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Help for Pregnant Women to Quit Smoking and Stay Quit for Pregnant Women to BABY ME –Tobacco Free HendricksCounty Health Department 355 S. Washington St. #211 Danville, IN 46122

Feb 07, 2018

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  • Help for Pregnant Women to

    BABY & ME Tobacco FreeHendricks County Health Department355 S. Washington St. #211 Danville, IN 46122

    Phone: (317) 745-9222 Fax: (317) 745-9383

    Help for Pregnant Women to

    Quit Smoking and Stay Quit

    UPDATED DECEMBER 2014

    Rachel Buckman, Health Educator

    Hendricks County Health Department

  • During This Session...

    Introduction to the Program

    Eligibility Requirements

    Program Process Referral to Postpartum Testing

    Becoming a Referral Partner

  • What is BABY & ME Tobacco Free?

    Smoking cessation program created to reduce the burden of tobacco use on the pregnant and postpartum population

    Models the Clinical Best Practice Guidelines for Treating Tobacco UseUse

    Offers practical incentives, supports low-socio-economic groups, implements motivational interviewing skills, and monitors success

    Relies on collaboration with local agencies

  • How the Program Works

    Pregnant women are enrolled into the Program through a participating agency site (Hendricks County Health Department)

    Participating agency arranges four prenatal cessation sessions with ParticipantParticipant

    Participant attends four sessions, receives quit support education, and participates in carbon monoxide (CO) testing prior to birth

    After birth, Participant continues CO testing for 12 months and receives $25 voucher for diapers if smoke-free

  • Success Rate

    Underwent three years of research by the New York State Department of Healths Tobacco Control Program

    Pilot program researched data reported by Basset Research GroupResearch Group

    60% quit rate of women enrolled in the program at 6 months postpartum

    Results from pilot program published in the National Maternal and Child Health Journal in January 2011

  • Program in Indiana

    12 sites across the state

    Funded through ISDH Office of Maternal and Child Health and Anthem/Wellpoint

    Eight sites piloted in 2013; four more added in 2014 Eight sites piloted in 2013; four more added in 2014

    Success rates for Indiana during first year of program: ~70%

    In Hendricks County, program currently funded through October 2015

  • Eligibility Requirements

    Pregnant woman who is a current daily smoker or who was a daily smoker at least three months prior to becoming pregnant Completed referral from health care provider or community agency = confirmation of tobacco use

    No age or income eligibility No age or income eligibility Under 18 must be accompanied by parent/guardian during enrollment

    Must be less than 34 weeks pregnant at enrollment based on due date Must complete all four cessation sessions prior to birth

    Must sign and abide by the Participant Agreement Form

  • Eligibility Requirements, cont.

    Participant may choose a Support Partner to enroll in the program with them

    Eligible to receive monthly $25 voucher for diapers up to 12 monthsmonths

    Must enroll with the participant

    Must be a daily smoker who is willing to quit

    Must live with the Participant, but does not have to be the babys father

    Must sign and abide by the Participant Agreement Form

  • Referring Patients and Clients

    Ask I want to make sure that you and your baby have the healthiest pregnancy possible, so I need to ask you some questions about smoking. Do you currently smoke or were you a smoker before you became pregnant? How often do/did you smoke?

    Advise Advise I need to let you know that quitting smoking is the most important thing you can do to protect your health and the health of your baby. We are committed to helping you quit. Our partners at the Hendricks County Health Department provide free quit counseling through the BABY & ME Tobacco Free Program. By participating, youll learn how to quit and stay quit. After your baby is born and you successfully quit, youll receive a monthly $25 diaper voucher for up to 12 months.

  • Referring, cont.

    Assess Are you willing to give quitting a try? May I refer you to the Health Department?

    Refer YES: Congratulations on taking your first step towards quitting. Lets complete the referral form together and I will send the referral to the Health Department.referral form together and I will send the referral to the Health Department.

    IM NOT SURE: I understand. You are to be commended for thinking about quitting. May I refer you to the Health Department to discuss all the quit services that are available to you? I am very confident that, with their help, we can help you quit.

    NO: I understand. It sounds like you are not ready to make a quit attempt right now. I will follow-up with you at your next visit and encourage you to consider a quit attempt.

  • Practicing the Referral Script

    Partner with someone on the other side of the room

    One person act as the client, the other as the provider

    Follow the script on the referral process for your part, then Follow the script on the referral process for your part, then switch

    Dont always say yes practice makes perfect, so mix it up!

  • Refusal to Participate or Quit

    DO NOT PUSH THEM TO QUIT!

    Be understanding of their decision

    Be firm in your commitment to help them quit Be firm in your commitment to help them quit

    Be consistent with following up if you say you will, do it!

    Never give up hope that they will quit, even after they give birth

  • Participant Referral Form

    PLEASE SEND REFERRAL FORMS WITHIN 48 HOURS!

  • Enrolling Participants

    Facilitator will call the Participant within 72 hours of receiving referral

    During the call, the staff member will explain the program in more detail and ask the participant if they are still committed to more detail and ask the participant if they are still committed to quitting

    If yes, schedule their Intake/Session 1 Appointment

    If no, tell the Participant that they are eligible to call back and enroll at any point before 34 weeks of pregnancy

  • Prenatal Cessation Sessions

    Participant and Support Partner must complete and sign Program Application, Privacy Policy, and Participant Agreement forms before beginning sessions

    Four cessation sessions to be completed by 38 weeks

    Session 1: BABY & ME Tobacco Free Program

    Session 2: Protection from Secondhand Smoke Session 2: Protection from Secondhand Smoke

    Session 3: Smoke-Free and Getting Support

    Session 4: Staying Tobacco Free After Your Baby is Born

    Conduct CO testing and record information for data collection at each session

    Fax refer to the Indiana Tobacco Quitline for additional support and assistance

  • Indiana Tobacco Quitline

    FREE telephone, web, and text-based tobacco cessation program for all Indiana residents

    Pregnant women receive 10 cessation sessions over the course of their pregnancytheir pregnancy

    Free quit materials and resources sent to Quitline participants

    Available 24 hours a day, 7 days a week

    1-800-QUIT-NOW or www.quitnowindiana.com

  • Postpartum Testing

    Participant and Support Partner must come back in monthly for postpartum CO testing

    Support Partner must be accompanied by Participant, even if Participant has resumed tobacco use

    Cannot skip a month of testing, even if still using tobacco

    Can receive a one-week Grace Period to quit and re-test

    Participant and Support Partner receive a $25 diaper voucher for up to 12 months postpartum for successful testing

    Vouchers can be used at Walmart or CVS, and can be used with manufacturer or store coupons

  • Becoming a Referral Partner

    Complete the Referral Partner Enrollment Form

    Receive a Referral Partner Enrollment Packet 5 Participant Referral Forms

    10 informational brochures

    5 informational posters

    1 copy of the Referral Script

    Indiana Tobacco Quitline enrollment form and sample materials

    Health Department brochure

    Quarterly updates on enrollment and participation, additional quitting and support resources, and partner education

  • Contact Information

    Rachel Buckman, Health Educator

    Hendricks County Health Department

    Phone: (317) 745-9372

    Email: rbuckman@co.hendricks.in.usEmail: rbuckman@co.hendricks.in.us

    Facebook: www.facebook.com/HendricksHealthDept

    Twitter: @Hendricks_Co

    Website: www.co.hendricks.in.us/health.html