Winter 2008-2009 - Mayo Clinic

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No lectures, no blaming, no judging Center for Tobacco-Free Living educates and motivates tobacco users to seek help I n November 2008, Mayo Clinic opened its Center for Tobacco-Free Living on the 18th floor of the Gonda Building. Part of the Nicotine Dependence Center, the new 1,000-square-foot facility features interactive displays — The Anatomy of Addiction; Smoke and Mirrors: The Truth Behind Big Tobacco; The Science of Quitting; and Supporting a Tobacco-Free World. The Center for Tobacco-Free Living was intentionally located on the same floor as the Annenberg Pulmonary Medical Center. Many pulmonary patients use tobacco, and some of these 600-plus patients a day walk past the new space on their way to appointments. For those who stop by, tobacco treatment specialists are available to answer questions and schedule consultations. “This center is designed to provide hope to people who have struggled with trying to stop smoking, provide information about why quitting is difficult and provide easy access to tobacco dependence treatment services,” says Richard Hurt, M.D., director of the Nicotine Dependence Center at Mayo Clinic, a consultant in Internal Medicine and professor of medicine. “Few people aren’t aware that tobacco is harmful, but those who use it often feel ashamed and stigmatized,” says Michael Burke, Ed.D, coordinator of Nicotine Dependence Center treatment programs. “This new facility helps patients and their loved ones understand the powerful biological component of tobacco dependence, and provides information about proven, effective treatments. The new center also includes compelling information about how tobacco has been marketed and exciting information about genetic research into nicotine addiction using a zebrafish model.” (see page 14) Smoke and Mirrors: The Center for Tobacco-Free Living features information detailing how tobacco companies market a product that contributes to the leading cause of preventable deaths in the United States. 10 | Mayo Alumni Winter 2009
The Tobacco-Free Living center’s primary goal is to support those seeking treatment for tobacco dependence by providing: • Research-based information about the biological basis for tobacco dependence and why some people have more difficulty quitting tobacco than others • Personal stories from patients who became tobacco-free • Information about the most effective treatment methods • Easy access to treatment All information is presented nonjudgmentally. “People who use tobacco don’t want lectures,” says Tom Gauvin, a counselor in the Nicotine Dependence Center. “They have already heard about the dangers of tobacco, and they may feel ashamed about their lack of success in quitting. By using the disease model to help patients understand tobacco dependence, we alleviate the guilt and shame and increase the chances of success for these individuals. “The Center for Tobacco-Free Living is intended to be a safe environment in which tobacco users can be supported and become engaged in the possibility of treatment. The straightforward, educational, positive tone is designed to excite and encourage people in their fight against tobacco. Ideally, of course, the center is an accessible clinical entry point for treatment in our Nicotine Dependence Center, but we want people to seek effective treatment anywhere.” Sheila Stevens, coordinator of education programs at the Nicotine Dependence Center, says that tobacco dependence treatment is underutilized. “More than 40 million people in the United States smoke,” she says. “Most want to stop but, without treatment, only 3 percent to Grand opening: (from left to right) Glenn Forbes, M.D., CEO of Mayo Clinic in Rochester; Andrew Limper, M.D., chair of the Department of Pulmonary and Critical Care Medicine; Richard Hurt, M.D., director of the Nicotine Dependence Center; and Denis Cortese, M.D., president and CEO of Mayo Clinic, opened the Center for Tobacco- Free Living on Nov. 20, 2008 — the date of the American Cancer Society’s 33rd annual Great American Smokeout. 5 percent of quit attempts are successful. Many people don’t understand that treatment greatly increases their chances of successfully quitting. If someone has diabetes, a combination of education and medication helps them manage their illness. If the first effort does not succeed, medication is changed, more counseling is provided and the health care team keeps working with the patient. That doesn’t often happen with smoking. Patients get lectured, and their willpower is questioned. Our counselors work hard to develop effective partnerships with patients without lecturing or blaming.“ The Nicotine Dependence Center provides outpatient, residential and hospital services. Many patients in the residential program have tried other types of treatment without success. Mayo’s residential program has a 52 percent success rate for one year after treatment. Among outpatients, the The Anatomy of Addiction: This display in the Center for Tobacco-Free Living shows how addiction to nicotine occurs. Cigarettes rapidly deliver a large amount a highly addictive substance, which causes changes in the brain. These changes cause craving and withdrawal. www.mayo.edu/alumni | 11
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Winter 2008-2009 - Mayo Clinic

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