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Tobacco
The
Washington State Department of Health Maternal and Infant Health Program
collaborated with the DOH
Tobacco Prevention and Control Program, the Medical Assistance
Administration of the Department of Social and Health Services, WIC,
First Steps Providers, and the American Cancer Society to conduct a
First Steps pilot on smoking cessation and environmental tobacco
exposure prevention interventions in nine communities statewide.
The
goal of this performance measure project is to enhance the capacity and
skills of Maternity Support Services providers to work toward
accomplishing the following objectives:
-
Increase
cessation of tobacco use in pregnancy;
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If
cessation is not attainable, decrease tobacco use in pregnancy (harm
reduction);
-
Provide
a transition for continued support; post-Maternity Support Services;
and
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Reduce
fetal/pediatric exposure to second hand smoke.
A
Tobacco Cessation Performance Measure Workgroup comprised of the state
staff, First Steps providers, American Cancer Society and community
organizations has directed the planning for the pilot project. An outcome of the pilot project will be to develop
recommendations to the state for a tobacco cessation performance measure
for all Maternity Support Services (MSS) agencies. In 1998, birth certificate data indicates nearly 11,000 women
smoked during pregnancy and approximately 70 percent of these women were
covered by Medicaid.
Pilot
sites were based on agency interest and a high rate of maternal smoking
among their First Steps clients. Enrollment
of women in the pilot projects began in July 2000. Enrollment criteria were women receiving MSS who smoked within
three months of conception, and had delivered in January and February of
2001. The project pilots used “Make Yours A Fresh Start Family”
smoking cessation materials published and provided by the American
Cancer Society. In the
summer of 2001, recommendations for provision of tobacco cessation and
secondhand smoke exposure counseling services by MSS providers will be
developed. It is
anticipated that statewide training of all MSS providers on motivational
interviewing and the stages of change model for tobacco cessation will
occur in the Spring of 2002.
The
community pilot sites and area lead contact persons are:
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Benton-Franklin
Health District,
Sandy Owen (509) 943-2614
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Clallam
County Health District,
Rene Martinez (360) 565-2608
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Colville
Confederated Tribe,
Diane Mills (509) 722-7015
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Cowlitz
Consortium,
Lisa Loeb (360) 636-3892
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Providence
Sound Home Care
(Thurston, Lewis, and Mason Counties), Mary Brown (360) 493-4724
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Spokane
Holy Family Hospital,
Cathie Pitts (509) 482-2190
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Snohomish
Health District, Carol
Strandley (425) 712-0266
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Tacoma-Pierce
County Health Department, Cheri
Singleton (253) 582-7386
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Yakima
Valley Memorial Hospital,
Chris Schrantz (509) 575-8160
If
you are interested in receiving further information about the pilot
project or the Workgroup, please contact Kathi Lloyd (360/236-3552) kathi.lloyd@doh.wa.gov
In addition, effective January 1, 2002, Medical Assistance
Administration (MAA) in Department of Social and Health Services (DSHS)
added Medicaid coverage of a smoking cessation benefit for pregnant
and postpartum women (up to two months postpartum), as described on
the
MAA Smoking
Cessation Counseling Benefit reference card and chart
form.
Maternal and Infant Health and Tobacco Prevention and Control Program
in collaboration with DSHS, the statewide Perinatal Advisory Committee
and other heath care professionals have developed a best practice
booklet for prenatal care providers. Smoking Cessation During
Pregnancy: Guidelines for Intervention includes information on using
motivational interviewing techniques, tips for dealing with relapse,
developing quit plans, expanded pharmacotherapy information and
additional resources.
For more information about the MAA Smoking Cessation Benefit or the
Smoking Cessation Guidelines,
contact Polly Taylor (360-236-3563).
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