On a smokefree journey

Not a Single Puff

Taranaki people are being offered regional-wide support to quit smoking in a new comprehensive service. The Taranaki Stop Smoking Service (TSSS) launched in 2016, is led by Tui Ora and available for anyone who smokes and needs support to quit, whether it is their first attempt or their 15th.Stop-smoking programmes are delivered by trained Quit Coaches who provide group programmes, clinics or one-on-one support. The service is free and confidential, available to anyone in Taranaki, wherever they are.To help with nicotine cravings, coaches provide patches, gum and lozenges during the 7-week individually tailored behavioural support programme. They also support people using prescription medicines such as nortriptyline, bupropion (also known as

Zyban), varenicline (also known as Champix) or those who are using e-cigarettes.To motivate people and validate that they are smokefree during the quit programme, coaches use a carbon monoxide monitor.The Smoking Cessation Referral pathway is simple. Patients can be referred via best practice (GPs), through a smoking cessation form from Taranaki District Health Board (TDHB) or by completing a TSSS referral form (all other referrers). The TSSS team is committed to keeping referrers informed of a person’s progress. A referral will be acknowledged and health professionals informed when people exit or complete the programme.

We welcome you We’ll sit beside you on the journey Living a powerful life

We’ll help you begin Standing on your own

Client/Whānau Taranaki Stop Smoking Service Team

For further information phone 06 759 7314 or email stopsmoking@tuiora.co.nz

Kuhu Mai

Nau Mai Noho Mai Mana Ora

Tu Mai

April 2017 Newsletter

TSSS Not a Single Puff - April 2017 | 1

Smoking Cessation Referral Pathway

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Refer the person via best practice (GPs), smoking cessation form (TDHB) or TSSS referral form (all other referrers)

Tui Ora will acknowledge receipt of the referral

The Taranaki Stop Smoking Service contacts the person to enrol in the programme

The Quit Coach will see the person to talk about the programme, how to prepare for quitting and ways to fight urges

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Quit 4 Two – Smokefree Pregnancy

‘Just having that support and

not being judged and told oh

you need to do this. You know

it was more like this is the

service we provide…I didn’t feel

like I was being pressured.’

‘Committing to giving up was really scary and I think Tui Ora took a lot of the scare factor away.’

Feedback

‘Just knowing that she is only a text away and that she is so approachable.

She is like a friend instead of a health provider.’

‘You've got to strike while the iron

is hot. If someone's going hey I

want to give up smoking, you've

got to actually do something

now, because by tomorrow,

or by even later that day, they

have decided that they don't

want to make that decision.’

‘Knowing that I have got nother life growing inside me, I need to be there for them.... I think just putting that in my head

and knowing this is what I want for me and my family has given me that strength’

‘It's not a challenge to actually fill out the paperwork and send it off, I

guess the biggest challenge is to get somebody engaged in wanting to quit, so to keep asking the question.’

The TSSS Team is serious about reducing smoking in pregnancy by increasing the number of pregnant women who are supported to access a quit programme designed just for them. Our Quit Coaches are trained to work with pregnant women, and can provide nicotine replacement therapy medicines such as nicotine patches, gum or lozenges. These medicines will help ease the cravings and are far safer than smoking. We want to ensure pregnant women and their whānau have the quickest access to support. To make this happen email stopsmoking@tuiora.co.nz or call 06 759 7314

Quitting smoking during pregnancy is one of the best decisions a woman can make for her, and her baby.

Feedback from people in the programme and referrers.

Annual ReportTSSS Not a Single Puff - April 2017 | 3

The person sets a target quit date - this is the day they will quit smoking and this means ‘not a single puff!’

The person will see their Quit Coach each week for four weeks after their target quit date has passed

During each visit, the Quit Coach will use a CO monitor for the person to blow into to confirm they have ‘not had a single puff’

Once the person completes or exits the programme, the Taranaki Stop Smoking Service will inform the referrer

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MaoriTotal

Non-Māori

328(42%)

254(41%)

251(41%)

207(41%)

164(44%)

85(43%)

Referred783

Enrolled617

Booked547

Quit date500

4 week follow up

377

Validated Smoke free

196

455(58%)

363(59%)

359(59%)

293(59%)

213(56%)

111(57%)

77%

99%

82%

80%

99%

82%

79%

99%

81%

52% 52%52%

Our latest figures to end of March 2017 are encouraging. Since July last year the Taranaki Stop Smoking Service (TSSS) has received 783 referrals. Of those, 547 people booked into a programme and 500 set a quit date – from that day on they were committed to ‘not a single puff.’

To help motivate people and keep them on track, Quit Coaches measure their carbon monoxide levels on a weekly basis.

To date, 196 people can say they have not had a single puff. This is a 52% success rate, which ranks favourably alongside national figures. Further positive validations will come as more people move through the programme.

March 2017How are we doing?

Like a sports coach a Quit Coach can be an inspiring figure encouraging individuals to do their best for themselves and their whānau. Providing accurate information is also important – such as helping people understand how nicotine addiction works and how to prevent relapse.

Our stop-smoking programmes are delivered by trained Quit Coaches who provide group programmes, clinics or one-on-one support. It is a free, confidential service, available to anyone in Taranaki - and we can come to you wherever you are.

George Rapana was a two pack a day smoker. When his wife gave up, he decided he would too. That was 19 years ago but George says that the urge to smoke can still be strong.George supports individuals who are trying to stop but has also worked collectively with colleagues in workplaces like Countdown where staff are trying to quit in a group situation.

“Smoking is a comfort thing. You do it when you’re tired or when you’re stressed. That’s what makes it so

hard to stop. It’s taking that comfort away and learning to live without it.”

Emma Dillon has been a Quit Coach for three years but to do it she had to overcome a 30-year habit of smoking up to 30 cigarettes a day.Emma will help anyone who wants to stop smoking but has particular experience in working with pregnant women. She has a strong message – giving up at any stage of pregnancy is worthwhile with the benefits far outweighing.

“I quit for my grandchildren. That’s what made me do it. The hardest part was

making the decision to stop, and then sticking to it.”

Janine Lineham has 11 years’ experience working as a Quit Coach. This year, along with her colleague George Rapana, Janine received her practitioner certificate in smoking cessation. They were among the first graduates of this new programme.Janine comes from a big family of smokers and used to smoke socially herself. When she became a mother she quit for her kids, not wanting them to grow up seeing their Mum as a smoker.

“We are fine-tuning the way we deliver the quit programme, constantly thinking of

ways we can individually support people because what works for one person,

doesn’t for another. But as a team we use common language so there is consistency

and the same level of understanding.”

Cilla Rei works from Hawera providing a service to South Taranaki and rural people. She has worked in health for 17 years, and in the area of smoking cessation for over a year.She was once a smoker – 30 years ago – and says while there is far more support for people than in the day when she went “cold turkey”, they still have to be ready. “My job is to give them all the information and support but they have to want to do it – otherwise they will not achieve their outcome.”

“Transport can be a barrier for the people I

work alongside, so being flexible and travelling to them is a key part of my

quit coaching role.”

Alison Franklin is the administrator for the Stop Smoking Service. She is often the first point of contact for clients who want to stop smoking. She processes all referrals and connects clients with a quit coach.Alison has recently moved into her role having previously worked in the corporate administration team at Tui Ora. The role appealed to her because she wanted to work in a “feel-good” job where you can have a positive impact on a person’s life.

“It’s so neat seeing the expression on someone’s face when they validate a 1

[on the carbon monoxide monitor] and they started on 30. We have one client

who is exercising every morning instead of having a smoke. Giving up smoking is changing people’s lives, it really is.”

Our Quit coaches - meet the team

For further information phone 06 759 7314 or email stopsmoking@tuiora.co.nz

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