Taking Charge: Understanding Tobacco Control’s Impact on Communities Christine Cheng, Partner Relations Director, Smoking Cessation Leadership Center Shelina D. Foderingham, Director Practice Improvement, The National Council Kansas Health Foundation, Fellows Program Friday, November 14, 2014 – Wichita, KS
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Taking Charge: Understanding Tobacco Control’s Impact on Communities Christine Cheng, Partner Relations Director, Smoking Cessation Leadership Center Shelina.
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Taking Charge:Understanding Tobacco Control’s
Impact on CommunitiesChristine Cheng, Partner Relations Director,
Smoking Cessation Leadership Center
Shelina D. Foderingham, Director Practice Improvement,The National Council
Kansas Health Foundation, Fellows Program Friday, November 14, 2014 – Wichita, KS
• Identify champions • Create partnerships • Help create action plans • Do not reinvent the wheel• Low cost, no cost resources• Promote message through health journals,
Leadership Academies for Wellness and Smoking Cessation
• 2010-2013 Leadership Academies for Wellness and Smoking Cessationo Purpose: To launch statewide partnerships among
behavioral health providers, consumers, public health groups, and other stakeholders to create and implement an action plan to reduce smoking prevalence among behavioral health consumers and staff.
o Eight states selected to participate in 1-2 day planning summits
Leadership Academy Participants• State mental health department• State substance abuse department• State tobacco control department/state Medicaid department• Consumer organizations• Hospitals• Federal agency representatives from SAMHSA, HRSA, CDC, VA • Academic medical centers• State branches of national advocacy groups such as NAMI or MHA• Patient advocacy groups• Community advocacy groups• Youth organizations• Insurance companies• SCLC Leadership and staff• Results-based facilitator
• Consumers and Community: 6 out of 7 states• Provider Education: 6 out of 7 states• Data Development: 5 out of 7 states• State Level Policy: 5 out of 7 states• Behavioral Health Facilities: 4 out of 7 states• Quitline: 4 out of 7 states
• 480,000 deaths in the U.S. each year• 4.8 million deaths world wide each year• 10 million deaths estimated by year 2030• 50,000 deaths in the U.S. due to second-hand smoke
exposure• 8.6 million disabled from tobacco in the U.S. alone• 46.6 million smokers in U.S. (78% daily smokers)
“All smokers with psychiatric disorders, including substance use disorders, should be offered tobacco dependence treatment, and clinicians must overcome their reluctance to treat this population” (Fiore et al., 2008, p. 154).
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2008 Tobacco Dependence Clinical Practice Guideline
Smoking & Behavioral Health:A Health Disparity Issue
• Elevated prevalence of use • Targeted marketing by the tobacco industry • Serious health consequences • Significant costs & social isolation • Enabling environments • Lower access to treatment • Inadequate research base
Usually if a person has not started smoking by age 20, it is unlikely they will ever smoke. However, a significant number of adults start smoking while in treatment/recovery, suggesting the treatment climate is conducive to smoking.*
Smokers with Bipolar Disorder:Online Survey (N=685)
• Few reported a psychiatrist (27%), therapist (18%), or case manager (6%) ever advised them to quit smoking (Prochaska, Reyes, Schroeder, et al. (2011). Bipolar Disorders)
Several reported discouragement to quit from mental health providers
• Tobacco treatment needs to be a higher priority for behavioral health.
• While focusing on addictions and mental health, clinicians sometimes miss this more deadly condition.
• Addressing tobacco use can improve health, ease pain, and save lives.
Leadership Activity
• If we’re moving towards integrated care, within your sphere of influence, how will you incorporate tobacco control & prevention efforts targeting people with SMI?• How will you address the specific needs of
priority populations (i.e., racial/ethnic minorities, low SES, rural/frontier, and LGBT)?
Leadership Activity
• How are you incorporating tobacco cessation activities as part of your KHF implementation plan?
Leadership Activity
• Would you push for tobacco cessation & what is your role as a leader within your organization?• Who’s responsible for ensuring that tobacco control
efforts meet the needs of SMI populations? In treatment settings? In public health? In communities? And How do we implement this?
• Would you push for tobacco cessation efforts for SMI populations…
• Name 1 thing you learned from this exercise.
• Name 1 thing that you will do when you go home to improve tobacco control efforts.