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

cropped-god-is-love

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

flourish-bird

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/

The Man Called Cash

Johnny Cash
1932-2003

My favorite musical artist of all time is Johnny Cash. You will find frequent mention of him on my blog, Linda Kruschke’s Blog.

There are only a handful of his songs that I don’t like. Of course, I love all the gospel music he recorded. But I also love everything from Cry, Cry, Cry to Cocaine to T for Texas to Hung My Head to his rendition of Nine Inch Nails’ Hurt and Depeche Mode’s Personal Jesus. His music covers the whole spectrum of real human existence. Many of his songs bring tears to my eyes every time I hear them.

But as great as his music is, the reason I love Johnny Cash has just as much to do with his life and his witness to the grace and redemptive power of Christ. I have read two of his biographies and several essays about him in a book of collected essays. I also have a graphic novel about his life that I recently purchased (though I haven’t read it yet), and have read the introduction to his novel The Man in White. He lived a fascinating and tumultuous life.

For anyone interested in the life of a legend who is nonetheless an incredibly “real” person with struggles and trials just like the rest of us, I recommend The Man Called Cash: The Life, Love, and Faith of an American Legend by Steve Turner. This book is a meticulously researched and well-written account from which even those who knew Johnny well would likely learn something about him that they didn’t know before. Starting almost at the end, with the death of June Carter, and then winding his way through the early years, the middle years, and everything in between, Turner reveals a man who knew God as only a sinner can.

This book includes two awesome sections of black and white photos from Johnny’s life, as well as the unedited text of an interview Turner conducted with Johnny in 1988, a chronology of June and Johnny’s lives, a complete discography, and an index. But these are all just icing on the cake of a story that will bring tears to your eyes and a smile to your heart.

One of my favorite stories of redemption is about the time Johnny crawled into Nickajack Cave, thirty miles from Chattanooga, with the plan to never come out.

He believed that if he crawled in far enough, he’d be unable to find his way out. When he starved to death it would look like a tragic accident.”

In 1995 he [Johnny] told the writer Nick Tosches:

“It just felt like I was at the end of the line. I was down there by myself and I got to feelin’ that I’d taken so many pills that I’d done it, that I was gonna blow up or something. I hadn’t eaten in days, I hadn’t slept in days, and my mind wasn’t workin’ too good anyway. I couldn’t stand myself anymore. I wanted to get away from me. And if that meant dyin’, then okay, I’m ready. I just had to get away from myself. I couldn’t stand it anymore, and I didn’t think there was any other way. I took a flashlight with me, and I said, I’m goin’ to walk and crawl and climb into this cave until the light goes out, and then I’m gonna lie down. So I crawled in there with that flashlight until it burned out and I lay down to die. I was a mile in that cave. At least a mile. But I felt this great comfortin’ presence sayin’, “No, you’re not dyin’.” I got things for you to do. So I got up, found my way out. Cliffs, ledges, drop-offs. I don’t know how I got out, ‘cept God got me out.

Turner, pg. 119.

And God did have things for Johnny to do. He had to show the world how even someone as strung out on drugs as he was could be redeemed by the grace of God. He had to show that despite our faults and weaknesses – or maybe because of them – God loves each and every one of us. He may have been a music legend, but he was never afraid to use his talent to glorify God and to share the gospel. His was a life of redemption and grace well worth reading about. If you think your life isn’t worth living or that God can’t possibly love you or redeem you, read about the life of one who was chief among sinners but who was saved by grace.

As a bonus to go along with this book review of his biography I want to share this video of the song “Singer of Songs” by Johnny Cash. It is a great synopsis of the purpose God had for his life and how he fulfilled it. He truly was a singer of songs about life, love, death, birth, God, and more. I suspect he’s still singing today at the throne of the King.

Love you, Linda K.

Hell and Hope

inferno

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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