Access to Tobacco Treatment for the Justice-Involved Part 3: Programming Innovation and Operations

60 Minutes

Cyrus Ahalt, MPP

Associate Director, Amend at University of California San Francisco

Cyrus Ahalt has 15 years of experience in public health and justice reform with expertise in program design and evaluation. His work identifying and addressing the health- and human rights-related harms of American penal policy and practice has been widely published in the academic and lay press. As Associate Director at Amend, Cyrus is responsible for all aspects of program development and delivery. 

Joan Gillece, PhD

Director, Center for Innovation in Health Policy and Practice National Association of State Mental Health Project Directors (NASMHPD)

Dr. Gillece has forty years of experience working in the health field with twenty-five dedicated to addressing the impact of trauma and social justice. Working across agencies, Dr. Gillece promotes the use of trauma informed care in multiple settings including mental health, substance abuse, adult and juvenile justice, social services and homeless services.

Prior to joining the National Association of State Mental Health Program Directors (NASMHPD) seventeen years ago, Dr. Gillece served as Director of Special Populations for Maryland’s Mental Hygiene Administration where her responsibilities included all aspects of state mental health planning and delivery of services as well as development of collaboration across agencies serving individuals with psychiatric diagnosis.  As project director for SAMHSA’s National Center for Trauma-Informed Care (NCTIC), Dr. Gillece  championed the cause of full consumer integration and development of culturally competent programs. Utilizing survivors in all aspects of trauma work, Dr. Gillece has coordinated and provided technical assistance, conference presentations, and consultations to multiple systems across the country. . Commitment to strength-based support by implementing trauma informed values with the overreaching theme of healing has been her focus.

Beth Jordan, MD

Medical Director and Health Services Administrator, DC Department of Corrections, Washington, DC

Beth Jordan, MD, CCHP, has been at the DC Department of Corrections for a decade. She serves as Medical Director and Health Services Administrator. Prior to entering the field of Corrections, she was a medical director for Medical Advocacy and Provider Education organizations, and an Internist at the Mayo Clinic, specializing in Women’s Health. Dr. Jordan attended Vassar College, and the University of Arizona’s College of Medicine’s medical school and Internal Medicine Residency program where Andrew Weil, MD, was her mentor.  She was a healthcare provider at Planned Parenthood, served on the Board of Medical Students for Choice, and in 2009 was voted one of the Women’s Leaders in Medicine by the American Medical Student’s Association.

Since entering Correctional Health at the DC Department of Corrections, she has focused on improving systems to effect improved satisfaction, efficacy and safety for residents, healthcare providers and Custody operations alike. Over the past decade, she has worked collaboratively with the healthcare vendor and corrections on modernizing the pharmacy with a medication packaging system, adding the electronic Medication Administration Record, and overhauling policies and procedures around Suicide Prevention and Safe Cells. Supported by DOC’s Director, she has brought national subject matter experts in Trauma Informed Care and Challenging Behavioral/Psychiatric Management issues into the DC Jail to expand trauma informed care awareness and related training to medical/mental health and custody staff. Under her leadership, Behavioral Healthcare treatment now includes acupuncture, yoga and mindfulness, meditation, Emotional Freedom Technique (“Tapping”), TAMAR groups (Trauma Informed Care) in addition to medication management. Over the past 2 years she has worked closely with the healthcare vendor and Operations to open up SAMHSA-funded therapeutic housing units for men and women dealing with Substance Use Disorder, particularly opioids.

Tyler Mains, MD

Chief Medical Officer, Jail Health Services, San Francisco Department of Public Health

In his role as Chief Medical Officer for San Francisco Jail Health Services (SFJHS), Dr. Mains oversees all clinical operations, policies, and procedures for healthcare provided in the SF County Jails. The mission of SFJHS is to provide comprehensive, compassionate, and respectful care for incarcerated people while mitigating the effects of structural racism and historical injustices as a fully integrated and collaborative member of San Francisco's Public Health Department. Dr. Mains is a graduate of Johns Hopkins University of School of Medicine. He completed his Internal Medicine Residency and Chief Residency at the University of California, San Francisco as a member of the primary care program based at the Zuckerberg San Francisco General Hospital. Prior to medical school, Dr. Mains was a public high school teacher in Baltimore City, and the co-founder of a nonprofit organization focused on preparing minoritized high school students for health careers.

Webinar Objectives
  1. List two risk factors for tobacco use in the justice involved population.
  2. Describe two promising and evidence-based practices to address tobacco use disorders (TUD) among individuals in the criminal justice system.
  3. Identify two systemic barriers and challenges to integrating TUD treatment within the criminal justice system.
  4. Discuss two recommendations to address TUD treatment integration within the criminal justice systemwith a focus on steps to overcome systemic barriers, and implement policies, procedures, and best practices to improve access to TUD treatment.
Instructions for CME/CE Credit

CME/CE credit is no longer available for this live activity. Credit will be available in November for the recorded version of this webinar.


Certificates of Attendance

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ACCME Accreditation

The University of California, San Francisco (UCSF) School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

UCSF designates this live activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the webinar activity.

Advance Practice Registered Nurses and Registered Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME.

Physician Assistants: The National Commission on Certification of Physician Assistants (NCCPA) states that the AMA PRA Category 1 CreditTM are acceptable for continuing medical education requirements for recertification.

California Pharmacists: The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA category 1 CreditTM. If you are a pharmacist in another state, you should check with your state board for approval of this credit.

California Psychologists: The California Board of Psychology recognizes and accepts for continuing education credit courses that are provided by entities approved by the Accreditation Council for Continuing Medical Education (ACCME). AMA PRA Category 1 CreditTM is acceptable to meeting the CE requirements for the California Board of Psychology. Providers in other states should check with their state boards for acceptance of CME credit.

California Behavioral Science Professionals: University of California, San Francisco School of Medicine (UCSF) is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for behavioral health providers. UCSF maintains responsibility for this program/course and its content.

Course meets the qualifications for 1.0 hour of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. Provider # 64239.


The UCSF office of continuing medical education is accredited by the California Consortium of Addiction Programs and Professionals (CCAPP), to provide continuing education credit for California addiction counselors. UCSF designates this live, virtual activity, for a maximum of 1.0 CCAPP credit. Addiction counselors should claim only the credit commensurate with the extent of their participation in the activity. Provider number: 7-20-322-0724.



This UCSF CME activity was planned and developed to uphold academic standards to ensure balance, independence, objectivity, and scientific rigor; adhere to requirements to protect health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA); and include a mechanism to inform learners when unapproved or unlabeled uses of therapeutic products or agents are discussed or referenced.

All speakers, planning committee members and reviewers have disclosed they have no relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Cyrus Ahalt, MPP, Catherine Bonniot, Anita Browning, Christine Cheng, Brian Clark, Joan Gillece, PhD, Allison Gorrilla, MPH, Beth Jordan, MD, Tyler Mains, MD, Jennifer Matekuare, Chad Morris, PhD, Ma Krisanta Pamatmat, MPH, Jessica Safier, MA, and Maya Vijayaraghavan, MD, MAS.

Additional Resources Cited in the Webinar