261879 Providing access to quit tobacco services for mental health clients through systems change

Tuesday, October 30, 2012

Stephen Michael, MS , Arizona Smokers' Helpline, University of Arizona, Tucson, AZ
Although tobacco users with mental illness face documented barriers to quitting, research suggests their interest in quitting is similar to their peers in the general population. Unfortunately, tobacco users with mental illness are not being linked to services to help them quit at the same rate as their peers. One of the most cost-effective services available to help tobacco users quit is quitlines. Quitlines are free, telephone-based quit tobacco programs available throughout the United States and many other countries as well. Early, but promising, evidence suggests that quitline services tailored to smokers with mental illness can be effective.

The Arizona Department of Health Services Division of Behavioral Health Services and Bureau of Tobacco and Chronic Disease have partnered with Arizona Smokers' Helpline referral development team to increase the number of Arizonans with mental illness who utilize quitline services. This has largely occurred by obtaining the endorsement of administrators and medical directors in key behavioral health agencies and clinics, training mental health providers how to employ the “Ask - Advise - Refer” model, integrating referrals into their electronic health records systems, hiring licensed therapists to provide coaching and hiring a pharmacist to consult on complicated medication issues with medical providers and clients. In the past year there was a substantial increase in the number of referrals to ASHLine from mental health providers.

Learning Areas:
Administration, management, leadership
Chronic disease management and prevention
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Learn to engage behavioral health leadership in tobacco control discussions. Discuss implementation of systems changes for tobacco cessation services within behavioral health facilities.

Keywords: Tobacco, Mental Health System

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have national and international experience with quit tobacco programs. In six years at the Arizona Smokers' Helpline I have worked with a broad range of health and community service systems to increase our referral program by over 900% (to over 11,000 referrals in 2011). Last year I also led our team to increase the distribution of our monthly electronic newsletter over 100% (over 1,000 monthly recipients).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.