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Publications and archived webinars to help you reduce tobacco use among people with behavioral health conditions
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Tobacco-Use Treatment in Behavioral Health E-learning Module 5: Prescribing for Tobacco Use Disorder
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 cessation medications in behavioral health settings. Learning Objectives Understand tobacco use disorder as a chronic […]
Tobacco-Use Treatment in Behavioral Health E-learning Module 4: Counseling for Tobacco Use Disorder
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 and harm reduction. Learning Objectives Understand […]
Tobacco-Use Treatment in Behavioral Health E-learning Module 3: Effective Treatment Planning
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 […]
Tobacco-Use Treatment in Behavioral Health E-learning Module 2: Screening & Assessment for Tobacco Use Disorder
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 […]
Tobacco-Use Treatment in Behavioral Health E-learning Module 1: The Burden of Tobacco Use
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 […]
New Case-Based Discussion Series for Clinicians: Tobacco Use Treatment in Behavioral Health
Register now for our first session! This session will be offered twice so you can attend the time that works best for you! Click on your preferred time below to register: Register for 12pm ET/9am PT Register for 5pm ET/2pm PT The National Center of Excellence for Tobacco-Free Recovery […]
Webinar: Key Considerations for Optimizing EMRs to Support Tobacco Use Treatment in Behavioral Health
This event has concluded. Please sign up for our email list to be notified when the recording is available. 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 […]
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 […]
Archived Webinar- The Power of Incentives: Contingency Management Approach to Address Tobacco Use for Individuals with Mental Health and Substance Use Challenges
In this webinar, the National Center of Excellence for Tobacco Free Recovery explored how Contingency Management (CM) can be effectively applied in behavioral health settings to address tobacco use. By offering immediate rewards like vouchers or other incentives for meeting treatment goals, CM has proven to be highly effective in promoting long-term behavior change, especially […]
Archived Webinar- Emerging Evidence to Inform Tobacco Use Treatment for Adults Who Dually Use Cigarettes and E-cigarettes
Join the National Center of Excellence for Tobacco Free Recovery and Dr. Elias Klemperer, Assistant Professor of Psychiatry and Psychological Science at the University of Vermont, for an eye-opening session on the cutting-edge research shaping tobacco use treatment for adults who dual-use cigarettes and e-cigarettes. Explore the emerging evidence and gain critical insights into how […]
Dimensions: Nicotine Free Toolkit
The toolkit provides guidance and tools to support planning and implementation of evidence-based interventions and strategies for addressing tobacco-use for people with behavioral health conditions in healthcare and supportive service settings.
State Communications – Vermont Tobacco and Mental Health Initiative
This brief provides an example of how states can communicate priorities associated with promoting tobacco-free recovery for individuals with mental health and substance use challenges.
Making the Case for Engaging People with Lived Experience and Expertise in State Behavioral Health Reforms
As state leaders explore strategies to reform public behavioral health systems, engaging with people with lived experience is crucial to ensure better outcomes in programs and policies. This brief makes the case for engaging people with lived experience in state policy and program discussions, outlines strategies to secure leadership buy-in, shares messaging tips to address […]
Archived Webinar: Increasing Access to Tobacco Use Treatment for People with Behavioral Health Conditions – Implementing Opt Out/Proactive Treatment Approaches
Summary: Presenters explore ways to implement Opt Out/Proactive tobacco-use treatment approaches in behavioral health settings to increase access to treatment and reduce disparities and harms associated with commercial tobacco use for people with behavioral health conditions. Presenters cover topics including: Describing the opt out/proactive tobacco treatment approach Identifying strategies to implement opt out/proactive approaches for […]
Archived Webinar: Getting to Next Level Outcomes – The Important Role that Peers Play in Supporting Tobacco-Free Recovery
Summary: Presenters explore the role of peers in addressing commercial tobacco use and changing social norms around tobacco-free recovery in behavioral health settings. Presenters cover topics including: Describing the role of a peer support specialist/peer recovery coach in a behavioral health setting Exploring the evidence and importance of integrating peer-driven support services as part of […]
Notice to Patients about Tobacco-Free Policy
Summary: Template for a letter announcing a tobacco-free treatment facility to clients.
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 […]
State Tobacco Cessation Coverage Database Search
Summary: A database that you can search for state information by parameters related to coverage (e.g., NRT gum, group counseling).
Examining the Use of Braided Funding for Substance Use Disorder Services
Summary: This resource is for states that are interested in the benefits of braided funding for the provision of substance use disorder (SUD) services (including tobacco treatment services). Braided funding models are those that use one or more sources of funding in a coordinated fashion to support a single individual or program. The different sources […]
Guidelines and Resources for Tobacco Control Programs
Summary: This resource provides an overview of the guidelines and strategies that tobacco control programs can use to support implementation of Statewide tobacco control programs.
Posters: Behavioral Health and Tobacco Use
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.
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 […]
Example of Outpatient-Treatment Facility Tobacco-Free-Policy
Summary: A sample tobacco-use policy for patients and staff in an outpatient setting.
Tobacco-Free and Tobacco Treatment Organizational Policy Sample
Summary: An example of a policy that is intended to maintain a 100 percent tobacco-free environment at a treatment facility.
Journey to a Tobacco-free Certified Community Behavioral Health Clinic: A Conversation
Summary: The National Behavioral Health Network for Tobacco and Cancer Control and co-hosts at the Smoking Cessation Leadership Center a National Center of Excellence for Tobacco-Free Recovery discussed the steps they took along their journey to plan and provide comprehensive tobacco use treatment services within a settings that provide behavioral health services. Webinar learning objectives: […]
Relapsed Smokers Who Are Ready to Try Again: What to Do? A 3-Step Protocol for Clinicians
Summary: The average person who quits does so after many unsuccessful attempts—estimated from 10 to as many as 30. Most smokers do not use a cessation medication or, if they do, they use it incorrectly. This guide describes a three-step protocol (i.e., Ask, Advise, Refer) for helping relapsed smokers regain abstinence by encouraging them to learn […]
Family Physician Guide to Addressing Smoking for People with Mental Illness
Summary: Approximately 70% of people who use tobacco products see a physician each year, so family physicians have the opportunity to make a significant impact on their patients’ tobacco use, including those who have behavioral health disorders. This webpage provides information and guidance tailored for family physicians and their clinical teams to strengthen integration of […]
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 […]
Tobacco Cessation Change Package
Summary: Many health systems are familiar with the “Million Hearts” campaign which is a national initiative to prevent 1 million heart attacks and strokes by implementing a small set of evidence-based strategies. The Campaign includes a Tobacco Cessation Change Package (TCCP) that provides clinical teams with a practical resource to increase the reach and effectiveness […]
Kansas Tobacco Guideline for Behavioral Health Care: An Implementation Toolkit
Summary: The Kansas Behavioral Health Tobacco Project, led by NAMI Kansas, developed the Tobacco Guideline for Behavioral Health. This toolkit provides practical approaches and policy resources that behavioral health organizations can use to implement the Tobacco Guideline for Behavioral Health in four areas: Promoting wellness by integrating evidence-based tobacco treatment into routine clinical practice Building […]
Implementation Toolkit for Statewide Tobacco Control Programs
Summary: Developed by a team of multidisciplinary experts, this toolkit provides practical examples, solutions, and resources for statewide tobacco control programs to work with internal and external partners to address disparities in rates of tobacco use for people with behavioral health conditions. It includes sections for: Making the case for statewide tobacco control program’s focus […]
CMS Bulletin: Strategies to Improve Delivery of Tobacco Cessation Services
Summary: This informational bulletin highlights strategies that states have used to improve the delivery of tobacco cessation services to help more Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries quit smoking. It includes: A summary of the burden of smoking and smoking-related diseases in the Medicaid and CHIP population. An outline of the benefits of helping […]
Report: Treating Tobacco Use Disorder in Behavioral Health Populations: Innovative Approaches and Uses of Approved Medications
Summary: This report describes innovative uses of approved medications for the treatment of TUD for people with behavioral health conditions. It provides an overview of the seven FDA-approved medications for treating tobacco use, recommended use of those medications associated with improved outcomes, and key messages for treating TUD in behavioral health populations. It is intended […]
HHS Smoking Cessation Framework
Summary: The framework sets forth an organizing set of goals and broad strategies to guide states in enhancing collaboration and coordination to drive further progress in increasing smoking cessation – including for people affected by behavioral health conditions. The Framework’s six goals are: Goal 1. Reduce smoking- and cessation-related disparities. Goal 2. Increase awareness and […]