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We’ve completely redesigned the way you can engage your patients and communities regarding the 5A's (brief interventions for tobacco treatment) and 5R's (motivational interviewing for tobacco treatment readiness) and Tobacco Treatment Pharmacotherapy Options.


Here is an infographic with the 5As: a brief intervention for tobacco treatment. The 5 major steps are Ask, Advise, Assess, Assist, and Arrange. Download

5 R's

This infographic defines the 5Rs: a motivational interviewing for tobacco treatment readiness. These 5 steps are to motivate those who smoke and are unwilling to quit. The 5 R's are: Relevance, Risks, Rewards, Roadblocks, and Repetition. Download

Tobacco Treatment Pharmacotherapy Options

This infographic is a quick reference tool for healthcare providers to view tobacco treatment pharmacotherapy options as well as nicotine withdrawal management pharmacotherapy. It also includes a quick guide to a best practice evidence-based clinician approach. Download

Stopping Tobacco Use Promotes Recovery Among People Living with Mental Illnesses

This brief presents the tobacco use disparities among individuals living with mental illness. Tobacco use hinders recovery by increasing poor physical health outcomes, exacerbating mental health symptoms, causing individuals to have less expendable income, and presenting challenges to affordable housing. Download

Behavioral Health Tobacco Dependence Treatment for Kentucky Medicaid Recipients

This policy brief entails a proposal for further research regarding tobacco treatment interventions among people with mental illness. Download

Tobacco Treatment Reimbursement Guide

A Guide for Kentucky Mental and Behavioral Healthcare Providers. Download

Tobacco Use and Suicide Risk

As rates of mental health challenges increase in the United States, reducing risk factors for suicide remains a public health concern. Tobacco use is an important factor associated with increased suicide risk. Download

Tobacco Treatment Specialists

A TTS is someone who has a thorough understanding and the required training to carry out evidence-based interventions that help individuals struggling with tobacco addiction. They are experts in addressing the negative health impacts of tobacco use, providing support for individuals who desire tobacco use treatment and advocating strategies to promote tobacco-free environments.




What is a TTS?

Holly Logsdon Discusses the Growth of Tobacco Treatment Services at Owensboro Health

Additional Behavioral Health and Tobacco Policy and Treatment Resources From Our Partners

American Lung Association

A Toolkit to Address Tobacco Use in Behavioral Health Settings

  • This guide is for mental health and substance use professionals.

BH The Change

BH The Change is a searchable depository of tobacco related resources funded by the CDC.

Identifying and Addressing Health Disparities Related to Tobacco Use Among Individuals with Mental Health and Substance Use Disorders: An Implementation Toolkit for Statewide Tobacco Control Programs

  • This toolkit encourages a strengthened focus in identifying and addressing tobacco-related health disparities among individuals with MH/SUDs.

Toolkit: Enhance your State's Tobacco Cessation Efforts among the Behavioral Health Population

  • This toolkit provides background on tobacco use in the BH population and recommended methods for creating change.

Why Tobacco and Behavioral Health?

  • ​An infographic outlining the severity of tobacco use in behavioral health populations. 

Guide for Implementing Tobacco Cessation in Behavioral Health Populations

  • A downloadable toolkit for Program Directors and Clinicians that can help clinicians implement a tobacco cessation program for individuals with serious mental illness.

Behavioral Health and Wellness Program

BH Wellness Projects

  • View Projects by the BH WELLNESS team.

Centers for Disease Control and Prevention (CDC)

Smoking and Mental Health: Five Things Every Health Care Provider Should Know

  • A 1-page document with 5 important realities about patients with mental illness who smoke.

Mental Health Home Page

Smoking and Tobacco Use Home Page

  • Visit this page to find fact sheets, data, shareable content, and other tools. 

State Menthol Fact Sheets  

  • This interactive map of the U.S. and the District of Columbia provides state specific menthol fact sheets that include estimates of “adults who currently smoke, commonly use menthol cigarettes, and are seriously considering quitting smoking; the economic cost of cigarette smoking within the state; projected number of individuals in the state that would quit smoking if menthol were no longer accessible; state Medicaid coverage; the state’s smoking quitline utilization; and the amount of funds CDC provides for the state quitline.” (Centers for Prevention and Disease Control) 

Multimedia & Tools Home Page 

  • Search this depository for infographics and other shareable media related to smoking and tobacco use. 

Adult Tobacco Use Infographic

  • View this infographic detailing tobacco use by American adults.

Secondhand Smoke Exposure in Multiunit Housing

  • An infographic detailing secondhand smoke exposure in multiunit housing.
  • En Español

Harmful Chemicals in Secondhand Smoke

  • Secondhand smoke and the harmful chemicals in it are known causes of Sudden Infant Death Syndrome (SUDS), respiratory infections, ear infections, and asthma attacks in infants and children. They are also causes of heart disease, stroke, and lung cancer in adult nonsmokers.

E-cigarette Use in Public Places

  • A flyer on E-cigarette Use in Public Places.

Director's Briefing: Smoking among Adults with Mental Illness

  • A brief video giving background on tobacco use by individuals living with mental and behavioral health challenges.

What to Tell your Patients about Smoking

  • A flyer detailing how to tell your patients about smoking and help them stop tobacco use.

Kansas Department for Aging and Disability Services

Kansas Tobacco Guideline for Behavioral Health Care: An Implementation Toolkit

  • This toolkit provides practical approaches and policy resources that behavioral health organizations can use to implement the Tobacco Guideline for Behavioral Health.

Kentucky Tobacco Treatment Specialist Graduate Certificate

How Can Tobacco Treatment Skills Help You? UK's Tobacco Treatment Specialist Graduate Certificate program will prepare you to deliver evidence-based treatment and promote system change to reduce the toll of tobacco on health. The BREATHE Online Tobacco Treatment Specialist (TTS) training is designed to equip you with evidence-based skills to treat tobacco dependence across a range of settings.

National Cancer Institute

Handling Nicotine Withdrawal and Triggers for When you Decide to Stop Tobacco Use

  • Information and numerous links to additional resources for what to expect when stopping tobacco use. 

National Institute on Drug Abuse (NIDA)

Tobacco/ Nicotine and Vaping Home Page

  • View research and related media and resources related to tobacco on this page.

Research Report: Tobacco, Nicotine, and E-Cigarette Use

National Jewish Health

Coping with Stress when Quitting Tobacco

  • Stopping tobacco use can be stressful. This infographic gives tips on coping with this stress.

Health Concerns Related to Smoking and Tobacco Use

  • Information about smoking and tobacco use not specific to behavioral health.

Educational Infographics related to Health Impacts about Tobacco Use

  • A collection of infographics regarding the health impacts of tobacco use.

Stanford Medicine

Theory-based and evidence-informed resources created by educators, parents, and researchers aimed at preventing middle and high school students’ use of tobacco and nicotine.

Substance Abuse and Mental Health Services Administration (SAMHSA)

Visit SAMHSA's home page.

Visit SAMHSA's Behavioral Health Treatments and Services page.

Alcohol, Tobacco, and Other Drugs 

  • View data, resources, and other links related to alcohol, tobacco, and other drugs. 

Tips for Teens - Tobacco Use

  • An infographic on teen tobacco use.

Tips for Teens - E-cigarette Use

  • An infographic on teen e-cigarette use.

Implementing Tobacco Cessation Programs in a Substance Use Disorder Treatment Setting

  • A guide for clinicians and program directors with an overview of challenges and tips for cessation program implementation.

Synar Program 

  • The Synar Amendment requires states to have laws prohibiting the sale and distribution of tobacco products to minors. Visit this page to learn more.

Tobacco Prevention and Cessation Program, Kentucky Department for Public Health

Visit their home page and their Quitting Tobacco page.

Truth Initiative

Truth Initiative is a nonprofit tobacco control organization "dedicated to achieving a culture where all youth and young adults reject tobacco.

Vaping Nicotine and Mental Health Infographic

News Article: Tobacco is a Social Justice Issue

  • This brief article discusses the reality that a disproportionately high rate (1 of 3) of adults with mental illness use tobacco products as opposed to 1 in 5 adults without mental illness.

Colliding Crises: Youth Mental Health and Nicotine Use

  • A downloadable report on the connection between nicotine and mental health concerns. 

What you Need to Know to Quit Smoking

  • Facts and methods about stopping tobacco use. 

The Impact of Secondhand Smoke

  • Fact sheet surrounding secondhand smoke. 

Tobacco Use in the Military

  • Information on trends and policy efforts surrounding tobacco use in the US Military.

UCSF Smoking Cessation Leadership Center


Tobacco Treatment Specialist Training 

  • An online training to equip health care providers with evidence-based tools to treat tobacco dependence in a range of settings. 

How to Get Benefits for Quitting Tobacco in Kentucky 

  • 5 practical steps for Kentuckians to receive medicine and counseling to help stop tobacco use. 

Providing Quitline Services is a Smart Investment 

  • Support for why to offer a Quitline. 

NAMI National Helpline Resource Directory

NAMI HelpLine volunteers and staff have compiled this directory of outstanding resources to help you identify possible options to meet your needs. 


doctor showing patient a chart