Category Archives: Break Free Alliance

Developing and Sustaining Integrated Tobacco and Chronic Disease Programs

Another Gyour1mainman post…

I went to a session focusing on Developing and Sustaining Integrated Tobacco and Chronic Disease Programs. This session was presented by Marlin Williams, from the Health Promotions Council in Philadelphia.

The Health Promotion Council was initiated originally to address hypertension through education and control programs. As the program grew they began working on other issues including tobacco control. The organization has been incorporating a wide variety of chronic disease programs in their work for quite some. He talked about “Cultural Listening” and the importance of listening to the specific needs of your diverse communities. So if your going to do an education program for a specific population you should bring members of the population together and listen to their needs and was to reach them directly. Make sense right? He also discussed how the organization changed throughout the process. It is important to have your leadership/management onboard and in support of integration which might mean taking the opportunity to educate on the benefits and taking the opportunity to address challenges with your organization as a whole. He talked about how it is important to address your program/populations needs in the process, and that some programs can integrate with ease while some should focus on its specific issues based on the community you serve. So I take from this presentation to address your programs/populations specific needs you need to listen to your communities… focus on WHY integration is or is not needed, WHAT to implement based on your communities, and HOW an integrated approach would work with your specific communities… It takes planning. It’s better to make a plan and work with your constituents moving forward then to jump right in with out the proper support and buy in from your organization or community!

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Posted by on May 11, 2010 in Break Free Alliance


The Risks Associated with Continued Tobacco Use Among the HIV + Community

A Gyour1mainman Blog…

After lunch and the fabulous band, (which I hope you viewed the lunchtime at Hotel Monteleone blog to see the video), I attended a session presented by Danielle Grospitch from Tobacco Free Lake County. Her Presentation:  The Risks Associated with Continued Tobacco Use Among the HIV + Community was amazing. It is estimated that 50-70% of people living with HIV in the U.S. smoke. She went on to say people living with AIDS are living longer, but not if they are HIV+ and smoke.

As you may or may not know tobacco causes a reduction in the immune function, and that smoking can interfere with the metabolism of HIV medications. So as you may know and she reiterated in her presentation HIV+ individuals need to quit, and something you don’t know is that majority of HIV+ individuals want to quit. So she has been working with the HIV+ community and has implemented a cessation program to assist in a successful intervention in assisting individuals quit. She believes that in order to help people quit you need to have a comprehensive program, and look into the right NRT to assist in individuals quit attempt. For instance Bupropion (Zyban) has been fount to interfere with the efficacy of protease inhibitors used by HIV patients. She identified tasks in order to create a program and encourages everyone to become more knowledgeable and reach out to local resources if they are interested in working with the population as well as ensuring cultural diversity within your programs. She also talks about using the 5 A’s, Ask, Advise, Assess, Assist, and Arrange splashed with Motivational Interviewing. Overall this was such a great presentation and I will have to see if I can get her to do a presentation for us. I think both her and Barbra Warren have great examples of how to assist in helping HIV+ people quit. We will be sure to get them on a call together and really expand on working with this population. Stay tuned for this is the very near future.

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Posted by on May 11, 2010 in Break Free Alliance



Promising Practices Achieving Health and Social Equity in Tobacco Control Conference Highlights

Ok, so I have been thinking about my time at the Promising Practices Achieving Health and Social Equity in Tobacco Control Conference and have to say the conference was amazing… I was overloaded with so much great information! This conference provided a wealth of knowledge, especially with the new wave of integration of chronic disease & tobacco control.  So you see a couple recap posts later this morning…

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Posted by on May 11, 2010 in Break Free Alliance


“Soul Rebels Brass Band” Lunchtime at the Hotel Monteleone

This was too good not to share…

Make sure you check it out!


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Posted by on April 27, 2010 in Break Free Alliance


“My Butt Hurts” “What”

I thought this was a great side to share with all of you first and foremost…

Integrating Tobacco Control into Chronic Disease Programing:

Strategic planning and Collaboration at the State and Community Level:

Breaking Down the Silos: New Hampshire (NH) Tobacco Prevention and Control’s Collaboration with Chronic Disease Programs has the audience rolling…

With reduced funding to their CDC contract NH, has shifted to integration with state-level Chronic Disease Programs.  They identified objectives of collaboration to be able to effectively move forward in the integration process.  They focused on making the NH Try To STOP TOBACCO Resource Center a more active tool that Chronic Disease Programs can promote within their services. Additionally they noted that you should have a vested interest in the Chronic Disease Programs, know the staff, program goals, and clients, capacity, coverage and  LOOK FOR OVERLAP!

So in closing, as we move forward with decreased funds we need to find ways to move forward WORKING SMARTER, NOT HARDER!

Talk with you all soon – Gustavo

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Posted by on April 27, 2010 in Break Free Alliance


Good Morning from New Orleans

Hello Everyone,

I am at the Promising Practices: Achieving Health and Social Equity in Tobacco Control Conference in New Orleans right now… This conference has brought together over 300 individuals from National Networks, Non-Profit Organizations, the Healthcare Industry, Religious Organizations and beyond… Everyone is here for a common reason: To seek promising practices to aid in the elimination of tobacco-related disparities among priority populations. The line of up speakers and presenters are exquisite! I will be sure to blog every step of the way to keep you all informed of all of the amazing work that is taking place around the country… Make sure you stay tuned, add comments, ask questions… If you want me to say HI to a friend that is here, let me know! Our blogs are interactive so please share your comments for others as well!

I am going to sign-off now for the moment but before I go I want to leave you with this photo that I titled “community” taken from Bourbon St. yesterday.. ENJOY

Much Love,


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Posted by on April 27, 2010 in Break Free Alliance