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

2. 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

3. 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

4. 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

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

6. 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

7. 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

8. 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

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

10. 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

11. Wiggle Break!!
PACT - MHG

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

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

14. Most addictive is…
Alcohol
Caffeine
Heroine
Nicotine
PACT - MHG

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

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

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

23. Challenge for the week
Walk minutes every day
PACT - MHG

24. Questions?
PACT - MHG

25. 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

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