Problem/Objective: Among some Asian and Pacific Islander (API) ethnicities, high tobacco use rates exist. A community health center services low-income APIs with limited comprehensive tobacco treatment programs for high-risk patients, including pregnant women, API immigrants, and cardiovascular disease, mentally ill/homeless adults. Presentation will describe five year program overview, including capacity building, fourth year evaluation on patients who Completed Program, plus culturally tailored tobacco treatment methods and treatment outcomes.

Methods: Kalihi-Palama Smoke-Free Families Program (SFFP) commences with planning grant from Tobacco Trust Fund, first targeted perinatal patients and parents of young children, later expanding to include high-risk cardiovascular disease and homeless patients. May 2002, piloted clinical tobacco counselor (CTC) intensive counseling, ongoing five years later. Internal Task Force, key clinical providers planned, guides SFFP. An external Advisory Board collaborates by sharing resources. Database (created 2004) now generates patient outcomes data. Evaluation in 2006 occurred among Completed Program patients. To determine quit status and health changes. Tobacco Specialist (TS) training by three providers and CTC initiated TS Team, currently designing project for mentally ill/homeless clients. Program builds capacity by training clinical and outreach staff in effective referrals, Brief and Intensive Interventions.

Results: Evaluation revealed among patients who completed program, 26% had continuous tobacco abstinence. Of 318 patients who received intensive counseling, 38% quit for 30 days, while 79% reduced by 50%. Perinatal patients had higher rates: 66% quit for 30 days; 80% reduced by 50%.

Conclusions: : Integrative effective tobacco cessation counseling succeeded within clinical services. Culturally adaptive interventions can modify tobacco use behavior and sustain abstinence after program completion of some high-risk, low income patients.