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Austin Steeves

Austin Steeves. City of Austin/Travis County Health & Human Services Public 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

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Austin Steeves

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  1. Austin Steeves City of Austin/Travis County Health & Human Services Public Health Educator

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

  3. 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

  4. Live Tobacco-Free AustinCommunity Changes

  5. 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

  6. 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 CPPW Smoke-/Tobacco-free Organizations

  7. Healthcare Electronic Medical Record/System Changes Central Health/Community Care Seton/St. Davids ATCIC Seton Tobacco Resource Center

  8. 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)

  9. Point of Sale Signage New signs are going out in January 2012 statewide.

  10. Media

  11. Health Impact of Tobacco

  12. Tobacco is Addictive • Nicotineis a Drug • Causes brain chemistry changes • It reaches your brain in 8-10 seconds • Pleasurable effects last 20-40 minutes

  13. Carbon monoxide Tar Formaldehyde Arsenic What is in Tobacco Smoke Over 7,000 chemicals - 69 of these are known to cause cancer!

  14. Secondhand Smoke There is NO risk-free level of exposure • Same cancer-causing substances and poisons • 50,000 deaths annually • Health problems • Immediate adverse effects on the cardiovascular system • Causes lung cancer

  15. We’re Not Just Talking About Cigarettes • Menthols • Clove cigarettes • Cigars • Hookah • Smokeless tobacco (spit, chew, snus) • Other

  16. How do we break the cycle of addiction…? We need to realize where we are at in our addiction and how to move forward.

  17. Stages Of Change Precontemplation Don’t want to quit Contemplation Want to quit sometime Preparation Will quit in next 30 days Am quitting now Action Maintenance Relapse

  18. Strategies for Quitting • Nicotine Replacement Therapies • Pharmaco-therapies • Holistic therapies • Telephone/ Web counseling • Group counseling • Individual counseling Don’t Give Up!

  19. 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

  20. No • Shame • Guilt • Scare Tactics 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

  21. 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

  22. 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

  23. 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

  24. Quit For Life • 35 years of combined experience in tobacco cessation • Evidence-based combination of: • Physical • Psychological • Behavioral strategies

  25. A Critical Mix • Phone-based cognitive behavioral coaching • Text messaging • Web-based learning • Medication support

  26. 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.

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

  28. Stop Date Intensity How Medications Can Help • Double your chance of quitting • Increase your comfort and sense of control • Help lessen urges and desires for tobacco

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