Starting the New Year Tobacco Free!

©2018 Magellan Health, Inc.

Our speakers

• Nicolle Wicker is a Licensed Clinical Social Worker, Certified Employee Assistance Professional and a Certified Tobacco Treatment Specialist. Nicolle has more than 20 years of experience in the mental health field. She has served as a health coach helping people manage their depression, anxiety, weight and achieve a variety of lifestyle changes. She has been with Magellan Healthcare since 2006 and currently serves the Veteran community.

• Maureen Prinster is a Registered and Licensed Dietitian; and a certified lifestyle, wellness & health coach. Maureen has more than 13 years of experience coaching in the behavioral health field. She has committed her career to helping individuals live happier, healthier and more productive lives by coaching them on being their “best self.”

2

Objectives

3

• Describe the history of tobacco and addiction.

• Identify benefits to quitting tobacco.

• Discuss tips to help you quit tobacco.

• Describe how to develop an action plan to quit tobacco.

“When you are staring at the face of such a formidable adversary as tobacco cigarette addiction, it can help significantly to have some

powerful weapons in your arsenal…” Earl Chinnici

4

History of tobacco and addiction

Withdrawal

Nicotine and AddictionHistory of

tobacco use

“If knowing about the dangers of smoking were enough, almost no one would smoke.” Gudjon Bergmann

Member journey

5

Situation:

• Several attempts to quit, starting in her 20’s

• Health concerns, including high blood pressure and a recent bout of bronchitis

• Long family history of smoking—most are still smoking

• Partner recently diagnosed with health issues; as a result, quit smoking

Christy

Customer Service Representative

• Age: 45

• Mother

• Partner

Am I ready to quit?

I can’t quit tobacco

I may quit tobacco

I won’t quit tobacco

I will quit tobacco

“Today just might be the best day to start seriously thinking about quitting smoking.” Unknown

Why quit?

7

Health benefits

Appearance

LifestyleMonetary

savings

Loved ones

(TFL, 2016) (SmokeFree.gov, n.d.)

“People become really quite remarkable when they start thinking that they can do things. When they believe in themselves they have the

first secret of success.” Norman Vincent Peale

Managing detox

Withdrawal symptoms

• Feeling down or sad

• Trouble sleeping

• Feeling irritable

• Trouble thinking clearly and

concentrating

• Feeling restless and jumpy

*Nicotine Replacement Therapy

• Nicotine gum

• Nicotine lozenges

• Nicotine patch

• Nicotine nasal spray

• Nicotine inhaler

• Oral medication/pill

*Consult with your doctor (SmokeFree.gov, n.d.)

“I hated every minute of training, but I said, ‘Don’t quit. Suffer now and live the rest of your life as a champion.’” Muhammad Ali

8

Triggers

9

Emotional

Feeling stressed Feeling anxious Feeling down Feeling lonely Feeling bored Cooling off after a

fight

Habitual

Talking on the phone Drinking alcohol Watching TV Driving Finishing a meal Drinking coffee Taking a work break After having sex

Social

Going to a bar Going to a social

event Seeing someone else

smoke

(SmokeFree.gov, n.d.)

Quit methods

10

Counseling In combination with NRT

Telephonic coaching and support

Apps

Self-help guides

Combined NRT medications

Tools for

Success

"Determine that the thing can and shall be done, and then we shall find the way."

Abraham Lincoln

Online programs

Practice quitting

11

“The secret of getting ahead is getting started.” Mark Twain

Delay using tobacco

Take a tobacco-free coffee

breakTake a tobacco-

free car rideOvercome a

trigger

Drink water instead of using

tobacco

Healthy Alternatives

Make a list of tasks you want to accomplish

Treat yourself to a healthy pleasure

Spend time with supportive friends/family

Hobbies

Exercise

Reward yourself

12

“As I started to practice living life without tobacco, I started to believe I have the ability quit!” Anonymous

Dealing with relapse

Prevent slips

• Identify tobacco risk situations

• Use healthy alternatives to deal with cravings

• Fine tune stress management skills

Manage slips

• Get rid of the tobacco product

• Don’t beat yourself up• Use your healthy coping

skills• Learn from your slip

“Our greatest glory is not in never failing, but in rising up every time we fail.” Ralph Waldo Emerson

Tips for staying quit

Use technology

Buddy system

Monitor yourself for signs of fatigue

Use simple relaxation techniques

Patience & persistence

14

“Nothing is impossible; the word itself says, ‘I’m possible!’” Audrey Hepburn

Member journey

15

Tobacco-free journey:

• Set a quit date

• Made an action plan

• Practiced quitting

• Identified triggers and healthy alternatives

• Used NRT

• Experienced some slips

• Worked through her relapses

• Has been tobacco-free for four months

Christy

Customer Service Representative

• Age: 45

• Mother

• Partner

• Ex-tobacco user

Your Employee Assistance Program

16

Call toll-free or visit us on the web

24 hours a day/7 days a week

Thank you!CONFIDENTIAL INFORMATION

This presentation may include material non-public information about Magellan Health, Inc. (“Magellan” or the “Company”). By receipt of this presentation

each recipient acknowledges that it is aware that the United States securities laws prohibit any person or entity in possession of material non-public

information about a company or its affiliates from purchasing or selling securities of such

company or from the communication of such information to any other person under circumstance in which it is reasonably foreseeable that such person may

purchase or sell such securities with the benefit of such information.

The information presented in this presentation is confidential and expected to be used for the sole purpose of considering the purchase of Magellan’s services.

By receipt of this presentation, each recipient agrees that the information contained herein will be kept confidential. The attached material shall not be

photocopied, reproduced, distributed to or disclosed to others at any time without the prior

written consent of the Company.

References

American Cancer Society, (2015). Why people start smoking and why it’s hard to stop. Retrieved November 8, 2018 from https://www.cancer.org/cancer/cancer-causes/tobacco-and-cancer/why-people-start-using-tobacco.html

Centers for Disease Control and Prevention (CDC) (2017). Quitting Smoking. Retrieved April 16, 2018, from https://www.cdc.gov/tobacco/data_statistics/fact_sheets/cessation/quitting/index.htm

SmokeFree.gov (n.d.). Create my quit plan. Retrieved March 21, 2018 from https://smokefree.gov/build-your-quit-plan

SmokeFree.gov (n.d.). Understanding withdrawal. Retrieved April, 16, 2018 from https://smokefree.gov/challenges-when-quitting/managing-withdrawal/understanding-withdrawal

SmokeFree.gov (n.d.). Using Nicotine replacement therapy. Retrieved April 17, 2018 from https://smokefree.gov/tools-tips/medications-can-help-you-quit/using-nicotine-replacement-therapy

Tobacco Free Life (TFL) (2016). Why quit smoking. Retrieved April 17, 2018 from https://tobaccofreelife.org/why-quit-smoking/

Smokefreevet (n.d.). Reasons People Smoke. Retrieved November 8, 2018 from https://smokefree.gov/veterans/nicotine-addiction/reasons-people-smoke

17