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Alcohol screening tools, smoking cessation (OHIP billing codes)
public health > health professionals > smoking cessation

Smoking Cessation

  • Family Practice Office Resources
  • Patient Resources
  • Training for Health-Care Professionals
  • Eligibility for Free Smoking Cessation Medications
Family Practice Office Resources
Name: The Training Enhancement in Applied Cessation and Health (TEACH) Project FAQ Document
Agency Offering: Centre for Addiction and Mental Health (CAMH)
Cost: Free
Details: The TEACH Project is a knowledge translation initiative designed to build evidence-based capacity in the area of tobacco dependence treatment. This document of frequently asked questions (FAQ) provides evidence-based answers from subject matter experts.

The FAQ document contains a total of 30 questions that are grouped into 7 content areas:

  • Screening and Assessment
  • Pharmacotherapy
  • Specific Populations
  • Smokeless Tobacco
  • E-Cigarettes
  • Smoke-Free Environments
  • Available Services & Supports

If you have a question that has not been addressed, please email it to teach@camh.ca for their next FAQ edition.

https://www.nicotinedependenceclinic.com/English/teach/Pages/FAQ.aspx

Name: 1 IN 3 cancerviewdigest blog
Agency Offering: The Canadian Partnership Against Cancer
Cost: Free
Details: More than 1 in 3 Canadians will be diagnosed with cancer in their lifetime. The 1 in 3 blog makes the connection between the latest cancer evidence and what it means in practice. Each month, they turn their attention to a key topic in cancer. This site is the companion blog to cancerview.ca

The goals for 1 in 3 are to:

  • Synthesize the evidence and connect it to practice
  • Produce and curate novel knowledge products that you can use and share
  • Build a hub of accessible cancer expertise and information

Please click on the link for video tips, Canadian statistics and the process of quitting smoking.

http://blog.cancerview.ca/category/smoking-cessation/

Name:Clinical Practice Guidelines for Pregnant and Breastfeeding Women
Agency Offering: CAN-ADAPTT (Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment)
Cost:Free
Details: The guideline includes 5 sections on smoking cessation interventions for specific populations, with one of the focuses on Pregnant and Breastfeeding Women.
Name:Prevention of Gestational and Neonatal Exposure to Tobacco Smoke (PREGNETS)
Agency Offering: CAMH. PREGNETS was created with funding from Echo: Improving Women's Health in Ontario, an agency of the Ministry of Health and Long-Term Care.
Cost:Free
Details: The PREGNETS website hosts information on smoking cessation practices for pregnant and postpartum women, a toolkit for health care providers, an anonymous Online Discussion Board and a personalized plan for quitting or reducing smoking.
Name: Youth Substance Abuse Program (YSAP) of Peel
Target: For young people aged 14 – 24 years
Agency Offering: YMCA of Greater Toronto Area
Cost: Free
Details: A non-residential program developed to meet the needs of young people who are looking for support with substance use and misuse issues, including tobacco cessation. It works from a harm reduction philosophy.

This program includes:

  • meeting with clients on/off site (ie. Community centres, schools, etc.)
  • providing one to one counselling
  • providing group sessions on an as-needed basis, AND
  • offering educational presentations to community and social service agencies

The client must call for an appointment. Call the Intake Line at 905-276-9329.

Name:Rethinking Stop-Smoking Medications: Treatment Myths and Medical Realities (January 2008)
Agency Offering: Ontario Medical Association (OMA)
Cost:Free
Details:
  • Summary of recommendations on the use of cessation medications (page 2)
  • Lists of myths and medical realities regarding use/prescription of stop smoking medications
Name:Facts about Nicotine Replacement Therapy and Smoking
Agency Offering: Peel Public Health
Cost:Free
Details:Two page information fact sheet on how Nicotine Replacement Therapy can help individuals to quit smoking. A useful resource for health care professionals to give to their patients.
Name:Smokers’ Help Line
Agency Offering: Canadian Cancer Society
Cost:Free
Details: Smokers’ Helpline Fax Referral Expansion Program

Use this resource for patients who consent to counselling and follow-up by Smokers’ Help line

  • Fax referral program that provides integration between the cessation services of Smokers’ Helpline and healthcare providers who identify and refer patients or clients who smoke or want to remain tobacco-free.
  • The program eliminates the need for patients or clients to call Smokers’ Helpline;
  • Smokers’ Helpline Tobacco Cessation Specialist will contact the tobacco user to provide counselling.
  • The healthcare provider acts as the connection between the individual and counselling.

Fax Referral Partner Option:

By signing on as a Fax Referral Program partner your practice will:

  • receive a customized fax form
  • receive aggregate data reports
  • receive program training and promotional materials
  • establish a key contact
  • receive minimal program maintenance at no cost
  • receive extended patient follow-up through the Ottawa Model for Smoking Cessation (OMSC) Integration: When this model is implemented in collaboration with Smokers’ Helpline, patients are triaged to Smokers’ Helpline follow up for up to six months

Contact:

Healthcare providers who would like more information about Smokers' Helpline or Quit Connection can call or e-mail:
1 877 513 5333
smokershelpline@ontario.cancer.ca.

Name: Smoking Cessation Billing Codes: How do primary care physicians bill for cessation counselling?
Agency Offering: Peel Public Health
Cost:Free
Details: One page information sheet on the use of cessation billing codes.
Name:You Can Make It Happen
Agency Offering: Ontario's Public Health Units, in partnership with the Canadian Cancer Society Smokers' Helpline
Cost:Free
Details: Use this website resource if you want a comprehensive overview of all the components required to start a smoking cessation program in your practice. This includes:
  • Training
  • Templates for screening
  • Templates for documentation
  • Pharmacotherapy guidelines
  • more

www.youcanmakeithappen.ca

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Patient Resources
Name: Facts about Nicotine Replacement Therapy and Smoking
Agency Offering: Peel Public Health
Cost: Free
Details: Two page information fact sheet on how Nicotine Replacement Therapy can help individuals to quit smoking. A useful resource for patients who want to use cessation aids to quit smoking. Please consult your doctor or health care practitioner before starting any new medication. You can also call Smokers’ Helpline and speak to a trained quit specialist.
Name: 1 IN 3 cancerviewdigest blog
Agency Offering: The Canadian Partnership Against Cancer
Cost: Free
Details:

More than 1 in 3 Canadians will be diagnosed with cancer in their lifetime. The 1 in 3 blog makes the connection between the latest cancer evidence and what it means in practice. Each month, they turn their attention to a key topic in cancer. This site is the companion blog to cancerview.ca

The goals for 1 in 3 are to:

  • Synthesize the evidence and connect it to practice
  • Produce and curate novel knowledge products that you can use and share
  • Build a hub of accessible cancer expertise and information

Please click on the link for video tips, Canadian statistics and the process of quitting smoking.

http://blog.cancerview.ca/category/smoking-cessation/

Name:Smokers’ Help Line
Target:General population/all age groups
Agency Offering:Smokers’ Help Line, Canadian Cancer Society
Cost:Free
Details: Recommend this resource for patients who want other methods of cessation support.

www.smokershelpline.ca
1-877-513-5333

  • Online: 24/7 access to a supportive community and self-help program.
  • Phone: Smokers who are ready to talk about quitting can call a Quit Specialist for free, confidential, one-to-one support.
  • Text: Text messaging support available on how to deal with cravings
Name:Leave the Pack Behind (LTPB)
Target:Ontario young adults ages 18-29
Agency Offering:MOHLTC
Cost:Free
Details: Recommend this program to all young adults (ages 18-29)
Free nicotine patches and gum, available while supplies last via LTPB's online ordering platform

Young adults can receive an 8-week supply of Nicotine Replacement Therapy, NRT (patch or gum), age-tailored self-help mini-quit booklet, regular support emails, and a referral to the Canadian Cancer Society’s Smokers’ Helpline.

Eligibility Criteria:

  • Resident of Ontario, age 18 – 29 years;
  • Must smoke cigarettes daily or almost daily for the past 3 months; and
  • Planning to quit smoking in next 30 days.

Age-tailored, self-help, quit smoking booklets
Evidence-based quit smoking books that include information about smoking and quitting, how to handle nicotine withdrawal, control cravings, and strategies that help young adults deal with daily stress to prevent relapse.

Available online at leavethepackbehind.org or on campus through peer student team or campus health clinic.

Cessation support available on-campus (in Peel Region) for students registered at:

  • University of Toronto Mississauga Health and Counselling Centre:
    Phone: 905-828-5255 
    E-mail: health.utm@utoronto.ca
For more information about these and other quitting resources for young adults, please visit www.LeaveThePackBehind.org
Name: Youth Substance Abuse Program (YSAP) of Peel
Target: For young people aged 14 – 24 years
Agency Offering: YMCA of Greater Toronto Area
Cost: Free
Details: A non-residential program developed to meet the needs of young people who are looking for support with substance use and misuse issues, including tobacco cessation. It works from a harm reduction philosophy.

This program includes:

  • meeting with clients on/off site (ie. Community centres, schools, etc.)
  • providing one to one counselling
  • providing group sessions on an as-needed basis, AND
  • offering educational presentations to community and social service agencies

The client must call for an appointment. Call the Intake Line at 905-276-9329.

Name: Prevention of Gestational and Neonatal Exposure to Tobacco Smoke (PREGNETS)
Agency Offering: CAMH. PREGNETS was created with funding from Echo: Improving Women's Health in Ontario, an agency of the Ministry of Health and Long-Term Care.
Cost: Free
Details: The PREGNETS website hosts information on smoking cessation practices for pregnant and postpartum women, a toolkit for health care providers, an anonymous Online Discussion Board and a personalized plan for quitting or reducing smoking.
Name: Expanded Professional Pharmacy Services - Smoking Cessation Program for Ontario Drug Benefit recipients
Target: Ontario Drug Benefit (ODB) patients only
Agency Offering: MOHLTC
Cost:Free
Details: Recommend this resource if you have an ODB patient who would benefit from smoking cessation counselling from a pharmacist.

Community pharmacists are able to bill for providing smoking cessation services. This service is for eligible ODB recipients.

Patients may enrol once per year – if patient withdraws they must wait one year from initial enrolment date.

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Training for Health-Care Professionals
Name:You Can Make It Happen
Agency Offering: Ontario's Public Health Units, in partnership with the Canadian Cancer Society Smokers' Helpline
Cost:Free
Details: Use this website resource if you want a comprehensive overview of all the components required to start a smoking cessation program in your practice. This includes:
  • Training
  • Templates for screening
  • Templates for documentation
  • Pharmacotherapy guidelines
  • more

www.youcanmakeithappen.ca

Name:Ottawa Model for Smoking Cessation (OMSC)
Agency Offering: University of Ottawa, Heart Institute,the Heart and Stroke Foundation of Ontario (HSFO) and Pfizer Canada Inc.
Cost:Free (Funded by OMSC and HSFO)
Details: Use this resource if you are a Family Health Team or a Community Health Centre requiring assistance to build and implement a quit smoking strategy in your practice. The OMSC Primary Care team will:
  • Conduct an assessment of current practices and policies related to the systematic identification, documentation and treatment of smokers
  • Work in partnership with each clinic to create a customized plan for effective delivery of smoking cessation treatment
  • Provide training for staff
  • Provide OMSC materials
  • Provide telephone follow-up through OMSC Smoker’s Follow-up program
  • Maintain an on-going evaluation process

Capacity building for primary care offices. Templates, resources and training for smoking cessation programming provided to family physicians.

Name:Tobacco and Public Health: From Theory to Practice
Agency Offering: Ontario Tobacco Research Unit
Cost:Free (Funded by Ontario Ministry of Health Promotion)
Details: Use this on-line training resource if you want to obtain evidence-based information on tobacco control science, policy, and practice. The Cessation Module enhances knowledge and skills in offering cessation interventions
NOTE: This on-line course is a prerequisite to TEACH (Training Enhancement in Applied Cessation and Health)

Time Commitment:

  • Four self directed modules (Prevention, Protection, Cessation, and Evaluation)
  • Approximately 3 to 5 hours per module

Accreditation:

  • None indicated - Certificate of completion issued for each module

Mode of instruction:

Name:TEACH – Training Enhancement in Applied Cessation and Health
Agency Offering: The Centre for Addiction and Mental Health (CAMH)
Cost:TEACH Application Information and Administrative Fee Policy
Details: Use this training if you want to develop specialized knowledge and skills to deliver effective, evidence-based cessation intervention.

NOTE: prerequisite required: Tobacco and Public Health: From Theory to Practice

Time Commitment:

  • Core course: 3 days
  • TEACH Certification: additional 2 day specialty course required

Accreditation:

  • University of Toronto’s Faculty of Medicine
  • Canadian Addiction Counselling Certification Federation
  • Ontario College of Pharmacists
  • College of Family Physicians of Canada (MAINPRO-C).

Modes of instruction:

Name:TEACH Educational Rounds
Agency Offering: The Centre for Addiction and Mental Health (CAMH)
Cost:Free
Details: Use this on-line training if you want to obtain live 1-hour(webinar) training on specialized smoking cessation topics. Preregistration is required

Training Objective:

  • To offer practitioners opportunities to enhance their knowledge and skills in offering cessation interventions

Time Commitment:

  • 1 hour each

Accreditation:

  • None indicated - Certificate of completion issued

Mode of instruction:

  • On-line "standalone" interactive webinars focused on a particular practice issue or set of strategies
Name:Registered Nurses’ Association of Ontario (RNAO) Best Nursing Best Practice Guidelines
Agency Offering: Registered Nurses’ Association of Ontario (RNAO)
Cost:Free
Details: Use this on-line training if you want to learn effective techniques to counsel patients about smoking cessation and apply the 4As (ask, advise, assist and arrange).
NOTE: open to all healthcare professionals.

Time Commitment:

  • course is comprised of a Mini-Course and four Modules, Approximately 1.5 hours to complete

Accreditation:

  • None indicated

Mode of instruction:

Name:Quit Smoking Cessation Program
Agency Offering: The Canadian Pharmacist’s Association
Cost:$75 (Members)
$100 (Non-members)
Details: Use this training resource if you are a pharmacist who wants expand your role in providing smoking cessation-related professional services.

Time Commitment:

  • Online course: self directed
  • Workshops: 6 hour live events

Accreditation:

  • Canadian Pharmacists Association Continuing Education Units (CEUs)
    • Online courses (5 CEUs)
    • Live workshops (6 CEUs)

Mode of instruction:

  • Online courses
  • Live workshops
Name:Past Event: Smoking Cessation in Primary Care: Addictions, Medications, and Special Populations Continuing Medical Education Program
Agency Offering: Peel Public Health
Date held: Tuesday, November 12, 2013
Details:This presentation aimed to increase awareness and use of community and professional resources that are available to assist health practitioners to provide effective tobacco screening & cessation support to their patients. Tobacco addiction should be viewed as a chronic disease and primary care practitioners need to be vigilant in following smokers and former smokers. We have included the keynote speaker presentations and relevant resources from the event.
Presented by:

Dr. Peter Selby MBBS, CCFP, FCFP, Dip ABAM, Centre for Addiction and Mental Health (CAMH)

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Free Smoking Cessation Medications
Name:Smoking Treatment for Ontario Patients (STOP) Program for Family Healthy Teams and Community Health Centres
Agency Offering: The Centre for Addiction and Mental Health (CAMH)
Cost:Free
Details: Use this resource if you are a Family Health Team or Community Health Centre seeking publicly funded Nicotine Replacement Therapy for your patients and capacity building and training for your practice.

The STOP Program
Tel: (416) 535-8501 x. 4455
E-mail: Stop.Study@camh.ca

Name:Leave the Pack Behind (LTPB)
Target:Ontario young adults ages 18-29
Agency Offering:MOHLTC
Cost:Free
Details: Recommend this program to all young adults (ages 18-29)
Free nicotine patches and gum, available while supplies last via LTPB's online ordering platform

Young adults can receive an 8-week supply of Nicotine Replacement Therapy, NRT (patch or gum), age-tailored self-help mini-quit booklet, regular support emails, and a referral to the Canadian Cancer Society’s Smokers’ Helpline.

Eligibility Criteria:

  • Resident of Ontario, age 18 – 29 years;
  • Must smoke cigarettes daily or almost daily for the past 3 months; and
  • Planning to quit smoking in next 30 days.

Age-tailored, self-help, quit smoking booklets
Evidence-based quit smoking books that include information about smoking and quitting, how to handle nicotine withdrawal, control cravings, and strategies that help young adults deal with daily stress to prevent relapse.

Available online at leavethepackbehind.org or on campus through peer student team or campus health clinic.

Cessation support available on-campus (in Peel Region) for students registered at:

  • University of Toronto Mississauga Health and Counselling Centre:
    Phone: 905-828-5255 
    E-mail: health.utm@utoronto.ca 
For more information about these and other quitting resources for young adults, please visit www.LeaveThePackBehind.org
Name:Ontario Drug Benefit (ODB) Plan coverage of Champix® and Zyban®
Agency Offering:MOHLTC
Cost:Free
Details:

Use this resource if you need more details about ODB coverage of varenicline (Champix®) and bupropion (Zyban®). Both medications were added to the ODB Formulary in August 2011.

Champix® and Zyban® will be covered for patients who are seniors (age 65+), in long term-care homes, or those on social assistance (welfare or because of disability).

Both medications require a prescription (from a physician or pharmacist) and are best used with supportive counselling.

The Pharmacy Smoking Cessation Program provides supportive counselling for ODB patients. It is not mandatory to be a part of this counselling program in order to access the ODB funded smoking cessation medications.

Phone Service Ontario INFOline: 1-866-532-3161

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