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www.LiveTobaccoFreeAustin.org Austin Steeves City of Austin/Travis County Health & Human Services Public 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 Austin Community 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 Tar Arsenic Formaldehyde www.LiveTobaccoFreeAustin.org Secondhand Smoke There is NO risk-free level of exposure • Same cancer-causing substances and poisons • 50,000 deaths annually • 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 Change Precontemplation Contemplation Preparation Action Relapse Don’t want to quit Want to quit sometime Will quit in next 30 days Am quitting now Maintenance www.LiveTobaccoFreeAustin.org Strategies for Quitting • Nicotine Replacement Therapies • Pharmaco-therapies • Holistic therapies • Telephone/ Web counseling • Group counseling • Individual counseling Don’t Give Up! 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 Intensity Stop Date • Double your chance of quitting • Increase your comfort and sense of control • Help lessen urges and desires for tobacco www.LiveTobaccoFreeAustin.org www.LiveTobaccoFreeAustin.org www.LiveTobaccoFreeAustin.org