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?