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

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  • This training event is part of the Ohio Medicaid Health Homes initiative sponsored by the Ohio Department of Mental Health. The initiative is for organizations in the State of Ohio that serve individuals with serious and persistent mental illness (SPMI).
  • There are additional dates and locations for this event (click here).
  • This training event is presented by the Center for Evidence-Based Practices at Case Western Reserve University.
See Sponsors and Partners section below for more information.


Healthcare providers have the task of helping individuals consider the possibility of 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 workshop will help participants

  • Understand basic building blocks for promoting health-behavior change
  • Identify and tailor interventions (services) to each individual’s (patient's) readiness to change
  • Utilize strategies to enhance motivation to change
  • Assist people in making person-centered decisions about their own health

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 ...

  • Determine the patient's stage of change/readiness to change as related to chronic health conditions
  • Review strategies to motivate health behavior change
  • Describe when and how to screen and identify tobacco-related disorders
  • Understand evidence-based pharmacotherapy for tobacco-related disorders


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.


Christina Delos Reyes, MD , Deborah Myers, MEd, LPCC-SC , 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 specialists

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
  • 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

Service models and strategies

Individuals and service teams from organizations implementing the following practices and service strategies are also encouraged to attend:

  • Integrated Primary and Behavioral Healthcare (IPBH) & Health Homes
  • Integrated Dual Disorder Treatment (IDDT)
  • Assertive Community Treatment (ACT)
  • Dual Diagnosis Capability in Addiction Treatment (DDCAT)
  • Dual Diagnosis Capability in Mental Health Treatment (DDCMHT)
  • Tobacco Recovery Across the Continuum (TRAC)
  • Supported Employment/ Individual Placement and Support (SE/ IPS)
  • Illness Management and Recovery (IMR)
  • Wellness Management and Recovery (WMR)


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
  • Ohio Department of Alcohol and Drug Addiction Services
  • Ohio Office of Medical Assistance
  • Pfizer Medical Education Grant
  • Smoking Cessation Leadership Center

For more information about the Ohio Medicaid Health Home initiative, visit the website of the Ohio Department of Mental Health:




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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Deborah Myers, MEd, LPCC-SC, is a consultant and trainer 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 (Ohio SAMI CCOE) initiative. In this capacity, she provides programmatic consultation as well as clinical consultation and training to service organizations implementing Integrated Dual Disorder Treatment (IDDT), the evidence-based practice. Ms. Myers 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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June 17, 2013
9:00 AM - 4:45 PM

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June 10, 2013 (11:59 PM) EST
June 10, 2013 (11:59 PM) EST is the deadline to cancel your registration for this event and request a refund.