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 [email protected]
Keepsharingtheimpactofyoureffortswithusasweallstrive
toimprovethehealthofallMarylanders!
