Www.LiveTobaccoFreeAustin.org. Austin Steeves City of Austin/Travis County Health & Human Services Public Health Educator

www.LiveTobaccoFreeAustin.org


Austin SteevesCity of Austin/Travis County

Health & Human ServicesPublic Health Educator


Agenda• Economic impact • Community Changes• Health Impact• Tobacco is Addictive• Free Quit Resources• How medication can help


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


Live Tobacco-Free AustinCommunity Changes


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


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


Healthcare

• Electronic Medical Record/System Changes– Central Health/Community Care– Seton/St. Davids– ATCIC

• Seton Tobacco Resource Center


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)


Point of Sale Signage

• New signs are going out in January 2012 statewide.


Media


Health Impact of Tobacco




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


What is in Tobacco Smoke

Over 7,000 chemicals - 69 of these are known to cause cancer!

Carbon monoxide

FormaldehydeArsenic

Tar


Secondhand Smoke

• Same cancer-causing substances and poisons• 50,000 deaths annually

There is NO risk-free level of exposure

• Health problems– Immediate adverse effects on the cardiovascular

system– Causes lung cancer


We’re Not Just Talking About Cigarettes

• Menthols• Clove cigarettes• Cigars• Hookah• Smokeless tobacco (spit, chew, snus)• Other


How do we break the cycle of addiction…?

We need to realize where we are at in our addiction and how to move

forward.


Stages Of ChangePrecontemplation

Contemplation

Preparation

Action

MaintenanceRelapse

Don’t want to quit

Want to quit sometime

Will quit in next 30 days

Am quitting now


Strategies for Quitting

Don’t Give Up!Don’t Give Up!

• Telephone/ Web counseling

• Group counseling• Individual

counseling

• Nicotine Replacement Therapies

• Pharmaco-therapies• Holistic therapies



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


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


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


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


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



Quit For Life

• 35 years of combined experience in tobacco cessation

• Evidence-based combination of:– Physical– Psychological– Behavioral strategies


A Critical Mix

• Phone-based cognitive behavioral coaching• Text messaging• Web-based learning• Medication support


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.


Web Coach

• Personalized pre-quit / post-quit homepage• Interactive quitting plan• Medication decision support & fulfillment• Tracking tools• Community support• Available in English and Spanish


How Medications Can Help

• Double your chance of quitting• Increase your comfort and sense of control• Help lessen urges and desires for tobacco

Stop Date

Inten

sity



Documents

Www.LiveTobaccoFreeAustin.org. Austin Steeves City of Austin/Travis County Health & Human Services Public Health Educator