Transcript 11th National Synar Workshop

New Pathways,
New Connections:
Tobacco and
Behavioral Health
Frances M. Harding, Director
SAMHSA’s Center for Substance Abuse Prevention
National Conference on Tobacco
and Behavioral Health
Bethesda, Maryland
May 19, 2014
SAMHSA Strategic Initiative #1:
Prevention of Substance Abuse and Mental Illness
Creating communities
where individuals, families, schools,
faith-based organizations, and
workplaces take action to:
• Promote emotional health
• Reduce the likelihood of mental illness,
substance abuse including tobacco, and
suicide
SAMHSA’s objectives include: Reduce tobacco use
among youth and persons with mental and
substance use disorders.
Addressing Tobacco and Behavioral Health
• 480,000 tobacco-related U.S. deaths each year
• People with mental and substance use disorders:
– Almost half of all U.S. tobacco deaths
– 40 percent of all cigarettes smoked by adults
• People with mental illness:
– Tobacco dependence most prevalent drug abuse disorder
Smoking tobacco causes more deaths among clients in
substance abuse treatment than the alcohol or drug
use that brings them to treatment.
Collaborating to Address the
Behavioral Health Disparity in Tobacco Use
• SAMHSA is working with agencies
across the U.S. Department of
Health and Human Services
through the Working Group on
Tobacco Control in Behavioral
Health.
The Primary Goal: To promote the implementation of tobaccofree policies and integration of tobacco cessation into
treatment in behavioral health settings.
Smoking in Youth: Behavioral Impact
• People who start smoking before the
age of 21 have the hardest time
quitting.
• About 30 percent of youth smokers will
continue smoking and die early from a
smoking-related disease.
• Teen smokers are more likely to use
alcohol and illegal drugs.
• They are more likely to have panic
attacks, anxiety, disorders, and
depression.
National Weighted Average
Retailer Violation Rate
National Weighted Average Retailer
Violation Rate Since 1997
Meeting the Challenge of Youth Tobacco Use
• Teen cigarette smoking down by half since 2002
• Synar program:
– Direct effects on youth smoking
– Two-thirds of states: sales rates < 10 percent
– Multiple strategies work best
– Link Synar effort with the larger tobacco
control arena
• Family Smoking Prevention and Tobacco Control Act
• HHS tobacco control strategic plan
• CDC’s National Tobacco Control Program
The Changing Face of Tobacco Control
• Family Smoking Prevention and
Tobacco Control Act
– FDA authority to regulate tobacco
(The Center for Tobacco Products)
• SAMHSA and FDA meet monthly for
coordination meetings
• HHS-wide tobacco control strategic
plan
• SAMHSA: integrating tobacco
prevention and cessation in state
Substance Abuse Prevention and
Treatment Block Grant application
Emerging Issues
Changes in state and local laws
Softening of public attitudes
The Challenge of Integration
Single
state
agencies
and Synar
State
departments of
health and
broader
tobacco control
efforts
Collaborative Opportunities
Public Health
Substance Abuse
Prevention
Clinical Medicine
Mental Health
Treatment
Tobacco Control Resources
FDA Public Education Campaign
www.TheRealCost.gov
Collaboration: Foundation for Success
Center for Substance Abuse
Prevention
Center for Mental Health Services
Center for Substance Abuse
Treatment
Center for Behavioral Health
Statistics and Quality
www.samhsa.gov