Tobacco Cessation staff training for HealthPoint, Federal Way, WA

1. Nori de la Peña Michael Leon-Guerrero Public Health - Seattle & King County Tobacco Prevention Program (206) 296-7613 Brief Tobacco Intervention Skills (BTIS) training Summer 2010 DESC training [email_address] Framing the issue, understanding the addiction and implementing an effective intervention program HealthPoint August 10 th , 2010

13. Doctors advise adolescents about tobacco <2% of visits Medical Bias in Considering Tobacco a &quot;Drug of Abuse&quot;

16. An Unfair Share of Mortality Number of Deaths (thousands) Source: CDC AIDS Alcohol Motor Homicide Drug Suicide Smoking Vehicle Induced Est. 200,000 per year for mentally ill and SA

22. Mental Health and Nicotine 44% of all cigarettes bought & consumed in the US are by individuals living with mental illness.

26. Alternative tobacco

30. WHY don’t they just QUIT?

31. Why Don’t They Just Quit? + No Cessation Help

38. The intervention: 2A’s & R Site Champ

45. “ Ask” Identify Tobacco Use /exposure to smoke Document chart “ Advise” To Quit “ Assess” willingness to quit “ Assist” with quitting “ Arrange” Follow-up Quitline 1-800-QUITNOW 1-877-2NO FUME Local Resources DESC champ (Provided by Sophie Balk, MD, Albert Einstein College of Medicine) Referrals The 5 A’s

50. Benefits of Quitting 10 Years Risk of HD/Stroke almost the same as a non-smoker 5 Years Lung Cancer Death Rate Decreases by 50% 2Weeks-3 Months Circulation Lung Function 48 Hours Taste/Smell Nerve Endings 8 Hours 02 Levels 20 Minutes BP  Body Temp 

51. The 5R’s: Not Ready to Quit REPITITION – Repeat motivational intervention ROADBLOCKS – client identifies barriers REWARDS – client identifies benefits of quitting RISKS – client identifies risks of smoking RELEVANCE – Specific and personal reasons The 5 R’s

59. Quitting the Three Link Chain NRT?? Behavioral Counseling Posters Groups Activities + Cessation Help @ DESC