MHSA Interventions by Impact - Goal 2.4

Goal 2.4: Reduce tobacco use among adults who report poor mental health _{NOTE: Mental Emotional Behavioral (MEB) disorder prevention includes substance abuse prevention and other MEB disorder prevention.}
Levels of Health Impact Pyramid^*	Interventions
Counseling and Education	Understand evidence-based practices for smoking cessation among individuals with mental illness and/or substance abuse disorder. Look for opportunities when these might apply.
Clinical Interventions	Strengthen licensing requirements to include improved screening and treatment of tobacco dependence by providers.
Long-Lasting Protective Interventions	Adopt tobacco-free regulations for all mental health facilities.
Changing the Context to Make Individuals' Decisions Healthy	Assess the feasibility expand the Medicaid benefit for smoking cessation services such as medication for four 90-day courses of treatment annually for individuals with behavioral health disorders.
Socioeconomic Factors	Advocate for addressing the common protective factors, such as poverty and exposure to violence and protective factors, such as parent engagement and social connectedness.

^* Frieden T., "A Framework for Public Health Action: The Health Impact Pyramid". American Journal of Public Health. 2010; 100(4): 590-595

Note: The Prevention Agenda 2013-2017 has been extended to 2018 to align its timeline with other state and federal health care reform initiatives.

Department of Health