Post on 11-Jan-2016
www.LiveTobaccoFreeAustin.org
www.LiveTobaccoFreeAustin.org
Austin SteevesCity of Austin/Travis County
Health & Human ServicesPublic Health Educator
www.LiveTobaccoFreeAustin.org
Agenda• Economic impact • Community Changes• Health Impact• Tobacco is Addictive• Free Quit Resources• How medication can help
www.LiveTobaccoFreeAustin.org
Cost Us All
• U.S. consumers spent $90 billion• Annual economic losses
– $96 billion in health-care costs annually– $97 billion per year in productivity losses
• Each household in Texas– $750 cover health-care costs
www.LiveTobaccoFreeAustin.org
Live Tobacco-Free AustinCommunity Changes
www.LiveTobaccoFreeAustin.org
Telephone Survey • Tobacco-Free Public buildings, including their
outside areas– 72% Support
• Tobacco-Free outdoor areas where families and children are present, including at events– 69% Support
• Tobacco-Free Hospitals & other healthcare facilities– 64% Support
www.LiveTobaccoFreeAustin.org
CPPW Smoke-/Tobacco-free Organizations
• Capital Metro• Austin/Travis County Integral Care• Huston-Tillotson University• Austin Volunteer Health Clinic• People’s Community Clinic• ACTIVE Life Inc.• Mexican Consulate• Seton Family of Hospitals• Austin Community College• Austin Recovery• Central Health/CommUnityCare• African American Men & Boys
Harvest Foundation• The Arc of Capital Area
• Yogagroove• Austin Fit Magazine• Cadence Marketing• ZuZu• City Of Austin Library• Power to Perform• Green Ribbon Schools• Juice Homes• My Fit List• Parks and Recreation• Texas Certified Development
Company• Wild Basin Wilderness Preserve• 360 Signs• Austin/Travis County HHSD
www.LiveTobaccoFreeAustin.org
Healthcare
• Electronic Medical Record/System Changes– Central Health/Community Care– Seton/St. Davids– ATCIC
• Seton Tobacco Resource Center
www.LiveTobaccoFreeAustin.org
Smoke-Free Housing• Village Christian Apartments (Senior Living)• The Gables at Park Plaza • M Station Apartments (Affordable Housing) • Villages at the Domain • Bridge Hollow/Point South • The McClintock Apartments • Village at 47th Street• Fountain Terrace (Student Housing)
www.LiveTobaccoFreeAustin.org
Point of Sale Signage
• New signs are going out in January 2012 statewide.
www.LiveTobaccoFreeAustin.org
Media
www.LiveTobaccoFreeAustin.org
Health Impact of Tobacco
www.LiveTobaccoFreeAustin.org
www.LiveTobaccoFreeAustin.org
www.LiveTobaccoFreeAustin.org
Tobacco is Addictive• Nicotine is a Drug• Causes brain chemistry changes• It reaches your brain in 8-10 seconds• Pleasurable effects last 20-40 minutes
www.LiveTobaccoFreeAustin.org
What is in Tobacco Smoke
Over 7,000 chemicals - 69 of these are known to cause cancer!
Carbon monoxide
FormaldehydeArsenic
Tar
www.LiveTobaccoFreeAustin.org
Secondhand Smoke
• Same cancer-causing substances and poisons• 50,000 deaths annually
There is NO risk-free level of exposure
• Health problems– Immediate adverse effects on the cardiovascular
system– Causes lung cancer
www.LiveTobaccoFreeAustin.org
We’re Not Just Talking About Cigarettes
• Menthols• Clove cigarettes• Cigars• Hookah• Smokeless tobacco (spit, chew, snus)• Other
www.LiveTobaccoFreeAustin.org
How do we break the cycle of addiction…?
We need to realize where we are at in our addiction and how to move
forward.
www.LiveTobaccoFreeAustin.org
Stages Of ChangePrecontemplation
Contemplation
Preparation
Action
MaintenanceRelapse
Don’t want to quit
Want to quit sometime
Will quit in next 30 days
Am quitting now
www.LiveTobaccoFreeAustin.org
Strategies for Quitting
Don’t Give Up!Don’t Give Up!
• Telephone/ Web counseling
• Group counseling• Individual
counseling
• Nicotine Replacement Therapies
• Pharmaco-therapies• Holistic therapies
www.LiveTobaccoFreeAustin.org
www.LiveTobaccoFreeAustin.org
Who They Are
• Seton Tobacco Education Resource Center (STERC)
• Made possible by a grant initiative through City of Austin and other community partnerships.
• Provides education along with a group counseling and NRT
www.LiveTobaccoFreeAustin.org
Program Structure• Mayo Clinic Model
– Group-based outpatient program– 6-15 participants per cohort– 6 week series– Meet once a week for 60-90min
• Worksites– 1hr in-service– 6 week class series
• No– Shame– Guilt– Scare Tactics
www.LiveTobaccoFreeAustin.org
Class Outline• Week 1 Introduction: Orientation and Exploration
– Neurobiology of Addiction – Getting Ready to Quit – Glimpse at Medications – Withdrawal Symptoms
• Week 2– The quitting process: Withdrawal vs. urge– Stress Management– Quit Day Plan– Pharmacotherapy- participant specific
www.LiveTobaccoFreeAustin.org
Class Outline
• Week 3: Quit Week – Relapse Prevention – Plan of Action – Proper usage of NRT – Coping Mechanisms/Stress Management
• Week 4 – Using Motivational Interviewing address concerns – Reinforcement & Maintenance – Pharmacotherapy
www.LiveTobaccoFreeAustin.org
Class Outline• Week 5
– A healthier you- Eating Habits – Relapse Prevention – Preparing for end of series (support group,
identify concerns, etc) • Week 6
– Relapse Prevention – Wrap up (confirm plan of action to remain
tobacco free) – Open forum
www.LiveTobaccoFreeAustin.org
www.LiveTobaccoFreeAustin.org
Quit For Life
• 35 years of combined experience in tobacco cessation
• Evidence-based combination of:– Physical– Psychological– Behavioral strategies
www.LiveTobaccoFreeAustin.org
A Critical Mix
• Phone-based cognitive behavioral coaching• Text messaging• Web-based learning• Medication support
www.LiveTobaccoFreeAustin.org
Quit Coaches
• Identify and resolve any hesitation about quitting• Reinforce existing motivation to change• Cognitive behavioral coaching strategies• Select the appropriate intervention strategy• Tailor a plan to overcome the barrier to change.
www.LiveTobaccoFreeAustin.org
Web Coach
• Personalized pre-quit / post-quit homepage• Interactive quitting plan• Medication decision support & fulfillment• Tracking tools• Community support• Available in English and Spanish
www.LiveTobaccoFreeAustin.org
How Medications Can Help
• Double your chance of quitting• Increase your comfort and sense of control• Help lessen urges and desires for tobacco
Stop Date
Inten
sity
www.LiveTobaccoFreeAustin.org
www.LiveTobaccoFreeAustin.org