Dane County Tobacco Integration Project A joint venture sponsored by the Dane County Chemical Dependency Consortium and the Wisconsin Nicotine Treatment Integration Project Funded with a $10,000 WINTIP Grant
Dec 17, 2015
Dane County Tobacco Integration
Project
A joint venture sponsored by the Dane County Chemical Dependency
Consortium and the Wisconsin Nicotine Treatment Integration Project
Funded with a $10,000 WINTIP Grant
Wisconsin Nicotine Treatment Integration Project = WiNTiP
Saving lives by integrating evidence-based nicotine dependence treatment in Wisconsin's AODA and mental health services
Buy-in + Training + Resources = Implementation
Wisconsin's first coalition of tobacco, AODA, mental health and the 2 government agencies responsible for them
In 2013 funding 9 projects for tobacco integration innovation with $60,000 in grants
Why Are We Doing This?
General Public
Cold, Hard Facts
From a third to half of smokers and other tobacco users will die from using tobacco products as these products are intended
Cold, Hard FactsPrevalence
Those admitted for AODA treatment have the highest prevalence of nicotine dependence
St Clare Center study – 86%
New York State addiction admissions – 92%
Range – 78% to 92%
Cold, Hard Facts
Those with substance use and mental health disorders that are also nicotine dependent are getting sick and dying at from twice to more than 4 times the rate in the general population
They lose from 10 – 25 years Of life expectancy
Death By TobaccoIn Dane County
357 Tobacco Death Every Year
1,428 Innocent Family Victims Suffering grief and lost income
156 have AODA and Mental Health disorders
624 Innocent Family Victims
There are 12 Substance Use Disorders in the DSM-IVR
Eleven are eligible for the full range of AODA services
One is not eligible
Nicotine Dependence – 305.1
NICOTINE DEPENDENCE305.1
This is by far our most lethal addiction producing tobacco
caused and related diseases that result in 440,000 American
tobacco deaths a year
Now for some good news
Dane County AODA RESOURCES
30 + AODA treatment providers including drug court, outpatient, residential, inpatient and other services
More than 200 weekly community support meetings
4 - 12-Step program club-houses
Dane County Chemical Dependency Consortium
AODA Clinicians Can Do It
Already trained to treat substance use disorders
Know how to develop abstinence and harm reduction treatment and recovery plans
Understand medication management practices
Skilled in motivational interviewing and cognitive, behavioral and other therapies
Experienced with 12-Step and other recovery resources
Dane County Tobacco Integration Project
Created to begin the process of integrating evidence-based
nicotine dependence treatment in Dane County's 100% tobacco-
free AODA treatment services
What Is a Tobacco-Free AODA Program
A 100% tobacco-free
AODA treatment program has two basic
components
A tobacco-free facility and grounds are 100% tobacco free from all
tobacco products. No possession or use of tobacco products is
permitted. The tobacco-free policy applies to all staff, patients/clients, volunteers, visitors and guests and
requires a sign-off agreement to accept the tobacco-free policy as a
condition of participation.
A tobacco-free program assesses and treats nicotine dependence as a substance use disorder of equal
importance as alcohol dependence and other substance use disorders typically treated in Dane County AODA services. Evidence-based
nicotine dependence treatment is included in patient’s treatment and
recovery plans. This includes, assessment, referrals, education,
treatment and continuing recovery plans as recorded in progress notes
and records.
"We Support Tobacco-Free
Recovery"
DCTIP Ambassador Programs Committed to Become
100% Tobacco Free Programs Connections Counseling
Open Door for Change
OceanHawk Counseling Alternatives
ARC Community Services
(VA Hospital-Addictive Disorder Program)
Connections CounselingTogether We Recover5005 University Avenue, Suite 100, Madison, WI 53705Phone: (608) 233-2100 Fax: (608) 233-2101www.connectionscounseling.com
Connections Counseling…• Certified outpatient substance abuse and mental
health clinic successfully operating since 2003
• Skilled and dedicated staff provide comprehensive services for young people, families and adults, using evidence-based practices
• Our belief of “together we recover” is evident throughout our philosophy, practice and staff
Dane County Tobacco Integration Project
Connections Counseling is one of 4 Ambassador programs in Dane County.
We are beginning the journey to tobacco-free facilities and programs.
Our aim to support all of our clients in recovery from nicotine addiction
Our journey so far….• Held Part 1 of 2 TIP orientations for our staff, to both assess
and build knowledge, skills and readiness; Part 2 scheduled mid-summer
• Slated a staff “readiness” discussion for early summer
• Display “We Support Tobacco Free Recovery” posters
• Expect to hold a skills training for staff in late summer or early fall
• Plan for staff to attend Mayo Clinic’s Nicotine Dependence Center (NDC) Tobacco Treatment Specialist Certification Program this fall
Presented by Candace Peterson, PhDDirector of OperationsConnections Counseling5005 University Avenue, Suite 100Madison, WI 53705Phone: (608) 233-2100Fax: (608) [email protected] www.connectionscounseling.com
Dane County Tobacco
Treatment Integration Pilot Project
OPEN DOOR Center for Change, LLC6502 Grand Teton Plaza, Suite 206Madison, WI 53719
A bit about us..
• Private practice, licensed under Chapter 35 but provide dual-diagnosis treatment.
• Three partners (owners) and four employees.
• No admin staff. One staff dually-certified in AODA/MH. The rest are MH certified only.
• Most have knowledge of and minimal training in MET.
Starting point…
• Everyone on the staff except myself is a past smoker. The most recent “quitter” was three months ago.
• I was the only staff to have heard WINTIP presentation or to have attended the kick off.
• YIKES!!!!!
Goals
• Get buy-in from the team that this was a worthwhile endeavor for OPEN DOOR.
• Implement a plan for integrating screening tools into intake and at least raising the question of smoking cessation as a goal for people.
• Identify clients who were interested in quitting and refer to QuitLine.
• Work toward having a certified staff member who can treat nicotine dependence inhouse at OPEN DOOR.
Progress…
• All staff have agreed to the project in theory!!
• Signage displayed in our clinic.
• One staff member has met with Mac to discuss treatment integration and will be attending Intensive training by year end (applying for scholarship, using stipend to offset cost of training).
• Three clients were identified as nicotine dependent and all three were referred to the QuitLine.
Dane County Tobacco Integration Project
OceanHawk Counseling Alternatives, LLC. is committed to the kind of
quality care that respects and considers the whole person. We attend
to the ways in which our clients' physical, spiritual, family and
relationship concerns affect their emotional and mental well being.
OceanHawk Counseling Alternatives provides a wide range of confidential
services to address a variety of personal concerns. We serve
individuals, couples, and families of all ages and backgrounds and is licensed
by the State of Wisconsin.
Serving the Stoughton and Dane County area since 2006.
OceanHawk’s steps in implementing the program:
•Display “We Support Tobacco Free Recovery” posters
•Completed a staff-readiness discussion at the end of May
•Utilizing the Fagerstrom screening tool with all new clients, as well existing clients who identify as using tobacco products
Dane County Tobacco Integration Project
OceanHawk’s steps in implementing the program:
•Schedule a skills training for staff in late summer
•Plan for staff to attend Mayo Clinic’s Nicotine Dependence Center (NDC) Tobacco Treatment Specialist Certification Program this fall
•Beginning in late fall OceanHawk will be offering smoking cessation group sessions
•Potentially offering tobacco and nicotine cessation products
Dane County Tobacco Integration Project
Dane County Tobacco Integration Project
Our goal is to support our clients that have mental health & substance abuse disorders to become tobacco and nicotine free.
We are working towards a tobacco-free clinic, which will include a nicotine cessation program.
OceanHawk Counseling is one of four Ambassador programs in Dane County.
Presented by
Jean Daute
MS, LPC, CSAC, MAC, ICS
Therapist & Clinical Director
OceanHawk Counseling Alt. LLC
135 West Main Street, Suite 207
Stoughton, WI 53589
608-873-7838 Ext. 1877-674-2177
ARC Community Services
ARC is a non-profit organization that operates thirteen projects serving Dane and
Fond du Lac counties.
Each program serves women and their children with innovative, gender-specific, comprehensive wraparound care. All programs are nearly100% grant-funded and there is no cost to the participant.
Or visit our website at www.arccommserv.com
The Problem Our new health educator was shocked at
how many of our clients were smoking-95%
Upon further study she found that they were smoking, on average, a half a pack a day. Anecdotally, many of the clients reported increased tobacco use upon entering treatment.
From February 2012-December 2012, only 3 women enrolled in either the Quitline or Fresh Breath.
The PlanMade Possible With WINTIP
Grant
The ResultsNumber Of Women Enrolled In Quitline/First Breath
3
26
0
5
10
15
20
25
30
2012 2013
Next Steps/Thoughts
• Continue to hold monthly meetings to check-in with staff who are responsible for implementing the changes.
• Keep brainstorming (staff AND clients) to generate other ideas on how to further advance tobacco cessation.
How You Can Help
Sign our Tobacco Integration Support Resolution today as an agency or as an individual
Consider becoming a DCTIP ambassador program
If you are an AODA provider, consider applying for a $750 scholarship for Certified Tobacco Treatment Specialist training at the Mayo Nicotine Dependence Training Program
Contact Dane County Tobacco Integration
Project UW-CTRI and WiNTiPDavid "Mac" Macmaster, CSAC,
PTTS
(608) 393-1556
www.wisconsinwintip.com
www.helpusquit.org