Evolving Innovative Approaches
July 28, 2011: Cessation: Emerging Interventions and Innovations
Integrating Tobacco Treatment within Behavioral Health
Moderator: William Riley, PhD, National Heart, Lung, and Blood Institute
Dr. Riley introduced the first panelist.
Doug Tipperman, M.S.W., Lead Public Health Advisor, Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Prevention
Mr. Tipperman began his remarks by providing some statistics on tobacco use among people with mental health and substance abuse disorders. Almost half of all tobacco deaths are people with mental health and substance abuse disorders and 44 percent of all cigarettes sold in the U.S. are consumed by people with mental health and substance use disorders. Persons with a history of alcoholism treatment are more likely to die from a tobacco-related disease than from alcohol or other drug abuse.
SAMHSA created a program called "100 Pioneers for Smoking Cessation" to initiate a movement within behavioral healthcare to integrate smoke-free environments and smoking cessation through engaging, educating, and mobilizing stakeholders at the local level. All SAMSHA grantees were invited to apply for $1,000 stipends to implement a range of interventions including: implement a comprehensive clean indoor air policy for their organization; initiate a smoking cessation program; enhance an existing smoking cessation program; adopt a routine screening process for nicotine addiction that included a referral process; or incorporate smoking cessation benefits for employees that included counseling and medication. Technical assistance was provided by the Smoking Cessation Leadership Center through regular webinars, customized technical assistance over the telephone, a dedicated listserv and a downloadable catalogue of tools.
The second phase of the project, occurring in 2010, was to award 25 of the original Pioneers an additional stipend of $2,000 to refine and expand the reach of their initial efforts. These 25 Pioneers were surveyed 18 months after their project start-up and the findings included 80 percent reporting an improvement in their organization's tobacco use rates among clients and staff and tobacco interventions by providers had more than doubled.
An additional effort undertaken by SAMSHA in 2010–2011 was to create Leadership Academies for Wellness and Smoking Cessation. The purpose of these academies is 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. Five states were selected to participate in one-to two-day planning summits.
Resources from the Pioneer project are available at http://smokingcessationleadership.ucsf.edu/Pioneers.htm
Following Mr. Tipperman's remarks, Dr. Riley introduced the next panelist.
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