Advertise on podcast: Tobacco Unfiltered: Conversations with Clinicians

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Tobacco use is a major cause of death and disease in the US and impacts literally every organ system in the body. Given the dire health consequences of tobacco use, it is critical that all health care providers (physicians, nurses, psychologists, psychiatrists, social workers, dentists, pharmacists, and more) are comfortable addressing their patients’ tobacco use. Hear from the experts about evidence-based tobacco treatment. The Veterans Health Administration (VA/VHA) treats hundreds of thousands of Veterans each year for tobacco use. Listen as Dr. Mark Myers, PhD, a clinical psychologist and researcher at the VA San Diego Healthcare System and University of California, San Diego discusses tobacco treatment with other clinical experts. Topics addressed include strategies for offering and providing tobacco treatment, how to build a tobacco treatment program, and understanding the health impacts of tobacco use. The podcast is geared to provide actionable clinical takeaways for front-line providers.

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Check latest episodes from Tobacco Unfiltered: Conversations with Clinicians podcast

Addressing tobacco use in Veterans with PTSD

2023/06/05

Veterans with posttraumatic stress disorder (PTSD) have high rates of concurrent smoking. PTSD symptomatology can pose specific challenges to treating tobacco use in Veterans. Dr. Eric Dedert, a psychologist from the Durham VA Medical Center, VISN-6 Mental Illness Research, Education, and Clinical Center, and Duke University joins to discuss how patients may use smoking to manage PTSD symptoms, how providers can address this behavior, and suggests actionable steps providers can take to concurrently address both PTSD and smoking.

Treating tobacco use in substance use disorder care

2023/04/03

Although tobacco use is common among individuals treated for substance use disorders (SUDs), many treatment settings do not address it. Evidence indicates that tobacco related disease is more likely to cause mortality among individuals treated for SUD’s than their substance of abuse, that stopping smoking does not impede recovery and may be associated with improved SUD outcomes. Dr. Andy Saxon, an addiction psychiatrist and Director of VA’s Center of Excellence in Addiction Treatment and Education at the VA Puget Sound Health Care System, joins to discuss the importance of addressing tobacco use in the context of SUD treatment, the impact of smoking on a patient’s recovery, how psychiatrists are ideally suited to treat tobacco use, and how they can incorporate it into their clinical practice. Find your nearest VA: https://www.va.gov/find-locations

Integrating Tobacco Use Treatment into Mental Health Care

2023/03/06

Mental health care providers are optimally positioned to provide tobacco use treatment as they are well trained to address behavior change and have close and trusted relationships with their patients. Drs. Jennie Leskela and Kyle Curry, clinical psychologists from the Minneapolis VA Health Care System, join to discuss their work integrating tobacco use treatment into mental health care, originating in a research study integrating tobacco cessation into PTSD care. They have continued implementation of the integration protocol across mental health clinics at their medical center through creation of a network of clinical champions. Drs. Curry and Leskela together have decades of experience providing tobacco use treatment and share anecdotes demonstrating the effectiveness of this model of care and the professional fulfillment they’ve experienced in being able to provide this treatment to Veterans. Find your nearest VA:https://www.va.gov/find-locations

Treating vaping or e-cigarette use

2023/02/06

Health care providers are increasingly seeing adult patients who use nicotine-containing vapes or e-cigarettes asking for assistance with stopping their use. There is limited guidance available to health care providers on evidence-based e-cigarette treatment. Dr. Andrea Pratt, a psychologist and Assistant Clinical Director at Kick It California joins to discuss the CA state quitline’s approach to treating vape use among adults and outlines what health care providers can do to assist patients who want to stop vaping. Find your nearest VA: https://www.va.gov/find-locations

Using motivational interviewing to encourage change

2023/01/02

Only 30% of tobacco users are ready to quit at any given clinical encounter. How can health care providers encourage patients to consider making changes to their tobacco use and to utilize evidence-based treatments for quitting? Dr. Brenton Roman, a psychologist at the VA San Diego Healthcare System joins to discuss motivational interviewing techniques and how they may be incorporated into a clinical encounter for patients at any stage of change. Find your nearest VA: https://www.va.gov/find-locations

Tobacco Policy and Treatment in the VA Health Care System

2021/11/01

The National Director of Tobacco & Health Policy for VA, the largest integrated health care system in the US, Dr. Kim Hamlett-Berry, PhD, joins to discuss key elements to facilitate tobacco treatment at the healthcare system level, primary challenges to implementing tobacco treatment and future directions for further reducing the prevalence of tobacco use.

Designing and Implementing Treatment Programs

2021/11/01

Tobacco use is a chronic, relapsing condition. Dr. Megan Kelly, PhD, Veterans Integrated Service Network (VISN) 1 Tobacco Cessation Lead and Associate Professor of Psychiatry at University of Massachusetts Chan Medical School, joins to discuss the continuum of addiction and treatment needs for tobacco dependence. She also describes strategies and key elements for setting up a comprehensive tobacco treatment program in a medical center.

How to Address Tobacco Use in Clinical Practice

2021/11/01

I’m busy and have limited time with patients, how do I fit this in? A pulmonologist at the Minneapolis VA and faculty at the University of Minnesota School of Medicine, Dr. Anne Melzer, MD, joins to discuss why she prioritizes and how she incorporates assessment and advice for tobacco cessation into her patient visits. She describes typical patient responses, how to address them and what constitutes a minimal intervention by a provider.

Cessation Medications

2021/11/01

Nicotine patches, gum, lozenges, varenicline – how well do these work? And how do you decide which medication to use? Dr. Timothy Chen, PharmD, Director of the VA Tobacco Cessation Clinical Resource Center, joins to discuss how to consider medication effectiveness in the context of an addiction, the decision-making process for choosing medications, and how to address patient reluctance to use tobacco cessation medications.

Behavioral Counseling

2021/11/01

An important part of evidence-based treatment, counseling may sound a little intimidating to both patients and providers. Dr. Ellen Herbst, MD, Associate Chief of Addiction Treatment at the San Francisco VA and clinical professor at University of California, San Francisco, joins to discuss what counseling involves, how to provide brief counseling, and how to tailor your approach for patients who may not be ready to quit.

Addressing Disparities: Treatment for Patients with Mental Health Conditions

2021/11/01

People with mental health conditions smoke at higher rates, have more difficulty quitting and less access to tobacco treatment. Dr. Jodi Prochaska, PhD, Professor of Medicine at Stanford University, a preeminent researcher on tobacco treatment in mental health populations, joins to discuss the importance of treating tobacco use in this population, how to effectively do so, and debunks myths that present barriers to treatment.

Consequences of Tobacco Use

2021/11/01

We know smoking is bad for health, but it goes well beyond lung cancer. Dr. Brenna VanFrank, MD, Senior Medical Officer for the Centers for Disease Control & Prevention (CDC), joins to discuss the many impacts of tobacco use –physical health (13 types of cancer), mental health and consequences of addiction. She reminds us why every single health care provider across disciplines and specialties should address their patients’ tobacco use.