Tobacco Free for Recovery Nicotine Dependence Treatment In Addictions Care Settings. Margaret Meriwether, PhD Smoking Cessation Leadership Center, University of California San Francisco LA County HIV, Drug & Alcohol Task Force September 15, 2010. A Word About SCLC.
Margaret Meriwether, PhD
Smoking Cessation Leadership Center, University of California San Francisco
LA County HIV, Drug & Alcohol Task Force
September 15, 2010
443,000 deaths in the U.S. each year
4.8 million deaths world wide each year
10 million deaths estimated by year 2030
50,000 deaths in the U.S. due to second-hand smoke exposure
8.6 million disabled from tobacco in the U.S. alone
Tobacco kills nearly half the people who use it
Tobacco related diseases are the #1 cause of death in people previously treated for alcoholism
Also suffer frommental illness and/or substance use disorder
Behavioral Causes of Annual Deaths
in the United States, 2000
Number of deaths (thousands)
AIDS Alcohol Motor Guns Drug Suicide Smoking
Source: Mokdad et al, JAMA 2004; 291:1238-1245
Mokdad et al; JAMA. 2005; 293:293
Most states make an exception for addictions treatment settings when regulating smoking in the workplace.
Source: Richter et al., 2001
Source: US DHHS NIDA Alcohol Alert, 2007
Source: US DHHS NIDA Notes, 2000
Source: Marks et al., 1997; Krejci, Steinberg, and Ziedonis; 2003
targets their marketing to vulnerable urban
Source: Prochaska et al., 2006
Source: Durazzo et al., 2007; Durazzo et al., 2006
Source: Marks et al., 1997; Krejci, Steinberg, and Ziedonis, 2003.
Ask. Every patient/client about tobacco use.
Advise. Every tobacco user to quit.
Refer. Determine willingness to quit. Provide information on quitlines.
Refer to Quitlines
ADHA Smoking Cessation Initiative (SCI)
Source: California Smokers’ Helpline, unpublished data
1-877-509-3786 for free technical assistance