becoming tobacco-free for recovery: consumer and provider perspectives on smoking cessation beth...
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Becoming Tobacco-FreeBecoming Tobacco-Freefor Recovery:for Recovery:
Consumer and Provider PerspectivesConsumer and Provider Perspectives
On Smoking CessationOn Smoking Cessation
Beth LillardBeth Lillard
Amy F. RogersAmy F. Rogers
Karen Balsamico, MAKaren Balsamico, MA
Tobacco Use in the Tobacco Use in the Mental Health CommunityMental 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.
Tobacco Use in the Tobacco Use in the Mental Health CommunityMental 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)
What is Recovery?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
How Does Smoking Interfere?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
We CAN Quit Smoking!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
Contact information:Contact information:
• Beth Lillard, Adult Tobacco Cessation Services
Bay Area Community Resources
• Amy F. Rogers, Buckelew Employment Services
• Karen Balsamico, Enterprise Resource Center
415.457.4554