Category Archives: Health Systems

Archived Webinar: Dual Use of Cigarettes and e-Cigarettes: Clinical Implications and Treatment Strategies

This archived webinar explores emerging evidence on treating adults who dually use cigarettes and e-cigarettes. Participants will examine patterns of dual use and their impact on tobacco-related harm, and review evidence-based approaches including counseling and pharmacotherapy. The session will also highlight practical strategies to support individuals with co-occurring substance use and mental health conditions. Webinar […]

Archived Webinar – Getting Beyond ‘No’- Addressing Tobacco Use Treatment in Pre-contemplation Stage

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 […]

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 […]

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

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 […]

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 […]

Online Training Series: Tobacco Use Treatment in Behavioral Health Care

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 use disorder medications in behavioral health settings.    Learning Objectives  Understand tobacco use disorder as a […]

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 strategies.  Learning Objectives  Understand the role […]

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 […]

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 […]