Skip to content

Driver diagram for tobacco-free recovery (all sectors)

Author: Cicatelli Associates Inc.

Date: December 2025

Advancing Tobacco-Free Recovery Through Systems Change

The National Center of Excellence for Tobacco-Free Recovery (CoE-TFR) developed this driver diagram to guide multi-sector efforts in transforming systems of care and support to advance tobacco-free recovery (TFR) for individuals with behavioral health conditions (mental health and/or substance use conditions).

Tobacco use remains disproportionately high among people with mental health and substance use disorders, contributing to significant differences in health outcomes. This tool is designed to help partners across public health, healthcare, behavioral health, and community systems identify shared goals, align strategies and coordinate sustainable action toward system change.

Wave background bottom