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Becoming Tobacco-Free for Recovery:

Becoming Tobacco-Free for Recovery:. Consumer and Provider Perspectives On Smoking Cessation Beth Lillard Amy F. Rogers Karen Balsamico, MA. Tobacco Use in the Mental Health Community.

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Becoming Tobacco-Free for Recovery:

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  1. Becoming Tobacco-Freefor Recovery: Consumer and Provider Perspectives On Smoking Cessation Beth Lillard Amy F. Rogers Karen Balsamico, MA

  2. Tobacco Use in the Mental Health Community • Smokers suffering from mental illness account for nearly half (44.3%) of all cigarettes consumed in America.Adler, Olincy, et al. Schizophrenia Bulletin 24:196.1998 • The death rate among young adults with mental illness is more than triple that of their peers. Department of Mental Health, Massachusetts, 2001. • For mentally ill clients 25-44 years old, heart disease was 7X higher than peers and more than 7x the suicide rate.Department of Mental Health, Massachusetts, 2001.

  3. Tobacco Use in the Mental Health Community • Smoking often influences the impact of psychotropic medications. Smokers may need higher doses, which can produce more negative side effects.Lasser, K., et al. JAMA, 284:2606-2610. November 2000 • Recent studies show that smoking may precede mental illness.Boyd, W.J., et al. Psychiatric Times. 2001. Vol. XVII, Issue 10. • Abstinence from tobacco is shown to be related to longer post-treatment abstinence from drugs and alcohol.(Stuyt, 1998; Sobel, 1996; NIDA Research Update, 2/2000)

  4. What is Recovery? • Symptom management • Medication balancing • Feeling more “a part of” • Self-esteem • Sense of self-efficacy, independence • Safe and pleasant housing • Work ~ volunteer and paid • School • Community

  5. How Does Smoking Interfere? • Adverse physical health consequences; robs energy • Erodes self-esteem; persistent sense of being “stuck”, unable to make positive life changes • Burns up precious money and time • Works against possibility of reducing medications and unpleasant side-effects • Stifles imagination for developing other interests • Causes smoking-related isolation, reinforcing societal marginalization • Closes off many desirable independent living situations • Turns off an increasing number of prospective employers and volunteer coordinators

  6. We CAN Quit Smoking! • Comparative smoking cessation rates: • Smokers with no history of mental illness 42.5% • Smokers with any history of mental illness 37.1% • Smokers with past-month mental illness 30.5% “Persons with mental illness are about twice as likely to smoke as other people but have substantial quit rates.” Lasser, K., et al. JAMA 284:2606-2610, November 2000

  7. Contact information: • Beth Lillard, Adult Tobacco Cessation Services Bay Area Community Resources blillard@bacr.org • Amy F. Rogers, Buckelew Employment Services amy@buckelew.org • Karen Balsamico, Enterprise Resource Center 415.457.4554

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