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Oklahoma State Leadership Academy for Wellness and Smoking Cessation

Congratulations to all the partners who attended the Oklahoma State Leadership Academy for Wellness and Smoking Cessation, funded by SAMHSA in partnership with SCLC. The Leadership Academy in Oklahoma was held in Oklahoma City on April 20-21, 2011. Key leaders from public health, behavioral health and tobacco control came together with a goal to create an action plan for Oklahoma. The two goals are to significantly reduce smoking prevalence among both adult behavioral health consumers and staff by 2015.
Terry Cline, Ph.D., Commissioner of Health, Secretary of Health and Human Services, Oklahoma State Department of Health, encouraged participants, "you were selected to be here because you are individuals who can make a difference in Oklahoma, and I'm confident that you can make changes happen. I think we can see a decline in smoking prevalence in the next 5 or so years especially among individuals with behavioral health issues. And we'll be able to tie it back to the work in this room."
Summit participants adopted five overarching strategies including; data development, quitlines and social media, peer recovery support services, staff quit, and provider education strategies.
For more information about the Oklahoma summit, go to:
http://smokingcessationleadership.ucsf.edu/LeadershipActivities-OK.htm.
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SAMHSA Pioneer Profile: Phoenix Programs, Inc. in Columbia, Missouri
Long-time cessation advocate and tireless SAMHSA Pioneer, Julie Sears, M.S., CRPS, CTTS, is a Tobacco Treatment Specialist at Phoenix Programs in Columbia, Missouri. In January of 2009, Julie came across the SAMHSA 100 Pioneers for Smoking Cessation Virtual Leadership Academy announcement and instantly decided to apply because "tobacco policy was a dream for me."
Her ambitious plan was to make the inpatient, residential and outpatient facilities tobacco-free at Phoenix Programs, inside and out, over a period of 6 months. To the amazement of some, she succeeded. To mark the transition, on the day the facilities went smoke-free she had popcorn popping to fill the air with a great, new smell and there were bowls of (donated) apples "everywhere" so clients and staff would have easy access to a healthy snack.
Chosen as one of 25 Phase II Pioneers, Phoenix Programs is now building on their existing tobacco-free policy by creating an indoor recreation space so clients can take physical activity breaks. Hopping on a stationary bike for 10 minutes rather than taking a smoke break is characteristic of the whole person approach to addictions treatment that Julie and Phoenix Programs work hard to provide.
Julie shared some of her experiences with gathering staff support for going tobacco-free during her presentation on the webinar, Building Staff Buy-In for Tobacco-Free Policies.
If you have questions about the Pioneer project at Phoenix Programs or would like to contact Julie directly, her email is jsears@phoenixprogramsinc.org.
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ATTUD Listserv Comes to UCSF
The ATTUD Listserv has a new home at the University of California San Francisco. The Smoking Cessation Leadership Center (SCLC) will manage the daily operations of the ATTUD Listserv as a free service to the tobacco control and prevention community.

There have been no interruptions in service and the only outward difference has been the name of the ATTUD Listserv address (ATTUD@LISTSRV.UCSF.EDU).
If you have questions about the listserv please email Reason Reyes, the Director of Technical Assistance at SCLC: reason.reyes@ucsf.edu.
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Cardiology Rx for Change Curriculum Now Available
There's a new version of "the Cadillac of cessation curricula" and we are pleased to announce that the Cardiology Rx is now active on the http://rxforchange.ucsf.eduwebsite. If you are new to Rx for Change, you will need to register to access this free resource.
Heart disease is the leading cause of death among smokers. Funded by the Flight Attendant Medical Research Institute, Drs. Prochaska and Grossman at the University of California, San Francisco created a 1-hour training for cardiology care providers that addresses tobacco use and secondhand smoke exposure.
Rx for Change in Spanish Coming Soon
The Rx for Change curriculum, including the PowerPoint slides, was adapted for an online course organized by the Nutritional Institute of Central American and Panama (INCAP). A description of the course can be found at http://www.ciipec-incap.org/ver_evento_i.asp?clc=267&id=778. We will let you know as soon as the Spanish version of Rx for Change is available online for download.
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Other Tobacco News
New York State Leadership Academy for Wellness and Smoking Cessation
Following the SAMHSA/SCLC sponsored New York State Leadership Academy for Wellness and Smoking Cessation in November of last year; tobacco dependence treatment for people with mental health issues in New York has garnered national attention. This innovative pilot program is getting some well-deserved recognition:
http://online.wsj.com/article/SB10001424052748703856704576285131131372562.html?mod=ITP_personaljournal_1.
Tobacco Use Findings from the National Health and Nutrition Examination Surveys,
2005-2008
Here are some key findings on tobacco use and depression from the National Health and Nutrition Examination Surveys, 2005-2008. These finding were released earlier in May.
- Adults aged 20 and over with depression were more likely to be cigarette smokers than those without depression.
- Women with depression had smoking rates similar to men with depression, while women without depression smoked less than men.
- The percentage of adults who were smokers increased as depression severity increased.
- Among adult smokers, those with depression smoked more heavily than those without depression. They were more likely to smoke their first cigarette within 5 minutes of awakening and to smoke more than one pack of cigarettes per day.
- Adults with depression were less likely to quit smoking than those without depression.
FDA E-Cigarette Announcement
On April 25th the FDA announced that it will oversee electronic cigarettes marketed for non-therapeutic use as tobacco products. E-cigarette companies will be subject to the same rules that apply to regular cigarette companies, including providing a list of product ingredients to the government. Read more here: http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm.
Quitting Cold Turkey vs. "Pre-Loading" Varenicline
A new study published in the April 27th edition of the Archives of Internal Medicine found that the smoking cessation drug varenicline may be more effective if people take it several weeks before trying to quit. Study participants who started varenicline for a month before their quit dates were more likely to be smoke-free at the three-month mark: 47.2% were abstinent compared with 20.8% of the people in the placebo group. Here's a link to the AIM journal article: .
http://archinte.ama-assn.org/cgi/content/full/171/8/770?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=Quitting+Cold+Turkey+vs.+%22Pre-Loading%22+Varenicline&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT.
Animal Study Finds Effects of Nicotine on Brain Mirror Those of Cocaine
The effects of nicotine on the parts of the brain involved with addiction are similar to the effects of cocaine, according to a study using rat brain tissue. The study found that a single 15-minute exposure to nicotine caused a long-term increase in the excitability of nerve cells involved in reward. According to Science Daily, the study suggests that nicotine and cocaine use similar mechanisms and create long-term changes in the brain.
The researchers said this study, which indicates that nicotine and cocaine both affect the reward system of the brain, may help explain why so many people have a difficult time quitting smoking, and why so many people who experiment with cocaine end up becoming addicted.
Here is a link to the abstract: http://www.jneurosci.org/content/31/18/6710.abstract from the The Journal of Neuroscience.
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Resource Highlights
1-800-QUIT-NOW wallet card Available through the Smoking Cessation Leadership Center, the card is similar in size and feel to a credit card and offers motivational language urging smokers to call the nation's free, effective, tobacco cessation counseling lines.
A New Way to Think About Quitting About re-learning life without cigarettes, the free Become an EX plan is based on personal experiences from ex-smokers, as well as the latest scientific research from the experts at Mayo Clinic.
RWJF Tobacco Map
For the first time, policymakers and advocates have access to a nationwide picture of continuing state efforts on key tobacco control policies. The RWJF Tobacco Map uses data from the Campaign for Tobacco-Free Kids and the Americans for Non-Smokers' Rights and is updated as new information becomes available.
Have some news you would like to share? Send us your updates.
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Smoking Cessation Leadership Center | University of California, San Francisco
Please continue to send us your updates (i.e. newsletter articles, provider trainings, presentations, etc.) We will collect all the information, share with all partners, and post updates on the SCLC website.

Questions or comments on the Communiqué: Contact Margaret Meriwether |
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