Transcript Labor of Love Summit-Helping Indiana Reduce Infant Mortality The Indiana Tobacco Quitline & Local Community Partner Efforts.

Labor of Love Summit-Helping
Indiana Reduce Infant
Mortality
The Indiana Tobacco Quitline
&
Local Community Partner Efforts
Tobacco Use Burden on Indiana
• 9,700 deaths/annually
• More than 1 in 4 adults smoke (22%-2013)
• For every death, two new youth start and 20 are living
with a chronic disease
• $2.08 billion in annual health care costs
• $487 million in Medicaid costs
• Indiana taxpayers pay $566 per household to treat
tobacco-related disease
• For every pack of cigarettes sold in Indiana, it spends
$15.90 in health care costs related to tobacco
Smoking during pregnancy is associated
with poor health outcomes
 Twenty to thirty percent (20-30%) of the cases of low birth
weight babies can be attributed to smoking.
 Women who smoke during pregnancy have more than twice the
risk of delivering a low birth weight baby.
 Babies of mothers who smoked during pregnancy have twice the
risk of SIDS than infants of nonsmoking mothers.
 Women who smoke have a higher incidence of ectopic
pregnancy.
 Pregnant smokers also have a 30-50% higher risk of miscarriage
than nonsmokers.
Smoking during
pregnancy
Indiana overall:
16.5%
County rates overall:
3.9 % to 33.9%
Medicaid Members:
27.0%
2012 Indiana Natality Report
<=10%
11-20%
21-29%
30+%
What is a Quitline?
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Telephone-based Cessation Services
Offered Toll-free
Evidence-based
Proactive
Coaches
―
Highly trained in cognitive behavioral therapy
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240 hours of training
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Spanish speaking competency (170 other languages)
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Educated up to graduate level
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Over 50% with 3+ years prior experience in counseling
The Program
• 4 prearranged calls w/coach
• 10 prearranged calls for pregnant woman
(special program)
• 5 prearranged calls for youth
• Unlimited Web coaching
• Unlimited call in privileges and access to coaches
• Free 2-week NRT starter kit
(uninsured, Medicaid, Medicare)
• Stage-based Support Materials
Special Help for Pregnant Women
• The Indiana Tobacco Quitline offers special
services for pregnant women
•10 call protocol
• Woman-centered approach: emphasizing
benefits of quitting to mother and fetus
• Encourages smoking partners to quit as well
The ITQL Participant Experience
1. Fax Referral or Person Calls
2. Intake Specialist
3. Professional Coach
3. Professional Web Coach 4. Physician RX or OTC
The Program Works
Practices based on 25 yrs of research
helped hundreds of thousands of smokers quit & stay quit
1. Quit at personal pace
2. Conquer urges to smoke
3. Use Pharmaco so they really
work
4. Don’t just Quit,
become NON-SMOKER
1. Choose own Quit Date,
personal Quit Coach help
prepare & get ready
2. Learn when & where urges
strike & how to cope & manage
stress w/o smoking
3. Recommend meds right for
each participant and teach how
to use correctly
4. QUIT for good-support to make
this the LAST Quit, help with
weight issues
Something for Everyone
Brief Intervention
ASK
ADVISE
REFER
Do you use tobacco?
Quit tobacco products!
1-800-QUIT-NOW
Plus Recommend a Medication, If Appropriate
Conclusions
1. Treatment of tobacco use needs at least same
attention that other chronic diseases demand
2. Health Care Providers are encouraged to:
– Engage in effective behavioral interventions (AAR)
– Optimize medication use
– Know they have the most credibility w/patients
3. ITQL Referral/Preferred Network is one KEY
component of a multi-faceted approach to decreasing
Infant Mortality in Indiana.
Community Baby Shower
Fountain and Warren Counties
Fountain and Warren County Demographics
• No Obstetrians or Gynecologists in either county.
• Nearest hospitals for deliveries are in Tippecanoe
County or in the State of Illinois (Danville).
• Fountain County – 2013 estimated population 16,880
• Median household income $45,919 (11.7% below
poverty) 2008-2012
• Warren County – 2013 estimated population 8,415
• Median household income $51,504 (9.4% below
poverty) 2008-2012
• 2012 Percent of mothers who reported smoking during
pregnancy:
• Fountain County 23.3%
• Warren County 30.9%
• Indiana State Average 16.5%
Morning breakout session on Lead Poisoning Preventionincluded latest information on consumer products alerts and
harm of lead-based paints.
Morning breakout session about the Indiana Safe Sleep
Program-attendees of education session received a Pack n
Play after demonstrating how to correctly set it up.
Morning break out session on Tobacco Use During
Pregnancy, Exposure to Secondhand Smoke, and
Thirdhand Smoke.
MDwise is explaining the various health plans available
Two displays providing information about Poison Safety
and Immunizations.
Display representing the services available through
Head Start and Early Head Start
Display about healthy relationships and domestic
violence.
Display about the services offered through the
Healthy Families program.
Display about the First Steps program.
Healthy lunch provided to attendees featuring Text for Baby
Demonstration of proper infant/child CPR techniques
during lunch time
Information about Car Seat Safety during an
afternoon break out session.
WIC presented information about the Benefits of
Breastfeeding during an afternoon break out
session.
Afternoon break out session about Nutrition.
This is why we do what we do!
Questions
• Thank you for your participation!!!!!
Brian Busching
Regional Program Director/Cessation Systems Specialist
Tobacco Prevention and Cessation Commission, Indiana State
Department of Health
[email protected]
317-234-2439
Kathy Walker
Program Director
Fountain/Warren Tobacco Prevention & Cessation Program
765-793-4881