Category Archives: Health Systems

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 residential & inpatient treatment centers

Driver diagram for outpatient health centers

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 […]

Case-Based Discussion Series: Tobacco Use Treatment in Mental Health & Substance Use Settings

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

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 […]

Notice to Patients about Tobacco-Free Policy

Summary: Template for a letter announcing a tobacco-free treatment facility to clients.

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.

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 […]