Substance Use
DID YOU KNOW?
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While 14% of the adult U.S. population smokes, these rates are 2-4 times higher for patients with psychiatric or substance use disorders (Kalman 2005).
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Patients with substance use disorders want to quit, and they can successfully quit if they receive evidence-based interventions tailored to their needs (Kalman 2010).
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Contrary to the belief that tobacco cessation will hinder treatment, it actually enhances mental health and non-nicotine substance use treatment outcomes (Lemon 2003, McKelvey 2017).
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Consequently, efforts should be made to integrate nicotine dependence treatment into substance use treatment through multilevel (clinical, program, and system) changes (Baca and Yahne 2009, Prochaska 2004).
Taking Texas Tobacco Free (TTTF) is a multicomponent, tobacco free workplace program that expanded in 2017 to work with substance use treatment centers and community agencies serving clients enrolled in substance use treatment. TTTF helps centers build their capacity to treat tobacco dependence among clients with substance use disorders.
Starting in 2021, TTTF was further expanded to serve priority groups from rural and/or medically underserved areas (MUA), who often experience elevated rates of tobacco use and limited access to smoking cessation services (Lasser 2000). To fully address rural and MUA tobacco use, TTTF has a planned expansion into systems and places that already provide healthcare to these priority populations - namely, Federally Qualified Health Centers (where treatment of substance use disorders typically occurs in these areas) and surrounding substance use treatment centers (Rosen 2010, Fiore 2008, MACPAC 2017). In doing so, TTTF aspires to further our mission of preventing cancers among Texans by providing targeted reach and interventions for reducing tobacco use.
Substance Use Disorder Treatment Centers & Community Outreach Agencies that We Worked With
Substance Use Disorder Treatment Centers
Cohort 1:
1. Sobering Center
2. Land Manor, Inc.
3. CARS Methadone – Corpus Christi
4. STEP Med
5. Axcel Treatment & Recovery
6. Crossroads of Fort Worth
7. Volunteers of America – Riverside
8. Volunteers of America
9. Alpha Home
10. CARS Methadone – Tomball
11. Billy T. Cattan Outreach Center
12. Montrose Center
13. The Council on Recovery
14. Santa Maria Hostel
15. Texas Clinic – Fulton
16. Texas Clinic – Westview
Cohort 2:
1. L-H Transitional Center
2. Grace Counseling
3. Endeavors
4. Abilene Recovery Council
5. MHMR Concho Valley
6. Aliviane
7. Harmony Road Recovery
8. Wiseman Lighthouse
Community Outreach Agencies
AUSTIN:
Foundation Communities
Isolation Centers 1-5
GALVESTON:
Luke Society Clinic
MEDINA:
Arms of Hope – Medina campus
SAN ANTONIO:
San Antonio Metropolitan Health District
The Village at Incarnate Word
QUINLAN:
Arms of Hope – Boles Campus
Women-Serving
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Opioid
Lung Cancer Screening
LGBTQI+
Health Centers
Mental Health
Homelessness
Training Program