Guide to Help You Reduce and Stop Using Tobacco Congratulations for taking this first step towards a healthier you! 1-866-710-QUIT (7848) albertaquits.ca It can be hard to stop using
More informationSave a Life in 3 Minutes
Save a Life in 3 Minutes Tobacco Cessation for Dental Hygiene Care Produced by Margaret J. Fehrenbach, RDH, MS 1 Not since the polio vaccine has this nation had a better opportunity to make a significant
More informationWHY SHOULD CIGARETTE SMOKERS THINK ABOUT QUITTING?
How to Help Yourself Quit Smoking WHY SHOULD CIGARETTE SMOKERS THINK ABOUT QUITTING? One in three smokers dies early because of their smoking. They die of heart disease, stroke, cancer and emphysema. At
More information8/9/18. Objectives. Smoking. Disclosure Statement. The presenters have no real or potential conflicts of interest related to the presentation topic.
Disclosure Statement Multifaceted Smoking Cessation Strategies for Nurse Practitioners The presenters have no real or potential conflicts of interest related to the presentation topic. Dr. Susan Chaney,
More informationMy Mask. I keep it all inside. Because I d rather. The pain destroy me. Than everyone else. Anon.
My Mask KL I keep it all inside Because I d rather The pain destroy me Than everyone else. Anon. 43 K. N. Roy Chengappa, M.D., FRCPC Professor of Psychiatry, University of Pittsburgh School of Medicine,
More informationLet s Quit Together.
Let s Quit Together. Are you ready to quit smoking? Whether it s your first time quitting, or you ve been trying for years, CVS/pharmacy and MinuteClinic are here to help with information, tools, guidance
More informationStaying a non-smoker. Booklet 4
Staying a non-smoker Booklet 4 Congratulations on giving up smoking! Use this booklet to help you stay a non-smoker. Now that you have stopped smoking you will be feeling healthier, and you will be breathing
More informationBASIC SKILLS FOR WORKING WITH SMOKERS
BASIC SKILLS FOR WORKING WITH SMOKERS Course Description Goals and Learning Objectives 368 Plantation Street, Worcester, MA 01605 www.umassmed.edu/tobacco 2018 Basic Skills for Working with Smokers 1 Table
More informationTobacco Cessation, E- Cigarettes and Hookahs
Objectives Tobacco Cessation, E- Cigarettes and Hookahs Discuss evidence-based tobacco cessation interventions including pharmacologic options. Review e-cigarette and hookah facts and safety considerations.
More informationThe Effects of Smoking. Best tip: DONT START
The Effects of Smoking Best tip: DONT START Why do people start? Feel older Feel cool Feel different Peer pressure Fit in Fun Media: advertising, TV, movies, music Friends / family Relieve stress / relax
More informationPopulation-level Strategies to Prevent and Reduce Tobacco Use Success and Challenge
Population-level Strategies to Prevent and Reduce Tobacco Use Success and Challenge Harlan R. Juster, Ph.D. Director, Bureau of Tobacco Control New York State Department of health November 6, 2013 Learning
More informationAdolescents and Tobacco Cessation
Adolescents and Tobacco Cessation Jonathan D. Klein, MD, MPH American Academy of Pediatrics Julius B. Richmond Center and the University of Rochester Rochester, NY Goal To review current evidence and perspectives
More informationThere are many benefits to quitting for people with cancer even if the cancer diagnosis is not tobacco-related INCREASED
Stopping tobacco use reduces your risk for disease and early death. There are health benefits at any age. YOU ARE NEVER TOO OLD TO QUIT. Health benefits begin immediately. INCREASED blood oxygen levels
More informationSmoking It s never too late to quit
Smoking It s never too late to quit Patient Education Improving Health Through Education Making a change for your health Choosing a healthy lifestyle is the best thing you can do to protect your health
More informationTraining Healthcare Providers o Deliver Brief Tobacco Interventions Strategies and Impact
Training Healthcare Providers o Deliver Brief Tobacco Interventions Strategies and Impact Thomas J Payne, PhD Professor and Director of Research Dept of Otolaryngology and Communicative Sciences Associate
More informationHealth Risks Posed by Smoking
Tobacco Interventions for Urgent Care Patients Alan A. Ayers, MBA, MAcc Content Advisor, Urgent Care Association of America Associate Editor, Journal of Urgent Care Medicine Vice President, Concentra Urgent
More informationTobacco Use in Adolescents
Tobacco Use in Adolescents Joycelyn Lawrence, MD Leonard Miller School of Medicine at the University of Miami Department of Family Medicine 1 Overview Description: This section will introduce you to the
More informationSmoking Cessation JAN WILLIAMS
Smoking Cessation JAN WILLIAMS Tobacco smoke contains over 4,000 chemicals including tar and nicotine. This means that a smoker is much more likely to develop coronary heart disease and almost twice as
More information5. Offer pharmacotherapy to all smokers who are attempting to quit, unless contraindicated.
0 11 Key Messages 1. Ask and document smoking status for all patients. 2. Provide brief advice on quit smoking at every visit to all smokers. 3. Use individual, group and telephone counselling approaches,
More informationSmoking and Nicotine Replacement Therapy (NRT) Lec:5
Smoking and Nicotine Replacement Therapy (NRT) Lec:5 Tobacco use remains the single largest preventable cause of mortality. Cigarette smoke is a complex mixture of an estimated 4800 compounds. Approximately
More informationBreaking the Chains of Nicotine Dependence - A Breakthrough Approach
Breaking the Chains of Nicotine Dependence - A Breakthrough Approach Dr Rob Young Senior Lecturer & Consultant Physician Auckland Hospital, New Zealand Smoking Cessation in 2001 Smoking contributes to
More informationSMART STEPS towards a tobacco-free life
SMART STEPS towards a tobacco-free life Ready to Quit Smoking? You decide when. We ll show you how. Smart steps... Ready to Put Tobacco Behind You? Congratulations on deciding to quit! Quitting tobacco
More informationHealth Professional Manual
Health Professional Manual Session: Smoking Cessation Smoking and COPD Strategies for quitting smoking Adapted from the Living Well with COPD program (2nd edition), Montreal Chest Institute, Canada SESSION
More informationStriving for Success: Smoking Cessation Strategies among people with Mental Illness
Striving for Success: Smoking Cessation Strategies among people with Mental Illness Carlo C. DiClemente, Ph.D. Director of Professor, University of Maryland, Baltimore County October 15, 2011 NAMI Workshop
More informationQUIT FOR YOU. QUIT FOR YOUR BABY!
My quit smoking date: ( Month / Day / Year) QUIT FOR YOU. QUIT FOR YOUR BABY! My baby s due date: ( Month / Day / Year) I AM QUITTING SMOKING FOR A LITTLE REASON Self-Help Guide to Quit Smoking for Pregnant
More informationWorkplace Quit Smoking Program 12-month Follow-up Survey:
Workplace Quit Smoking Program 12-month Follow-up Survey: Please check your answer or write your answer in the spaces provided. Your unique code To connect with other surveys you may complete for this
More informationHelpline blf.org.uk
How to stop smoking It s never too late to quit If you can quit smoking, you ll live longer and feel better however old you are. It s never too late to stop, no matter how long you have smoked for. Quitting
More informationMaking our home smokefree has been great for me, and her.
Making our home smokefree has been great for me, and her. Find out how you can protect your family from the dangers of secondhand smoke. Like a lot of people you might think that cigarette smoke is simply
More informationSlide 1. Slide 2. Slide 3. Reducing Tobacco Use and Nicotine Dependence in Clinical Settings. Goals for Today
Slide 1 UNIVERSITY OF HAWAI I CANCER CENTER Reducing Tobacco Use and Nicotine Dependence in Clinical Settings Pebbles Fagan, Ph.D., M.P.H. Associate Professor and Program Director Cancer Prevention and
More informationUNIT 4: TOBACCO T H E P O W E R I S Y O U R S T O B E T O B A C C O F R E E
UNIT 4: TOBACCO T H E P O W E R I S Y O U R S T O B E T O B A C C O F R E E Goal 0 1 2 3 4 1. I understand how tobacco exposure impacts the user and people around them I do not understand why tobacco products
More informationQuestions to ask your healthcare professional
Prepare to quit Get ready! Talk to your healthcare professional about how to quit Set a date for quitting. Choose a date that is within the next 2 weeks and make a strong commitment to quit on that day
More informationSMOKE-FREE FOR LIFE 2ND FLOOR 4TH FLOOR
SMOKE-FREE FOR LIFE So you re ready to quit smoking. You ve decided the risks to your health outweigh the pleasures. You want to regain control of your behavior. Maybe you re tired of how smoking restricts
More informationSmoking Cessation Counseling Strategies
Smoking Cessation Counseling Strategies Click to edit Master subtitle style Renato Galindo RRT-CPFT, AE-C, CTTS Objectives: Discuss factors associated with tobacco addiction Discuss tobacco cessation strategies
More informationQuit for You. Quit for your Baby. Quit Smoking Self Help Guide for Pregnant Women
Quit for You Quit for your Baby Quit Smoking Self Help Guide for Pregnant Women I am strong. I can do anything I put my mind to. I will raise my baby to be as strong as I am. And I will start today, by
More informationNebraska Youth Tobacco Survey 2015/2017
Nebraska Youth Tobacco Survey 2015/2017 TABLE OF CONTENTS Introduction... 1 Background... 1 Method... 1 Sampling Frame and Response Rates... 1 Weighting Data... 2 Terms and Definitions... 3 Executive Summary...
More informationThinking about giving up. Booklet 2
Thinking about giving up Booklet 2 This booklet is written for people who are trying to make up their mind about giving up smoking. A lot of people who smoke have done so for a long time, and like smoking.
More informationMaking Your Business Tobacco Free
Making Your Business Tobacco Free May 19, 2016 Adrienne Rollins, MPA CPS Tobacco Use Prevention Manager Oklahoma State Department of Health Objectives: Tobacco-Free Policy Good for Business Participants
More informationStop Smoking Start Living
Stop Smoking Start Living Course Review In this class today we will highlight and summarize everything we have covered in this course over the last month. How popular is smoking? Smoking is becoming less
More informationSmoking. know the facts
Smoking know the facts DID YOU KNOW? In Northern Ireland, 2,300 people die each year from smoking-related illness more than six people per day. Why stop? Smoking is the main cause of illness and early
More informationFORMs of TOBACCO. 2 nd of 3 Prep for Session 1
FORMs of TOBACCO 2 nd of 3 Prep for Session 1 FORMS of TOBACCO Cigarettes Spit tobacco (chewing tobacco, oral snuff) All forms of tobacco are harmful. Pipes Cigars Clove cigarettes Bidis Hookah (waterpipe)
More informationSmoking cessation therapy
Appendix 1 Smoking cessation therapy Q. Can a dentist prescribe medications for smoking cessation? A. Yes. Dentists are allowed and are encouraged to help patients with smoking cessation by counseling
More informationSmoking Cessation. lyondellbasell.com
Smoking Cessation 1 Smoking Cessation Cigarette smoking is one of the most addictive habits. It s also one of the most deadly. Half of all smokers die prematurely, an average of eight years earlier than
More informationTRENDS IN SUBSTANCE USE AND ASSOCIATED HEALTH PROBLEMS
Fact Sheet N 127 August 1996 TRENDS IN SUBSTANCE USE AND ASSOCIATED HEALTH PROBLEMS Psychoactive substance use is an increasing public health concern. Problems associated with this use cover a broad spectrum
More informationSmokefree Wiltshire. Information leaflet. Planning to quit? Find the right support for you.
Smokefree Wiltshire Information leaflet Planning to quit? Find the right support for you www.wiltshire.gov.uk/smokefree Support for smokers Smokefree Wiltshire offers tailored stop smoking support for
More informationOn my way through success!
MINI-GUIDE TO QUIT SMOKING DISCOVER THE WINNING CONDITIONS On my way through success! QUITTING SMOKING IS ONE OF THE MOST PRECIOUS GIFTS YOU CAN GIVE YOURSELF TO IMPROVE YOUR HEALTH THE BENEFITS BEGIN
More informationTobacco use and mental illness
Tobacco use and mental illness Smoking and mental illnesses: nicotine effects and other considerations People with mental illnesses: use tobacco at higher rates are less likely to succeed at cessation
More informationTobacco and Health. Prof. Md. Abul Kashem Khandaker
Tobacco and Health Prof. Md. Abul Kashem Khandaker Tribute to a legend National Prof. N. Islam Memorial Lecture Tobacco and Health Tobacco is a plant grown for its leaves, which are smoked, chewed, or
More informationSmoking cessation in mental health & addiction settings. Dr. Susanna Galea Community Alcohol & Drug Services, Auckland October 2013
Smoking cessation in mental health & addiction settings Dr. Susanna Galea Community Alcohol & Drug Services, Auckland October 2013 OVERVIEW Tobacco is the single most preventable cause of death in the
More informationRichard Heidenfelder M.D. Child, Adolescent and Adult Psychiatry 447 9th Ave San Diego, CA
*We are not accepting any New Patients who are currently taking any controlled pain medications *We are *Note: not completion accepting of the any following New Patients paperwork who and Initial are Screening
More informationWhat is Quitline Iowa?
CONTENTS: What is Quitline Iowa? 0 A telephone counseling helpline for tobacco-use cessation. Free to all residents of the state of Iowa Open Monday-Thursday 7:00am 12:00am / Friday 7:00am 9:00pm / Saturday
More informationOrganization: NAMI Minnesota Request ID: Program Title: Reducing Smoking Among People with Mental Illnesses
Organization: NAMI Minnesota Request ID: 16872475 Program Title: Reducing Smoking Among People with Mental Illnesses 1. Overall Goal & Objectives The overall goal of this project is to reduce the rate
More informationIntegrating Tobacco Cessation into Practice
Integrating Tobacco Cessation into Practice Presented To Smoking Cessation Leadership Center PIONEERS FOR SMOKING CESSATION CAMPAIGN By Carol Southard, RN, MSN Tobacco Treatment Specialist Northwestern
More informationCore Competencies - Smoking Cessation Fundamentals
Core Competencies - Smoking Cessation Fundamentals This training standard was developed for the National Training Service (NTS) Alliance in consultation with subject matter experts. The purpose of this
More informationPHARMACOTHERAPY OF SMOKING CESSATION
PHARMACOTHERAPY OF SMOKING CESSATION Domenic A. Ciraulo, MD Director of Alcohol Pharmacotherapy Research Center for Addiction Medicine Department of Psychiatry Massachusetts General Hospital Disclosure
More information4/2/2015. Inpatient Smoking Cessation. Smoking Cessation Documentation Patient's Stage of Behavior Change
Implementing Updates Barbara Darsow COTA/BA, CES TEAM Project: Promoting in Hospital Patients 1996 Smoke Free 2000 Coalition Completed Training Smoking cessation counselor at Mayo Clinic Tobacco research
More information