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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:

  1. Increase cessation of tobacco use in pregnancy;

  2. If cessation is not attainable, decrease tobacco use in pregnancy (harm reduction);

  3. Provide a transition for continued support; post-Maternity Support Services; and

  4. 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:

  • Benton-Franklin Health District, Sandy Owen (509) 943-2614

  • Clallam County Health District, Rene Martinez (360) 565-2608

  • Colville Confederated Tribe, Diane Mills (509) 722-7015

  • Cowlitz Consortium, Lisa Loeb (360) 636-3892

  • Providence Sound Home Care (Thurston, Lewis, and Mason Counties), Mary Brown (360) 493-4724

  • Spokane Holy Family Hospital, Cathie Pitts (509) 482-2190

  • Snohomish Health District, Carol Strandley (425) 712-0266

  • Tacoma-Pierce County Health Department, Cheri Singleton (253) 582-7386

  • 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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Documents posted in .pdf version on the Department of Health Web site will be made available in an alternative format on request to users who are unable to download or view .pdf files on the Web. To request an alternative format, contact the appropriate office listed below.

Contact Information:

Administration (360) 236-3502 /E-mail

  • Autism Task Force (360) 236-3571/E-mail
  • Maternal and Infant Health Program (360) 236-3505/E-Mail
  • Child and Adolescent Health Program (360) 236-3531/E-Mail
  • Children with Special Health Care Needs Program(360) 236-3571/E-Mail
  • MCH Assessment Program (360) 236-3533/E-Mail
  • Immunization Program (360) 236-3595/E-Mail
  • Genetics Services Section (253) 395-6741/E-Mail
  • Healthy Mothers Healthy Babies Toll Free Phone Line 1 (800) 322-2588
  • Answers for Special Kids (ASK) Line: 1 (800) 322-2588

Address:

Office of Maternal and Child Health

Department of Health

Community and Family Health

111 Israel Road SE

Tumwater, WA 98501


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