From the the first Annual National Conference on Tobacco and Behavioral Health, which occurred May 19-20, 2014 in Bethesda, MD and was hosted by the Central East Addiction Technology Transfer Center, a program of The Danya Institute. You can see videos from the conference on our website www.ceattc.org (go to “Tobacco and Behavioral Health Resources” under “Special Topics”). Tim McAfee, MD, MPH, is Director of CDC’s Office on Smoking and Health (OSH) within the National Center for Chronic Disease Prevention and Health Promotion. He is responsible for providing leadership and direction for all scientific, policy, and programmatic issues related to tobacco control and prevention. Before ed his residency training at Group Health Cooperative in Seattle and completed a fellowship at the University of Washington. Dr. McAfee has been a principal investigator and co-investigator on numerous research studies focusing on questions related to the effectiveness and dissemination of telephone- and Web-based tobacco cessation programs in medical systems and through government-sponsored quitlines. He helped found and served on the Board of Directors of the North American Quitline Consortium as well as numerous state and national tobacco policy advisory groups. He also authored the World Health Organization’s quitline manual for low- and middle-income countries.

1. Dr. Tim McAfee, MD,MPH
Director, CDC Office on Smoking and Health
Tobacco Control and Behavioral Health:
National Networks and CDC’s Role
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
National Conference on Tobacco and Behavioral Health:
Interventions, Integration, and Insurance
May 19, 2014

2. CDC Office on Smoking and Health
VISION
A world free from tobacco-related death and disease
GOALS
Prevent initiation of tobacco use among youth and
young adults
Promote tobacco use cessation among adults and
youth
Eliminate exposure to secondhand smoke
Identify and eliminate tobacco-related disparities

3. IDENTIFY

4. Success with the LGBT Community
Smoking behavior for this population not routinely
available
Pride advocacy group of Puerto Rico worked with
the National Latino Tobacco Network and the
Network for LGBT Tobacco Control
Data collected at the 2009 PRIDE fest used to
demonstrate to decision makers the value of adding
questions to the national tobacco survey

5. The Burden
Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years with Mental Illness—
United States, 2009–2011 February 8, 2013 / Vol. 62 /

6. AMI
Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years with Mental Illness—United States,
2009–2011 February 8, 2013 / Vol. 62 /

7. AMI Variation Across Groups
Prevalence lowest among Asians with AMI and
highest for Whites
However: difference in prevalence between Asians
with AMI and without was highest of any group
2X higher overall
3X higher for women
Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years with Mental Illness—
United States, 2009–2011
February 8, 2013 / Vol. 62 /

9. Greater Risk
Mood-altering effects of nicotine
Issues that make it challenging to quit
Lack of knowledge of the health effects
Tobacco industry targeting
Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years
with Mental Illness—United States, 2009–2011 February 8, 2013 / Vol. 62
/

10. ELIMINATE

11. Evidence-Based Interventions
Sustained funding of
comprehensive programs
Price increases
100% smoke-free policies
Hard-hitting media
campaigns
Cessation access

12. SGR 2014
“ The evidence is sufficient to conclude that tobacco
cessation treatments are effective across a wide
population of smokers, including those with significant
mental and physical comorbidity”
Chapter 14: Conclusion 8

13. Cessation is Possible
“Research indicates that smoking cessation interventions
with individuals experiencing mental or substance use
disorders are feasible, beneficial, and needed.”
“Smokers with mental illness can quit and remain abstinent
from cigarettes during mental health treatment, and that
this is a promising setting to promote smoking cessation.”
The health consequences of smoking – 50 years of progress: a report of the Surgeon General. –
Atlanta, GA. : U.S. Department of Health and Human Services, Centers for Disease Control and
Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on
Smoking and Health, 2014.
Chapter 12- Appendix 14.4. Pages 10-11.

14. Challenges
Tailored
Dissemination
Integration
Carve out
Special services

15. Challenges
Mental Health/
Substance Abuse
Bipolar
Schizophrenia
Low SES
AI/AN

16. CDC Initiatives
Healthy People 2020 objectives
HHS Strategic Plan
Best Practices

17. CDC Initiatives
Research
State Tobacco Program Activities
Collaborations

18. National Networks
To support a stronger infrastructure to understand
and reach populations experiencing disparities
8 specific networks
National African American Tobacco Prevention
Inter-Tribal Council of Michigan
Asian Pacific Partners for Empowerment, Advocacy, &
Leadership
National Alliance for Hispanic Health
Centerlink
National Council for Behavioral Health
Community Anti-Drug Coalitions of America
(Low Socioeconomic)

19. To prevent and reduce tobacco use and cancer
among those with mental illness and substance
abuse disorders

20. Tips from Former Smokers

21. Earned Media

22. For more information please contact Centers for Disease Control and
Prevention
1600 Clifton Road NE, Atlanta, GA 30333
Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348
E-mail: cdcinfo@cdc.gov Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official
position of the Centers for Disease Control and Prevention.

23. Other Successes
African American Network’s work on Menthol and
Smoke-free policies
Break Free Alliance partnership with NAQC to review
Quit Line use for Low SES and Blacks
APPEAL assisted MN to develop a comprehensive
plan for addressing diverse communities
LGBT Network spearheaded initiative to expand data
collection across HHS
AI/AN network trained tribes and implemented the AI
ATS