Tuesday, 19 November 2002 - 2:00 PM
Hilton San Francisco Franciscan Room C (100)

CESS-44. Smoking Cessation and Mood Management in an Urban Homeless Population

Paul R. Burton, BSc, University of California, San Francisco, School of Medicine, pburton@itsa.ucsf.edu, Kim P. Norman, MD, University of California, San Francisco, Department of Psychiatry, knorman@itsa.ucsf.edu, Paige Friedlander, BSc, University of California, San Francisco, School of Medicine, pfriedl@itsa.ucsf.edu.

Learning Objectives: Explain how to implement effective smoking cessation programs in homeless shelter settings. Describe cognitive behavioral tools for smoking cessation. Understand the risks and rewards of student clinicians as counselors in smoking cessation programs.

Abstract: AUDIENCE: This workshop will inform health care professionals and others about the successful implementation by supervised medical students of a smoking cessation protocol combined with cognitive-behavior mood management techniques in an urban homeless population.

KEY POINTS: · Smoking cessation protocols delivered by medical students under faculty supervision are effective in an urban homeless population. · Combined smoking cessation treatments (bupropion and nicotine patch) and cognitive-behavioral techniques that target affective distress symptoms are effective in achieving smoking cessation, smoking reduction and other behavioral modifications in a homeless population. · Combined smoking cessation techniques and mood management techniques led to substantially reduced nicotine intake and other beneficial health-related behaviors, including increased compliance with psychiatric medication regimens. · Smoking cessation groups became supportive communities for homeless people living in isolation that fostered the development of interpersonal relationships and encouraged participants to enroll in educational and vocational training and to find gainful employment. · Smoking cessation groups created an environment where medical students and homeless shelter residents learned from each other through honest and compassionate exchanges.

EDUCATIONAL EXPERIENCE: The audience will discuss videotapes, live demonstrations, and role plays.

BENEFITS: The audience will learn of an initiative treatment program that combines three smoking cessation methods (nicotine replacement, support groups, and bupropion therapy) administered by student clinicians.


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