Overview of Case Managed Approach to Tobacco Cessation Help for Leaders

The Purpose and Mission of CMATCH:

To provide a community-based program that offers periodic and regular group learning and peer support while engaging participants in individualized staged intervention toward tobacco cessation.

Offering an intervention system for nicotine dependency at no cost to the participant, based on three actions: (1) attendance to a 14-day course in behavior change strategies, (2) a supporting mentoring workshop of trained lay persons and health professionals, and (3) long-term follow-up coaching by phone to encourage, mark progress, and elicit accountability. All of which support and facilitate self determination and success in the client’s efforts to quit through a case management, community-collaborative method.

Objectives

To make cessation efforts organized around a wholistic assessment and motivational process which results in a multidisciplinary team approach to behavior change toward a healthy lifestyle, including client/patient, health care providers, concerned spiritual partner, or neighbor.

To include chaplaincy departments, churches and trained lay leaders, faith community nurses, and community-based helping organizations in the long-term support and community integration aspects of successful cessation and maintenance of the tobacco quit state.

To provide health care providers and the community current information on tobacco issues, the nature of addiction, epidemiology, and intervention methods through means of discussion and in self-study format for implementation of this system.

Orientation & Preparation of Workshop Teams and Volunteer Mentors

The select team of the sponsoring organization is oriented by FrameWork Health staff in a community conference session or by a conference audio/visual call in approximately 3 hours to learn about the system of intervention, allow opportunity for discussion and concerns, and set the wheels in motion for almost immediate roll-out of a carefully crafted program. There is a downloadable manual for the team members on the LivingSmart website. It fits within the parameters of quality mentored health behavior change that allows self-determination and control over the cessation process augmented by a strong follow-up support component. The education and the social integration learned and achieved in the cessation program will benefit families and community.

The Method of CMATCH

Linda Royer of FrameWork Health has developed a method to facilitate successful cessation using a combination of:

1. Assessment Interview using a standard tool crafted for CMATCH in which strengths and weakness in the areas of history, tobacco use intensity, health beliefs and values, perception of stress and response to it, concept of personal power and confidence, determination of readiness, learning style, and degree of social support present in the individual are identified. By this, readiness and placement in the program are obtained and benchmarks are set.

2. A self-help wholistic tobacco cessation program, Taking Control, applying audio and visual guidance, and projected free, in eBook format, from this website .

3. Carefully scripted, scheduled motivational telephone coaching by carefully prepared individuals.

4. Social engagement in strategically scheduled group meetings in workshop format for supportive health education and the development of mentoring relationships.

Procedures for Enrollment in CMATCH

Target Populations: General Adults, including Smoking Mothers; with or without insurance; Individuals with tobacco-related unhealthy conditions; English speakers (or with accompanying translator).

Purpose: To provide a community-based program that offers periodic and regular group learning and peer support while engaging participants in individualized staged intervention toward tobacco cessation.

Method Design:

1. Attract 10-20 intervention-seeking tobacco users through referral from a neighbor/friend/family member or health professionals. Register them by means of a thorough tobacco-related history interview. Rate their Stage of Readiness (Prochaska & DiClemente).

a. For Determination and Action groups, register them for next round of CMATCH.

b. For Contemplators, provide motivational materials, use motivational interview technique, invite them to the group session called “Let's Begin to Quit” and an invitation to attend the Celebration Banquet to attract more interest.

2. First Workshop Meeting: In a neutral location for 1 ½ hours for orientation using the following tools and procedures:

a.Program overview

b. Individualized assessments

c.Identification of Stage of Change

d. Utilization of FRAMES - Motivational Interview process

e. Presentation on current intervention theory and practice

f. Schedule the following activity plan for those in the Determination or Action Stage

3. Enroll them in Taking Control to participants with orientation to the website course

4. Set up telephone support schedule with participants

Telephone support calls begin according to mutually determined schedule. Written scripts guide facilitators; a Progress Pathway and Summary of observed concerns guide progressive proactive phone calls. Relationship grows into a mentoring one over at least 1 year with early calls scheduled according to known periods of need (from research) more frequently and occurring at farther intervals over time.

5. Schedule Vegetarian Potluck meal and motivating movie for end of 1st month Food is provided by the sponsoring organization.

6. Schedule Vegetarian Celebration Banquet for end of 2nd month. Food is provided by the sponsoring organization with recipes and an invitation to a follow-up Vegetarian Cooking Class.

a. Award Ceremony

b. Testimonies

c. Contemplators invited to motivate them to Action

d. New registrants invited to join celebration

7. Start new round beginning of 3rd month

Expense and Funding

The cost for Workshop activity will be borne by the sponsoring community organization for: meeting space, time in training the team and mentors, hospitality items, food, handout materials, awards, etc.

Framework Health provides the website course and its downloadable handouts and bears the cost of internet fees, telephone service and coaching software, and administration of CMATCH. Phone Coaching services by FrameWork Health staff is negotiable with the sponsor.

Sponsoring organizations are asked to donate for each event they hold; $200 is suggested. Fundraising efforts will be ongoing. The donation can be made through the PayPal link on the Contact Us page.

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