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Science-Based Solutions for Tobacco Cessation - Shared screen with speaker view
Nick Szubiak
29:29
Greetings and Welcome - thoughts, ideas welcome here in the chat.
James DeDeaux
29:37
yes
Samara Tahmid (she/her)
30:04
Welcome everyone to Science-based Solutions for Tobacco Cessation! A copy of today's slides, speaker bio, resources and audio recording will be uploaded shortly after the end of today's presentation.
Eliza Eager
30:15
Liza Eager Cheshire Medical Center Keene NH
Denise Woods
30:20
Denise Woods, Carter County Drug Prevention Coalition, TN
Sara Prem
30:21
Sara Prem American Lung Association in Kansas and Greater Kansas City
Kayla Noll
30:22
Kayla Noll
Nick Szubiak
30:26
Nick Szubiak, NSI Strategies and excited to be here today - DC
Kayla Noll
30:28
WellAhead Louisiana
Lori Younker
30:29
Good Day - Lori Younker, National Senior Director, American Lung Association - Lung HelpLine and Illinois Tobacco Quitline
Kimberly Janish
30:29
Kimberly Janish - Comprehensive Mental Health Services/Burrell in Independence, MO
Kacee Redden
30:30
Kacee Redden, Tobacco Disparities Coordinator - South Dakota Tobacco Control Program - Sioux Falls, South Dakota
Carolyn James
30:31
Carolyn James, CODAC Behavioral Healthcare, Providence, RI
Leilani Brunet
30:31
Good afternoon. Leilani Brunet, RN. South Central Louisiana Human Services Authority.
Nanda Freeman
30:38
Nanda Freeman - Hawai'i Community Foundation, HI
Becky Boober
30:39
Becky Hayes Boober, Knox County (Maine) Community Health Coalition
Nancy Martin
30:40
Nancy Martin, American Lung Association/Illinois Tobacco Quitline
Paola Alvarado
30:41
Good Morning everyone, Paola Alvarado, Union of Pan Asian Communities, San Diego, California
Karen Faulk
30:44
Karen Faulk, Altapointe Health Systems
Heather Wagner
30:46
Heather Wagner, RN CenClear, Clearfield, PA
Melissa Summers
30:46
Melissa Pathways Behavioral Services Waterloo Iowa
Brady Weaver
30:47
Brady Weaver. Custer Health in Mandan, ND.
Sadie Jensen
30:48
Sadie Jensen, Tobacco Free Lancaster County/LLCHD, Lincoln NE
Adam Trahan
30:48
Adam Trahan
Sayra Soriano
30:48
Sayra Soriano - Health Educator for Marin County (LLA)
Alicia Carranza
30:50
Alicia Carranza, Health Educator/Interim Project Director, OCHCA TUPP, hello everyone
Jorge Uribe
30:50
I m Jorge Uribe from Duane Dean BHC/ Kankakee IL.
Heather Leutwyler
30:51
Heather Leutwyler, RN, PhD from the UCSF school of nursing
Arriana Patraw
30:52
Arriana Patraw, The Heart Network, Saranac Lake NY
faith jalabe
30:52
Faith Jalabe, San Diego, CA
Brenda Wilson
30:53
Brenda Wilson-Behavioral Health-Eastern Aleutian Tribes-King Cove, Alaska
Adam Trahan
30:54
Well-Ahead LA
charles cofer
30:54
Charles from Georgia
Irene Enarusai
30:55
My name is Irene Enarusai. I am from the New Jersey Tobacco Control Program
Mikaila Bayers
30:58
Mikaila Bayers, Greater Nashua Mental Health, New Hampshire
chinwe ejikeme
31:00
Chinwe Ejikeme, Georgia Department of Public Health
Brittany Bevis (she/her)
31:01
Brittany Bevis-Sciuto (she/her), Snohomish Health District in Everett WA
Janna Vallo
31:01
Janna Vallo, Albuquerque Area Indian Health Board, NM
Griffin Hickey
31:03
Griffin Hickey, Pathways Behavioral Services, Waterloo IA
Heidi Pace
31:04
Heidi Pace Tobacco Prevention & Control Program Coordinator for Alaska Family Services
Kyle Girone
31:05
Kyle Girone, Virginia Department of Health Tobacco Control Program Epidemiologist/Evaluator
Kayley Edelen-RVBH RPC
31:08
Kayley Edelen- RiverValley Behavioral Health Regional Prevention Center, KY
Delaney Ginn
31:08
Delaney Ginn, Tobacco Control Program, San Luis Obispo CA
Christie Cresswell
31:09
Christie Cresswell, IQH. Tobacco Quitline Alabama & Tennessee
Karen Moss
31:11
Karen, Marshall, Mo
Aviva Grasso
31:13
Hello from the New York City Department of Health and Mental Hygiene.
Kaitlen Lee
31:15
Kaitlen Lee - City County Health District Tobacco Prevention Coordinator in North Dakota
James DeDeaux
31:18
James from Odessa, WA
Sandra Hernandez
31:19
Hi everyone! Sandra Hernandez, Kick It California
Ammar Khaleel
31:19
Ammar Khaleel, MSW BH Therapist / San Ysidro Health-San Diego County
Nohemy Durazo
31:33
Nohemy Durazo, LMSW. Behavioral Health Consultant. Salt River Pima Maricopa Indian Community. Scottsdale, AZ
Samara Tahmid (she/her)
31:42
Welcome everyone to Science-based Solutions for Tobacco Cessation! A copy of today's slides, speaker bio, resources and audio recording will be uploaded shortly after the end of today's presentation on our website at www.BHtheChange.org.
Nick Szubiak
31:49
awesome - what a diverse group! Welcome
Renee Boehm
32:17
Hello joining you all from Springfield, MO Cox Health Northside Pediatrics CHW
Jenn Pohlmann
32:17
Jenn Pohlmann RN, Nurse care manager and PCHH director at COMTREA in Jefferson County MO
Emily Koyagi
32:18
Emily Koyagi, Program Manager for University of Kentucky’s Behavioral Health Wellness Environments for Living and Learning (BH WELL)
Nick Szubiak
33:25
please use the chat for interaction today - thoughts and ideas are welcomed and encouraged!
Pablo Ortiz
33:39
Pablo Ortiz, LMHC with Optum NM, Outreach Specialist with Quitline
Annie Thomas
34:55
Hello this is Annie Thomas Addiction Counselor from MLK Community Healthcare Clinic Los Angeles, CA 90059
Susan Friedlander
35:20
Hello! Susan Friedlander, LCSW...NYS OMH NYCFO Field Office
Becky Bailey
35:38
Becky from ND
Cheryl Sutton
35:47
Cheryl Sutton, TTS with Northeast Delta Human Services Authority, Monroe, LA
Amanda Powell
36:14
Amanda Powell, CCBHC Project Director for Many Rivers Whole Health, Great Falls, MT
Teresa Kershaw
36:16
Teresa Kershaw RT, NCTTP Sanford Health Bismarck, ND
Robin Geurs
36:58
Greetings! Robin Geurs, Clinical Research Coordinator Pediatric Pulmonary Medicine, UAB
Jean Hartzog
37:07
No camera or mike but hi from Monroe, Louisiana
Heather KRaling-Coons
37:25
Hello from Minnesota :)
Gage VanDine
37:30
Gage VanDine, Community Outreach Manager for Rethink Tobacco Indiana
Kelly Brummell-Hagar
37:56
Hello from Missouri!!
Kelcie Metz
37:59
Kelcie Metz- West Virginia
Irene Linayao-Putman
38:18
Good morning. Irene Linayao-Putman, with the Tobacco Control Resource Program at the County of San Diego in CA.
Malia Lehua Ball
38:32
Aloha, Nanda👍🏽🌈
Dorothy Loaiza
40:32
Dotti Loaiza, FNA Residential Treatment, Fairbanks, Alaska
DAVID ARCHER
41:09
David Archer
Cynthia DeBey
41:21
Hello everyone! Northwest Health Services, St. Joseph, MO.
DAVID ARCHER
41:46
David Archer - Recreation/Wellness Coordinator, Chattahoochee Technical College, Marietta, GA
Teresa Mills
43:53
Teresa Mills Huntington WV
Heather Robertson
44:24
Heather Robertson, UK CON BH WELL, Lexington KY
Gary Hall
45:06
Gary Hall, Health Educator, Green River District Health Department, Owensboro, KY gary.hall@grdhd.org
Kimberly Janish
46:48
Sometimes. Especially from those that get set in their ways.
Cheryl Sutton
46:58
Can you define what you see as the difference between bias, stigma and discrimination
Adam Trahan
47:01
Addiction is a disease and should have reduced stigma.
Youlim Song (she/her)
47:09
Please feel free to raise your hand to be in "queue" to be unmuted!
Mikaila Bayers (she/they)
47:10
There's still a lot of stigma and bias in the community, among clients and even in the field.
Laura Arent
47:24
Yes, I work at a hospital and the least amount of my clients are employees. A lot of them hide their smoking/vaping because they are ashamed and don't want to be judged. So many people don't understand addiction and how the brain changes and it's not their fault.
Tosha Good
47:30
I was working on calling different SU treatment facilities in MO. I had one person tell me that they do not screen nor treat for tobacco use for it is not a controlled substance.
Denise Woods
48:54
I think it starts out as a "choice" but once the brain gets addicted it becomes a disease. Living in Appalachia, people grow tobacco to support their families, thus the stigma is there from people who grow it and chew or smoke it
Cheryl Sutton
48:58
what about the bias in the providers substance abuse vs tobacco use?
Mikaila Bayers (she/they)
49:08
Language that we use within the field among co-workers and clients is really important and I continue to hear "addict" "clean/dirty" etc with staff and it's our job to make sure we're correcting each other and staying up to date with person centered language and making sure we're not increasing stigma
Denise Woods
49:24
Grandpa used it so it is ok for me to use it
Cheryl Sutton
50:30
are we discussing unconscious vs conscious?
Carolyn James
51:02
We have had the same experience as Mikaila. Some of our SUD patients stigmatize those who use tobacco in addition to substances.
Kimberly Scott-Pilkington
51:42
I used to always get told "Tobacco is not a priority when compared to meth (or other hard drug)." or "Our staff only have a short amount of time to assess a client, so they don't have time to add extra by addressing tobacco use and adding ANOTHER form to complete." It has improved in the past few years, but not great yet. We're getting better. :)
Mikaila Bayers (she/they)
54:21
There's definitely a culture in substance misuse treatment allowing smoking to slip by without addressing it and not making it as much a priority as other substances even though we know that becoming smoke-free supports their substance misuse treatment and long term recovery
Heather Leutwyler (she/her)
55:06
@Kimberly-I hear the same feedback frequently from regarding tobacco use not being a priority to talk with clients about bc of other substance use issues. But, when I talk to clients, they are generally open and very interested in talking about tobacco use and how they can begin the cessation process. It is getting better and the culture is changing in mental health programs but so much work to do.
Tamanna, she/her
55:15
Yes so true Mikaila. But we know that individuals can increase their long term recovery when we co-treat for co-occurring substance use challenges!
Kimberly Janish
01:00:15
Not only are they much higher users but like you say, it is often used to self medicate, is a coping skill, & can have affects on how a medication works for a person. We really need to pay attention to it in mental health
Tamanna, she/her
01:01:08
Yes, Kimberly! And we will get to the coping mechanism part soon but you are so right.
Adam Trahan
01:01:13
Many if not most drug addicts (especially those in recovery) are typically high-functioning in society. They are forced to hide their disease to avoid discrimination and stigma. Many will also replace their addiction with more socially acceptable addictions such as caffeine, nicotine, binge watching, video gaming, etc. to appear "normal" due to the stigma of addiction. This approach is not sustainable due to the hidden dangers in tobacco use. Rehabilitation centers need to move towards a holistic treatment approach to treat ALL addictions, not just those that are illegal.
Kimberly Scott-Pilkington
01:01:45
Agree, Adam-100%!
Nancy Homan
01:04:52
Need to address treatment of “addiction” as disease. Many types alcohol, drugs, I-phones, technology, food etc. So many times alcohol or drugs are addictions with tobacco addiction.Stigma of addiction may come when given type. Need to treat Addiction in general-not give it a specific type.
Kimberly Janish
01:05:25
caffeine
Nathaniel Lightfoot
01:05:35
Sugar
Cherline Gene
01:05:38
chemotherapy
Maghen Hadala
01:05:40
insulin
Adam Trahan
01:05:46
TV
Renee Boehm
01:05:58
anti-inflammatory
Arriana Patraw
01:05:59
cannabis
Arriana Patraw
01:06:00
?
Adam Trahan
01:06:03
anything that gives a dopamine release
Andrea Littlefield
01:06:04
any regular medications for BP, diabetes, etc.
Daniel Craig
01:06:12
running
Andrea Littlefield
01:06:14
antidepressants
Jenn Pohlmann
01:06:18
Phones and instant entertainment
Kimberly Scott-Pilkington
01:06:53
(Insulin is a hormone not a drug; impossible to ne addicted, but I always find it interesting that some people don't want to get "addicted" to insulin.)
Glenn Field
01:06:55
surgery!
Glenn Field
01:07:42
yes
Andrea Littlefield
01:07:48
oh, yes - this is your brain on drugs
Adam Trahan
01:07:50
oh yea
Jabari Sullen
01:07:54
yes
Carolyn James
01:08:01
Yes!
Brittany Bevis (she/her)
01:08:11
Failed War on Drugs propaganda🙃
Cherline Gene
01:08:27
backfire effect
James DeDeaux
01:08:42
I agree with Brittany...failed
Adam Trahan
01:08:57
I agree with Brittany too
Andrea Littlefield
01:09:02
same with DARE
Jean Hartzog
01:09:16
Aren't we still trying to scare people with media. I. e.-missing toes, oxygen tubes, holes in throat.
Tiauna Schneider
01:09:27
Yes, Jean!
Andrea Littlefield
01:09:44
Jean, I
Andrea Littlefield
01:10:02
Jean, not sure about that - those are real effects, not an analogy
Susan Vileta
01:11:20
Tips from former smokers - while hard hitting/graphic - have been shown to increase calls to quit lines.
Andrea Littlefield
01:11:36
Yes, Susan.
Adam Trahan
01:12:14
Whenever we can actually implement the graphic warning labels on cigarette packs, they will be very graphic, and have been shown in other countries such as Australia to scare kids away from smoking cigarettes
Rebecca Parkhurst
01:12:56
TIPS from former smokers is definitely effective at getting current users to quit, but I think the question is does that work as prevention messaging to keep kids from using drugs? And also does TIPS continue the shame cycle that people feel about their substance use?
Daniel Craig
01:15:32
TIPS From Former Smokers offers the individual help by providing the information on the free Tobacco Quitlines, many of which now offer NRT in addition to counseling. That is one thing that makes it different from previous "scare tactic" approaches. The research I have reviewed indicates that if you show negative consequences you also need to provide free and easily accessible options for helping them quit smoking.
Jean Hartzog
01:16:35
I also think that besides the shame cycle it also can be helping the,"it's too late to quit now, I am already damaged." I find it is harder to convince folks that it is never too late to quit, you will always start to heal if you quit.
Rebecca Parkhurst
01:17:37
If anyone knows some data about the effectiveness of messages like TIPS on prevention with youth who aren't using, I'd be interested to hear it!
Cherline Gene
01:19:07
For people lead to substance use challenges caused by chronic toxic stress or racialized trauma or intergenerational trauma...is it about feeling euphoric? Or reducing the load of toxic stress? Does the framing change the conversation?
Tiauna Schneider
01:19:18
+-
Malia Lehua Ball
01:20:33
Are we able to have access to the PowerPoints?
Adam Trahan
01:21:05
How do you effectively combat ALL addictive disorders simultaneously when the human body operates through a reward system (dopamine release) and negative-feedback loop (body senses it is missing a chemical so it starts producing it)?
Samara Tahmid (she/her)
01:21:26
Hi Malia! Yes the recording of this event, along with a PDF copy of the PPT, will be posted to our website at www.BHtheChange.org within 24 hours of the end of the event. A follow-up email with these resources will also be shared.
Jean Hartzog
01:22:00
Really love the Wizard of Oz comparisons. I am using that for sure. I have played the Wicked Witch of the West on stage many times and knew about the poppy fields but never connected the snow to cocaine. (interesting)
Arriana Patraw
01:22:45
hungry!
Clarissa Aguilar
01:22:46
mouth watering
Victoria vanTwist, TUPP
01:22:50
salivating
Adam Trahan
01:22:51
nom nom nom
Laura Arent
01:22:54
YUM! hungry
Leilani Brunet
01:22:54
Happy and comforted and hungry
Dorothy Loaiza
01:22:58
Sweets trigger me to EAT!
Renee Boehm
01:23:02
chocolate is my nemesis
Jean Hartzog
01:23:04
Blocked arteries
Malia Lehua Ball
01:23:09
What am I eating for lunch
Kimberly Scott-Pilkington
01:23:12
(I am hungry-it is lunchtime.)
Aurora Moore
01:23:13
tummy's grumbling
Debora Rippel
01:23:14
Yum to the pizza. no to burgers.
Leilani Brunet
01:23:15
Just give me the chocolate!!!!!
Ammar Khaleel
01:23:21
calling my name
Carolyn James
01:23:24
Suddenly want these!
Cynthia DeBey
01:23:34
I can smell those cookies.
Leilani Brunet
01:23:34
I can taste the melted chocolate
Wendy Detiveaux
01:23:38
Oh we can smell these pictures :-)
Pablo Ortiz
01:23:49
that's how advertising works
Brady Weaver
01:23:53
making me want an iced coffee
Mar.Lopez
01:24:00
🥲
Pablo Ortiz
01:25:32
so even a Quitline billboard with a giant cigarette is a trigger for a smoker
Jean Hartzog
01:26:04
Good point Pablo
TJ Sweeney (he/him)
01:26:14
Love the Dragon image - I've been using a 5-Headed Dragon to illustrate the 5 reasons we want.BehavioralSocialChemicalEmotionalPsychologicalhttps://QuittersWin.blog/besochemps
Rebecca Parkhurst
01:32:50
Adam Trahan asked a great question earlier:How do you effectively combat ALL addictive disorders simultaneously when the human body operates through a reward system (dopamine release) and negative-feedback loop (body senses it is missing a chemical so it starts producing it)?
Jaspreet Brar
01:35:32
"Compulsive consumption" is a great explanation based on neuroscience of addiction, but when you say that nicotine addiction is like a compulsive disorder especially to behavioral healthcare providers, that immediately think of compulsive disorders in the OCD spectrum. Treatment modalities including pharmacotherapies for O-C disorders have only shown limited efficacy for treating tobacco dependence. How do you square that circle?
Glenda Miller
01:36:26
so are you suggesting we go 'more' into the substance abuse education/ like you are presenting, to help or be sure they understand it, rather, than much of what we do with triggers/ behavior and cognitive actions, etc.
Tamanna, she/her
01:36:52
Let's meet back here at 18 min past the top of the hour!
Ammar Khaleel
01:39:43
If we have time when we return can we discuss how Nicotine binds to nicotinic receptors and how does that affect the body.
David F Keely MD
01:39:58
Do the brain changes you spoke of occur at different rates in nicotine users of different ages? What about in males vs. females?
Debbie Fredson
01:45:09
Will the power point be available for download and printing?
Kimberly Scott-Pilkington
01:45:51
Jean Hartzog, yes, I've talked to several current tobacco users and they hate those ads. They know those things are true, but it just seems to anger them. I have heard though that the Quitline gets more interaction when those ads play, so apparently it encourages some to respond.
Victoria vanTwist, TUPP
01:45:53
I missed what samara said I left the room
Samara Tahmid (she/her)
01:46:23
Hey Victoria! No worries, the PPT and recording of the event will be posted on our website at www.BHtheChange.org and will also be emailed to you all.
Victoria vanTwist, TUPP
01:46:58
Thank you!
Adam Trahan
01:52:36
Thank you
Mikaila Bayers (she/they)
01:55:31
I work at a CMHC and through a research program offer smoking cessation treatment where I'm the TTS. It's far more supportive than traditional smoking cessation. I meet with the clients regularly, we explore how they feel about their smoking, I help coordinate appointments with their PCP to discuss NRT and smoking cessation medications, we discuss their triggers and high risk situations before and after they quit and develop coping skills and plans for those situations. They can have as many quits as they need within the year of the program. Outside of that 1 year I can continue to support them but it's outside of the research. They can also be paid to track their smoking within the first 16 weeks. It's hugely supportive and although the incentives will no longer be available once the project has been completed we have chosen to continue to provide smoking cessation counseling and support for our mental health and substance misuse clients in additional to the other services we provide.
Carolyn James
01:55:41
12 years ago, our agency worked with James Prochaska (Stages of Change) to offer tobacco cessation to our co-occurring patients (Opioid Use Disorder and Mental Health). The results were astounding: near twice the initial quit rate and 6-month sustained quit rate of the general population. Unfortunately, because we are not adequately reimbursed by insurers, we cannot continue to support a cessation program.
Samara Tahmid (she/her)
01:55:41
Please do a brief introduction:NameLocationOrganization Groups will stay the same One or two volunteers to take some notes for large group report outs and summariesWhat are (1-3) of the barriers, obstacles, obstructions in your organization/community?Are these unique?  Shared with colleagues?  Culturally unique?
Victoria vanTwist, TUPP
02:09:47
I can see your comments, Leilani.
Victoria vanTwist, TUPP
02:10:15
I mean this comment, nothing before*
Estelle Krestos
02:10:16
We have been bought by MaineHealth so some of the independence we had no longer exists,
Jim Brawner
02:10:57
Time and Communication with admin
Dyan Summers
02:11:15
no one could hear me.
Estelle Krestos
02:11:18
access to NRT
Sayra Soriano (She/her)
02:11:47
Accessing resources (lack of willingness from state officials)
Teresa Mills
02:11:47
lack of funding resources
Nanda Freeman
02:11:47
Connecting with the DOE to provide services
Sara Prem
02:11:47
Lack of reimbursement for tobacco cessation treatment.
Teagan Shull
02:11:47
Rural location restricting access to care
Heather Robertson
02:11:47
Varying opinions and assumptions about promoting tobacco treatment within the BH population include several barriers that included time, willingness to adopt new procedures and billing challenges.
Jean Hartzog
02:11:47
The fear that if treatment centers, casinos, et. went smoke free no one would come.
Arriana Patraw
02:11:47
Staff turnover
Daniel Craig
02:11:47
Lack of local data in regards to percentage of individuals with substance use disorders who smoke.
Pamela Luckett
02:11:47
EHR limitations for clinical tracking of tobacco use
Kaitlen Lee
02:11:47
In Virginia they are a big tobacco state and they provide a lot of funding for the state, so it was hard for them to encourage tobacco cessation.
Mikaila Bayers (she/they)
02:11:47
Resistance
Aviva Grasso
02:11:48
Transportation
Debora Rippel
02:11:48
lack of motivational interviewing
Cynthia DeBey
02:11:48
Providers only get 15 minutes with patient.
Rebecca Parkhurst
02:11:48
The drugs that are legal are very dangerous. Perception of harm is lower as a result
Meghan Benzing
02:11:48
A lack of transportation to MAT/Group Appointments
Robin Geurs
02:11:48
no money for gas to get to the visit- telehealth
TJ Sweeney (he/him)
02:11:48
Facilities that still allow tobacco use on site
Brady Weaver
02:11:48
insurance coverage for cessation education
Reba Mathern-Jacobson
02:11:48
mental health/SUD professionals getting reimbursed enough to provide tobacco treatment
Andrea Zon Frilli
02:11:48
reimbursement for tobacco treatment vs substance use
Cheryl Pitzl
02:11:48
no smoke-free policy for treatment center
Susan Goodwin
02:11:48
Getting clients who smoke in to see TTS initally.
Kim Hirchert
02:11:48
The patients are not asked or they don't want to quit when in the hospital.
Glenn Field
02:11:48
BH Center still allowing smoking on campus
Dave Keely
02:11:48
The perception that Hookah (water pipe) is less of a problem with getting nicotine addicted.
Dorothy Loaiza
02:11:48
Reaching rural, native-americas communities
Becky Bailey (she/her)
02:11:48
Low SES impacts access
Clarissa Aguilar & Wynette Williams-Kirkwood
02:11:48
unique challenge: no organizational no smoking ban
Heather Wagner
02:11:48
Access to care- we live/work in rural areas
Breann Nix
02:11:48
legality
Aurora Moore
02:11:48
lack of time
Alissa Jordan
02:11:48
Having access to healthcare in a rural area.
Pablo Ortiz
02:11:48
requirement of evidence based
Victoria vanTwist, TUPP
02:11:48
Organizational changes push timelines to accomplish goals.
Gary Hall
02:11:48
We need to elevate the need for tobacco cessation services as a priority health service!
Nancy Homan
02:11:48
Getting into junior & high schools to educate & provide smoking cessation/ vaping
Adam Trahan
02:11:48
Youth having the desire to quit tobacco.
Malia Lehua Ball
02:11:48
Affording transportation or access to phone/internet for Telehealth.
Kimberly Scott-Pilkington
02:11:48
The perceptions of desire to quit between providers and clients
Brenda Wilson
02:11:48
Connectivity
Glenda Miller
02:11:48
difficulty getting referrals
Anna Carpenter
02:11:48
competing priorities
Heather Leutwyler (she/her)
02:11:48
How to identify smokers and send for support-many clients are not referred to support that is free!
Patricia Bax
02:11:48
Impact of COVID -19
Tori Seesman
02:11:48
Costs for NRT, treatment and services. Either real or perceived.
Jim Brawner
02:11:49
Cooperation with admin in a timely manner to serve
Carolyn James
02:11:49
Provider reimbursement (from insurers) for tobacco cessation services
Allison Gorrilla
02:11:50
retaining social worker staff. Many new hires are treading water with meeting client's most crucial social needs. Many social workers also smoke
Dyan Summers
02:11:50
inconsistent delivery of treatment
Cheryl Sutton
02:11:51
Policies that discourage tobacco free environments
Emily Ortner
02:11:51
buy in from actual service providers (mental health) to include nicotine cessation into tx
Marlene Carroll
02:11:51
we screen but don't do any real follow-up with any real treatment for smoking cessation
Jillian Olson (She/Her)
02:11:52
Living in Virginia, lots of community funding and jobs with Altria/Philip Morris. Staff lack of intrest in smoking as it's so normal in Richmond VA
Jane T. St. Clair MPH
02:11:52
mindset that does not see the dangers or harm in legal drugs
Susan Lundsten
02:11:52
attitude of providers
Sandra Kammer
02:11:56
staff by in
Shadi Haddad
02:12:05
Handling Stress
Janna Vallo
02:12:07
Tobacco cessation not being a priority
Victoria vanTwist, TUPP
02:12:12
Mattie wrote this but it went DM to me: "medicaid reimbursement for tobacco treatment services"
Victoria vanTwist, TUPP
02:12:35
per Leilani went DM to me: Per Teagan Shull "often I know for us it falls to the wayside because of the clients use of other substances" Same issue here Teagan
Cheryl Sutton
02:13:35
Unequal payment for substance use
Samara Tahmid (she/her)
02:14:25
What is one thing you can take from today and bring back to your organization/community to do.   
Carolyn James
02:25:44
Stigma exists at all levels, from patients to medical providers to cessation providers. We need to continue to educate.
Adam Trahan
02:25:46
Engage youth with the addiction neuroscience and behind nicotine to improve their mental well-being.
Laura Arent
02:25:46
I am going to take back using the addiction PPT to explain to my clients, teachers and physicians. Emphasizing it's not their fault and to stop the shame and guilt!!! Incredible webinar! WOW!
Sayra Soriano (She/her)
02:25:46
Working with the community to advocate for policy change (addressing contributing factors to youth vape use and second hand smoke)
Meghan Benzing
02:25:46
Acknowledge readiness to change, and use language that is more comprehensible
Jim Brawner
02:25:46
Each one teach one to do what we have learned today!!! Use the recording/slides to help you do this
Renee Boehm
02:25:46
convert the graphics in to laymen's terms and use with the patient so they better understand their addiction
Teagan Shull
02:25:46
The statistics on prevention
Sara Prem
02:25:46
Single most important activity we can do is to work to keep kids off nicotine until they are at least 21
Pamela Luckett
02:25:46
neurological basis for the need for cessation treatment
Aviva Grasso
02:25:46
The three stages that Nick presented
Kimberly Scott-Pilkington
02:25:46
reinforced the need to combine treatment for "ALL" addictions to be addressed at the same time, and not ignore tobacco use
Dave Keely
02:25:46
Initiate ACEs screening in adolescents when counseling them about nicotine avoidance / experimentation
Debora Rippel
02:25:47
The cycle of addiction in the brain.
Kim Hirchert
02:25:47
It is nice to get a grant to give NRT to patients.
Janna Vallo
02:25:47
the definations to help create a common language for the conversations to help cessation efforts
Jean Hartzog
02:25:47
I am going to use The Wizard of Oz example used because it is so meaningful. Hope all of us can help people find their way home.
Becky Bailey (she/her)
02:25:47
Need to refocus - not just about consequences
Heather Robertson
02:25:47
Want to provide more resources re: impact on receptors. We've done some of that but could do more.
Kaitlen Lee
02:25:47
Comparing addiction to bank accounts.
Allison Gorrilla
02:25:47
Nick mentioned "tobacco dependence" is an old term. That was something new we learned. We also wondered what is the correct term we should be using? Tobacco use disorder?
Emily Ortner
02:25:47
infographic of brain on addictive substances & 8 steps along the way to addiction as educational tools and gain buy in
Estelle Krestos
02:25:47
reducing stigma/helping patient not feel at fault and accept help to quit
Cheryl Pitzl
02:25:47
Stages of addiction and how addiction functionally changes the brain. It is not about choice to quit.
Andrea Zon Frilli
02:25:47
Neuroscience for smoking is the same as other substances
Melissa Summers
02:25:47
Youth don’t respond unless it’s an immediate response/harm
Glenda Miller
02:25:47
more discussion with my patients about why it "isn't their fault".
Leilani Brunet
02:25:47
Incorporate more of the neuroscience into my community presentations already being conducted.
Aurora Moore
02:25:47
good understanding on the 3 stages of Addiction
Jane T. St. Clair MPH
02:25:47
Remember to approach our clients with Compassion.
TJ Sweeney (he/him)
02:25:47
I appreciated the attention paid to the PROPER usage of dependent/addicted, etc.I intend to be more precise and teach my medical folks to do likewise.
Patricia Bax
02:25:47
Sharing this information with our staff, especially around language.
Susan Lundsten
02:25:47
continue to consider client perspective
Arriana Patraw
02:25:47
The 3 stages of addiction
Nancy Homan
02:25:47
The slide that gave the don’t’ with addiction
Heather Leutwyler (she/her)
02:25:47
Meeting clients where they are at and recognizing all efforts to quit as a success.
Mikaila Bayers (she/they)
02:25:48
Educate, educate, educate to reduce stigma, including internalized stigma - all levels, co-workers, clients, community ourselves.
Brady Weaver
02:25:48
Increased effort in staff education on AAR.
DAVID ARCHER
02:25:48
We will be able to offer key statistics and concerns regarding addiction to our student body.
Julia Doherty
02:25:48
  bring neurological background regarding addiction to providers in connection to nicotine - help reinforce that nicotine dependence is a substance use disorder
Laura Giardino
02:25:48
increasing knowledge re: addiction
Glenn Field
02:25:49
In helping with opioid Settlements, let's not forget that tobacco tx can help
Victoria vanTwist, TUPP
02:25:50
I work in prevention. I want to use that food/dopamine example. Right now we use rollercoasters but I don't love that it doesn't relate to low-income groups who have never been to an amusement park. The food/dopamine example relates better. I will definitely use that.
Mattie Tomeo-Palmanteer
02:25:50
To save the slides and reference the brain diagram and 3 steps of addiction info
Malia Lehua Ball
02:25:52
Examples of how addiction to tobacco/smoking is the same thing of dieting and not having sugar/carbohydrates same feeling
Susan Goodwin
02:25:52
Encourage clients to consider cutting back with smoking while going through recovery program if they don't think they can quit both
Denise Woods
02:25:53
The stages of addiction and the stigma cause, controllability and addiction sections will be good pieces of info to give to my community
Kacee Redden
02:25:56
Making the linkage of how health is the main factor for our clients and we need to provide all of the resources available for clients to live a healthy life.
Pablo Ortiz
02:25:56
Shifting drivers that start to change the brain
Clarissa Aguilar & Wynette Williams-Kirkwood
02:25:59
Smoking does no relate to an addictive personality. It can be linked to genetics, quality of life, etc. Behavioral health consultants can help people to change their risk behaviors
Rebecca Parkhurst (she/her)
02:26:09
That psychiatrists are less likely to screen or refer regarding tobacco
Debbie Fredson
02:26:16
Wanting to pay closer attention in using person first language.
Cynthia DeBey
02:26:38
Medical providers not just ask, spend time education patient.
Debora Rippel
02:26:52
helping clients reduce their own stigma about their disease
Brenda Wilson
02:26:55
Education of staff-New staff and prevention with youth is something on the radar.
Sandra Kammer
02:27:08
training retraining of staff with updated information
Leilani Brunet
02:27:44
Ongoing learning/training to be more personally invested
Samara Tahmid (she/her)
02:28:17
Please take 3 minutes to fill out a brief survey on our workshop today: https://www.surveymonkey.com/r/9TYHZ6F
Jim Brawner
02:28:20
Excellent job by this team to put all this together. I look forward to MORE!
Victoria vanTwist, TUPP
02:28:31
What was the website for the slides again? Will they be sent to us via email if we registered?
Carolyn James
02:28:43
This was a great training! I’ve been to many webinars on this subject and this one was engaging, informative and covered a lot of ground. Thank you!!!!
Samara Tahmid (she/her)
02:28:59
They will be emailed! Also our website is www.BHtheChange.org/join. Join for FREE and get access to more events and resources!
Susan Vileta
02:29:00
AWESOME! Thank you!
Glenda Miller
02:29:02
Nick and all great job. One of the best seminars I have participated in. Awesome info. Blessings
Heather Leutwyler (she/her)
02:29:10
Thank you for this informative and truly engaging webinar!
Samara Tahmid (she/her)
02:29:12
Please take 3 minutes to fill out a brief survey on our workshop today: https://www.surveymonkey.com/r/9TYHZ6F
James DeDeaux
02:29:12
Thank you for your time
Malia Lehua Ball
02:29:16
This webinar was so informative and I can’t wait to teach my patients what I learned today. Mahalo🌺🤙🏽🌈
Arriana Patraw
02:29:18
Thank you all!
Sandra Kammer
02:29:22
thank you for uthe recharge
Victoria vanTwist, TUPP
02:29:29
This was great!!
Nick Szubiak
02:29:47
Thank you !
Laura Arent
02:29:54
Thank you again! AMAZING Nick! Great presentation! Going to share, share, share with all our groups! =)
Samara Tahmid (she/her)
02:30:00
Please take 3 minutes to fill out a brief survey on our workshop today: https://www.surveymonkey.com/r/9TYHZ6F. Thank you all! :)
Nick Szubiak
02:30:06
Aloha!
Melanie Chaffin
02:30:17
Thank you, Nick! Great presentation! Very informative.
Nick Szubiak
02:30:21
West Hawaii community health center was my hom e!
Cheryl Sutton
02:30:23
Great presentation!
Andrea Zon Frilli
02:30:30
Thank you for this information, great presentation
Alissa Jordan
02:30:38
Thank you!!!
Brenda Wilson
02:30:43
Thank you!
Samara Tahmid (she/her)
02:30:51
Please take 3 minutes to fill out a brief survey on our workshop today: https://www.surveymonkey.com/r/9TYHZ6F
Nick Szubiak
02:30:52
:)!
Kaitlen Lee
02:30:56
Thank you so much!