Health Services

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.

Tobacco Dependence Treatment (FAQs)

The Canadian Partnership Against Cancer, a steward of the Canadian Strategy for Cancer Control (the Strategy), works with Canada’s cancer community to take action to ensure fewer people get cancer, more people survive cancer and those living with the disease have a better quality of life. This work is guided by the Strategy, which was refreshed for 2019 to 2029 and will help drive measurable change for all Canadians affected by cancer.

The Strategy’s five priorities will tackle the most pressing challenges for the next decade

1. Decreasing the risk of people getting cancer
2. Diagnosing cancer faster, accurately and at an earlier stage
3. Delivering high-quality care in a sustainable, world class system
4. Eliminating barriers to people getting the care they need
5. Delivering information and supports for people living with cancer, families and caregivers

The Partnership will oversee the implementation of the priorities in collaboration with organizations and individuals on the front lines of cancer care. Learn more about the Partnership and the refreshed Strategy at www.cancerstrategy.ca.

The PREGNETS is a network created to improve the health of moms and their babies. PREGNETS offers information, resources and support to pregnant and postpartum women and their health care providers to support the ability to reduce smoking, quit, and stay quit.​

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.

• Summary of recommendations on the use of cessation medications (page 2)
• Lists of myths and medical realities regarding use/prescription of stop smoking medications

Smokers’ Helpline will no longer provide telephone-based smoking cessation services in Ontario. They will continue to provide evidence-based digital services.

Health Care and other providers can refer your clients to www.SmokersHelpline.ca for online tools, email support, an online support community, text messaging support, and live chat by text.

Your clients can find local, regional, provincial or national tobacco cessation services at www.SmokersHelpline.ca or directly through www.QuitMap.ca.

Contact:

For more information about Smokers’ Helpline services visit:
www.SmokersHelpline.ca

Telehealth Ontario Smoking Cessation Program Fax Referral Form

Use this resource for patients who consent to counselling and follow-up by Telehealth Ontario

• By expanding Telehealth Ontario to include telephone-based smoking cessation services as of October 1, 2019, Ontarians will have easy access to registered nurses and smoking cessation support, in combination with other services and health information including professional medical advice, nutrition counselling and referrals to mental health and addictions support.
• Telehealth Ontario is a free and confidential service for health advice and information 24 hours a day, seven days a week in more than 300 languages. Through the service, registered nurses assess health issues, provide advice and direct callers to the most appropriate care over the telephone. This can also include putting the caller in contact with other health professionals or services.

Telehealth Ontario will offer a smoking cessation program to support Ontarians and their families by:

• Providing evidence-informed smoking cessation supports and information.
• Supporting callers through follow-up calls where additional supports and coaching are required.
• Offering callers access to a Telehealth Ontario nurse to address any symptoms identified during the interaction.

Contact:

Health care providers are encouraged to refer their patients to Telehealth Ontario to receive Smoking Cessation supports at 1-866-797-0000 as of October 1, 2019.

Health care providers and/or organizations may fax referrals to Telehealth Ontario at1-888-857-6555 or 519-434-9028.

• Training
• Templates for screening
• Templates for documentation
• Pharmacotherapy guidelines
• more

www.youcanmakeithappen.ca

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.

The Canadian Partnership Against Cancer

The Canadian Partnership Against Cancer, a steward of the Canadian Strategy for Cancer Control (the Strategy), works with Canada’s cancer community to take action to ensure fewer people get cancer, more people survive cancer and those living with the disease have a better quality of life. This work is guided by the Strategy, which was refreshed for 2019 to 2029 and will help drive measurable change for all Canadians affected by cancer.

The Strategy’s five priorities will tackle the most pressing challenges for the next decade

1. Decreasing the risk of people getting cancer
2. Diagnosing cancer faster, accurately and at an earlier stage
3. Delivering high-quality care in a sustainable, world class system
4. Eliminating barriers to people getting the care they need
5. Delivering information and supports for people living with cancer, families and caregivers

The Partnership will oversee the implementation of the priorities in collaboration with organizations and individuals on the front lines of cancer care. Learn more about the Partnership and the refreshed Strategy at www.cancerstrategy.ca.

Recommend this resource for patients who want online and text cessation support.

www.smokershelpline.ca

• Online: 24/7 access to a supportive community and self-help program.
• Text:  Text messaging support available on how to deal with cravings

Call Telehealth Ontario at 1-866-797-0000 for confidential telephone-based smoking cessation support.

General population/all age groups

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.

The PREGNETS is a network created to improve the health of moms and their babies. PREGNETS offers information, resources and support to pregnant and postpartum women and their health care providers to support the ability to reduce smoking, quit, and stay quit.​

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.

• Training
• Templates for screening
• Templates for documentation
• Pharmacotherapy guidelines
• more

www.youcanmakeithappen.ca

• 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.

• Contact: scprimarycare@ottawaheart.ca

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:

• On-line http://tobaccocourse.otru.org/

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:

• In-class lectures + group interaction
• On-line Core Course

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

Time Commitment:

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

Accreditation:

• None indicated

Mode of instruction:

• On-line courses

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

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

• Archived Presentation | One Page Summary
• Algorithm for Tailoring Pharmacotherapy in Primary Care Setting (Dr. Peter Selby, CAN-ADAPTT 2013)
• Canadian Smoking Cessation Clinical Practice Guideline Summary Statements (CAN-ADAPTT 2011)
• Dr. Megan Ward MD, MHSc, CCFP, FRCP(C), Associate Medical Officer of Health, Region of Peel - Public Health
  Archived Presentation | One Page Summary

• Time-limited opportunities for free quit smoking medications for Family Health Teams and Community Health Centres.

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

Use this resource if you need more details about OHIP coverage of varenicline (Champix®) and bupropion (Zyban®).

Champix® and Zyban® will be covered for young adults ages 18 – 24 who do not have existing prescription drug benefits.

Both medications require a prescription (from a physician or pharmacist).

Support services and counselling by a pharmacist are available for up to one-year.

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

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