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 Health’s 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 baby’s 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, you’ll learn how to quit and stay quit. After your baby is born and you successfully quit, you’ll 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. Let’s 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.”
– I’M 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
• Don’t 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: [email protected]: [email protected]
Facebook: www.facebook.com/HendricksHealthDept
Twitter: @Hendricks_Co
Website: www.co.hendricks.in.us/health.html
