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Hazelden Your Next Step Tobacco Recovery Program National Conference on Tobacco or Health Presented by Barry McMillen, MA, LADC, TAS.

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Presentation on theme: "Hazelden Your Next Step Tobacco Recovery Program National Conference on Tobacco or Health Presented by Barry McMillen, MA, LADC, TAS."— Presentation transcript:

1 Hazelden Your Next Step Tobacco Recovery Program National Conference on Tobacco or Health Presented by Barry McMillen, MA, LADC, TAS

2 Your Next Step Client Base: Primarily for those individuals who have made numerous attempts to stop using tobacco without success Those experiencing consequences of long-term tobacco use Not limited to those recovering from another substance

3 Program Description: Seven-day residential program for nicotine addiction A Twelve-Step, abstinence-based model that utilizes: Lectures Group therapy Alternative therapies for nicotine withdrawal and stress reduction: yoga, acupuncture, reiki, exercise, massage, relaxation and bio-feedback Individual therapy

4 Program Philosophy: Identify nicotine as an addictive substance: Long history of continuing use, Numerous attempts to quit, Multiple relapses, Denial, Consequences

5 Program philosophy continued… Peer process and staff support a serious interpretation of nicotine dependence Loss of control Denial of addiction Language of tobacco as an addiction

6 Program philosophy continued… This program is less about “quitting smoking” It is about exploring options for, and Making significant commitment to, A lifelong recovery one day at a time

7 Program Objectives: Detoxification from Nicotine Experience seven days of nicotine abstinence in a supportive atmosphere in preparation for continuing abstinence Identify the addictive characteristics of their use of nicotine including: Specific ways in which an individual is powerless over the drug nicotine Examples of consequences they have experienced due to nicotine use

8 Program Objectives continued… Describe the progression of their addiction to nicotine Identify life areas needing to change in support of recovery Identify alternative strategies, other than nicotine use, for coping with life stress Construct a plan for ongoing recovery/support

9 Program Expectations: Nicotine Replacement Therapies are strongly discouraged Welbutron/Zyban is recommended depending on a physician’s advice Patients remain on the campus grounds Patient commit to attend all program functions

10 Program Expectations continued… Patients stop tobacco use at the same time, the day after arrival at 8:45 am No use of any mood altering substance Patient is responsible for their own medications (there are exceptions) Patient must be able to participate in program activities

11 The Twelve Steps as an appropriate format Defines problem as addiction Confronts previous concepts Confirms the need for help Provides hope of recovery Requires review and acceptance of effects of use on self and others Provides guided program including cognitive/behavioral change Mentoring and support Abstinence based

12 Results of Brief Residential Treatment for Nicotine Dependence: One Year Outcomes N = 324 Measures at intake, 6 & 12 months Average use = 31.79 cigarettes/day (SD = 19.2) Methods used in prior attempts: Nicotine patch (41.2%) Hypnotherapy (33.3%) Medication (29.4%) Acupuncture (23.5%)

13 Results continued… Tobacco free at intake = 0% 6 month = 59.4% 12 month = 52.9% (Cochran’s Q = 183.37, p <.001) Overall 50.0% had remained nicotine- free in the year following the program

14 Results continued… Program participants that returned to tobacco use at 12 month follow-up: 21% reduced their tobacco use Participants using Nicotine Replacement Therapy(NRT) Gum (1.9%) Patch (1.6%) Medication (1.9%) 34% made multiple attempts to quit Most commonly identified barriers to quitting Stress (19.8%) Cravings (16.5%)


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