Incorporating Tobacco Cessation
Activities in a Psychosocial
h
l
Rehabilitation Clubhouse
Colleen McKay, M.A., C.A.G.S.
The Program for Clubhouse Research
Center for Mental Health Services Research
Department of Psychiatry
University of Massachusetts Medical School
Disclosures
This project was funded in part by the
A
American
i
Legacy
L
F
Foundation.
d ti
The materials presented in our toolkit and
in this presentation do not necessarily
represent the views of the University of
Massachusetts Medical School, the
American Legacy Foundation, their
respective staff, or their Boards of
Directors.
Extent of the Problem
Many people with mental health problems use
smoking to manage symptoms, stress, or increase
social contact and consume nearly half of all tobacco
sold in the United States.
Compared with the general population
population, individuals
with mental health problems are at greater risk of comorbid health problems and premature death.
Tobacco is a risk factor for six of the eight leading
causes of death in the world today.
Cl bh
Clubhouse
director
di t indicate
i di t th
there iis a greatt need
d ffor
tobacco cessation supports for clubhouse members yet
less than 40% of ICCD clubhouses internationally were
providing
idi these
h
supports iin 2007
Our Project
Academic community partnership that joins experts in
tobacco dependence treatment for adults with SMI from
UMass with leaders in the Clubhouse Model from Genesis
Club in Worcester, MA.
Expand member involvement & develop peer tobacco
leaders
Adapt & integrate tobacco interventions for clubhouse
settings:
Learning About Healthy Living (LAHL)
Addressing Tobacco Through Organizational Change (ATTOC)
Consumers Helping Others Improve Their Condition by
Ending Smoking (CHOICES)
Create new materials (e.g. toolkit) based on these
interventions, and
Disseminate findings
Our Team
•
•
•
•
•
•
•
•
•
•
Colleen McKay, MA, CAGS, UMass
Douglas Ziedonis, MD, MPH, UMass
Gregory Seward, MSHCA, UMass
Valerie Williams, MA, MS, CMHSR; UMass
Robert Orwin, Ph.D., Westat
Kevin Bradley, MED, Genesis Club, Inc.
David Rocheleau, BA, Genesis Club, Inc.
Emily Sawyer, BA, Genesis Club, Inc.
Ji Damiano,
Jim
D i
BA
BA, Genesis
G
i Cl
Club,
b Inc.
I
Genesis Members – Laura, Jane, Paul, April, Andrea
Accomplishments Include:
Establishing healthy living meetings & new toolkit
Creating peer tobacco leaders
Creating resources for members and staff with regard to
health p
promotion and consequences
q
of tobacco use.
Genesis tracking members interested in tobacco cessation
Tobacco cessation part of member rehabilitation plan
Genesis established an outdoor tobacco free area in
conjunction with World No Tobacco Day
Entire clubhouse grounds smoke free during the Great
American Smoke Out on November 19, 2009.
Information regarding tobacco cessation is available via
the clubhouse’s newsletter, brochures, & web site.
Monthly tobacco free days
Section 3 - Sessions/Topics
Session 1) Health promotion activities and opportunities at my clubhouse and in my community………..
Session 2) Managing stress………………………………………………………………………………….……
Session 3) Health conditions reported by clubhouse members………………………………………….…...
Session 4) Screening for tobacco use and tobacco quit attempts.……………………………………..........
Session 5) How does tobacco use affect your health and quality of life?
life?...................................................
Session 6) Keeping physically active and maintaining a healthy weight……………………………………..
Session 7) How Cigarette Smoke Affects Us…..………………………………………………………….....…..
Session 8) Carbon monoxide - What is it?...................................................................................................
Session 9) Food and nutrition……………………………………………….....................................................
S
Session
i 10) Th
The price
i you pay ffor using
i ttobacco….…………………………………………………………….
b
Session 11) How does tobacco use affect medications that are prescribed to treat mental illness?...........
Session 12) What makes tobacco products addictive?................................................................................
Session 13) Calories, fats and cholesterol, and the Food Label……………………………………...............
Session 14)) How tobacco affects your
y
life in the communityy and at the clubhouse…………………...….....
Session 15) Tobacco use and employment….……………………………………………………………….….
Session 16) Tobacco use and housing………….……………………………………………………………..…
Session 17) Young adults and tobacco use……………………………………………………………………...
Session 18) Tobacco use and your education…………………………………………………………………...
Session 19) Foods that fool you…………………………………………………………………………………..
you
Session 20) Quitting tobacco: If and when is it for me?...............................................................................
Session 21) Identifying smoking patterns and triggers….……………………………………………………...
Session 22) Medications used for tobacco cessation………………….........................................................
Session 23) The tobacco quit plan………………………………………………………………………………...
Session 24) Dieting………………………………………………………………………………...…205
Session 25) How recovery from other substances is affected by tobacco use and smoking…209
Session 26) Sleep……………………………………………………………………………………. 216
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91
100
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158
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197
Sample Pages
Other Sections
Section 4 - Handouts and materials…………………………………………220
Clubhouse Tobacco Cessation Attempts Tracking Form
Clubhouse Healthy Living Meeting Attendance Form
MyPyramid Worksheet
Pack Wraps
Carbon Monoxide Tracking
g Form
Physical Activity Tracker
Shopping Checklist
Nicotine Replacement Therapy (NRT) Dosing Instructions
Nicotine Replacement Therapy Screening and Consent Form
New Products that Contain Nicotine
Section 5 – Resources (Appendix)………………………………………….231
Wh t is
What
i a Cl
Clubhouse?
bh
?
Addressing Tobacco Through Organizational Change (ATTOC)
ATTOC Environmental Scan
Health Promotion Resources
Section 6 – Glossary………………………………………….225
For more information contact:
Colleen McKay, M.A., C.A.G.S.
The Program for Clubhouse Research
Center for Mental Health Services Research
Department of Psychiatry
University of Massachusetts Medical School
http://www.umassmed.edu/cmhsr/clubhouse_research.aspx
Colleen McKay@umassmed edu
[email protected]