1. Life Skills Training Course Smoking Cessation 2016

2. Learning Objectives What are the effects of smoking? Why is smoking dangerous? What makes tobacco addictive? Making the decision to quit Strategies to quit Supporting someone as they quit

3. The Problem Effects of Smoking is the #1 cause of death in the US. Approximately 18% of High School students smoke cigarettes. Each day, more than 3,200 people under 18 smoke their first cigarette and approximately 2,100 youth become daily smokers. 9 out of 10 smokers start before age 18, and 98% start smoking by age 26. 75% of smokers want to quit, but less than 2% smokers quit each year. Tobacco addiction is the most common addiction in the US

4. Source: National Vital Statistics Reports, 2011

6. Smoking and Lung Cancer Lung cancer is the #1 cause of cancer death for men and women. Nearly 9 out of 10 lung cancers are caused by smoking. 1 out of 3 U.S. cancer deaths are tobacco-related. SMOKING keeps cancer treatments from working as well as they should.

7. Why is Smoking Dangerous? Components Chemicals Tar Additives Flavorings CO2 Nicotine Williams JM, et. al. Learning about Healthy Living: Tobacco and You Manual. Revised 2012.

8. Why is Tobacco Addictive? Physical addiction Nicotine changes brain chemistry Dopamine reward pathway Behavioral addiction Situations linked with tobacco use Emotional addiction Becomes primary coping mechanism Williams JM, et. al. Learning about Healthy Living: Tobacco and You Manual. Revised 2012.

9. Source: Quit Guide: You can quit smoking. QUITPLAN.com

10. The Decision to Quit Should you consider quitting? What are the benefits of quitting? What are the cons? If you’re not ready to quit, consider changes you are ready for. Williams JM, et. al. Learning about Healthy Living: Tobacco and You Manual. Revised 2012.

11. Success is Possible! Given the right support, people living with mental illnesses quit at the same rate as those without mental illnesses Quit plan New coping skills Social support Medications Access to resources CBT, individual, and phone counseling Williams JM, et. al. Learning about Healthy Living: Tobacco and You Manual. Revised 2012.

12. Creating a Quit Plan Assess current smoking and impact Set a quit date Prepare for withdrawal Choose method of quitting Decide if and what kind of medication to use Ask for support Plan and use new coping strategies Source: Quit Guide: You can quit smoking. QUITPLAN.com

13. Put Your Plan into Action! Know Why You’re Quitting What do I dislike about smoking? What do I miss out when I smoke? How is smoking affecting my health? What will happen to me and my family if I keep smoking? How will my life get better when I quit?

14. What to Expect When Quitting Nicotine Withdrawal Irritability, sleepiness, anxiety, anger, sadness, restlessness, insomnia, increased appetite, sweating Triggers Situations or people that trigger the urge to smoke Social situations Who will ask you to smoke? How will you say “no”? Relapse Weight management Source: Quit Guide: You can quit smoking. QUITPLAN.com

15. Coping Strategies Substitutes and Distractions The 5 Ds Delay, Distract, Drink water, Deep breaths, Discuss Manage overall stress Physical activity, Sleep, Journaling, Music, Taking time to relax, Healthy eating, etc. Control the environment Source: Quit Guide: You can quit smoking. QUITPLAN.com

16. Smoking Cessation Medications 7 approved medications 5 nicotine replacement therapies 2 prescription medication Treats nicotine withdrawal Doubles chance of successful quit Can start using before quit date Can use more than one Covered by insurance, medical assistance Williams JM, et. al. Learning about Healthy Living: Tobacco and You Manual. Revised 2012.

17. Why E-Cigarettes Are Not A Smoking Cessation Tool Unregulated Unknown levels of chemicals Several of the same chemicals as tobacco smoke Unknown levels of nicotine Still an addiction Risk of getting addicted to both

18. Quit Programs SMOKEFREETXT QuitSTART Mobile phone app QuitGuide Smokefree.gov Personalized quit plan Speak to an expert, NRT 1-800-NO-BUTTS Source: QUITPLAN.com

19. quitSTART App Get ready to quit with tips and information to prepare you for becoming smokefree Monitor your progress and earn badges for smokefree milestones and other achievements Get back on track if you slip and smoke Manage cravings and bad moods in healthy ways Distract yourself from cravings with games and challenges Store helpful tips, inspirations, and challenges in your Quit Kit Share your progress and favorite tips through social media

20. Bouncing Back From Relapse Learn from it What can I do next time? Review triggers Stay positive Positive self-talk Celebrate any gains Assess current strategy May need to adjust medications, add strategy, or counseling Source: QUITPLAN.com

21. What if You’re Not Ready to Quit? It’s common to have mixed feelings You can still benefit from assessing your smoking What would be your benefits to quitting? Are there any negatives to your smoking now? What is stopping you from quitting? What keeps you smoking? What can you do with this information? What small changes could you make? Williams JM, et. al. Learning about Healthy Living: Tobacco and You Manual. Revised 2012.

22. Supporting Someone Who’s Quitting Understand Praise Be there Check In Help them to relax Be positive Be in it for the long haul

23. There's no better time to start than now. Whatever your goal, put aside the excuses. Take the leap.

24. Resources QUITPLAN Quitplan.com Extensive resources and free NRT Smokefree.gov http://smokefree.gov/smokefreetxt QuitSTART Mobile phone app http://smokefree.gov/apps-quitstart NAMI http://www2.nami.org/template.cfm?section=smoking_cessation CHOICES (Consumers Helping Others Improve their Condition by Ending Smoking) www.njchoices.org

25. Michael Struve Lassen County Public Health Tobacco Program Coordinator 1445 Paul Bunyan Rd | Susanville, CA 96130 (530)251-2657 | mstruve@co.lassen.ca.us