A Resource for Tobacco Dependence Treatment Michigan Tobacco Quitline Washtenaw County Public Health May 2016

The Cost of Tobacco Use Tobacco use is the leading preventable cause of death and disease in the state. Approximately 21% of Michigan adults currently smoke cigarettes. Each year, 16,200 Michigan residents die prematurely due to tobacco use. In Michigan, $4.59 billion a year is spent on smoking-caused health costs. Washtenaw County Public Health May 2016

Smoking Rates in Washtenaw County Overall, 15% of adults smoke cigarettes Nearly 40% of adults with Medicaid or the Healthy Michigan Plan identify as current smokers 26% of black residents smoke 21% of Ypsilanti residents smoke Over 13% of women who gave birth in 2013 reported that they smoked cigarettes while pregnant Washtenaw County Public Health May 2016

Quitlines Washtenaw County Public Health May 2016

Tobacco Quitlines Work in conjunction with clinician or health care worker intervention Can provide the treatment intensity that often cannot be provided in an office setting due to time constraints Increase access to treatment and reduce barriers Can provide assistance in multiple languages Washtenaw County Public Health May 2016

What are Quitlines? They are evidence-based They have medical directors They are operated by a professional organization that provides guidance Not a hotline/one-time fix Not scripted Not operated by volunteers Washtenaw County Public Health May 2016

The Michigan Tobacco Quitline QUIT-NOW ( ) (TTS) Counseling appointments available 24 hours/day Quitline provides:  Referrals to local programs  One time counseling  Intensive counseling proactive sessions  Unlimited reactive calls for one year  Free NRT to qualified callers  Self-help materials  Free text messaging and online program  Cultural and language specific services Washtenaw County Public Health May 2016

Michigan Tobacco Quit Line Services All Michigan Callers Receive  Information & Referral, Text Messaging Medicaid & Veterans  Counseling  4 sessions for general enrollees  9 sessions for prenatal Medicare, Uninsured, Prenatal, Cancer Patients & County Health Plan  Counseling (same as above)  Up to 8 weeks of nicotine patch, gum or lozenge Washtenaw County Public Health May 2016

Who Qualifies for Michigan Tobacco Quitline Counseling? Medicaid, including MOMS Medicare Veterans Uninsured People with a Cancer Diagnosis Prenatal County Health Plans Youth (no insurance information is collected) Washtenaw County Public Health May 2016

The Quitline Refers Eligibility for Quitline services varies by insurance status Anyone can call the Quitline  Individuals will be referred to the appropriate service if they are ineligible for Quitline services Referring patients to the Quitline makes your job easier Washtenaw County Public Health May 2016

Prenatal Callers Washtenaw County Public Health May 2016

Michigan Quitline: Prenatal Protocol Specially trained counselors dedicated to working with prenatal callers Prenatal enrollees will receive 9 counseling calls (5 prior to delivery and 4 post-partum) Prenatal enrollees receive incentives for participation Washtenaw County Public Health May 2016

MI Tobacco Quitline: Prenatal Incentives Studies have shown that incentives are effective in the prenatal population. Prenatal Calls - For each counseling call an enrollee completes with her coach, she will receive a $5 Visa gift card. (5 in total) Postpartum Calls - For each counseling call completed after delivery, the enrollee will receive a $10 gift Visa gift card. (4 in total) Washtenaw County Public Health May 2016

Additional Services Online Services Text Messaging Fax Referrals Nicotine Replacement Therapy Washtenaw County Public Health May 2016

MI Tobacco Quitline: Nicotine Replacement Therapy  All participants medically screened- some conditions require a medical consent form from physician  Patches, Gum and Lozenges offered to eligible groups  Up to 8 weeks of NRT available  Shipped directly to the participant’s home  Only available to those 18 and older  No cost to the participant  Prenatal must have signed approval from physician Washtenaw County Public Health May 2016

Amanda Ng Washtenaw County Public Health Questions or to Order Materials Washtenaw County Public Health May 2016