A project of the American Lung Association of the District of Columbia in partnership with and funded by the D.C. Department of Health

TOBACCO CESSATION SPECIALIST TRAINING

Sponsored by the American Lung Association of D.C.

WHERE:American Lung Association of D.C.

1725 K Street, NW, Suite 1209

Washington, D.C. 20006

Near Farragut North and Farragut West Metros

DATE:October 17 and 18, 9 a.m. to 4:30 p.m.

This training prepares cessation specialists to facilitate the community-based Freedom From Smoking program. In order to participate in the training, you must be a nonsmoker or an ex-smoker for at least one year. Continental breakfast and lunch provided both days.

You must agree to conduct community-based support group cessation programs or intend to provide individual smoking cessation counseling to participate in this training.

Intensive two-day training includes:

Stages of Change and Motivational Interviewing: Using motivational interviewing techniques, you will learn how to help smokers change their readiness to quit from pre-contemplative to contemplative to action and stay quit for good.

Latest Nicotine Withdrawal Treatments:You will be guided through the vast array of FDA-approved pharmacotherapy treatments now available to help smokers quit.

Creative Epidemiology: Learn strategies on how to make health statistics meaningful to your patients and clients through exercises designed to create and emphasize relevancy.

Special Issues in Cessation:Instruction includes an emphasis on how to deal with weight and stress management, two key reasons why people relapse, and overview of other special issues such as co-dependency and mental illness.

Freedom From Smoking: You will learn to conduct the American Lung Association’s gold standard Freedom From Smoking® program. This is an 8-session group, 7-week support program to help people who are ready to quit smoking. It has been developed and tested by the American Lung Association and will be available for free to D.C. residents during the Tobacco Free Families Campaign.

Materials: You will receive the Freedom From Smoking® Facilitator Manual, as well as a cessation resource manual of research and information to help smokers quit.

YOU ARE ENCOURAGED TO SIGN UP AS SOON AS POSSIBLE AS SPACE IS LIMITED TO 15 PARTICPANTS

Participant Registration Form

(Please print or type)

Name: ______Date: ______

Occupation: ______

Organization Name: ______

Organization Address: ______

City/State/Zip: ______

Business Phone: ______

Business Fax: ______E-mail Address: ______

Special diet needs: Vegetarian ___Other ______

  • Are you an ex-smoker? YES ___ NO ___If yes, quit date and year:______

You must be a nonsmoker or an ex-smoker for at least one year

  • Have you conducted group support programs? YES___ NO____
  • If yes, what type of program? ______
  • Do you have experience in public speaking? If yes, please explain ______

______

  • Will you be conducting a group program as part of the Tobacco Free Families Campaign, sponsored by your organization? YES____ NO____

If yes, date and location of program:

Date:______Location:______

I agree to conduct at least one Freedom From Smoking program or individual outreach initiative to help smokers quit smoking during the period of October 18, 2006 to September 30, 2007.

Signed: ______Date: ______

Please fill out this participant form and return by October 6, 2006

via fax to 202-682-5874 or email to


For more information call Tiange Koker at 202-466-5864 x223