Publications and archived webinars to help you reduce tobacco use among people with behavioral health conditions
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This is the third webinar in our three-part Quit Journeys series. Addressing tobacco use and vaping is critical to improving health and well-being of individuals and families, particularly within communities impacted by mental health and substance use challenges. Tobacco use and vaping continue to be heavily influenced by targeted marketing practices that disproportionately affect behavioral […]
This is the second webinar in our three-part Quit Journeys series. This webinar features a married couple sharing their personal journey navigating tobacco use within their relationship. With one partner who smokes and one who does not, participants will gain insight into how tobacco use affects both individuals and families. The session will explore the […]
This is the first webinar in our three-part Quit Journeys Series. Join us for a powerful conversation featuring three brothers who share their lived experiences with mental health, grief, and tobacco use. In this candid discussion, two brothers reflect on their journeys to quit tobacco while the third shares his current experience as someone who […]
Join the CoE-TFR to explore recovery-oriented approaches to engage, support, and treat individuals with behavioral health conditions who use commercial tobacco, even when they are not contemplating a quit attempt. During this webinar, you will learn how prescribers and the multi-disciplinary healthcare team can work together to meet individuals where they are at. Presenters: Susan […]
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 […]
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 […]
On Thursday, February 26th, 2026, the CoE-TFR presented a 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 as vouchers or incentives) when […]
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.
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 […]
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 […]
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 […]
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 […]
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 […]
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.
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 […]
These 30-second videos from the Center for Disease Control and Prevention outline how to use the Nicotine Lozenge, patch, gum and combination NRT.
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 […]
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 […]
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 […]
Medication Is Not Optional – It’s a Lifesaving Tool Tobacco use disorder is a chronic, relapsing condition – and it deserves the same medical response as any other addiction. This module provides clear, actionable guidance for prescribing FDA-approved tobacco use disorder medications in behavioral health settings. Learning Objectives Understand tobacco use disorder as a […]
Your Words Can Save a Life—Use Them to Talk About Tobacco Whether your clients want to quit or not, they deserve counseling that addresses tobacco use without shame or pressure. This module helps you build the skills and strategies to have compassionate, impactful conversations about TUD using Motivational Interviewing strategies. Learning Objectives Understand the role […]
Tobacco Recovery Belongs in the Treatment Plan Too often, tobacco gets left out of the plan—yet failing to address it increases relapse rates, weakens recovery, and shortens lives. This module shows how to build treatment plans that include tobacco use—not as an afterthought, but as a core part of recovery. Learning Objectives Learn the essential […]
If You’re Not Screening for Tobacco Use Disorder (TUD), You’re Missing the Full Picture We can’t treat what we don’t assess. Tobacco use is often invisible in mental health settings—not because it’s not present, but because we don’t ask. This module equips you with the tools to identify TUD early, accurately, and compassionately, using strategies […]
Treating Tobacco Use: The Opportunity to Save Lives and Improve Behavioral Health Outcomes Tobacco use is one of the most significant but often overlooked addiction and use presents barriers to long-term recovery and wellness. Among people with mental health and substance use conditions, tobacco use remains alarmingly high, contributing to early death, chronic illness, and […]
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. […]
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 […]
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 […]
Summary: Template for a letter announcing a tobacco-free treatment facility to clients.
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 […]
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 […]
Summary: A database that you can search for state information by parameters related to coverage (e.g., NRT gum, group counseling).
Summary: More than one dozen free posters with messages about tobacco use and quitting smoking that can be used in exam rooms and waiting rooms.
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 […]
Summary: A sample tobacco-use policy for patients and staff in an outpatient setting.
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 […]
