265356 Inching toward health and wellness for those with the greatest need: Chronic disease prevention in mental health and substance abuse recovery communities

Monday, October 29, 2012 : 1:15 PM - 1:30 PM

Derek R. Smith, MPH/MSW , Chronic Disease and Injury Prevention, San Mateo County Health System, San Mateo, CA
Jairo Wilches , Behavioral Health and Recovery Services, San Mateo County Health System, San Mateo, CA
Gabriela Lemus , Chronic Disease & Injury Prevention, San Mateo County Health System, San Mateo, CA
Ryan Stachoviak, MPHc , Department of Health Science, San Jose State University, San Jose, CA
Edith Cabuslay, MPH , Chronic Disease and Injury Prevention Unit, San Mateo County Health System, San Mateo, CA
Scott Morrow, MD, MPH , Health Officer, San Mateo County Health System, San Mateo, CA
Client-centered service delivery has led to advances in mental health and substance abuse recovery. However, people living with mental illness are estimated to die 25 fewer years before the general population. The San Mateo County Tobacco Prevention Program has partnered with Behavioral Health and Recovery Services to address this disparity.

Efforts have focused on collecting and analyzing local data, dialoguing with all involved parties, and developing lasting systems change within the County. The project developed a focus group protocol for consumers and a survey for clinicians. Focus groups showed many consumers willing to quit and looking for support. The survey results exhibited clinician anxiety and lack of knowledge regarding tobacco addiction.

Despite this being a sensitive issue that is potentially stigmatizing to consumers, we are seeing movement. Discussion has taken place through newsletter articles and a fact sheet sharing consumer quitting experiences and the impacts of tobacco on the mental health community. Trainings have been conducted for clinicians to help consumers quit, for asking-advising-referring smokers, and another peer-to-peer consumer quitting training. Staff approached many consumer and clinician groups including a clubhouse, local NAMI, and Board & Care housing administrators.

The goal of the project has been to implement lasting systems change. This has been partially accomplished to date through implementation of cessation classes, the rollout of a new smoke-free campus policy, and a policy paper that highlights the importance of ensuring better quality of life in recovery. Next steps include social marketing and celebration of wins.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Communication and informatics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
1) Identify 3 tactics that can initiate discussion about chronic disease within a behavioral health system. 2) Discuss 2 needs assessment tools to undertake when launching a physical health program for a behavioral health system.

Keywords: Mental Health, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have maintained a community coalition to lead countywide tobacco prevention activities for 6 years, working with a variety of partners on myriad tobacco prevention and treatment issues.
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.