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Join us to dedicate a new mural at 5108 Malcolm Street. The City of Philadelphia Mural Arts’ Porch Light Program has partnered with the Department of Public Health around their effort of Tobacco Cessation and Behavioral Health. The Porch Light Program, a partnership with DBHIDS, situates art at the heart of recovery, resilience, and healing throughout Philadelphia. The creation of participatory community-driven art builds connections between individuals, artists, community members, service providers, and city government that serve as powerful forces in making our communities vibrant, healthy, and strong.
Artist Jeane Cohen said of the mural, titled “Smoke Cycles: Seeking Shelter from the Storm,” “Some habits are hard to break, especially when building a healthy lifestyle. When we are stuck, or when we get in the way of ourselves and the people we want to be, we can look to the greater community and educate ourselves. We can look to role models, positive rays of sunshine in our lives, to learn from their experiences and wisdom. We can learn from the stories of people who have not had an easy time breaking habitual patterns as a way to have compassion and make ourselves better. We can also nourish those who want to grow, helping them be the best people they can be. No matter the person, there are always opportunities to grow.”
The work is designed to improve health outcomes for individuals, build stronger alliances between service providers and communities, reduce stigma directed towards those in recovery, and increase utilization of services. This mural on the underlying relationship between tobacco use and behavioral health will empower the community with a greater understanding about addressing tobacco use, with a vision of advancing wellness, recovery, and resiliency in behavioral health populations.
Community involvement in the design of this mural happened through a series of round tables hosted by Mural Arts and DPH at behavioral health providers situated in ZIP codes with the highest tobacco use in the city. These discussions were focused on the issues around tobacco use and behavioral health and provided opportunities to ask questions and discuss concerns about tobacco use, tobacco products, and tobacco companies.
Smoking is the leading cause of death and disability for those with behavioral health issues, and smoking rates are significantly higher for this population than those of the general population. For example 41% of Philadelphia residents with mental health conditions are smokers and, nationally, persons with serious mental illnesses such as schizophrenia and bipolar disorder have lifetime smoking prevalence rates as high as 82%.
Here at DBHIDS we believe people with behavioral health conditions have a right to wellness and recovery. Tobacco-free environment and cessation treatments are effective ways to reduce rates of tobacco use among persons in acute inpatient psychiatric (AIP) and extended acute inpatient (EAC) settings which is why we are working with these providers to implement a tobacco-free environment by the end of 2015.
Learn more about the work we are doing to make treatment facilities – eventually of all kinds across Philadelphia – tobacco-free below.
The Tobacco Recovery and Wellness Initiative (TRWI) is a project that helps behavioral health providers incorporate evidence-based tobacco dependence treatment into their clinical and community practice.
The mission of TRWI is to reduce smoking rates by 10 to 15 percent in the next three to five years among Philadelphians with behavioral health problems (and among behavioral health staff) by:
TRWI is a partnership between the Philadelphia Department of Public Health Tobacco Policy and Control Program, University of Pennsylvania’s Comprehensive Smoking Treatment Program, and the Department of Behavioral Health and Intellectual disAbilities (DBHIDS) that engages behavioral health providers to incorporate evidence-based tobacco dependence treatment into their clinical and community practice.
TRWI envisions a Philadelphia where people with behavioral health challenges are free from tobacco addiction and live long, healthy, and productive lives.This website is designed to offer information and resources for:
Behavioral health professionals can make a significant impact on patients who are smokers. Even brief advice and encouragement from a behavioral health professional can help smokers quit successfully.
Why do behavioral health consumers need smoking cessation support?
What is public health detailing, and how can it help in behavioral health settings?
Public health detailing is an effective method of reaching providers to deliver key prevention messages, feasible for public health agencies and acceptable to practices. For example, the City of Philadelphia’s Department of Public Health’s SmokeFree Philly’s detailing program has reached over 200 physicians and increased prescription writing and referrals to the PA Quitline among 400 physicians since its inception. This translates to more successful quit attempts by approximately 200,000 Philadelphia smokers.
The expanded detailing program to behavioral health providers seeks to provide:
To date, over 167 diverse behavioral health professionals across seven Community Behavioral Health agencies have been detailed through the initiative. Of those staff detailed:
How can I talk to my patients about their tobacco use?
Please visit Rx for Change: Clinician-Assisted Tobacco Cessation.
Rx for Change is a comprehensive, turn-key, tobacco cessation training program that equips health professional students and licensed clinicians with state-of-the-art knowledge and skills for assisting patients with quitting. Rx for Change was developed by University of California San Francisco.
Teaching strategies are varied and include selected readings, lecture with animated PowerPoint slides, videotape (an introductory segment, trigger tapes, counseling sessions), and role playing with case scenarios.
Tailored versions are available for behavioral health providers and mental health peer counselors.
Free registration is required for access to program materials.
Organizational Model
Training
Master Tobacco Treatment Specialist: Integration of Tobacco Use Treatment Into Healthcare
Integration of Tobacco Use Treatment into Healthcare is a five-day, highly interactive development course for working healthcare professionals, designed to help providers develop directorship-level skills in tobacco dependence treatment.
The course is appropriate for healthcare providers from disciplines with both direct and indirect patient care responsibility. The syllabus is designed to be applicable to the needs of most professionals involved in the treatment of tobacco dependence, including but not limited to:
Carbon monoxide meters
Key articles & reports
Toolkits
Tobacco Awareness and Education Events
Calendar of national events (Centers for Disease Control and Prevention)
For local events, go to HealthyMindsPhilly.org.
Curricula
Learning About Healthy Living
The Learning About Healthy Living treatment manual provides a format to address tobacco for smokers with a serious mental illness who are either prepared to quit smoking or who are simply contemplating quitting in the future.
Quit Smoking Comfortably
The Quit Smoking Comfortably curriculum provides a framework for providing high-quality, evidence-based, longitudinal care to tobacco-dependent consumers, in a manner that is adaptable to the individual’s needs, and accessible to all segments of the population.
CHOICES
CHOICES employs mental health consumers, called Consumer Tobacco Advocates, to deliver the vital message to smokers with mental illness that addressing tobacco is important and to motivate them to seek treatment.
The Consumer Tobacco Advocates provide their peers with information about the consequences of smoking, issues regarding smoking and mental illness, and options available to make quitting easier.
Nicotine Anonymous (NA)
Nicotine Anonymous is a nonprofit 12-step fellowship of men and women helping each other live nicotine-free lives. Check website for local meetings.
Continuing education units (CEU) and continuing medical education (CME)
Rx for Change: Clinician-Assisted Tobacco Cessation
Rx for Change is a comprehensive, turn-key, tobacco cessation training program that equips health professional students and licensed clinicians with state-of-the-art knowledge and skills for assisting patients with quitting. Rx for Change was developed by University of California San Francisco.
Teaching strategies are varied and include selected readings, lecture with animated PowerPoint slides, videotape (an introductory segment, trigger tapes, counseling sessions), and role playing with case scenarios.
Tailored versions are available for behavioral health providers and mental health peer counselors
Tobacco treatment and electronic health records
Sample policies, procedures and communications
Sample tobacco-free signage
Children’s Hospital of Philadelphia
Friends Hospital
East House
Physicians, nurses and other health professionals can make a significant impact on patients who are smokers. Even brief advice and encouragement from a health professional can help smokers quit successfully. Click here for other cessation resources for health professionals.
Quitting smoking is one of the best things you can do to live a longer and healthier life, and it is never too late to try. Quitting with help can more than double your chances of quitting. The resources below can help make quitting easier and more successful. Remember, everyone who quits smoking gets back time, health, and money. A healthier tomorrow starts today!
Telephone support
Talking with a trained quit coach can make you twice as likely to quit smoking for good.
A quit coach can give you advice on how to get ready to quit, how to deal with cravings, and how to avoid triggers.
The PA Free Quitline (1-800-QUIT-NOW) offers smoking cessation services to all Pennsylvanians 24 hours a day/7 days per week.
Free quit smoking medications may be available for PA Quitline callers.
Quitline services are available in multiple languages.
One-to-one telephone coaching also may be available through your medical provider.
All callers receive:
Group coaching
The Health Federation of Philadelphia offers face-to-face quit smoking programs at city health centers and selected community locations.
Smoking cessation counselors provide on-site group smoking cessation programs and individual follow-up to patients who are ready to stop or reduce their use of tobacco products.
Participants may self-refer or be referred by their medical provider.
Online support
Become an EX.org
The EX plan is an online smoking cessation program based on scientific research and practical advice from ex-smokers.
Smokefree.gov
Smokefree.gov provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.
Be Tobacco Free.gov
BeTobaccoFree.gov provides information from various Department of Health and Human Services operating and staff divisions.
12-Step support
Nicotine Anonymous – a Non-Profit 12 Step Fellowship of men and women helping each other live nicotine-free lives.
Nicotine Anonymous welcomes all those seeking freedom from nicotine addiction, including those using cessation programs and nicotine withdrawal aids.
Text messaging
SmokeFreeTXT
Text2Quit is an automated, personalized, and interactive mobile health program that sends text messages and e-mails timed around a participant’s quit date over the course of three months.
Does quit support really help?
Yes. Trained quit coaches can work with you over weeks and months to raise your chances of quitting.
They can provide advice on how to get ready to try to quit, how to deal with those moments that you really want to smoke, how to avoid those moments, and how to quit for good.
How much does quit coaching cost?
Nothing. All of the resources listed above are free. If you have health insurance through Medicaid, you may get nicotine gum, patches, lozenges, or other medications to help you quit for as little as $1 a month.
If you have private insurance or Medicare, call your insurance company for more information
Under the Affordable Care Act, many insurance plans should cover smoking cessation services, including counseling and medications.
For more information, call the member services number on your insurance card.
What can I expect from telephone quit coaching (1-800-QUIT-NOW)?
Generally, phone-based quit coaching services are provided once per week over 4-6 weeks.
When you first call the Quitline, an operator will ask for some information about you and then connect you to a quit coach.
This quit coach will then get more information from you about your smoking history and your past tries at quitting.
Can I use a quit coach and use medications at the same time?
Yes. In fact, people who use both ways of quit help are even more likely to quit than those who use only coaching or medications.
In addition, all classes sponsored by the Department of Public Health offer free quit medications.
Hay servicios en Español?
Si. Hay servicios por el teléfono y internet.
In 2013, the City of Philadelphia’s Ex-Smoker’s Hall of Fame Initiative honored City employees who successfully quit smoking. Their stories are an inspiration to other tobacco users to quit smoking for good. Read some of these inspirational stories here.
Just this year, DBHIDS launched the Ex-Smoker’s Hall of Fame Initiative department-wide to help inspire our fellow team members to become tobacco-free. Meet the Department’s Ex-Smokers and read their stories:
Friends, family members, and significant others can play a big part in helping a person become smoke-free. Remember, everyone who quits tobacco gets back time, health, and money.
People who feel supported are more likely to quit smoking for good. Forty percent of smokers who quit say that support from others contributed to their success. Click here for tips to help you support the person in your life who is ready to quit smoking.
Cross-system collaboration is an essential component to achieving overall wellness. Behavioral health settings are not the natural habitat of many community members. DBHIDS supports innovative cross-system collaboration to strengthen the capacity of the workforce to meet the health and wellness needs of people.
DBHIDS supports five agencies, led by Project Home to engage people living on the streets of Philadelphia. The other agencies are Horizon House, SELF Inc., the Mental Health Association of Southeastern PA and Hall Mercer Community Mental Health Center. The majority of the persons they engage are believed to suffer from behavioral health challenges, particularly co-occurring mental health and addiction challenges.
TRWI is a partnership between the Philadelphia Department of Public Health Tobacco Policy and Control Program, University of Pennsylvania’s Comprehensive Smoking Treatment Program, and the Department of Behavioral Health and Intellectual disAbilities (DBHIDS) that engages behavioral health providers to incorporate evidence-based tobacco dependence treatment into their clinical and community practice.
Drug-free coalitions is an initiative within DBHIDS’ Office of Addiction Services, and are community-based groups located in a defined neighborhoods and ZIP codes. Coalitions tackle specific issues that have a negative impact on the community. The service is available to all community residents, and can offer resources such as listening sessions to parents and youth around the dangers of drugs.
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