Partnership to Assist with Cessation of Tobacco NEW ME – SMOKE FREE! PACT Partnership to Assist with Cessation of Tobacco

Outline Session #2 Welcome and introductions Program format and goals Group expectations and behaviour Why we smoke Nicotine dependence/addiction Is smoking harmful? Registration forms PACT - MHG

General Program Format Slide presentation Exercise break Questions and discussion Guest speakers 6-8 weeks, 1.25 hours each week This is an outline of the general format for all sessions – guest speakers may or may not be involved for some sessions, depending on the time available and the interests of the group. Number of sessions and length of each can be adjusted accordingly. PACT - MHG

Program Goals Information for positive, balanced lifestyle Increase skills and confidence to make healthy choices Exercise, relaxation, nutrition, positive thinking Environment – personal and community Reduce or quit tobacco use Share information, develop support system PACT - MHG

Group Expectations Review Review flipchart or insert slide from week 1 for review Ask for a volunteer to read out loud PACT - MHG

Who should attend? ANYONE! Ready to reduce or quit tobacco use Not sure if want to reduce or quit Do not want to reduce or quit Do not use tobacco but want to learn about process ANYONE! PACT - MHG

What do you hope to learn? Manage withdrawal/cravings Exercise Nutrition Relaxation Stress management These are the ideas generated from an actual session 1 – adjust accordingly for each new group – ask for additional ideas, especially if new attendees at Session 2 PACT - MHG

Do you use tobacco? Yes No Some non-tobacco users and some who have already quit may attend – for social reasons and/or to learn about the process. PACT - MHG

What type of tobacco? Cigarettes Chew/snuff Cigars/cigarillos Pipe PACT - MHG

Why do we smoke? Worried about something Stimulant Weight control Keep occupied Habit Social Boredom These are the ideas generated from an actual session 1 Could start with a blank slide and add notes to slide during discussion so this reflects the experience of the particular group PACT - MHG

Wiggle Break!! PACT - MHG

Starts as a habit… Quickly changes to dependence and addiction Physical or psychological A chronic relapsing medical condition PACT - MHG

Which is most addictive? Alcohol Caffeine Heroin Nicotine PACT - MHG

Most addictive is… Alcohol Caffeine Heroine Nicotine PACT - MHG

Why is nicotine so addicting? In brain in 7-10 seconds from inhaling Binds to receptor – releases dopamine Dopamine increases pleasure, relaxation, alertness Decreases fatigue, anxiety, stress PACT - MHG

Impact on Mental Health Patients 50-90% of mental health patients smoke 50% of all cigarettes smoked are by mental health patients 50% of smoking related deaths are mental health patients Many do not understand the risks and costs of smoking Tobacco use is not a “right” of mental health patients - many can quit successfully and remain psychiatrically stable. Dose of some psychotropic meds may be able to be reduced, under physician guidance once tobacco use is stopped. PACT - MHG

Why do so many mental health patients smoke? Biological (Physical/Brain Function) Possible increased risk for addiction to smoking Nicotine may improve mood, memory Psychological (Thinking/Feeling) Cope with stress Not confident about reducing/quitting Social (People/Places) Spending time with other smokers Easier to be with other people if smoking PACT - MHG

Why is smoking harmful? Exposure to more than 4000 chemicals Hydrogen cyanide, formaldehyde, benzene, tar, arsenic, acetone, naphthalene, carbon monoxide 50 chemicals known to cause cancer Smoking reduces lifespan Increased risk of suicide Causes 80% of addiction related deaths PACT - MHG

Some of the chemicals in tobacco Cyanide – poison used in gas chambers Formaldehyde – embalming Benzene – industrial solvent/fuel, dyes, synthetic rubber Arsenic – ant poison Acetone – paint stripper, nail polish remover Naphthalene – mothballs Carbon monoxide – car exhaust NICOTINE PACT - MHG

Smoking reduces lifespan Every cigarette smoked reduces your life by 8 minutes A pack a day smoked loses: 3 hours per day 1 day per week 4 days per month 48 days per year PACT - MHG

Smoking reduces quality of life Heart disease Lung disease Cancers Ulcers Skin, eyes, teeth, mouth, throat… PACT - MHG

Are you thinking of reducing or quitting? Yes No Not sure PACT - MHG

Challenge for the week Walk 15-20 minutes every day PACT - MHG

Questions? PACT - MHG

Forms For any new attendees Program registration Consent form Tobacco/health history Fagerstrom/Why Registration and consent forms facilitate - de-identified research - billing by the presenter’s pharmacy to a fund which is administered by the drug plan - the program is NOT “free” – there is a cost, but the participants are not required to pay that cost - the money is a pharmacy fund, not government funds - advise doctors/dentists re quit attempt, encourage their support - some medication doses may need to be adjusted, pharmacist will discuss with prescriber for those who quit or significantly reduce use – pharmacist may check provincial drug records (PIP) Forms take a fair amount of time, most participants will need assistance to complete. Helpful to have a second person available for this part of the process. PACT - MHG

Partnership to Assist with Cessation of Tobacco NEW ME – SMOKE FREE! PACT Partnership to Assist with Cessation of Tobacco PACT - MHG