Welcometo’s12th AnnualBestPracticesConference

NewandInnovativePracticesandTreatmentsinTobaccoCessation

January18,2018TurfValleyResortEllicottCity,MD

Supported by funds through the Maryland Department of Health Center for Tobacco Prevention and Control Program

and the Behavioral Health Administration

MorningSession(9:00amto12:00pm)

Theme:NewandInnovative PracticesandTreatments inTobaccoCessation• OpeningPresentation

– CarloDiClemente, PhD• CurrentInitiatives

• MorningKeynotePresentations– KatieWitkiewitz,PhD

• Mindfulness-Based Interventions forAlcohol,Nicotine,andSubstanceUseDisorders:EmpiricalFindingsandRecentAdaptations

– AmandaGraham,PhD• UsingTechnologytoReachandEngageSmokersinTobaccoDependenceTreatment

– AmandaGraham,PhD• UsingTechnology toReachandEngageSmokersinTobaccoDependenceTreatment

LunchtimeSession(12:00pmto1:20pm)

• Lunch

• UpdatesonStatewideTobaccoControlInitiatives– CenterforTobaccoPrevention&Control,MarylandDepartmentofHealth

• AnnualFaxtoAssistAwards– PresentedbyMDQuit

AfternoonSessions(1:30-2:30pm)

– CAMEO:MediaRelations:BestPracticesKarenLightell,BA

– CRYSTAL: ExploringMindfulness-BasedInterventionsforAddictiveBehaviorsKatieWitkiewitz,PhD

– TIFFANY: Tobacco CessationforPeoplewithSMI:WhatMentalHealthCliniciansCanDotoHelptheirClientsQuitMelanieBennett,PhD

AfternoonKeynote(2:40-3:30pm)

• AfternoonKeynotePresentation– KathleenHoke,JD

• Federal,State,andLocalLegislativeandPolicyImpactsforTobaccoControl

PointsofReference

• Folders– MapofConferenceVenue– Agenda– HousekeepingSheet– BiosofKeynotePresenters– Announcements– Evaluation

• MDQuit Staff

ConferenceEvaluation&CEUsWewouldliketothankthestafffromthe

OfficeofWorkforceDevelopmentandTrainingatBHAforsponsoringfive(5)CEUsforthisconference.

Pleaseturninyourevaluation andnametagattheendoftheday.

ParticipantswillreceivetheirCEUcertificateinthemail.

CurrentInitiatives

CarloC.DiClemente,Ph.D.DirectorofMDQuit

MISSIONSTATEMENTLinkingprofessionals andproviders tostatetobacco initiatives,

providingevidence-based, effective resources andtoolstolocalprograms,creatingandsupportinganetworkoftobaccoprevention andcessationprofessionals, and

providingaforumforsharingbestpractices throughoutMaryland

Overview• NewOpportunities

– HealthSystemsImprovements– ChildCareProvider Training– PeerRecovery Specialists inBehavioral Health– SupportingSignificantOthers

• MeetingtheChallenges– MakingSuccessful Referrals– KeyPopulations– Provider Interventions forEnhancing Interest andEngagement inQuitting

• ContinuingtoMoveForward– Training

New Opportunities

HealthSystemImprovements

– CollaboratingwithJohnsHopkinsclinicsitestodevelopeffectivestrategiestoconnectpatientstotheMarylandTobaccoQuitlinethroughEHRreferral-- facilitatedbyMDH,CTPCandMDQuit• In-personandonlinesessionsprovided

– Conductbrief interventions (e.g.,A3C)– Incorporatemotivational communication– Includemessaging andadvertisement throughoutpractices– Useofonline trainingforcontinued support

ChildCareProviderTrainingSupportingthechildcareproviderworkforceinreducing

children’sexposuretotobaccosmoke• Howtocommunicatewithparentsaboutrisksofsecondandthirdhandexposure

• TrainheathdepartmenttobaccocontrolspecialiststotrainCCProviders

• Basedonmotivationalinterviewingprinciples– compassionate,non-judgmental

• TrainerswithinLHDscanawardcertificatesfor“CoreofKnowledge”childcareprovidercredits

– ConductaneducationalsessionatBHA’sSummit(spring2018)• Addresstheroleofpeersingroupandindividualtherapy• Exploreskillsfordeliveringtobaccoreductionandcessation

– PeerRecoverySpecialistWorkforce• InvolvePeerSpecialists inleading tobaccocessation initiatives• MDQuitwillworkwithBHAtocoordinateoffering trainingtopeerswhowill deliver tobaccocessationinterventions ingroupandindividual BHtreatment settings

• EquipPeerSpecialists toguidethedelivery ofharmreductionandtobaccocessationactivities tobehavioral healthconsumers

PeerRecoverySpecialists:TobaccoCessationInterventions

inBehavioralHealthTreatmentSettings

– AssistedbyNAMIMarylandtoreachproviders,family,andothercaregiversofbehavioralhealthsmokers• Conductedasurveytodeterminetypeandneedofsupport• Promotemessagingandresourcesthroughconsumer,caregiver,andprovidercommunicationchannels

– Informfutureresourcedevelopmentanddelivery(advertisementandpromotionofservicesandreferrals,capacitybuildingactivities,etc.)

SupportingSignificantOthers:Extendinghelptothosewhowanttoquittobacco

(BehavioralHealthFocus)

Meeting the Challenges

FY ’15 FY ‘16 FY ‘17# of Fax to Assist

Referrals 1,031 1,758 3,002(627 via EHR)

Source of Most Referrals

Healthcare Access

Maryland(110)

Doctors Community

Hospital (117)

MedstarGood Samaritan

Hospital (313)

# of NewFax to Assist

Providers422 294 301

FaxtoAssistQuitline (QL)Referrals

EffectiveConnectionsPatientEngagementinQLServices

Howdoweclosethegapbetweenreferralsreceivedandthosenotreached?

Referral Mode

Referrals Received

Accepted Services

Not Reached

Percent Accepted

Percent Not

ReachedEHR 165 34 82 20.6% 49.7%Fax 231 43 111 18.6% 48.1%

Overall 396 77 193 19.4% 48.7%Snapshot of June 1, 2017 – June 30, 2017

MMWR Vol. 65, No. 52, p 1459, January 6, 2017 (NHIS, 2015)

Overall Recent Smoking Cessation

7.4%

PopulationInterestinQuittingSmoking

Prevalence of and Change in Interest in Quitting

MMWR Vol. 65, No. 52, p1457/p1461, January 6, 2017 (NHIS, 2015)

49.2% - 55.4%

5.7% - 7.4%

52.4% - 57.2%

21.9% to 31.2%

During 2015, 68% of adult smokers wanted to stop smoking

Patient Smoking Rates in Behavioral Health Treatment Settings

Continuing to Move Forward

TrainingsOverthePastYear(7/1/16– 6/30/17)

Training Number of Individuals Trained

Number of Trainings

Number of Agencies

(represented at all trainings)

BH2 Single

Session59 7 19

BH2 Multiple Session

127 10 77

Fax to Assist 301

(includes in-person and online)N/A N/A

OnlineTrainings• FaxtoAssist

– Who:medical,socialservice,orotherhealthcareprovider

– Details:– Self-paced– 15-20minutes– Certified FaxtoAssistProvider

NewUsers:http://HABITSLabTraining.litmos.com/self-signup/ Code:F2AReturningUsers:https://habitslabtraining.litmos.com/account/login

OnlineTrainings• Medicaid

– Who:healthcareprovidersservingtheMedicaidpopulation

– Details:– Five(5)self-pacedmodules

» Brief Intervention (A3C)» MarylandTobaccoQuitline Services» NRTandCessationMedications» Behavioral Changes toPromoteCessation» MotivationalEnhancement Strategies

– Certified FaxtoAssistProvider

NewUsers:http://HABITSLabTraining.litmos.com/self-signup/ Code:medicaidReturningUsers:https://habitslabtraining.litmos.com/account/login

OnlineTrainings• BehavioralHealthAgencies

– Who:AdministratorsandStaff(non-clinical)– Details:

– 15-20minuteseach» howtoplan,support,andimplementsmokingcessationprogrammingwithinaclinicoragencysite.

AdministratorsNewUsers:http://HABITSLabTraining.litmos.com/self-signup/ Code:BH2AdminReturningUsers:https://habitslabtraining.litmos.com/account/login

StaffNewUsers:http://HABITSLabTraining.litmos.com/self-signup/ Code:BH2StaffReturningUsers:https://habitslabtraining.litmos.com/account/login

BH2ProviderTrainings

BH2TRAININGDATESFORSPRING2018

FEBRUARY16THRegistrationLink: https://www.surveymonkey.com/r/2_16_18BH2TrainingRegistration

APRIL6THRegistrationLink: https://www.surveymonkey.com/r/4_6_18BH2TrainingRegistration

JUNE1STRegistrationLink: https://www.surveymonkey.com/r/6_1_18BH2TrainingRegistration

BH2 Regional TrainingsLocal Health Department Tobacco Coordinators,

Core Service Agency representatives, and Local Addiction Authority representatives can collaborate

to host a training for providers in your region!

Lower Eastern Shore Dorchester, Caroline, Talbot, Wicomico, Worcester, Somerset

Friday, January 26, 2018Single Session: 8:30am – 12:00 noonMultiple Session: 8:30am – 4:30pm

Interested in hosting a regional training?trainings@mdquit.org

Keepsharingtheimpactofyoureffortswithusasweallstrive

toimprovethehealthofallMarylanders!