Idaho Public Health Districts
FY15 Millennium Fund Proposal
December 16, 2013
Public Health Districts of IdahoDISTRICT
1DISTRICT 2
DISTRICT 3
DISTRICT 4
DISTRICT 5DISTRICT
6DISTRICT
7BenewahBonnerBoundaryKootenaiShoshone
ClearwaterIdahoLatahLewisNez Perce
AdamsCanyonGemPayetteWashington
AdaBoiseElmoreValley
BlaineCamasCassiaGoodingJeromeLincolnMinidokaTwin Falls
BannockBear LakeBinghamButteCaribouFranklinOneidaPower
BonnevilleClarkCusterFremontJeffersonLemhiMadisonTeton
Purpose of Millennium Fund
(1) Tobacco cessation or prevention;
(2) Substance abuse cessation or prevention; or
(3) Tobacco or substance abuse related disease treatment. In addition, the committee has determined that funds may not be used for permanent capital improvements or organizational start-up costs.
TOBACCO
What is it good for?
Absolutely
Nothing!
… Addiction
Ranking of nicotine in relation to other drugs in terms of addiction
Dependence among users
nicotine > heroin > cocaine > alcohol > caffeine
Difficulty achieving abstinence
(alcohol=cocaine=heroin=nicotine) > caffeine
Tolerance (alcohol=heroin=nicotine) > cocaine > caffeine
Physical withdrawal severity
alcohol > heroin > nicotine > cocaine > caffeine
Deaths nicotine > alcohol > (cocaine=heroin) > caffeine
Importance in user's daily life
(alcohol=cocaine=heroin=nicotine) > caffeine
Prevalence caffeine > nicotine > alcohol > (cocaine=heroin)
Source: Pharmacology of Tobacco Addiction, Tobacco Science, Policy and Public Health, Second Edition 2010
Dr. Richard Hurt Director of the Mayo Clinic
Nicotine Dependence Center
Nicotine is highly addictive
Participant Testimonials
Idaho Adult Smoking Rates
Idaho National
2000 - 22.3% 23.2%
2012 - 16.4% 19.6%
Current Smoking Rates: Youth and Pregnant
14.3% of Idaho youth currently smoke
(9th-12th graders) (YRBS, 2011)
10.6% of Idaho’s pregnant women smoke (Vital Stats, 2011)
• 2,352 births to women who smoked during pregnancy
FY2013 Overview
Funding appropriation: $400,000
Participants reached: 1,381
Counties served: 23
Counties of residence reached: 34
FY2013 Overview
Total program expenditures: $290 per client
Average of $3,390 in annual economic costs saved for each youth or adult who stops smoking
FY2013 Participation Numbers
26%Pregnant
31%Youth
43%Adults
1,381 Enrolled
Pregnant Youth
Adults
FY2013 Results
39%
31%
30%Quit
Reduced
No Change
FY2013 Counties Reached
FY2013 County of Residence for Participants
Cessation Program Criteria
• Nicotine Addiction and Habit
• Consequences of Smoking
• Different Quitting Techniques and Therapies
• Benefits of Being Smoke-Free
• Withdrawal Symptoms
• Coping Strategies
• Stress Management Tools
• Nutrition and Exercise
• Social Support
• Relapse Prevention
FY2015 Request
Amount Requested: $750,000
• Increase number of classes offered in rural and outlying areas
• Provide ongoing support/education to post-partum women to encourage them to quit/stay quit
• Incorporate social media to encourage all class participants to quit/stay quit
Pregnant and Post-partum Focus
Social Media Tools
PricewaterhouseCoopersHRI Consumer Survey, 2010
EvaluationContract with Boise State University’s Center on Health
Policy (CHP) to conduct independent program evaluation:
Cessation providers collect participant information
Boise State University receives all collected data and conducts 1- and 7-month follow up calls to assess quit and reduced rates
Summary• Nicotine is addictive
• Successful efforts made to reduce smoking rates
• FY13 outcomes
• FY15 proposal ventures into new areas of tobacco cessation
• Continued evaluation of services
Questions?