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Publications and archived webinars to help you reduce tobacco use among people with behavioral health conditions

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Contingency Management for Tobacco Use Disorder for People with Behavioral Health Conditions: A Guide for Planning, Assessing Readiness and Implementation

This guide provides practical information and key considerations for developing a Contingency Management (CM) intervention to address tobacco use among people with behavioral health conditions.    This document outlines the general components of a CM intervention, considerations for implementing a CM program, and safeguards and other critical components necessary for building an evidence-based CM intervention for smoking cessation. Administrators and providers can […]

Driver diagram for tobacco-free recovery (all sectors)

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 […]

Upcoming Webinar – The Power of Incentives: Contingency Management (CM) to Address Tobacco Use for Individuals with Mental Health and Substance Use Challenges

Join us on Thursday, February 26th, 2026 at 1 p.m. ET for a live virtual webinar exploring how Contingency Management (CM) can be applied to support tobacco cessation, particularly for people with mental health and substance use conditions. CM is an effective evidence-based intervention for changing substance use behaviors. CM works by offering immediate, tangible rewards (such […]

Council for Tobacco Treatment Training Programs

The Council for Tobacco Treatment Training Programs (CTTTP) accredits Tobacco Treatment Specialist training programs and maintains a list of approved programs that help equip healthcare providers with the knowledge and skills needed to effectively address tobacco use. Through its standards and accreditation process, the Council promotes high-quality, evidence-based training across diverse populations and care settings.

Driver diagram for people with lived/living experience

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). This tool is designed to help partners across […]

Driver diagram for residential & inpatient treatment centers

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). This tool is designed to help partners across […]

Driver diagram for state public health authorities

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). This tool is designed to help partners across […]

Driver diagram for supportive service providers

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). This tool is designed to help partners across […]

Driver diagram for outpatient health centers

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). This tool is designed to help partners across […]

Quiz: What is Your Relationship With Tobacco?

No matter which tobacco or vaping products you use and how often you use them, chances are you’ve thought about how they fit into the plans and goals you have for your life. Take this quiz to learn more about how you see tobacco and how ready you are to make any changes. 

How to Use Tobacco Treatment Medications: A Pocket Guide

There are seven tobacco treatment medications, including two non-nicotine pills, bupropion SR (Zyban or Wellbutrin) and varenicline (Chantix), and five types of nicotine replacement therapy (NRT) — the patch, gum, lozenge and nasal spray. Whether your goal is to manage nicotine cravings, cut down or quit, you can safely use NRT, even if you continue […]

How to Use NRT

These 30-second videos from the Center for Disease Control and Prevention outline how to use the Nicotine Lozenge, patch, gum and combination NRT.

Treating Dual Use of Cigarettes and E-cigarettes: A Quick Guide for Clinicians

This guide is intended to be a clinical resource for the treatment of the dual use of cigarettes and e-cigarettes*. The guide can support professionals working across behavioral health, public health, and tobacco control systems in addressing dual use among the patients and individuals they serve, which refers to the regular use of both combustible […]

Archived Case-Based Discussion Series for Clinicians: Best Practices in Tobacco-Use Assessment

On September 16, 2025, the National Center of Excellence for Tobacco-Free Recovery (CoE-TFR) hosted the third session of their Case-Based Discussion Series, a new initiative designed to enhance the capabilities of behavioral healthcare providers in delivering evidence-based tobacco use disorder interventions by connecting behavioral health providers and administrators through virtual sessions that combine didactic learning […]

Archived Case-Based Discussion Series for Clinicians: When Cessation is Off the Table

This Case-Based Discussion Series is a new initiative by the CoE-TFR designed to enhance the capabilities of behavioral healthcare providers in delivering evidence-based tobacco use disorder interventions. This program aims to connect behavioral health providers and administrators through virtual sessions that combine didactic learning with a case-based discussion. For our second session, we are excited […]

Archived Case-Based Discussion Series for Clinicians: Tobacco Use Treatment in Behavioral Health

This Case-Based Discussion Series is a new initiative by the CoE-TFR designed to enhance the capabilities of behavioral healthcare providers in delivering evidence-based tobacco use disorder interventions. This program aims to connect behavioral health providers and administrators through virtual sessions that combine didactic learning with a case-based discussion. For the first of the series, Dr. […]

Archived Webinar: Key Considerations for Optimizing EMRs to Support Tobacco Use Treatment in Behavioral Health

Join us for an informative webinar focused on enhancing behavioral health electronic medical records (EMRs) to better support tobacco use screening and treatment efforts. This session will explore key functional elements and practical strategies for improving EMR workflows, optimizing system features, and supporting providers in delivering consistent tobacco use screening, intervention, and follow-up care. The […]

Archived Webinar- Supporting your Loved Ones with Mental Health or Substance Use Challenges in Addressing Tobacco Use: The Role of Families and Family Peers

People with mental illness and/or substance use disorder want to stop smoking yet lack the support and care they need along their quit journey. How can we help? Join the National Center of Excellence for Tobacco-Free Recovery (CoE-TFR) and National Family Support Technical Assistance Center (NFSTAC) in a joint webinar where we will explore the […]

Indiana’s Standing Order for Tobacco Cessation: A Case Study

Summary: This case study explored state efforts to expand access to cessation support by allowing pharmacists to dispense tobacco cessation medication in the absence of a prescription from the tobacco user’s physicians. It provides background on the rationale for standing orders, important components of a standing order, and challenges a state might face in implementing […]

State Laws Requiring Mental Health and Substance Use Facilities to Provide Tobacco Dependency Treatment in Clinical Practice

Summary: This database provides a partial overview of U.S. state laws requiring mental health and substance use disorder treatment facilities to include tobacco dependency treatment in their clinical practice. It presents information on the following policies and information by state: Requires tobacco dependency treatment in mental health facilities (yes/no) Requires tobacco dependency treatment in substance […]

Archived Webinar: “Getting Beyond No” – Addressing Tobacco Use Treatment in Precontemplation Stage

Summary: Presenters address tobacco use treatment in the pre-contemplation stage. Presenters cover topics including: How prescribers and the multi-disciplinary healthcare team can work together to meet individuals where they are Current best practices for tobacco use treatment for individuals with behavioral health conditions How to successfully integrate stage-wise tobacco interventions with individuals who are in […]

Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings

Summary: This quick guide for program directors and clinicians was created to help staff working in substance use disorder treatment settings implement a tobacco cessation program for their clients. Topics covered include: An overview of the problem Benefits of tobacco cessation and a tobacco-free workplace Tips for implementing tobacco cessation treatment and a tobacco-free environment […]

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