Counsellors' Manual for Commercial Tobacco Cessation Treatment

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NICOTINE DEPENDENCE CLINIC, CAMH © Centre for Addiction and Mental Health 2011 This resource may be freely reproduced, adapted and used by any helper or community in accordance with OCAP principles (Ownership, Control, Access and Possession).
Session 1 Screening and Assessment This session is designed to give people personalized feedback about their tobacco use and how it is affecting other areas of their lives. An emphasis is placed on ensuring that assessment information is used clinically to enhance a person’s motivation and readiness to change. T obacco dependence can be a challenging topic to raise with people, particularly when they are seeking help for some other issue. Even opening a conversation about commercial tobacco use can be a challenge if the person has been accustomed to being “lectured” by health practitioners, family, friends and the media. Adopting a motivational stance is important in raising the issue in a non-confrontational, matter-of-fact way. This means: Avoiding arguing Expressing empathy Developing discrepancies between a person’s goals and their use of commercial tobacco Rolling with resistance Supporting self-efficacy (confidence that they can achieve their goals). For example, asking the person, “What is the most unusual thing you’ve ever done to make sure you’d have cigarettes for the next morning” can elicit responses that are very helpful in developing a discrepancy between how a person regards him- or herself, and his or her behaviour. Examples we have heard in our practice include ordering pizza in order to get cigarettes delivered, picking cigarettes off the ground, stealing and sifting through cigarette butts in an ashtray. The important thing is to give people an opportunity to explore and resolve their ambivalence around changing their use of commercial tobacco. Helpers should strive to avoid attempts to persuade or confront people about their tobacco use, as this can lead to resistance and disengagement. The tools in this section can be used in a variety of ways: Brief screening tools used in conjunction with other intake or assessment instruments in your program or service
Page 1: IT’S TIME: INDIGINENOUS TOOLS & S
Page 5 and 6: Fagerstrom Test for Nicotine Depend
Page 7 and 8: BRIEF COMMERCIAL TOBACCO ASSESSMENT
Page 9 and 10: Why You Smoke Commercial Tobacco Th
Page 11 and 12: 3. Beware of overloading a person w
Page 13 and 14: Reasons for Change Making a commitm
Page 15 and 16: Readiness Ruler Now that you have t
Page 17 and 18: Daily Diary Date Behaviour (How man
Page 19 and 20: Session 3: Making a Decision to Cha
Page 21 and 22: How fast will I improve after I sto
Page 23 and 24: What Withdrawal Symptoms Can I Expe
Page 25 and 26: Myths and Facts about stop-smoking
Page 27 and 28: Readiness Ruler Now that you have s
Page 29 and 30: When feeling upset, sad or angry. T
Page 31 and 32: Triggers and Coping Skills Sample P
Page 33 and 34: General Coping Strategies Things I
Page 35 and 36: Healing from commercial tobacco use
Page 37 and 38: o Changing my morning routine o Qui
Page 39 and 40: 6 Prevent Relapse This final sessio
Page 41 and 42: Decisional Balance Sheet Write down
Page 43 and 44: If I were to relapse…. …it woul
Page 45: Resources and Further Reading Key R

Counsellors' Manual for Commercial Tobacco Cessation Treatment

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