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

2. Outline Session #7 Welcome and introductions
Group expectations and behaviour
Sharing quit experiences
Slips and Relapse
Weight management
Stress management
Evaluation
On-going support services
Review (if time)
PACT - MHG

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

4. Sharing quit experiences
Has anyone quit
during this program?
recently?
for 6 months or more?
What helped the most?
If someone in the group has quit ask if they are willing to share a couple of tips that they found most helpful
PACT - MHG

5. Slips A slip is NOT a failure! Remember –
accept it and return to your plan
learn from it – make plan for next craving or temptation
Use the 4Ds
Remember –
an urge or craving passes quickly
PACT - MHG

6. Relapse Using tobacco again on regular basis
A learning opportunity for the future
Remember what worked this time and what did not
Apply this information to next quit attempt
Be positive! Be PROUD of the time you were tobacco free
PACT - MHG

7. Tips to avoid slips and relapse
Never smoke a cigarette you did not buy
Never buy tobacco in the place you about to slip
If you buy a pack, smoke one only, throw rest away
PACT - MHG

8. Keep a quit diary Record your progress on a daily basis
Record cravings, coping skills, successes
Written record is encouraging
Watch successes ↑ and slips ↓
PACT - MHG

9. Weight gain Concern for many – BUT –
Average gain is 5-10 pounds
Takes >100lbs increase to cause similar damage to body from smoking
PACT - MHG

10. Tips for weight management
Keep healthy snacks handy
Drink lots of water – sip slowly
Eat healthy meals (fast food as a treat)
Eat slowly and mindfully
Enjoy an occasional treat
Use the 4Ds
Manage stress in healthy ways
PACT - MHG

11. Tips for weight management
Nutritious breakfast within 1 hr of waking
Eat frequent, small, well-balanced meals and snacks
Plan meals and shop from a list
Eat at table and move away from table when meal is finished
Exercise daily
PACT - MHG

12. Wiggle Break!!
PACT - MHG

13. Tips for stress management
Make time for yourself
Read, hot bath, craft/hobby, exercise, museum, friends/family
Random act of kindness
Positive self-talk
Laugh every day
Deep breath
Exercise every day
↓ stress, bp, weight
↑energy, well-being, positive attitude
PACT - MHG

14. Have you quit or reduced tobacco since the classes started?
Yes No
PACT - MHG

15. Was this program helpful?
Yes No
Somewhat
Record the gist of the discussion – discussion easier for this patient population than paper evaluation
PACT - MHG

16. What was most helpful? Why tobacco is harmful
Tobacco impact on MH patients
Benefits of reducing or quitting
Tips for withdrawal or cravings
Medications
Nutrition
Stress management/relaxation
PACT - MHG

17. Did you learn some new skills?
Yes No
PACT - MHG

18. Will you try to use some of the new skills?
Yes No
Not sure
PACT - MHG

19. Will you encourage others to take this class next time?
Yes No
PACT - MHG

20. Will you work at reducing or quitting?
Yes No
Not sure
PACT - MHG

21. What could make this class better for next time?…
Record suggestions and forward to Janice Burgess, PACT/TAR Co-ordinator
PACT - MHG

22. On-going support available
Part of the cessation program
Phone, , in-person
Support, encouragement, problem-solving
More frequently at first, increased interval as you progress – plus whenever needed
PACT - MHG

23. Remember the 4 Ds Drink plenty of water Delay for 5-7 minutes
Do something else
Deep breathing
PACT - MHG

24. Review Tobacco use is part addiction---part habit
Risk to overall health, quality of life, early death – very high
Expensive – would you rather spend money on rent, healthy food, personal items?
Withdrawal and cravings can be managed – make a plan using your new skills
PACT - MHG

25. Review Medication can help IF you have decided to reduce or quit
Assistance is available – ask your pharmacist or doctor
ALWAYS tell your doctor if you have reduced or quit – some medication doses might need to be adjusted
PACT - MHG

26. Challenge Continue – or start – to reduce or quit Be aware of
healthy food choices
healthy serving sizes
healthy stress reduction
Walk (or other exercise) for 30 minutes every day
Set small goals – CELEBRATE every success!
PACT - MHG

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