The Tobacco Prevention and Cessation Program (TPCP) is committed to implementing evidence-based, policy systems and environmental strategies and activities to lower tobacco use and exposure. By doing so, TPCP will: decrease initiation and use of tobacco products, decrease exposure to secondhand smoke exposure, and decrease tobacco use and dependence in the Medicaid, Behavioral Health, and youth/young adult populations over the next 5 years.Tobacco use is the single most preventable cause of disease, disability, and death in the United States and New Hampshire (NH). According to the 2018, NH Behavioral Risk Factor Surveillance Survey (BRFSS) 15.6% of adults report smoking while adolescent smoking prevalence is below the national average at 7.8%. Concerns remain high relative to Electronic Nicotine Delivery Systems (ENDS) use in the adolescent population. According to the 2017 Youth Risk Behavior Survey (YRBS), 23.8% of respondents report use of ENDS products. As grade attainment increases, there is a concomitant increase in utilization with 30% of 12th graders reporting use of ENDS products. TPCP will enhance current efforts intended to decrease adolescent use of ENDS by expanding the digital and social media plan, increasing adolescent access to age appealing tobacco treatment resources, and engaging School Administrative Units (SAUs) in the adoption of passive referrals to My Life My Quit. The outcome TPCP expects is a decrease in adolescent use of ENDS from 23.8% to 17.8%.During the past two years, NH Department of Health and Human Services (DHHS) developed a Tobacco Workgroup to align departmental interventions for treating tobacco use and dependence. TPCP staff have been working with several Divisions embedded in DHHS to advance evidence-based cessation interventions in the Medicaid population including Medicaid Managed Care and Behavioral Health. These activities are ongoing and enhanced by DHHS plans to ensure access to evidence-based cess
ation is available to all covered lives through legislation, followed by plans to submit a State Plan Amendment (SPA) to the Centers for Medicare and Medicaid Services. The outcome TPCP expect because of the collective work of all the National Tobacco Control Programs is a decrease in adult tobacco use from 30% (national average) to 25%.TPCP will continue to work with the Division for Behavioral Health (DBH), Bureau of Mental Health Services (BMHS) to expand smokefree/tobacco-free living and cessation initiatives to six Transitional Housing sites located on the DHHS campus and 10 local Community Mental Health Centers (CMHC). These two initiatives began with a SAMHSA research grant in which three of 10 CMHC receive funds to enhance primary care and behavioral health integration for people aged 16-34. This project also focuses on smoking cessation and weight reduction. The three pilot sites will collaborate with TPCP to establish tobacco-free grounds.The Tobacco Free New Hampshire Network (TFNHN), a group of voluntary health organizations works tirelessly to ensure that best practices in tobacco control information is available during tobacco related hearings. To complement TFNHN efforts, TPCP provides DHHS decision-makers information relative to best practices for comprehensive and equitable tobacco control policies.The TPCP staff look forward to advancing efforts outlined above by implementing the strategies and activities in Component 1 and 2 narratives and work plans.