Quitting Tobacco Too: For People with Substance Use Disorders

If optimum wellness is the goal of recovery from addiction to drugs and alcohol, quitting the use of tobacco must also be a priority, given that people who use substances are more likely to be smokers than the general population and to die of smoking-related disease than of using other substances. This engaging, interactive online module outlines the role of organizations providing substance use treatment in encouraging tobacco cessation as well. Some organizations may decide to provide that service, while others may make referrals. Whichever strategy is chosen, practitioners benefit from knowing the basics about tobacco cessation. The module reviews background information about tobacco as an addictive substance, medications that assist quitting, behavioral interventions, actions proposed by the US Public Health Services for practitioners to take, and strategies for preventing relapse.

The module helps participants answer these questions.

  • Is your organization ready to help people recovering from other substances to quit smoking as well?
  • How do you integrate smoking cessation into your organization's mission?
  • Why should people who are trying to recover from using other substances quit smoking, too?
  • What treatment strategies are there for helping them quit?
  • How do you help people who are willing to quit? Who aren't willing to quit?
  • How do you help people prevent relapse?

This intermediate-level on-line course is directed to personnel in organizations that treat substance use disorders. Its goal is to help them integrate smoking cessation into their usual practice when possible or to refer current smokers to other sources of support for quitting.

This course relies heavily on the Clinical Practice Guidelines on Treating Tobacco Use and Dependence, published by the US Department of Health and Human Services in May 2008, available at http://bphc.hrsa.gov/buckets/treatingtobacco.pdf.

It also draws considerable inspiration from Tobacco Treatment for Persons with Substance Use Disorders: A Toolkit for Substance Abuse Treatment, available at https://www.dshs.wa.gov/sites/default/files/BHSIA/dbh/documents/COTobaccoToolkit.pdf

This online version was developed by Margaret L. Morse, PhD, in 2016 from those and other sources, provided within the course and on the course website in a References and Resources sheet

AGENDA: Self-paced on-line course of 1.5 hours
Part 1: Providing smoking cessation services with other substance use services (10 minutes)

  • Fitting smoking cessation with your organization’s mission
  • The “5 As” of arranging treatment
  • About smoking and its effects
  • Why it is so hard to quit

Part 2: Treatment strategies (10 minutes)

  • Can two addictions be treated successfully together?
  • Smoking cessation treatments
  • Medications
  • Behavioral interventions

Part 3: Helping people change: A brief review (10 minutes)

  • Stages of change
  • Readiness ruler
  • Motivational interviewing
  • OARS

Part 4: Working through the stages of change (15 minutes)

  • Precontemplation to contemplation (the “5 Rs”)
  • Decisional balance
  • Rolling with resistance
  • Listening for “Change Talk”

Part 5: Preventing relapse (10 minutes)

  • Basic ways to support tobacco cessation
  • SAMHSA’s Wellness Wheel

Part 6: 21 Questions to use for review (20 minutes)

Twenty-item Post-test (20 minutes)

Course Evaluation

The UNC Chapel Hill School of Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6642.  Programs that do not qualify for NBCC credit are clearly identified.  The UNC Chapel Hill School of Social Work is solely responsible for all aspects of the programs.  UNC SSW designates this continuing education activity for 1.5 contact hours.

The University of North Carolina at Chapel Hill School of Social Work, #1406, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The University of North Carolina at Chapel Hill School of Social Work maintains responsibility for this course. ACE provider approval period: 8/10/2019 to 8/10/2022. Social workers completing this course receive 1.5 continuing education credits.

Social workers participating in this course will receive 1.5 clinical continuing education clock hours.

This course has been approved for 1.5 hours of Substance Abuse Specific and Nicotine Dependence credit from the North Carolina Substance Abuse Professional Practice Board.  Approval #20-357-H-S.

Confirmation Notices & Certificates of Completion: We will confirm your registration by email after payment is received. Upon completion of this self-paced online course, participants will be directed to complete and pass a post-test (passing score is 80%) and a program evaluation.  Once finished, a pdf of the Certificate of Completion can be generated by participant in the course and be sent to the participant via email.

Refund Policy: No refunds will be issued for this event.

Inclement Weather Policy: N/A for online course

ADA Statement: If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to participate in this program, please call us at (919) 843-6083. Websites and courses have been developed in compliance of US Section 508 standards where applicable or meeting W3C priority 1 guidelines for web accessibility.

Please contact bhs-support@unc.edu with any questions or concerns regarding this course. 

Training Start Date(s): 
Monday, November 1, 2021 - 00:00
Contact Hrs: 
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