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.

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