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Table of contents
Nicotine Dependence & Treatment: Strategies for Recovery in Clients, Staff and Organizations
Acknowledgment
Putting the T in ATOD Treatment
My Plan
Smoking & Nicotine Dependence
Tobacco’s Toll
Rates of Cigarette Smoking
Slide 8
Slide 9
Slide 10
Smokers’ Life Expectancy
Smoking and Behavioral Health
Costs of U.S. Smoking
Health Effects: Cancer
Health Effects of Smoking: HEART
Health Effects of Smoking: LUNGS
Health Effects: Other Systems
Effects of Smoking: Women’s Health
Smoking During Pregnancy
Smoking Effects: KIDS’ Health After Smoking During Pregnancy
Smoking Effects: KIDS’ Health and Environmental Tobacco Smoke [ETS]
Slide 22
The 5 A’s
Treatment: Medications
Slide 25
Treatment: Counseling & Social Support
California Quit Line
Social Networks
Slide 29
Slide 30
Tobacco Treatment Perspectives
Rationale for Tobacco Dependence Treatment
Slide 33
Clients in Treatment: FACTS
Tobacco Linked to Mental Health Disorders Link to Mood Management
Embed Into Services
Embed Into Services Health Education
Treatment Interventions Link to Relapse Prevention
Embed into Treatment “People, Places and Things”
Embed into Treatment Link to Consequences: What are you willing to do to smoke?
Embed into Treatment Homework Assignments
Clients Who Decline to Quit: Using the 5 R’s
5 R’s: Relevance
5 R’s: Risks
5 R’s: Rewards
5 R’s: Roadblocks
Tobacco-Free AOD Treatment Staff
Rates of Smoking
Tobacco Use and Staff
Staff and Attitudes
Attitudes
Slide 52
Integrating Tobacco Treatment
Program Commitment on Tobacco
Why no nicotine treatment?
Slide 56
Addressing Tobacco Use Through Organizational Change (ATTOC)
12 Steps to Tobacco-Free Integration (Ziedonis et al 2007)
12 Steps
Slide 60
Slide 61
Easy Tobacco Policy Changes (Ziedonis 2007)
Organizational readiness for change (Simpson 2002)
Motivation for Change
Open to change
Then: Time for Smoking
Places for Smoking
Slide 68
New York Policy on Tobacco
NJ Smoke-Free Policies
Effects of Tobacco Policy Change
Thank You