Agenda

Tuesday March 22, 2016

9:00 AM – 10:00 AMRegistration and Check-In

10:00 AM – 11:00 AMWelcome and Greetings

Location: Crabtree Ballroom

Margaret Brake, MHA

Program Manager, Community Wellness, Prevention and Health Integration Section

Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

Dale Armstrong, MBA, FACHE

Deputy Secretary for Facility Based Behavioral Health and Disabilities Services

North Carolina Department of Health and Human Services

Courtney Cantrell, PhD

Director, Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

Flo Stein, MPH

Deputy Director, Community Policy Management Section

Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

Doug Tipperman, MSW

Tobacco Policy Liaison

Office of Policy, Planning and Innovation

Substance Abuse and Mental Health Services Administration

11:00 AM – 12:00 NOON(Plenary) The Broad Scope of Tobacco Use: Where We’ve Been and Where We’re Going

Location: Crabtree Ballroom

Speaker: 

Steve Schroeder, MD
Professor of Health and Health Care, Division of General Internal Medicine, Department of Medicine, UCSF and Director of the Smoking Cessation Leadership Center

Session Description:

This plenary will help attendees understand the changing epidemiology of smoking including: overall trends, emerging products and high vulnerability populations, with a focus on those with behavioral health conditions.  The speaker will review what can be done to lower smoking rates, discuss some of the uncertainties in tobacco control and help participants understand the overall health toll from smoking.

12:00 NOON – 1:00 PM – Lunch

1:00 PM – 2:00 PM- (Lunch Plenary) Achieving Tobacco Cessation in Facility and Community Settings in North Carolina: A Guide to Implementation 

Location: Crabtree Ballroom

Tamara Atkinson, MSW, LCSW

Program Director

Division of State Operated Healthcare Facilities, R.J. Blackley ADATC

NC Department of Health and Human Services

Rohit Ramaswamy, PhD, MPH

Clinical Associate Professor

University of North Carolina at Chapel Hill, Gillings School of Global Public Health

Session Description:

This plenary will discuss steps for implementing tobacco free environments and help participants identify ways to assess readiness for change in their own settings.  The speakers will also describe the process design of the implementation road map while reviewing the importance of monitoring improvement.

2:00 PM- 2:15 PM– Transition Break

2:15 PM– 3:30 PM – Concurrent Breakout Sessions

Session 1- From Evidence to Outcomes: Using Implementation Science to Adapt Knowledge to Local Practice

Location: Crabtree Ballroom (Salons A, B, and C)

Speakers:

Tamara Atkinson, MSW, LCSW

Program Director

Division of State Operated Healthcare Facilities, R.J. Blackley ADATC

NC Department of Health and Human Services

Rohit Ramaswamy, PhD, MPH

Clinical Associate Professor

University of North Carolina at Chapel Hill, Gillings School of Global Public Health

Session Description:

This session will define implementation science frameworks and concepts when developing tobacco free environments.  The speakers will explain the stages and core implementation components of implementation while discussing fit and fidelity in implementing tobacco research in behavioral health settings.

Session 2- Evidence Based Strategies to Address Tobacco Dependence and Behavioral Health during the Perinatal Period

Location: Crabtree Ballroom (Salons F, G and H)

Speaker:

Erin McClain, MA, MPH

Research Associate
UNC Center for Maternal & Infant Health

Session Description:

This session will discuss tobacco use among NC reproductive age women, including pregnant women, and its relationship with maternal and infant outcomes.  It will also demonstrate understanding of tobacco use screening and counseling of reproductive age women, particularly pregnant and postpartum mothers, and the integration into routine behavioral health care.  The speaker will discuss FDA-approved pharmacotherapy for adults and their use by pregnant and lactating women and identify key national and state-level resources available for additional patient support to assist behavioral health providers in implementing tobacco screening and treatment into practice.

Session 3- Pharmacotherapy Issues in Tobacco Dependence Treatment

Location: Dogwood/Magnolia

Speaker:

Anne Stephenson, MD

Medical Director

Division of State Operated Healthcare Facilities, Central Regional Hospital

North Carolina Department of Health and Human Services

Session Description:

This session will describe approved medication used to treat nicotine dependence among MH and SA consumers.  The speaker will also discuss clinical approaches for utilizing medications in the treatment of nicotine dependence along with co-occurring disorders in MH and SA populations.

Session 4- Coordinated Approach to Treating Nicotine Dependence: Our Experience Caring for Patients with Mental Illness in Inpatient and Outpatient Settings

Location: Sycamore/Willow 

Speaker:

Beat D. Steiner, MD, MPH

Professor

UNC Department of Family Medicine 

Panelists:

Jennifer Turner, FNP, MSN

Family Nurse Practitioner

UNC Department of Psychiatry 

Katherine Knauber-Mcinturf PA-C, MHS

Clinical Instructor

UNC Department of Psychiatry 

Session Description:

This session will describe the overall approaches, tools and techniques for assessing and treating tobacco dependence in a community-based behavioral health setting.  The speakers will describe the treatment plans for treating tobacco dependence in diverse populations with behavioral health conditions.  Participants will also learn how having a tobacco-free campus policy can reduce tobacco use and support treatment.  The presenters will also review strategies to overcome challenges of becoming a tobacco-free facility.

3:30 PM – 3:45 PM– Transition Break

3:45 PM – 5:00 PM– (Closing Plenary) Utilizing Cessation Resources in Low SES Communities

Location: Crabtree Ballroom

Speaker:

Chad Morris, PhD
Associate Professor at the University of Colorado Denver, Department of Psychiatry and Director of the Behavioral Health and Wellness Program and Interdisciplinary Wellness Leadership Institute

Session Description:

This plenary session will help participants understand the social determinants and characteristics of low socioeconomic status (low SES) smokers.  The presenter will identify barriers to tobacco cessation treatment for this population when coupled with behavioral health disorders.  Other innovative interventions will be highlighted that target low SES populations.

 

 

Wednesday March 23, 2016

7:30 AM – 8:30 AM– Registration and Check-In

8:30 AM – 8:45 AM- Welcome back/Charge for the day

Location: Crabtree Ballroom

Olaunda Green, CTTS

Tobacco Cessation and Education Coordinator

Governor’s Institute on Substance Abuse

8:45 AM – 9:45 AM– (Plenary) The Triangulum:  An Emerging New Paradigm in Substance Use and Abuse 

Location: Crabtree Ballroom 

Speaker:

Phillip Gardiner, DrPH

Policy and Regulatory Sciences

Tobacco Related Disease Research Program

University of California Office of the President

Session Description:

This plenary session will define the triangulum between tobacco, marijuana and electronic cigarettes and how it affects the behavioral health community.  The presenter will also discuss emerging products being marketed which target adolescents such as: hookah pens, heat-not-burn products, no fire/no smoke, flavored little cigars, synthetic marijuana and liquid THC, all used in new tank e-cigarette systems.

9:45 AM-10:00 AM – Transition Break

10:00 AM– 11:15 AM– *Concurrent Breakout Sessions (Repeats from 1:45 PM – 3:00 PM)*

Session 1- More About E-cigarettes: An Uphill Battle

Location: Crabtree Ballroom (Salons A, B and C)

Speaker:

Phillip Gardiner, DrPH

Policy and Regulatory Sciences

Tobacco Related Disease Research Program

University of California Office of the President 

Session Description:

This session will discuss in further detail additional products that will be marketed in the near future.  The presenter will also explain issues with regulation of emerging products and how it makes cessation difficult for those with mental health disorders.

Session 2- Peer Support: How Local Programs Support the Community 

Location: Crabtree Ballroom (Salons F, G and H)

Speakers:

Kimberly Chansen, MDiv

Recovery Services Administrator II

RI International’s Durham Wellness City

Hannah Baker, MPH

Program Manager

UNC Tobacco Prevention and Evaluation Program 

Anna McCullough, MSW, MSPH, CTTS

Associate Director of Evaluation

UNC Tobacco Prevention and Evaluation Program

Panelists:

Erica Williams

Peer Support Specialist

Sunrise Recovery Center

Robert Waddell

Peer Leader

Sunrise Recovery Center

Session Description:

This session will define the role and function of peers in support services.  The presenters will also highlight the success of a local pilot project that provided tobacco cessation to behavioral health consumers and staff in a group home setting.  The panelists will discuss their personal stories and explain how the past experiences of peers help transform the lives of others in recovery.  They will also discuss what their local agency is doing to support tobacco cessation efforts in the community.

Session 3- Smoking Cessation Counseling: Practical Matters like Practice Flow and Payment

Location: Dogwood/Magnolia

Speakers:

Nancy Henley, MPH, MD, FACP
Chief Medical Officer
Division of Medical Assistance
NC Department of Health and Human Services

Ranota T. Hall, MD, D.F.A.P.A

Executive Vice President

Chief Medical Officer

Cardinal Innovations Healthcare

Margaret Brake, MHA

Program Manager, Community Wellness, Prevention and Health Integration Section

Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

Session Description:

This session will discuss how to include tobacco assessment in the initial screening and how to create a process that will allow MH to provide clinical interventions over the course of the patient’s treatment.  The presenters will also identify billing codes, reimbursement rates, and the billing processes for screening and follow up services.  Participants learn how to get tobacco billing codes written into their LME-MCO service contracts. 

Session 4- Quitline NC and Other Resources: How Combined Efforts Help Tobacco Users Quit  

Location: Sycamore/Willow

Speakers:

Joyce L. Swetlick, MPH

Director of Tobacco Cessation

Division of Public Health, Tobacco Prevention and Control Branch

North Carolina Department of Health and Human Services 

Karen Caldwell, MS

Regional Tobacco Control Manager

Division of Public Health, Tobacco Prevention and Control Branch

North Carolina Department of Health and Human Services

Mary Gillett, MS

Regional Tobacco Prevention Manager

Division of Public Health, Tobacco Prevention and Control Branch

North Carolina Department of Health and Human Services

Session Description:

This session will provide viable tobacco dependence treatment options for those living with behavioral health problems.  The presenters will also discuss how policy activities assist in cessation efforts for those living with behavioral health disorders.

11:15 AM – 11:30 AM – Transition Break

11:30 AM – 12:30 PM(Plenary) Evidence Based Psychosocial Treatments for Smokers in Behavioral Health

Location: Crabtree Ballroom

Speaker:

Marc Steinberg, PhD
Associate Professor of Psychiatry & Associate Director
Addiction Psychiatry Rutgers Robert Wood Johnson Medical School

Session Description:

This plenary session will identify ways to encourage unmotivated smokers in behavioral health address their tobacco use.  The presenter will also describe innovative psychosocial treatments and counseling for smokers in behavioral health.  Motivational interviewing tactics will also be explained to help patients quit.

12:30 PM – 1:30 PM– Lunch

1:30 PM – 1:45 PM– Transition Break

1:45 PM – 3:00 PM– *Concurrent Breakout Sessions (Repeated from 10:00 AM- 11:15 AM)*

Session 1- More About E-cigarettes: An Uphill Battle

Location: Crabtree Ballroom (Salons A, B and C) 

Speaker:

Phillip Gardiner, DrPH

Policy and Regulatory Sciences

Tobacco Related Disease Research Program

University of California Office of the President 

Session Description:

This session will discuss in further detail additional products that will be marketed in the near future.  The presenter will also explain issues with regulation of emerging products and how it makes cessation difficult for those with mental health disorders.

Session 2- Peer Support: How Local Programs Support the Community

Location: Crabtree Ballroom (Salons F, G and H)

Speakers:

Kimberly Chansen, MDiv

Recovery Services Administrator II

RI International’s Durham Wellness City

Hannah Baker, MPH

Program Manager

UNC Tobacco Prevention and Evaluation Program

Anna McCullough, MSW, MSPH, CTTS

Associate Director of Evaluation

UNC Tobacco Prevention and Evaluation Program

Panelists:

Erica Williams

Peer Support Specialist

Sunrise Recovery Center 

Robert Waddell

Peer Leader

Sunrise Recovery Center

Session Description:

This session will define the role and function of peers in support services.  The presenters will also highlight the success of a local pilot project that provided tobacco cessation to behavioral health consumers and staff in a group home setting.  The panelists will discuss their personal stories and explain how the past experiences of peers help transform the lives of others in recovery.  They will also discuss what their local agency is doing to support tobacco cessation efforts in the community.

Session 3- Smoking Cessation Counseling: Practical Matters like Practice Flow and Payment

Location: Dogwood/Magnolia 

Speakers:

Nancy Henley, MPH, MD, FACP
Chief Medical Officer
Division of Medical Assistance
N.C. Department of Health and Human Services

Johnny D. Phillips, RPh

Behavioral Health Pharmacist

Cardinal Innovations Healthcare Solutions

Margaret Brake, MHA

Program Manager, Community Wellness, Prevention and Health Integration Section

Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

Session Description:

This session will discuss how to include tobacco assessment in the initial screening and how to create a process that will allow MH to provide clinical interventions over the course of the patient’s treatment.  The presenters will also identify billing codes, reimbursement rates, and the billing processes for screening and follow up services.  Participants learn how to get tobacco billing codes written into their LME-MCO service contracts.

Session 4- Quitline NC and Other Resources: How Combined Efforts Help Tobacco Users Quit

Location: Sycamore/Willow

Speakers:

Joyce L. Swetlick, MPH

Director of Tobacco Cessation

Division of Public Health, Tobacco Prevention and Control Branch

North Carolina Department of Health and Human Services

Karen Caldwell, MS

Regional Tobacco Control Manager

Division of Public Health, Tobacco Prevention and Control Branch

North Carolina Department of Health and Human Services 

Mary Gillett, MS

Regional Tobacco Prevention Manager

Division of Public Health, Tobacco Prevention and Control Branch

North Carolina Department of Health and Human Services

Session Description:

This session will provide viable tobacco dependence treatment options for those living with behavioral health problems.  The presenters will also discuss how policy activities assist in cessation efforts for those living with behavioral health disorders.

3:00 PM– 3: 15 PM– Transition Break

3:15 PM – 4:30 PM – (Plenary) Improving the Health of Priority Populations by Treating Tobacco Use

Location: Crabtree Ballroom

Speaker:

Westley Clark, MD, JD, MPH, CAS, FASAM
Dean’s Executive Professor of Public Health, Santa Clara University and the former Director of the Center for Substance Abuse Treatment under the Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.

Session Description:

This plenary session will explain how attending to other “major” or “primary” conditions without treating tobacco use can compromise long-term treatment effectiveness (e.g., drug therapies) or subject clients to greater problems related to untreated smoking.  The presenter will also discuss reasons why professionals may not attend to smoking in health priority populations such as the behavioral health community.  Participants will learn evidence-based practices effective with health priority populations.

Closing Remarks

Spencer Clark, MSW, ACSW

Chief, Addictions and Management Operations Section

Division of Mental Health, Developmental Disabilities and Substance Abuse Services

North Carolina Department of Health and Human Services

 

 

 

A project of the Governor's Institute on Substance Abuse. Funded in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund
(CFDA #93.959) as a project of the NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.

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