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HomeMy WebLinkAboutMINUTES - 03081994 - IO.2 TO: BOARD OF SUPERVISORS 1.0.-2 Contra lrs. FROM: INTERNAL OPERATIONS COMMITTEE ! Costa is o.. - x� _.: ..:-= 40� County DATE: February �2$ 1994 s>d coun`t's SUBJECT: REPORT ON THE COUNTY'S SMOKING CESSATION PROGRAM SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION i RECOMMENDATIONS: 1 . AUTHORIZE the Healthy Lifestyle Committee to coordinate lunch time Brown Bag seminars where representatives of various private and community-based smoking cessation programs could visit several worksite locations throughout the County and , present specific information on their programs, thereby allowing employees to make an educated decision as to the type of program they would like to try. 2 . AUTHORIZE the Healthy Lifestyle Committee . to begin disseminating smoking cessation program and referral pamphlets . 3 . AUTHORIZE the Healthy Lifestyle Committee to begin tracking and awardingincentive prizes and special recognition awards for those employees who are successful at their quest to kick- the-habit. 4 . AUTHORIZE the Healthy Lifestyle Committee to begin recruiting non-smoking volunteers to "sponsor" smokers who are attempting to break the', habit. 5 . AUTHORIZE the Healthy Lifestyle Committee to make additional recommendations to the Board of Supervisors as the Committee feels such recommendations are timely and appropriate. 6 ., REMOVE this item as a referral to the 1994 Internal Operations Committee. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF UNTY A MI ISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE O H SIGNATURE (S): ury m" 92 ACTION OF BOARD ON Q o o A APPROVED AS RECOMMENDED OTHER rzcrrcrr—Q�T9 VOTE OF SUPERVISORS J I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT :L r y' ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. 9 ATTESTED I ` Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF CC: County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR Acting Personnel Director Health Lifestyle Committee (Via Personnel) BY ,DEPUTY I .O.-2 _2_ BACKGROUND: On November 2, 1993, the Board of Supervisors approved a report from the 1993 Internal Operations Committee on this subject. Among the recommendations approved by the Board of Supervisors was one to: 4 . REQUEST the Labor/Management Healthy Lifestyle Committee to prepare proposed criteria and guidelines for County employees to attend smoking cessation classes which include having the County provide a portion of the time needed to attend such classes, and return their recommendations to the Internal Operations Committee on January 3, 1994 . The Board of Supervisors subsequently referred this subject to the 1994 Internal Operations Committee and authorized the Acting Personnel Director to make a report on behalf of the Healthy Lifestyle Committee later than had been contemplated. On February 28, 1994, the Acting Personnel Director met with our Committee and reviewed the attached report with us . As can be seen, most smoking cessation programs require a commitment of 11 to 2 hours and meet in the evening. The number of employees who are still smoking and are interested in attending a smoking cessation class is few enough and sufficiently spread out across the County that it is not practical to consider a class just for County employees . The Healthy Lifestyle Committee has concluded, therefore, that there is no need for the County to provide employees any County time to attend smoking cessation classes. The Healthy Lifestyle Committee has made the above recommendations for how they would like to proceed and our Committee is pleased to forward these recommendations to the Board of Supervisors for action. . I i The Emplo3ree �1Tellness P'�-o gram•s SMOKING CESSATION RESOURCE GUIDE Contra Costa County Employee Wellness Program 627 Ferry Street Martinez, CA 94553 (510) 646-4946 1 In this Resource Guide you will find information-regarding a variety of local smoking cessation programs designed to help smokers kick their smoking habit. Offering a variety of smoking cessation programs allows you,to choose the type of program which will best suit your needs. In addition, this Resource l Guide provides information regarding what you can expect when you quit smoking such as, the benefits of quitting smoking, understanding the withdrawal symptoms of quitting smoking, and smoking and weight gain. j Please take a few moments to look through this brochure and see which smoking cessation methods are available to you. Pick which ever program you feel will help you to succeed and make the decision today that you're going to use it to help you quit. Remember that successful methods are as different as the people who use them. What may seem silly to others may be just what you need to quit, so don't be embarrassed to try something new. ORGANIZATIONS Group Programs American Cancer Society 474 North Wiget Lane Walnut Creek, CA 94598 (510) 934-7640 This is a 6-week program which meets once a week for 2 hours. Classes focus on education, group support and behavior modification. Classes are held at Kaiser Hospital in Richmond and at the American Cancer Society Offices in Walnut Creek, as well as other locations throughout the County. Contact the American Cancer Society for locations and starting dates. Cost for this program is a $20.00 suggested donation. The American Cancer Society also has maintenance meetings for the "I Quit" Smoking Programs, which are designed for those who wish to remain smoke-free. These meetings are free and are on the third Thursday of every month from 7:30 - 9:30 p.m. at the American Cancer Society Office. American Lung Association 105 Astrid Drive Pleasant Hill, CA 94523 (510) 935-0472 Contact: Norm Okun The American Lung Association coordinates the "Freedom From Smoking" program at Kaiser Permanente Medical Center in i Antioch. This is a 6-week program consisting of 7 sessions .which meet for 1 1/2 hours per session. Classes focus on education, group support and behavior modification. The cost for this program is $24.00 for Kaiser members and $108.00 for non-Kaiser members. i The American Lung Association also has many self-help materials available. In addition to numerous books and pamphlets, they have audio and video tapes available for purchase. Kaiser Permanente Medical Center j 200 Muir Road Martinez, CA -94553 (510) 372-1198 Information (510) 372-1903 Sign-Ups j Kaiser Permanente Medical Center offers several different programs. They offer the "Thinking About Quitting" program which is a one session, 1 1/2 hour introductory workshop about quitting smoking. Motivation, barriers, strategies and resources will be discussed. Quitting methods, including nicotine replacement therapy will be explained. At this class,, members may initiate the evaluation process for the "Group Program with Nicotine Replacement". The fee for this introductory session is $3.00 for Kaiser members and --- for non-Kaiser members The "Smoking Cessation" program is a 6-week, 8 session group j program that addresses the physiological, behavioral and psychological process of becoming,a non-smoker. Each session meets for 1 1/2 hours. The fee for Kaiser members is $24.00 and $108.00 for non-Kaiser members. i The "Group Program with Nicotine Replacement" is a 7-week, 8 session program for smokers who have attended the "Thinking About Quitting" and "Smoking Cessation" programs. A behavioral and medical evaluation will be conducted before enrollment. Nicotine patches will be prescribed'only for those smokers most likely to benefit from them. The fee for this program is $35.00 plus the cost of the prescription which will vary according to health care coverage. Kaiser also offers a "Stop Smoking Maintenance" program which is an ongoing monthly support group for non-smokers. This program is free and meets on the fourth Monday of every month from 7:00 p.m. - 8:30 p.m. John Muir Medical Center Yosemite Building 1601 Ygnacio Valley Road Walnut Creek, CA 94598 (510) 938-2301 Contact: Cathy Conlin The "Kick The Habit" program combines nicotine replacement and behavior modification techniques in a medically supervised program., Participants meet at 7:30 p.m. on Tuesday, j Wednesday, and Thursday during the first week. Meetings will be held once a week on Tuesdays at 7:30 p.m. after the first week. The cost for this program is $275.00 per person. An j ongoing support group is available. i i Mt. Diablo Medical Center 2540 East Street Concord, CA 94520 (510) 825-9355 j Contact: Carol Akiyama "Smoke Stoppers" is a 3-part program. The first part is a free introductory session which will explain how the program works. The second part is the 5 Days To Freedom phase. This is the intense part of the program which meets for 4 consecutive days. The last part of the program is a 3-week support phase which meets once a week. These support meetings discuss various topics such as learning how to deal with food and food cravings, i the importance of exercise, weight gain and substituting healthy behaviors. The cost for this program is $160.00 per person. Smoke-A-Non 3921 Nichandros St. Castro Valley, CA 94546 (510) 886-0825 Smoke-A-Non is a 3-week, 6 session behavior modification program which meets twice a week from 7:30 - 9:30 p.m. This program teaches participants how to identify smoking habits and how to use this knowledge to learn how to successfully cope with the desire to smoke. This program costs $50.00 per person and is also available at Kaiser Permanente Medical Center in Pleasanton. Hypnotlzera.py Pro�r�:ms Achievement Academy of Clinical Hypnotherapy 1200 Mt. Diablo Blvd. Suite 104 Walnut Creek, Ca 94598 (510)939-9100 Contact: Jean Hopewell Smith This is an individual hypnotherapy program which features cell command therapy as well as traditional hypnotherapy. A free evaluation session is available to help you determine if this program is right for you. This program costs $250.00 per person and consists of one 3-4 hour session. Appointments are taken Monday through Saturday from 9:00 a.m. - 8:00 p.m. John Basos 1844 San Miguel Dr. Suite #317 Walnut Creek, CA 94596 (510) 283-4168 This is an individual hypnotherapy program which is designed to empower people to .help themselves and reinforce positive thinking. A free initial consultation is available either in person or by phone. The cost for this program is $80.00 per hour. Appointments are taken Monday through Saturday from 9:00 a.m. - 9:00 P.M. 1 Catherine M. Benenati 2244 Morello Avenue Pleasant Hill, CA 94523 (510) 798-5657 This is an individual hypnotherapy program which specializes in the technique of regression. The cost is $75.00 per one hour session. Appointments are taken Monday through Friday from 10:00 a.m. - 7:30 p.m. Galligan Hypnotherapy Center 600 San Pablo Avenue Albany, CA 94706 (510) 527-9001 Contact: Diana Galligan This is an individual hypnotherapy program where the patient is placed into an interactive trance. The first session is 1 1/2 hours long and costs $75.00. The cost is $60.00 after the first session with a commitment to four 1 hour sessions. A free phone consultation is available. Appointments are taken Monday through Friday from 7:00 a.m. - 9:00 p.m. The average quitting time for this program is between 4-6 sessions. Dr. Richard A. Gierak 1460 Washington Blvd. Concord, CA 94519 (510) 672-3535 his is an individual hypnotherapy program which includes 4 lours of therapy broken down into 3 visits Over a one month period. The cost of this program is $100.00 per hour or $350.00 up front for the entire program. Office hours vary. James V. Moore, Ph.D Inc. 1844 San Miguel Dr. Suite #300A Walnut Creek, CA 94596 (510) 935-4448 -or- 5201 Norris Canyon Road, Suite #220 San Ramon, CA 94583 (510) 935-4448 This program focuses on hypnotherapy and behavior modification. Individual sessions are available at both locations, while group sessions are available at the San Ramon office only. The individual program includes four, 45 minute sessions at $80.00 per session. The group program includes six, 1 1/2 hour sessions at $35.00 per session. A free consultation may be done over the phone. Appointments are taken Monday through Saturday from 8:00 a.m. - 7:00 p.m. Jesse J. Thomas, Ph.D. Rafa Counseling Center 101 Gregory Lane Pleasant Hill, CA 94523 (510) 827-9876 This program focuses on suggestive hypnotherapy. A free initial phone consultation is required. It typically requires one to two, 1 hour individual sessions depending upon the patients response to the therapy. Price varies between $75.00 - $95.00 per session depending upon health care coverage. A recorded audio tape is supplied for ongoing support. Appointments are taken Monday through Friday from 9:00 a.m. - 7:00 p.m. THE BENEFITS OF QUITTING SMOKING Smoking is an instance where your body, even after decades of smoking, will forgive you if you stop. The cardiac benefits start to accrue almost immediately such that, in two years, much of your risk of heart disease will have disappeared. Within five to ten years, your risk will be no greater than if you had never smoked. The risk of lung cancer and other malignancies begins to decrease steadily after you quit, and after ten years your risk is almost as low as that of nonsmokers, even if you have smoked for years. UNDERSTANDING THE WITHDRAWAL SYMPTOMS OF QUITTING SMOKING Smoking is addictive, both physically and psychologically and when you quit, you are very likely to go through withdrawal. You may experience some of the following symptoms; mood swings, lightheadeness, fatigue, restlessness, difficulty sleeping, and poor concentration, among other symptoms. These physical symptoms last for approximately one week. Knowing what to expect beforehand and understanding that your symptoms will get better in just a few days can help you to get through nicotine withdrawal. SMOKING AND WEIGHT GAIN Keeping weight in control is often given as a reason to start and continue smoking. And yes, the fear of gaining weight is a common complaint after quitting. While the nicotine in cigarettes may speed up smokers' metabolisms, causing them to use more calories, the fact is most weight gain after quitting is temporary, and no amount of weight gain is equal to the health hazards of continuing to smoke. You can compensate for any shift to a lower metabolic rate that may occur when you quit by either consuming fewer calories or exercising more. In fact, by doing just that, a large portion of smokers maintain or eventually lose weight when they give up smoking. The fact is that some quitters never see any weight change after they quit. DON'T GIVE UP Many people who have successfully quit smoking got off to several false starts, but they eventually reached their goal. If you have a relapse, and start smoking again, don't give up. As the old saying goes; "If at first you don't succeed, try, try --r tt SMOKING CESSATION PROGRAM QUESTIONNAIRE The Contra Costa County Employee Wellness Program in conjunction with the joint Labor/Management Healthy Lifestyle Committee is committed to establishing a series of worksite smoking cessation programs for interested County employees. We would appreciate if you would take the time to fill out the questionnaire below and return through interoffice mail to the Employee Wellness Program, 627 Ferry Street, Martinez by December 30, 1993. Answers to the following questions are strictly confidential and will help us determine the level of interest and worksite locations to conduct the smoking cessation programs Please answer each question by putting a circle around your answer or elaborate when appropriate. 1. Are you currently a smoker who would be interested in participating in a worksite smoking cessation program? YES NO If "YES" , continue to question #3. 2. If you are an ex-smoker or non-smoker, would you be interested in assisting co-workers quit smoking by participating in a "buddy system" of support? YES NO If "YES", please continue to question #7 and be sure to include your name at the end', of this questionnaire. 3. If you were to participate in a 45 minute - 1 hour long per session smoking cessation program, when would be the best time for you to attend? (Please mark in order of preference and indicate what time would be best. ) Before Work - Time: Lunch - Time: After Work - Time: Other - Time: 4. Would you be willing to pay the $20.00 - $30.00 donation fee to participate in a smoking cessation program? YES NO 5. Would you be more likely to participate in a worksite smoking cessation program if the County contributed a portion of the time needed to attend? YES NO 6 Do you know of a conference room or location that would be appropriate to conduct a worksite smoking cessation program? Location: 7. Additional Comments: 8 NAME: DEPARTMENT: WORKSITE ADDRESS: PLEASE RETURN THIS QUESTIONNAIRE TO THE EMPLOYEE WELLNESS PROGRAM, 627 FERRY STREET, MARTINEZ BY DECEMBER 30, 1993. THANK YOU. RESULTS OF THE SMOKING CESSATION PROGRAM QUESTIONNAIRE The Employee Wellness Program prepared the Smoking Cessation Program Questionnaire and distributed it with the December 10, 1993 payroll. The following information is"the result of this questionnaire. SMOKING CESSATION PROGRAM QUESTIONNAIRE RESULTS ♦ Total number of questionnaires sent out through the December 10, 1993 payroll: 7,500 ♦ Total number of questionnaires returned: 62 30 Non-Smokers (48%) 32 Smokers (52%) ♦ Respondents who currently smoke and are interested in participating in a County worksite smoking cessation program: Yes - 31 (50%) No - 25 (40%) No Response - 6 (10%) ♦ Respondents interested in assisting a co-worker quit smoking through a "buddy system" support: Yes - 18 (29%) No - 12 (20%) No Response - 32 (52%) ♦ Best times for" interested respondents to attend a 1 hour long smoking cessation program: 6:00 a.m. - 0 7:00 a.m. - 1 8:00 a.m. - 0 9:00 a.m. - 0 10:00 a.m. - 1 11:00 a.m. - 2 12:00 noon - 20 1:00 p.m. - 2 2:00 p.m. - 1 3:00 p.m. - 0 4:00 p.m. - 1 5:00 P.M. - 5 6:00 p.m. - 1 ♦ Respondents willing to pay the $20.00 - $30.00 donation fee for a smoking cessation program: Yes - 24 (39%) No - 6 (100) No Response - 32 (510) ♦ Respondents more likely to participate in a smoking cessation program where the County contributes a portion of the time needed: Yes - 28 (45%) No -. 1 ( 2%) No response - 33 (53%). ♦ Locations for possible smoking cessation classes: CENTRAL COUNTY: George Gordon Training Center - 1 Probation - 50 Douglas Dr. - 1 Social Service - 40 Muir Rd. 1 Public Works - Glacier Dr. - 4 PTC - 2425 Bisso Lane - 1 Library - (Pleasant Hill) - 1 Social Service - 30 Muir Rd. - 1 C.C.C.F.P.P. Training Center - 1 WEST COUNTY: Social Service San Pablo Dam Rd. - 2 Social Service - Macdonald Ave. - 2 Social Service - Research Dr. - 1 EAST COUNTY: Social Service - Antioch - 2 SMOKING CESSATION PROGRAM QUESTIONNAIRE The Contra Costa County Employee Wellness Program in conjunction with the joint Labor/Management Healthy Lifestyle Committee is committed to establishing a series of worksite smoking cessation programs for interested County employees. We would appreciate if you would take the time to fill out the questionnaire below and return through interoffice mail to the Employee Wellness Program, 627 Ferry Street, Martinez by December 30, 1993. Answers to the following questions are strictly confidential and will help us determine the level of interest and worksite locations to conduct the smoking cessation programs. Please answer each question by putting a circle around your answer or elaborate when appropriate. 1. Are you currently a smoker who would be interested in participating in a worksite smoking cessation program? YES NO If "YES", continue to question #3. 2. If you are an ex-smoker or non-smoker, would you be interested in assisting co-workers quit smoking by participating in a "buddy system" of support? YES NO If "YES", please continue to question #7 and be sure to include your name at the end of this questionnaire. 3. If you were to participate in a 45 minute - 1 hour long per session smoking cessation program, when would be the best time for you to attend? (Please mark in order of preference and indicate what time would be best. ) Before Work - Time: Lunch. - Time: After Work - Time: Other - Time: i 4. Would you be willing to pay the $20.00 - $30.00 donation fee to participate in a smoking cessation program? YES NO 5. Would you be more likely to participate in a worksite smoking cessation program if the County contributed a portion of the time needed to attend? YES NO 6. Do you know of a conference room or location that would be appropriate to conduct a worksite smoking,cessation program? Location: 7. Additional Comments: 8. NAME: DEPARTMENT: WORKSITE ADDRESS: PLEASE RETURN THIS QUESTIONNAIRE TO THE EMPLOYEE WELLNESS PROGRAM, 627 FERRY STREET, MARTINEZ BY DECEMBER 30, 1993. THANK YOU. f RESULTS OF THE SMOKING CESSATION PROGRAM QUESTIONNAIRE The Employee Wellness Program prepared the Smoking Cessation Program Questionnaire and distributed it with the December 10, 1993 payroll. The following information is the result of this questionnaire. SMOKING CESSATION PROGRAM QUESTIONNAIRE RESULTS ♦ Total number of questionnaires sent out through the December 10, 1993 payroll: 7,500 ♦ Total number of questionnaires returned: 62 30 Non-Smokers (48%) 32 Smokers (52%) ♦ Respondents who currently smoke and are interested in participating in a County worksite smoking cessation program: Yes - 31 (50%) No - 25 (40%) No Response - 6 (10%) ♦ Respondents interested in assisting a co-worker quit smoking through a "buddy system" support: Yes - 18 (29%) No - 12 (200) No Response - 32 (52%) ♦ Best times for interested respondents to attend a 1 hour long smoking cessation program: 6:00 a.m. - 0 7:00 a.m. - 1 8:00 a.m. - 0 9:00 a.m. - 0 10:00 a.m. - 1 11:00 a.m. - 2 12:00 noon - 20 1:00 p.m. - 2 2:00 p.m. - 1 3:_00 p.m. - 0 4:00 p.m. - 1 5:00 p.m. - 5 6:00 p.m. - 1 r ♦ Respondents willing to pay the $20.00 - $30.00 donation fee for a smoking cessation program: Yes - 24 (390) No - 6 (10%) No Response - 32 (510) ♦ Respondents more likely to participate in a smoking cessation program where the County contributes a portion of the time needed: Yes - 28 (45%) No - 1. ( 2%) No response - 33 (53%) ♦ Locations for possible smoking cessation classes: CENTRAL COUNTY: George Gordon Training Center - 1 Probation - 50 Douglas Dr. - 1 Social Service - 40 Muir Rd. Public Works - Glacier Dr. - .4 PIC - 2425 Bisso Lane - . 1 Library - (Pleasant Hill) - 1 Social Service - 30 Muir Rd. - 1 C.C.C.F.P.P. Training Center - 1 WEST COUNTY: Social Service - San Pablo Dam Rd. - 2 . Social Service - Macdonald Ave. - 2 Social Service - Research Dr. 1 EAST COUNTY: Social Service - Antioch - 2 70. "L Contra -''- ,oF Personnel Department— CostaAdministration Bldg. n s `��'"• 651 Pine Street County �;•, �;�° Martinez, California 94553-1292 �o.; cP .4pA,COUK� DATE: February 23, 1.994 TO: Internal Operations Committee FROM: Eileen K. Bitten, Assistant Director of Personnel- SUBJECT: Smoking Cessation Programs BACKGROUND On November 2, 1993, we reported to your committee on the status of the Smoking Cessation Program and were requested to provide a follow-up report. Since that time, we have met with the Committee concerning arrangements for Smoking Cessation classes and have issued a follow-up questionnaire to County employees. The joint Labor/Management Healthy Lifestyle Committee met on December 21, 1993 to prepare proposed criteria and guidelines for County employees to attend lunch time smoking cessation classes including having the County provide a shared portion of the time needed to attend such classes. At that time, the Employee Wellness Program presented the Committee with findings on additional research relating to the implementation of worksite smoking cessation,programs. Classes The Employee Wellness Program advised the Committee that of the non-profit organizations and. community agencies that we spoke with concerning the coordination of worksite smoking cessation programs, we learned that facilitators of the programs require a minimum of 1-1/2 to 2 hours per session (2 hours being the preference) to effectively present a program. The majority of the smoking cessation programs are 6 to 7 weeks in length and currently meet in the evenings. Also, facilitators require a 15 to 20 person minimum to initiate a worksite program. It is more cost effective to funnel employees into already existing programs. The attached resource guide lists only some of the community and private resources currently providing smoking cessation classes. Survey Results The results received from the Smoking Cessation Assistance Survey distributed with the January 10, 1993 payroll, showed that there are very few County employees still smoking (189 of the 1,229 responses received or about 2.5 percent of the County population). A Smoking Cessation Program Questionnaire was then distributed to all County employees in December, 1993 which was to determine the level of interest of those employees who are still smoking in attending worksite smoking cessation programs. Of the 62 responses returned, 31 employees indicated an interest in attending a worksite smoking cessation program. Twenty of those respondents work in scattered locations throughout East, West and Central County. Internal Operations Committee Page 2 February 23, 1994 RECOMMENDATION Comparing the results of both surveys and the information obtained from the smoking cessation program facilitators, the Healthy Lifestyle Committee suggests proceeding in the following manner. ♦ Coordinate lunch time Brown Bag seminars where representatives of various private and community based smoking cessation programs could visit several worksite locations throughout the County and present specific information on their programs. This would allow employees to make an educated decision as to the type of program they would like to try. ♦ Begin disseminating smoking cessation program and referral pamphlets. ♦ Begin tracking and awarding incentives prizes and special recognition awards for those employees who are successful at their quest to kick-the-habit. ♦ Begin recruiting non-smoking volunteers to "sponsor" smokers who are attempting to break the habit. Since negotiations have concluded, the Healthy Lifestyle Committee will establish a regular meeting schedule to formulate additional joint recommendations for future wellness programs. EKB:dn Attachments