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mjellison
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Joined: 06/06/2014 - 16:39
Suggestion

I have had some experience implementing tobacco treatment concurrent with mental health/substance abuse treatment. I was wondering how others are addressing tobacco treatment such as, are they using EBP? Wondering if that may be part of a discussion?

Janis Dauer
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Joined: 06/07/2014 - 07:43

This is my specific interest area and progress has been painstakingly slow. Without a mandate to address tobacco use disorder as part of routine care in order to be accredited or licensed, I am not finding systems-based support for integration. There are numerous individuals who accept the rationale for comprehensive substance use disorder services but not many are able to do more than an SBIRT type of intervention where referral is made to the state quitline. What messages are resonating and motivating program administrators in your experience?

mjellison
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Joined: 06/06/2014 - 16:39

Certainly DPH, BSAS, JCHAO, CARF regulations and guidelines help, but after the deadlines the program has to be consistent with the treatment, such as tobacco champions, coordinators, peer support and funding for certification. I have found that resources such as ATTUD and CENAR have helped me break down barriers with administration, where I can provide EBP and peer reviewed research. It's hard for them to ignore when you can back up the importance. I consistently talk tobacco and treat it on the same par as any other chemical addiction. Part of the problem I see is that most staff aren't educated concerning tobacco/nicotine treatment. I really enjoy doing trainings for staff and watch the discussion bloom. Most don't know about the effects on MH medication management, enhancement of recovery rates, HIV/HEP-C effects and I love to use the MSDS for nicotine as a teaching tool, it's quite eye opening. Also the Dutch Expert report by Weigand is very useful. Another tool I use organization/system wide is posters, brochures, booklets etc. all free from MTCP clearinghouse. I think the Affordable Care Act will help some, but national certification is a must and facilities have to get on board with billing for tobacco treatment. Lots of work to be done Janice, keep fighting the good fight!

mjellison
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Joined: 06/06/2014 - 16:39

Dave,
Wondering why we are unable to send attachments such as research papers and other info that may be shared. I may be missing something, but I was unable to accomplish this on the site.
Michael

dhgustaf
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Joined: 02/21/2012 - 09:13

Great suggestion. Here's a test.

outreach1
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Joined: 06/06/2014 - 10:45

There is conflicting information regarding smoking cessation and sobriety. I feel it is essential to stop all drug use in treatment and comply with medications to assist with all withdrawal symptoms. We insist clients go to 12 step where they hear it's too stressful to stop smoking now, hold off on that one. Clients are shocked to hear that quitting smoking during treatment will significantly increase their chance of sobriety from both drugs. I never gave "smoke breaks" I gave fresh air breaks. NTR is essential to a healthy sobriety.

Eldon
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Joined: 06/06/2014 - 09:07

We are all creatures of Habit. So alot of times i will ask my people to replace a bad habit with a good one.

jeanne
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Joined: 06/04/2014 - 12:40

I just read in Runner's World about a former basketball player who was addicted to drugs and has been sober for a couple years and just ran the Boston Marathon. He replaced his drug addiction with running. I don't know if running is an addiction yet but he certainly spent a lot of time running to be able to run the Boston Marathon.