The Tobacco Education And Cessation in the Health System (TEACH) is a collaborative effort between MD Anderson, the University of Houston and Integral Care, to partner with Local Mental Health Authorities (LMHAs) in the State of Texas. The aim of this program is to provide tobacco cessation education and consulting services to clinical providers through the Project ECHO (Extension for Community Healthcare Outcomes) model. Our long-term goal is to prevent cancer by reducing smoking prevalence among Texans with behavioral health disorders.
The current smoking prevalence rate in Texas is approximately the same as the national average of 16.8% (Learn more here). However, this overall rate masks elevated prevalence in certain segments of the population including those with behavioral health disorders. On average, more than 30% of the behavioral health population smokes and the rates get twice as high depending on the severity and the type of mental disorder. Not only do people with psychiatric disorders have much higher than average prevalence of smoking, but these individuals smoke more cigarettes per day than those without behavioral disorders (Read the complete article here). Tobacco use is the leading cause of preventable death in patients with psychiatric disorders. Effective behavioral and pharmacologic treatments for tobacco use and dependence exist and are very cost-effective, but are underutilized even in the general population. Behavioral health smokers experience an additional set of barriers to tobacco treatments, which are specific to their psychiatric comorbidities. Therefore, it is critical to reach these patients with smoking cessation practices tailored to their needs.
The LMHAs represent an ideal setting in which to intervene, to reduce tobacco use among individuals with mental and behavioral care needs. However, almost 40% of the LMHAs that assess smoking status did not have a formalized plan to offer smoking cessation treatments. The goal of this project is to increase the access to specialized smoking cessation practices among providers of the Texas LMHAs. This will be accomplished through provider training in intensive smoking cessation interventions tailored to individuals with mental and behavioral care needs using the framework of Project ECHO. The current project will use MD Anderson Tobacco Treatment Program as a model for the intensive tobacco treatment, and will collaborate with and expand on the existing CPRIT-funded project Taking Texas Tobacco Free (Co-PIs: Lam & Reitzel; see Our History).
To address smoking and other tobacco use among psychiatric consumers in Texas, the Cancer Prevention and Research Institute of Texas (CPRIT), awarded a grant entitled "Taking Texas Tobacco Free (TTTF): Expanding the Integral Care Campus and Community Model into a Statewide Cancer Prevention Program" (PP130032; Co- PIs: Lam & Reitzel). The goal of TTTF is to implement a tobacco-free campus program in LMHAs across Texas and to increase the delivery of basic smoking cessation intervention among the LMHA patients.
Project TEACH is an MD Anderson Moonshot and Cancer Control Platform project, which expands upon TTTF and uses the Project ECHO framework to increase access to specialized smoking cessation treatment practices among LMHA providers.
Click on any of the following links to view/download our previous slide presentations
Instructions to submit new cases:
- Download the following template for cases: ECHO-TEACH Case Presentation Template
- Fill out the form (auto-fill available)
- Send to AAAntwi@mdanderson.org by Friday morning
Continuing Education Credit
Instructions to obtain CME credit for attendance at the ECHO-TEACH clinic:
- Review the following document for CME credit
CME Information/CME Disclosure Summary
- Contact Andrea Antwi (AAAntwi@mdanderson.org) to get the CME evaluation links
- Complete the survey
Note: The CME survey link becomes active at the end of the clinic and expires at 10 a.m. the following Monday
Instructions to obtain CEU credit for attendance at the ECHO-TEACH Clinic:
- Contact Andrea Antwi by emailing AAAntwi@mdanderson.org
ECHO TEACH Contact
Alex Hurst - Program Manager
Andrea Antwi - Program Coordinator