MDQuit NEWSLETTER INSIDE THIS ISSUE: VOLUME 1, ISSUE 2 APRIL 2007

Baltimore City 2 Spring Is In the Air! Spotlight The change in season can affect both smokers and nonsmokers. This is a perfect time Fax to Assist 2 for treatment providers to discuss how smoking habits may impact spring-time activities. Participating in outdoor activities may increase the opportunity to smoke outside. Youth & College 3 However, exposure to cigarette smoke can increase the intensity of allergy symptoms, as Movements well as increase the risk of complications such as sinusitis and bronchitis. As clients Motivational Tips 3 come in for spring appointments, providers can use this opportunity to ask about smoking and implement the Five A’s. (http://mdquit.org/index.php/providers-corner/) Mailing List 4

Resources 4 In the News According to recent field research from the Johns Hopkins Bloomberg School of Public MDQuit Team & 4 Health, both workers and patrons of bars in City are being exposed to high Advisory Board levels of secondhand smoke. On February 27th, the Baltimore City Council approved a smoking ban that will prohibit smoking in nearly all public places in the city, including bars ! and restaurants, as of January 1, 2008. Subsequently, the Maryland House of ST NTE Representatives and Senate each passed bills for a statewide smoking ban. As of April 9, O s to IT C a U r ide e 2007, the Maryland Assembly came to an agreement on the details of a statewide DQ ou par M ed y re e rs p smoking ban. Governor O'Malley has pledged to sign the bill, which would take effect e n ke W mo an! p s e b February 2008. hel th for ge 4 pa See MDQuit.org Additions When you log in to www.MDQuit.org, you’ll see a few new additions to our website: • Provider’s Corner: Informational page specifically geared toward Physical Therapists. Contact • Tobacco Information: New information about smoking alternatives, such as flavored MDQuit cigarettes (bidis), hookahs, and smokeless tobacco. Email: • County Spotlights: Caroline County, Worcester County, and Baltimore City are [email protected] currently highlighted on our homepage. You can also access our archive of Phone: previously highlighted counties (Baltimore & Wicomico) from the homepage. 410.455.3628 Fax: 410.455.1755 PAGE 2 Spotlight on Baltimore City Check out Baltimore City had an estimated population of 635,815 in 2005, with 25.3% MDQuit.org for under the age of 18. The city focuses on preventing initiation of tobacco use more information on Baltimore City among minority youth, providing tobacco cessation programs for all ages, reducing & spotlights across exposure to environmental tobacco smoke, and eliminating tobacco-related health Maryland! disparities. The city's accomplishments in enforcement, community, cessation, and school-based initiatives include: • Tobacco Enforcement Officers educated community groups. • Mailed 7,000 letters to retailers and food services operators in the city concerning tobacco control laws and oral and lung cancer rates. • Maintained hotline for citizens to report tobacco control violations and used revenue to fund city drug treatment programs: HOTLINE # 410-361-9766 • Provided prevention, cessation, and second-hand smoke education programs targeted high-risk minority populations. • Trained healthcare providers and dental, medical, and nursing students in AHRQ guidelines. • Provided pharmacotherapy to health centers with uninsured clients and Quitline callers as part of a collaboration with the Legacy Foundation.

Bars and restaurants • Provided tobacco prevention education to K-12 public and private schools, as well as local colleges, with a focus on the health risks of environmental smoke. in Baltimore City will be smoke-free in January 2008. Smoke-Free Baltimore Tour Bus This mobile health education class- room/museum vehicle is used as a traveling exhibit to visit schools, community events, and health fairs, reaching over 25,000 individuals each year. For more information, or to reserve the Smoke-Free Baltimore Tour Bus for your school or community event, call 410-361-9765. Fax to Assist F A variety of healthcare providers and health department tobacco specialists ive A’s across Maryland have registered as certified Fax to Assist providers. This certification allows them to fax referrals for clients who are interested in quitting tobacco use to the Maryland Quitline. To become a Fax to Assist provider, simply click on the Fax to Assist tab at www.MDQuit.org. After completing 4 training modules and taking a 20-item quiz, you can download your Fax to Assist Referral Form. Fax the form to 800-483-3114, and your client will be contacted by a Quit Coach™ from 1-800-QUITNOW within 48 hours. VOLUME 1, ISSUE 2 PAGE 3 MD Youth & College Tobacco-Free Initiatives A key component The Maryland Department of Health and Mental Hygiene (DHMH) of the S.T.O.P.S. supports the prevention and cessation efforts of colleges and universities mission is promoting throughout the state in a collaboration called Students Together use of the Maryland Organizing Prevention Strategies (S.T.O.P.S.). MDQuit has teamed up Quitline among with DHMH to provide these coalitions with statewide support college students. and communication. There are 10 colleges involved this year: Anne Arundel Community College, , , , College of Notre Dame, , College of Southern Maryland, University of Maryland at Baltimore, Harford Community College, and University of Maryland, Baltimore County.

DHMH and MDQuit also support community-based initiatives for middle and high school aged youth. These coalitions promote tobacco prevention and cessation through youth leadership and empowerment. These creative youth have named their movement “Maryland Teens Rejecting Abusive Smoking Habits” (T.R.A.S.H.). There are coalitions from 7 counties involved this year: Anne Arundel County Project Exhale, Baltimore City Alleyne’s Administrative/Educational Services, Chuck County T.R.A.SH., Frederick County Smoke-Free MD, Montgomery County Students Oppose Smoking, Prince George’s County Reaching Objectives through Joint Actions, and Washington County Girl Scouts of Shawnee Council.

These techniques can be used to help moti- Motivational Tips vate clients to engage in changing their smoking behavior. Motivational Interviewing Principles 1. Express Empathy: Convey acceptance, warmth, and understanding. 2. Develop Discrepancy: Help clients recognize discrepancies between behaviors and goals. Have the client present reasons for change. Clients should also identify Motivational consequences of their behaviors. Interviewing Strategies 3. Avoid Argumentation: Try to avoid arguing with client. Clients do not necessarily • Ask Open-ended need to label themselves a ‘smoker’ to change their smoking behavior. If client is Questions resistant or defensive, try to change your strategies. • Listen Reflectively 4. Dealing with Resistance: If your client argues, interrupts, or denies having a problem, • Affirm use the momentum to your advantage, trying to invite new perspectives. Try not • Summarize to impose solutions; clients are often able to create alternative approaches to • Elicit Self-motivational problems. Statements 5. Support Self-Efficacy: Believe that change is possible! Client is responsible for choosing and carrying out actions to change. There is hope in the range of alternative approaches available. Reference Miller, W. R. and Rollnick, S. (2002). Motivational Interviewing: Preparing people to change addictive behavior. 2nd ed. New York, Guilford.

PAGE 4 Mailing List If you, or someone you know, would like to receive future MDQuit Resource Center Newsletters via email or mail, please contact us at [email protected], by phone at 410.455.3628, or by fax at 410.455.1755.

Contest Examples

or Items that might s f CONTEST! ea id gns encourage bar and ur si yo l de How can you help restaurant and bar patrons who smoke ail na ! restaurant patrons m io ns E ot ga who smoke to m slo make the transition to a smoke-free nightlife? Share your pro and ideas for effectively reaching out to smokers affected by the make a quit attempt: bans, including cessation and Quitline promotional materials, with designs and slogans! • Coasters • Restroom flyers The top 5 ideas will be announced on our website and published • Napkins in the next MDQuit newsletter. Winners will receive prizes! • False matchbooks Email submissions to [email protected] or mail to us by June 1, 2007. • Edgy posters

Other Helpful Resources Materials Available in Resource Center: Many resources (e.g. CDC, AMA) are available in our center. Look for a full reference list on our website (www.MDQuit.org).

Be A Quitter Campaign: The U.S. Department of Health & Human Services has created a website with national 1-800-QUIT NOW promotional materials free to download, including television and radio public service announcements, an image library, and local contact infor- mation. Check out http://1800quitnow.cancer.gov.

Free & Clear: Free & Clear provides telephone counseling services via 1-800-QUIT NOW. The company is a leader in development, evaluation, and delivery of evidence-based behavior change programs across the U.S. (www.freeclear.com). Advisory Board MDQuit Team

Kathleen Dachille, J.D. Carlo C. DiClemente, Ph.D., Center Director Janine Delahanty, Ph.D., Associate Director Lisa Dixon, M.D. Center Specialists & County Focus: Michaeline Fedder, M.A. Miranda Garay: Allegany, Carroll, Frederick, Garrett, MDQuit Kevin Ferentz, M.D. Montgomery, Washington UMBC Psychology Dept Sonia Fierro-Luperini, M.D. Preston Greene: Somerset, Wicomico, Worcester 1000 Hilltop Circle Jacquelyn Fried, RDH, M.S. Meredith Holmgren: Baltimore, Baltimore City, Cecil, Baltimore, MD Meg Gallogly Harford, Howard, Kent Debra Malfi: Anne Arundel, Calvert, Charles, Prince 21250 Linda Green, R.N. George’s, Queen Anne’s, St. Mary’s Neil Grunberg, Ph.D. Onna Van Orden: Caroline, Dorchester, Talbot Mildred Morse, J.D., CTAS Stephen Peregoy Anthony Tommasello, Ph.D. Next Issue Coming in Summer 2007