Dane County Tobacco Integration

Project

A joint venture sponsored by the Dane County Chemical Dependency

Consortium and the Wisconsin Nicotine Treatment Integration Project

Funded with a $10,000 WINTIP Grant

Wisconsin Nicotine Treatment Integration Project = WiNTiP

Saving lives by integrating evidence-based nicotine dependence treatment in Wisconsin's AODA and mental health services

Buy-in + Training + Resources = Implementation

Wisconsin's first coalition of tobacco, AODA, mental health and the 2 government agencies responsible for them

In 2013 funding 9 projects for tobacco integration innovation with $60,000 in grants

Why Are We Doing This?

General Public

Cold, Hard Facts

From a third to half of smokers and other tobacco users will die from using tobacco products as these products are intended

Cold, Hard FactsPrevalence

Those admitted for AODA treatment have the highest prevalence of nicotine dependence

St Clare Center study – 86%

New York State addiction admissions – 92%

Range – 78% to 92%

Cold, Hard Facts

Those with substance use and mental health disorders that are also nicotine dependent are getting sick and dying at from twice to more than 4 times the rate in the general population

They lose from 10 – 25 years Of life expectancy

Death By TobaccoIn Dane County

357 Tobacco Death Every Year

1,428 Innocent Family Victims Suffering grief and lost income

156 have AODA and Mental Health disorders

624 Innocent Family Victims

There are 12 Substance Use Disorders in the DSM-IVR

Eleven are eligible for the full range of AODA services

One is not eligible

Nicotine Dependence – 305.1

NICOTINE DEPENDENCE305.1

This is by far our most lethal addiction producing tobacco

caused and related diseases that result in 440,000 American

tobacco deaths a year

Now for some good news

Dane County AODA RESOURCES

30 + AODA treatment providers including drug court, outpatient, residential, inpatient and other services

More than 200 weekly community support meetings

4 - 12-Step program club-houses

Dane County Chemical Dependency Consortium

AODA Clinicians Can Do It

Already trained to treat substance use disorders

Know how to develop abstinence and harm reduction treatment and recovery plans

Understand medication management practices

Skilled in motivational interviewing and cognitive, behavioral and other therapies

Experienced with 12-Step and other recovery resources

Dane County Tobacco Integration Project

Created to begin the process of integrating evidence-based

nicotine dependence treatment in Dane County's 100% tobacco-

free AODA treatment services

What Is a Tobacco-Free AODA Program

  A 100% tobacco-free

AODA treatment program has two basic

components  

A tobacco-free facility and grounds are 100% tobacco free from all

tobacco products. No possession or use of tobacco products is

permitted. The tobacco-free policy applies to all staff, patients/clients, volunteers, visitors and guests and

requires a sign-off agreement to accept the tobacco-free policy as a

condition of participation.

A tobacco-free program assesses and treats nicotine dependence as a substance use disorder of equal

importance as alcohol dependence and other substance use disorders typically treated in Dane County AODA services. Evidence-based

nicotine dependence treatment is included in patient’s treatment and

recovery plans. This includes, assessment, referrals, education,

treatment and continuing recovery plans as recorded in progress notes

and records.

"We Support Tobacco-Free

Recovery"

DCTIP Ambassador Programs Committed to Become

100% Tobacco Free Programs Connections Counseling

Open Door for Change

OceanHawk Counseling Alternatives

ARC Community Services

(VA Hospital-Addictive Disorder Program)

Connections CounselingTogether We Recover5005 University Avenue, Suite 100, Madison, WI 53705Phone: (608) 233-2100 Fax: (608) 233-2101www.connectionscounseling.com

Connections Counseling…• Certified outpatient substance abuse and mental

health clinic successfully operating since 2003

• Skilled and dedicated staff provide comprehensive services for young people, families and adults, using evidence-based practices

• Our belief of “together we recover” is evident throughout our philosophy, practice and staff

Dane County Tobacco Integration Project

Connections Counseling is one of 4 Ambassador programs in Dane County.

We are beginning the journey to tobacco-free facilities and programs.

Our aim to support all of our clients in recovery from nicotine addiction

Our journey so far….• Held Part 1 of 2 TIP orientations for our staff, to both assess

and build knowledge, skills and readiness; Part 2 scheduled mid-summer

• Slated a staff “readiness” discussion for early summer

• Display “We Support Tobacco Free Recovery” posters

• Expect to hold a skills training for staff in late summer or early fall

• Plan for staff to attend Mayo Clinic’s Nicotine Dependence Center (NDC) Tobacco Treatment Specialist Certification Program this fall

Presented by Candace Peterson, PhDDirector of OperationsConnections Counseling5005 University Avenue, Suite 100Madison, WI 53705Phone: (608) 233-2100Fax: (608) 233-2101Candace.Peterson@connectionscounseling.com www.connectionscounseling.com

Dane County Tobacco

Treatment Integration Pilot Project

OPEN DOOR Center for Change, LLC6502 Grand Teton Plaza, Suite 206Madison, WI 53719

A bit about us..

• Private practice, licensed under Chapter 35 but provide dual-diagnosis treatment.

• Three partners (owners) and four employees.

• No admin staff. One staff dually-certified in AODA/MH. The rest are MH certified only.

• Most have knowledge of and minimal training in MET.

Starting point…

• Everyone on the staff except myself is a past smoker. The most recent “quitter” was three months ago.

• I was the only staff to have heard WINTIP presentation or to have attended the kick off.

• YIKES!!!!!

Goals

• Get buy-in from the team that this was a worthwhile endeavor for OPEN DOOR.

• Implement a plan for integrating screening tools into intake and at least raising the question of smoking cessation as a goal for people.

• Identify clients who were interested in quitting and refer to QuitLine.

• Work toward having a certified staff member who can treat nicotine dependence inhouse at OPEN DOOR.

Progress…

• All staff have agreed to the project in theory!!

• Signage displayed in our clinic.

• One staff member has met with Mac to discuss treatment integration and will be attending Intensive training by year end (applying for scholarship, using stipend to offset cost of training).

• Three clients were identified as nicotine dependent and all three were referred to the QuitLine.

Dane County Tobacco Integration Project

OceanHawk Counseling Alternatives, LLC. is committed to the kind of

quality care that respects and considers the whole person. We attend

to the ways in which our clients' physical, spiritual, family and

relationship concerns affect their emotional and mental well being.

OceanHawk Counseling Alternatives provides a wide range of confidential

services to address a variety of personal concerns. We serve

individuals, couples, and families of all ages and backgrounds and is licensed

by the State of Wisconsin.

Serving the Stoughton and Dane County area since 2006.

OceanHawk’s steps in implementing the program:

•Display “We Support Tobacco Free Recovery” posters

•Completed a staff-readiness discussion at the end of May

•Utilizing the Fagerstrom screening tool with all new clients, as well existing clients who identify as using tobacco products

Dane County Tobacco Integration Project

OceanHawk’s steps in implementing the program:

•Schedule a skills training for staff in late summer

•Plan for staff to attend Mayo Clinic’s Nicotine Dependence Center (NDC) Tobacco Treatment Specialist Certification Program this fall

•Beginning in late fall OceanHawk will be offering smoking cessation group sessions

•Potentially offering tobacco and nicotine cessation products

Dane County Tobacco Integration Project

Dane County Tobacco Integration Project

Our goal is to support our clients that have mental health & substance abuse disorders to become tobacco and nicotine free.

We are working towards a tobacco-free clinic, which will include a nicotine cessation program.

OceanHawk Counseling is one of four Ambassador programs in Dane County.

Presented by

Jean Daute

MS, LPC, CSAC, MAC, ICS

Therapist & Clinical Director

OceanHawk Counseling Alt. LLC

135 West Main Street, Suite 207

Stoughton, WI 53589

jdaute@oceanhawk.netwww.oceanhawk.net

608-873-7838 Ext. 1877-674-2177

ARC Community Services

ARC is a non-profit organization that operates thirteen projects serving Dane and

Fond du Lac counties.

Each program serves women and their children with innovative, gender-specific, comprehensive wraparound care. All programs are nearly100% grant-funded and there is no cost to the participant.

Or visit our website at www.arccommserv.com

The Problem Our new health educator was shocked at

how many of our clients were smoking-95%

Upon further study she found that they were smoking, on average, a half a pack a day. Anecdotally, many of the clients reported increased tobacco use upon entering treatment.

From February 2012-December 2012, only 3 women enrolled in either the Quitline or Fresh Breath.

The PlanMade Possible With WINTIP

Grant

The ResultsNumber Of Women Enrolled In Quitline/First Breath

3

26

0

5

10

15

20

25

30

2012 2013

Next Steps/Thoughts

• Continue to hold monthly meetings to check-in with staff who are responsible for implementing the changes.

• Keep brainstorming (staff AND clients) to generate other ideas on how to further advance tobacco cessation.

How You Can Help

Sign our Tobacco Integration Support Resolution today as an agency or as an individual

Consider becoming a DCTIP ambassador program

If you are an AODA provider, consider applying for a $750 scholarship for Certified Tobacco Treatment Specialist training at the Mayo Nicotine Dependence Training Program

Contact Dane County Tobacco Integration

Project UW-CTRI and WiNTiPDavid "Mac" Macmaster, CSAC,

PTTS

(608) 393-1556

creativerep@mac.com

www.wisconsinwintip.com

www.helpusquit.org