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Everyone Can Live Smoke-Free
Presentation to NAMIAugust 4, 2011
What We Do
Reduce Exposure to Secondhand Smoke
Fight Big Tobacco
Prevent Kids From Smoking
• Tobacco Facts• Who Smokes?• Barriers to Tobacco Intervention• Myths?• Current Projects• Process of Quit Smoking
Agenda
You Tube Viedo
Tobacco use, alone kills more people each year, than all
deaths from HIV, drugs, alcohol, car crashes, suicides and
murders COMBINDED!
Smoking is the leading cause of preventable death
Tobacco Kills!
435,000 deaths in the US/year 4.8 million deaths worldwide/year 10 million annual deaths estimated by year 2030 50,000 annual deaths in the US due to second-
hand smoke exposure
Tobacco’s Deadly Toll
What is in a Cigarette?
Asthma Cancer
4,000 chemicals
No Safe Level of Exposure
Heart Disease
Secondhand Smoke is Toxic
A Wellness Philosophy
To assist people to lead meaningful lives in their communities, we need to promote behaviors that lead to health
Persons with mental illnesses die up to 25 years earlier and suffer increased medical comorbidity
• Often from tobacco related diseases• More likely to die from these diseases than
from their alcohol use
Smoking and Mental Illness
Tobacco’s Deadly Toll
• 200,000 of the 435,000 annual deaths are people with mental illness and substance use disorders
• For patients in treatment for alcohol and drug dependence, more than half die from tobacco-caused illnesses¹
• Among treated narcotic addicts, smokers’ death rates are 4 times that of nonsmokers²
¹Hurt et al., 1996²Hser et al., 1994; Lynch & Bonnie, 1994
Smoking by Diagnosis
22.5
44.7 45.3
56.1 54.6
67.960.6
0
10
20
30
40
50
60
70
80
% S
mokin
g
None Maj. Dep. S-phrenia Alcohol Anxiety Drug Bipolar
• 30% - 35% of mental health providers smoke as compared to-• Primary Care Physicians 1.7%• Emergency Physicians 5.7%• Psychiatrists 3.2%• Registered Nurses 13.1%• Dentists 5.8%• Dental Hygienists 5.4%• Pharmacists 4.5%
Smoking Among Mental Health Providers
• Rates of smoking are 2-4 times higher than among the general population.¹
• About 41% of people with mental illness & substance use disorders smoke.²
• 60% of current smokers report having had a mental health or substance use diagnosis sometime in their lifetime.¹
• This population consumes 45% of cigarettes smoked.³ 111
Smoking and Behavioral Health
“I’ve been schizophrenic since I was 14. I was told more or less when I went to the hospitals that cigarettes help control certain areas in my brain and the way we function out in society. I became more of a smoker because I was told it would help me with my illness. I was taught more about it helping my illness than I was about cancer and stuff like that.” - Consumer focus group participant
Morris et al, 2009
• Expectation of failure• Lack of knowledge• Fear of withdrawal symptoms• Fear of weight gain• Concern about recovery• Concern about stress management (tension, anxiety)• Doubt about dealing with boredom• Part of daily routines• Integral to social activity• Tobacco industry targeting
Barriers to Tobacco Interventions: Client/Consumer Factors
• Promotion of health• Changing philosophy around
addictions & co-occurring treatment
• Putting the “T” back in ATOD• Increased treatment
effectiveness• A key component of the
recovery process• You are in the best position to
offer these services
Why Now? This slide needs WORK
Competing demands Tobacco as socialization
activity, behavioral reward Staff acceptance and
promotion Not part of current treatment
milieu Lack of reimbursement for
services
County of San DiegoBuilding Better Health
3Behavio
rs
4Disease
s
Over
50 %Of all deaths
SmokingPoor nutritionLack of physical activity
Heart disease/strokeCancerType 2 diabetesRespiratory conditions,
100% of California state psychiatric facilities are smoke-free• Napa – 7/08• Coalinga – 8/08• Atascadero – 11/08• Patton – 4/09• Metro – 4/09 “There have been no significant Issues in any of the hospitals”
California Department of Mental Health
Smoking in Psychiatric Facilities
• Right to smoke is not protected under the law• Smokers are not a “protected class” such as
age, race, gender, etc.• No smoking policies are legal• Same as the restriction of “no pets”• No smoking policy is not discrimination
There is NO Constitutional Right to smoke!
Slide about SAY
San Diego County Tobacco Control Coalition
Materials
Collaboration
Trainings
Quit Smoking
Help
How You Can Help
Quitting SmokingHow you can quit or help a friend quit
Quit Smoking3 Chains of Addiction
Social Psychological
Physical
Where Are You?
Not Ready
Thinking
About It
Quitting
Ready to Quit
Stayin
g Quit
Living
as a
Nonsmoker
Slipping & Relapsing
Ready to Quit
Are you willing to set a quit date within 30 days?
Smoking Triggers
Money Saved Slide
-Mark Twain
Slipping and Relapsing
Every relapse begins with a slip, but not every slip ends in a relapse.
“Quitting smoking is easy.I’ve done it a hundred times.”
Staying Quit
Have you stayed quit for 6 months or longer?
Over the counter products:
Prescription products:
Breaking the Chain of Addiction: FDA-Approved Nicotine Replacement Products*
*The American Lung Association in California and SAY San Diego do not endorse any products.
Both are prescription products:
Other FDA-Approved Medications
*The American Lung Association in California and SAY San Diego do not endorse any products.
xxx
x
Don’t use products that haven’t been approved by the FDA for quitting smoking
Self-help guide
Telephone counselingOnline
Groups
If you’re ready to quit
Thank You
Lisa Archibald, American Lung Association in California 619-683-7520 · [email protected]
Mary Badiner, Social Advocated for Youth (SAY) San Diego
858-974-3603 x207 · [email protected]