A Breath of Fresh Air: Promoting Health-Behavior Change among People with SPMI (Parma)

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  • This training event is part of a series to promote integrated primary and behavioral healthcare in Ohio.
  • The series is supported by the Ohio Department of Mental Health and Addiction Services (OhioMHAS).
  • Learn More: Additional dates, locations, & topics (click here).


Healthcare providers are tasked with helping individuals with mental illness and/or substance use disorders through health-behavior changes. Yet, providers often struggle with how to engage and promote these changes, especially with people who are not ready or not interested in changing.

This six-hour event will highlight the following:
  • Stages of change (1.5 hours)
  • Overview of Motivational Interviewing, the evidence-based treatment (1.5 hours)
  • Tobacco interventions, including medications to reduce craving and nicotine dependence (3.0 hours)

Stages of Change & Motivational Interviewing

This workshop provides an introduction to change concepts and methods for assessing change-readiness and identifying stage-appropriate treatment interventions for people with SPMI. An overview of Motivational Interviewing (MI), the evidence-based treatment, will complement foundational concepts needed for a person-centered approach to health-behavior change.

Tobacco Recovery

This event will also focus specifically on how to address tobacco use among people with SPMI. Tobacco use is one behavior known to impact people with SPMI disproportionately. Yet, it is very amenable to intervention. This part of the training will focus on the unique interplay between tobacco, severe mental illness, other health conditions, and medications. Participants will learn

  • Different treatment approaches to help people with SPMI reduce and/or eliminate tobacco use
  • Potential medical consequences and risks of reducing/eliminating tobacco use
  • Appropriate use of nicotine-replacement therapies and medications known to help people quit tobacco
  • Information about the effects of tobacco products on symptoms of mental illness and/or substance use symptoms and recovery and on pharmacological treatment
  • Tips for screening and assessing tobacco use and its impact on key domains of life, which will be complemented by information on basic components of stage-wise tobacco cessation treatment for SPMI Health Homes
  • Steps needed to further develop services and treatments in their organizations

Learning Objectives

Participants in this training event will be able to ...

  1. Determine the patient's stage of change/readiness to change as related to chronic health conditions
  2. Review strategies to motivate health behavior change
  3. Describe screening and intervention techniques appropriate for different stages of behavior-change readiness
  4. Understand evidence-based pharmacotherapy for tobacco-related disorders
  5. Assist people in making person-centered decisions about their own health


Christina Delos Reyes, MD , Debra Hrouda, PhD, MSSA, LISW-S


Our training events are open to professionals from multiple disciplines, service settings, and systems of care who provide healthcare, behavioral healthcare, and other services to people with mental illness or co-occurring mental illness and substance use disorders. Examples of people who attend our events include the following:

Service roles

  • Program managers
  • Team leaders
  • Clinical supervisors
  • Medical staff
  • Quality assurance professionals
  • Administrators
  • Policymakers
  • Direct-service staff
  • Peer supporters
  • Peer specialists
  • Peer recovery coaches

Service settings

  • Behavioral healthcare organizations (e.g., mental health, addiction services)
  • County boards (e.g., mental health, addiction services)
  • Psychiatric hospitals (state and community)
  • Hospitals
  • Managed Care Organizations
  • Criminal justice (e.g., police, courts, jail, probation, parole)
  • Residential
  • Housing
  • Health clinics (primary health)
  • Health Homes

Professional disciplines

  • Mental-health services
  • Addiction services
  • Social work
  • Psychology
  • Primary healthcare
  • Psychiatry
  • Nursing
  • Occupational therapy
  • Residential
  • Housing
  • Criminal justice
  • Vocational rehabilitation


SPMI & Health Outcomes

People with severe and persistent mental illness (SPMI) die on average 25 years younger than their non-ill peers. Some of the premature suffering and death is linked to unhealthy behaviors, for example

  • Tobacco use/smoking
  • Poor nutrition
  • Not enough exercise
  • Poor healthcare access and follow-up

Health Homes Integrate Services

Ohio was approved for a State Plan Amendment to offer Health Home services to its Medicaid recipients. Health Homes provide coordination of all healthcare, including services for behavioral health conditions and physical health conditions.


This training event is presented by the Center for Evidence-Based Practices at Case Western Reserve University with generous support from the following:
  • Ohio Department of Mental Health and Addiction Services (OhioMHAS)
  • Ohio Office of Medical Assistance

For more information about the Ohio Health Home initiative, visit the website of the Ohio Department of Mental Health and Addiction Services (OhioMHAS):


Christina M. Delos Reyes, MD, is medical consultant at the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University and its two Ohio Coordinating Center of Excellence (CCOE) initiatives—the Substance Abuse and Mental Illness (SAMI) CCOE and Supported Employment (SE) CCOE. In this capacity, she provides technical assistance to service systems and organizations that are implementing evidence-based practices and other best practices for people with mental illness and co-occurring mental illness and substance use disorders.

Dr. Delos Reyes is board certified in both adult psychiatry and addiction psychiatry and is a diplomate of the American Board of Addiction Medicine. Her training has included psychopharmacology both for mental illness and substance use disorders, individual therapy, group therapy, psychoeducation, and working with interdisciplinary teams. She is a member of the Motivational Interviewing Network of Trainers (MINT), an international association of trainers in motivational interviewing.

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Debra R. Hrouda, PhD, MSSA, LISW-S, is director of quality improvement and TRAC project lead at the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University and its Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence. Her work focuses upon evidence-based practices, emerging best practices, and other strategies that improve quality of life and other outcomes for people with mental illness and substance use disorders.

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March 3, 2015
9:00 AM - 5:00 PM

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February 24, 2015 (11:59 PM) EST
February 24, 2015 (11:59 PM) EST is the deadline to cancel your registration for this event and request a refund.