Janet M Urban Lung-2015 Baltimore, USA July , 2015

SMOKING CESSATION: A REVIEW OF THE LITERATURE Current Facts and Evidence- based Theories About Smoking Cessation

HISTORY OR TOBACCO USE  1870 Through 1964 “ The Emerging Awareness of Tobacco’s Hazardous Effects”  1965 Through 1999 “ Taking Action”  2000 Through 2009 “ A New Millennium”

TOBACCO DEPENDENCE AS A DISEASE  Chronic Biopsychosocial Disease  Similar to other drugs  Different than other drugs  Treat the same as other chemical dependencies

TOBACCO USE AND HEALTH ISSUES  High morbidity rate related to tobacco use and dependence with people with co-occurring disorders  Tobacco dependent treatment lowers health issues  Should be actively addressed at intake, assessed and a treatment plan and recovery plan put in place

BIOLOGY OF TOBACCO USE AND TREATMENT  Reasons clients use tobacco  Nicotine Replacement Therapy is one proven solution, safe little potential for abuse  Cigarette delivers nicotine quickly to the brain, high potential for dependence  DSM for Nicotine Withdrawl

TOBACCO TREATMENTS AND THE DSM IV  Supportive Counseling such as group and individual shown to be successful  Chemically dependent mentally ill 2-3 times larger than general population and they consume 44% of tobacco in US  Criteria for dependence

TYPES OF TREATMENTS  Integrated Treatment  The five A’s  Standardized instruments  Pharmacotherapy plus supportive counseling  Motivational Interviewing  Stage of Change Model  Decisional Balance Model  Cognitive Behavioral Therapy  Relapse Prevention Therapy

TOBACCO TREATMENT PLANS  Address smoking as a chronic biopsychosoical disease interrelated with other chemical dependencies  Assessment  Integrated Program Therapies Activities  Relapse Prevention

MENTAL HEALTH AND TOBACCO TREATMENT  Mental health patients usually live 25 years less than general population  Difficult to treat, resistant to change, negative historical patterns, mistaken beliefs  Tobacco industry targets this vulnerable population

TREATMENTS FOR THOSE WITH MENTAL HEALTH ISSUES  Treatment needs to be individualized to accommodate specific needs, personal goals, and cultural perspectives of the unique individual at different stages of change  Treatment should not be limited to a single correct model  Behavioral health systems must collaborate with professionals in primary care, human services, housing and criminal justice system  Continuity of services and treated as a substance use disorder

TOBACCO TREATMENT GROUPS  Tobacco Awareness Groups  Tobacco Recovery Groups

PRESENTED BY Janet Marie Urban, USA Tobacco Treatment Specialist Health and Wellness Lifestyle Coach Personal Trainer

Lung & Respiratory Care – 2016 Website: lung.conferenceseries.com Meet the eminent gathering once again at Lung & Respiratory Care Manchester, UK August , 2016