Tobacco Use: Putting Down the Cigarette

By Brendan McLean, NAMI Communications Manager

Studies have shown that individuals living with mental illness die 25 years earlier than the general population. Part of the reason is due to smoking related diseases. At the end of July, the Smoking Cessation Leadership Center held a webinar on the importance of quitting smoking.

“Peers Helping Peers: Ways to Quit Tobacco with Rx for Change” consisted of a panel of experts from around the country, including Ken Duckworth, M.D., medical director of NAMI, and discussed the addictive power of tobacco, ways that will help people quit smoking and the role peer counselors can play.

Individuals living with mental illness are disproportionately represented among those who smoke. Forty-four percent of people who smoke have a mental illness. However, this percentage can be much higher when compared to a specific mental illness. For example, studies have shown that between 62 and 90 percent of individuals living with schizophrenia smoke.

This high rate of smoking means that one-half of the 435,000 tobacco related deaths that occur in the U.S. each year are people who have a mental illness. NAMI Hearts & Minds was created to offer resources on quitting smoking and other healthy lifestyle choices that promote wellness in both mind and body.

So why is smoking common among people who live with mental illness? As Frank Vitale, the National Director of the Pharmacy Partnership for Tobacco Cessation, states in the webinar , smoking was often used as a reward in psychiatric hospitals. “The culture has promoted smoking in a sense,” he said. “I remember working in a psychiatric hospital and we were literally told to tell patients that if you take your medication you can smoke. Or if you go to group you can smoke.”

Helping individuals living with mental illness who smoke can produce a number of benefits. As described by Vitale in the webinar, there are six benefits.

  1. It can improve the overall quality of life.
  2. It can increase the length and number of healthy years of life.
  3. It can improve the effects of medication. Hydrocarbons, which are produced when anything is burned, cause the body to metabolize medications faster than you normally would. As a consequence, many people who smoke often need more medication than if they did not smoke. However, if the individual decides to quit, their clinician should be alerted so they can adjust the amount of medication the individual is receiving.
  4. It can decrease social isolation. Many people who don’t smoke are often hesitant to socialize with those who do.
  5. It can save money—lots of money. Cigarette packs cost nearly $8 in D.C. and upwards of $15 in Manhattan. Over the course of 50 years, if a person were to only smoke one pack of cigarettes a day, at $6 a pack, one would spend nearly $110,000.
  6. It helps promote recovery.

The problem is that there has been lack of focus on smoking cessation by mental health providers. Some providers believed that doing so caused an increased risk of relapse: symptoms would worsen or the individual would return to abusing drugs or alcohol. However, research has shown that there is no truth to either of these claims.

The truth, though, is that people want to quit. Nearly 75 percent of current smokers have said they want to quit and 65 percent have tried to quit in the last year. But sometimes you just need a little help. To learn more about the importance of quitting smoking and how peers can help, listen to a recording of the webinar online.

Thank You, Nami

This is a terrific post dealing with a major issue with those of us who struggle so hard, with mental illness. Think this through and let me know what you think. Pastor Bryan can be reached at,  flash99603@hotmail.com

“How I finally quit smoking!” A Great Blog and a Super Post.

http://wp.me/p1rYch-ZN

Six Hours One Friday

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Mere Christianity
Who Really Has the Answer?
I’m Glad You Asked

Six Hours One Friday
The Day Christ Died
God Came Near

From Resurrection to Pentecost
It’s Not About Me
At Jesus’ Feet
Won by Love

Grace
What’s So Amazing About Grace?
Peace Like a River
A Love Worth Giving
The Light and the Glory

Walking with God Day by Day
Streams in the Desert
A Life God Rewards
In the Footsteps of Jesus

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Be Blessed, Linda K

This is a “stack poem,” a type of found poem that Samuel Peralta wrote about on dVerse Poets Pub today.

Linda K has a wonderful site– well worth a look… http://lindakruschke.wordpress.com/

Perception: Do We Truly Want Truth?

Colorful-Eye

“They tell the seers, “Stop seeing visions!” They tell the prophets, “Don’t tell us what is right. Tell us nice things. Tell us lies.”

Isaiah 30:10, NLT

“Jesus turned to Peter and said, “Get away from me, Satan! You are a dangerous trap to me. You are seeing things merely from a human point of view, not from God’s.”

Matthew 16:23

I’m blending two verses together. (And that’s dangerous in itself.) But either one is worthy of a commentary (or even two.) But nevertheless, “fools rush in where angels fear to tread.” Sometimes we venture into danger, and even our guardian angels are reluctant to follow us.

Both of these verses deal with “seeing.” In Isaiah’s day, the people deliberately asked the prophets to “dial it back a notch.” They attempted to influence them to be more “politically correct,” and come up with a more improved message– one that made them feel good and complete in themselves.

“Speak to us smooth things, prophesy illusions,” (ESV)  It’s rather odd to me, that they esteemed the prophets in a strange way, yet desperately wanted them to “sanitize” their message. They wanted reassurance, but not repentance. They wanted to shape the message, without infringing on the office.

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In the Gospels, we read of Peter’s effort to “guide” Jesus along His way. Peter truly believes that he must pilot the Lord through some weird ideas– like suffering, for one. In verse 22 we see that Peter had the sudden and incredible boldness to “rebuke” Jesus. Peter’s agenda made absolutely no room for the cross of Jesus Christ.

How funny. In verses 16-17 of this very same chapter, Peter is truly a substantial rock in a rising surf. Peter aligns himself with God’s will and purpose. Peter declares the true identity of Jesus for all to hear. But, just give him just five verses– he will change, and it will be embarrassingly obvious.

Today we realize that the passion of Jesus is our true and only focal point. The death of Jesus on the cross is our singular hope. And I’m so glad Mr. Peter, the great Apostle blew this one. (When in heaven, when I do meet him– I intend to give him a massive hug.)

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Both verses seem to have a common denominator. I suppose that its the idea is of “perception.” How do we understand Him? How do we perceive the Presence of God, in our hearts? Without a willingness to reach Him. we will be lost.

We may advance through this, but we take on along many confusions. Darkness in itself is disturbing. There are far too many issues, and we absorb far too many concerns. All we can really do, is to rest in all that is goodness, we turn to him and settle into his dear graciousness.

If we can’t perceive truth and reality, we can become very much lost.

Hell and Hope

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Sometimes, I feel like a tour guide for believers that are walking through hell. I point out the different strugglers, and urge each one not to linger too long but to keep moving. We look on those trapped (they have no hope within them) but we hope that they are yet to reach out for the Savior. It is distressing, and yet somehow we understand them just a little bit.

Our journey out and down each sad corridor can be painfully disturbing for us. There are so many different types of prisons and chains used to confine and control. Dante wrote his “Inferno” (Italian, for hell), and somehow he in some curious way walks through the different levels (varieties) of hell with us. Virgil (Dante’s own tour guide) takes Dante through some pretty hairy stuff, and they pass through the very gate, which bears an inscription, of the infamous phrase “Lasciate ogne speranza, voi ch’intrate“, or “Abandon all hope, ye who enter here.”

Our own rescue from this dreadful place is based on that singular word, “hope”. Somehow, hope has distilled inside us, and that alone can enable us to walk out as the freed. We have chosen not to abandon hope, but to use it as our passport out of the bottom of hell itself. We show it to each guardian, and then pass through without any hinderance.

  • And so at last the poor have hope. (Job 5:16)
  • Having hope will give you courage. You will be protected and will rest in safety. (Job 11:18)
  • Lord, you know the hopes of the helpless. Surely you will hear their cries and comfort them. (Ps. 10:17)
  • All day long I put my hope in you. (Ps. 25:5)
  • Let your unfailing love surround us, Lord, for our hope is in you alone. (Ps. 33:22)
  • O Lord, you alone are my hope. (Ps. 71:5)
  • Your word is my source of hope. (Ps. 119:114)
  • “Listen to me, all who hope for deliverance— all who seek the Lord!” (Isa. 51:1)
  • And his name will be the hope of all the world.” (Matt. 12:21)
  • Even when there was no reason for hope, “Abraham kept hoping.” (Rom. 4:18)
  • We, too, wait with eager hope. (Rom. 8:23)
  • Rejoice in our confident hope. (Rom. 12:12)
  • The Scriptures give us hope and encouragement as we wait. (Rom. 15:4)
  • Three things will last forever—faith, hope, and love. (1 Cor. 13:13)
  • That you can understand the confident hope he has given us. (Eph. 1:18)
  • Our hope is in the living God, who is the Savior of all. (1 Tim. 4:10)
  • In order to make certain that what you hope for will come true. (Heb. 6:11)
  • This hope is a strong and trustworthy anchor for our souls. (Heb. 6:19)
  • Let us hold tightly without wavering to the hope we affirm. (Heb. 10:23)
  • They placed their hope in a better life after the resurrection. (Heb. 11:35)
  • You have placed your faith and hope in God. (1 Pet. 1:21)
  • If someone asks about your Christian hope. (1 Pet. 3:15)

I suppose we must say (it’s clear) that hope is what sets us free from the difficulty that rests in our minds. Whatever DSM-IV has branded us, whatever a psychiatrist has declared us to be, and whatever our therapist has told us– our hope, that’s in Christ, will open all doors that are closed and locked.

Hope really is the Christian’s freedom from hell. Those of us who have been freed from our incarceration from our mental illness are amazingly liberated. I know the lostness of being very much lost. But hope is everything. When our hope somehow connects with Jesus, our souls are set free. We walk out of hell, with our souls soaring clean.

kyrie elesion, Bryan

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