1 / 10

Breaking the Habit

Breaking the Habit. Helping Providers Help Families Become Smoke-Free Indiana Rural Health Association. Eden Bezy, MPH Carrie Evans, BS, CPP Monique French-Hill, MPH Michael McDonald, MS Michelle Stucker, BS, CPP. Objectives. Briefly identify smoking rates in Indiana

casey
Download Presentation

Breaking the Habit

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Breaking the Habit Helping Providers Help Families Become Smoke-Free Indiana Rural Health Association

  2. Eden Bezy, MPH Carrie Evans, BS, CPP Monique French-Hill, MPH Michael McDonald, MS Michelle Stucker, BS, CPP

  3. Objectives • Briefly identify smoking rates in Indiana • Prenatal county rates • Identify where smoking policies are in place • How does Indiana stack up with other states? • What are we doing at a policy level and a programmatic level to change behavior and infrastructure • How we’re aiding providers in helping their clients quit tobacco • Pregnancy • Incorporating Indiana Quitline into EMR

  4. Indiana’s smoking status • Rank • 7th highest for smoking rate1 • 6th highest for prenatal smoking2 • County prenatal smoking rates range from 4%-36%3

  5. Pregnant Hoosier Women: 17% are active smokers4 Rural Communities: • Generally higher rates • Need assistance because: • Lack of local OB providers • Lack of cessation services • Fewer health services/access to care • Culture

  6. Indiana smoking policies and the work of TPC • Statewide comprehensive policy which prohibits smoking in: • Most places of employment • Most public places • Restaurants • The area within (8) eight feet of a public entrance to a public place or a place of employment • Any vehicle owned, leased, or operated by the state if the vehicle is being used for a governmental function

  7. How can we help providers? Tobacco Prevention and Control • Works to build capacity in Indiana communities • Partners with local champions to encourage systems changes • Educates providers and hospital groups on the Quitline (more later!) • Funding comes from Master Settlement Agreement (MSA) • Emphasis on disparate populations • State-wide reach • Works directly with women and men (and now teens!) through phone calls and web-coaching

  8. Direct Service Programming • Have the opportunity to work with pregnant women and their families • Complement the work of medical providers • Funding comes many different sources • Located in clinics, social service setting, home visiting programs • Relatively small reach • Located in select counties • Limited in the amount of clients than can be seen • PSUPP Quit for Baby

  9. Past: PSUPP Future: Quit for Baby 8 future sites Adopting evidence based curricula Baby and Me Tobacco Free™ Focusing only on tobacco Working intimately with TPC to ensure women are benefitting from both services Two levels of evaluation In house Outside evaluation • 16 sites around Indiana • Three tired program • Provider education • Community education • One on one counseling with women • Focused on ATOD • 16 sites with 16 different models • Not ONE curricula • Very difficult to evaluate • Ending after 25 years of service

  10. Example of a successful provider/cessation partnership: • Family Medicine Center at Union Hospital • Total office approach - utilizing social workers, nurses and doctors; • System approach to cessation makes for seamless treatment of tobacco using patients – both OB and non-pregnant; • Able to broaden our reach through the use of Telemedicine – Vermillion-Parke Community Health Clinic and Clay City Family Medicine

More Related