Behavioral Health Resources
Mental Health and Substance Use Disorders
Below is a list of presentations, articles, publications, toolkits and the Partnership Communique, focusing on tobacco dependence treatment for people with mental illnesses and substance use disorders.
- Presentations
- Toolkits
- NEW! SCLC Catalogue of Tools
- Curricula
- Webinars
- Articles and Publications
- Tobacco Free for Recovery Partnership Communique
- 1-800 Quit Now Wallet Cards
- Video Clips
- Mental Health and Tobacco Industry
- Other Resources and Facts
![]()
Presentations
American Society of Addiction Medicine (ASAM) Annual Meeting - Tobacco Free for Recovery - Dr. Steven A. Schroeder
- SAMSHA In-Service Trainings :
- Tobacco Dependence Treatment - SAMHSA In-Service Training - Dr. Steven A. Schroeder
- The Unmet Needs of Smokers with Mental Illness or Addiction- SAMHSA In-Service Training - Jill M. Williams, MD
- Smoking Cessation for People with Mental or Substance Use Disorders -SAMHSA In-Service Training - Chad D. Morris, PhD
-
CHOICES: Consumers Helping Others Improve Their Condition by Ending Smoking – Mental Health Consumers Do Have Choices – SAMHSA In-Service Training by Eric Arauz

- Maximizing the Power of Partnerships: Engaging Smokers and the Mental Health Community
- Are the 5 A's Enough?: Tobacco Dependence Treatment for Smokers with Mental Illness
- Mental Health and Smoking Cessation
- Increasing Access to Tobacco Cessation Services for People in Mental Health
- How does the mental health system differ
- What Works
- Tobacco Use in Special Populations: Psychiatric and Substance Use Disorders
- Setting the Stage : Conducting tobacco treatment with clients with substance abuse disorders
Toolkits
Tobacco Treatment for Persons with Substance Use Disorders - A Toolkit for Substance Abuse Treatment Providers - concise, user-friendly guide to tobacco treatment for counselors and policy recommendations for supervisors and administrators. The toolkit is intended to help providers fully integrate tobacco treatment into existing substance abuse treatment practices. Developed by Signal Behavioral Health Network and the Colorado State Tobacco Education & Prevention Partnership (STEPP).
Smoking Cessation for Persons with Mental Health Illness - A Toolkit for Mental Health Providers - offers step by step instructions for providers to help their patients quit smoking. Developed by our partners at the University of Colorado School of Medicine and revised for nationwide use by a committee of experts in behavioral health, primary care and public health, this user-friendly guide has been revised to meet the needs of a broad continuum of behavioral health providers and clinicians.
Tobacco Free Toolkit: For Community Health Facilities, National Edition - developed for a broad continuum of public health care organizations and treatment facilities, particularly those organizations serving persons with mental illnesses and addictions. The materials are intended for administrators, direct providers, and support staff of organizations considering or implementing tobacco-free policies.
This toolkit contains a variety of effective community-level strategies and step-by-step instructions to:
assess organizational readiness to go tobacco-free; implement tobacco-free policies; provide tobacco cessation services and referrals as policies take effect.
Tobacco-free Living in Psychiatric Settings - NASMHPD Toolkit - provides practical tips for converting facilities to smokefree status.
Visit the National Association of State Mental Health Program Directors website at http://www.nasmhpd.org/publicationsmisc.cfm for more NASMHPD publications.
Intensive Tobacco Dependence Intervention for Persons Challenged by Mental Illness: Manual for Nurses Available for download on the American Psychiatric Nurses Association Tobacco Dependence Information Center website. Developed to guide Registered and Advanced Practice Nurses through tobacco dependence interventions with their clients who smoke, the manual is based on the Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update, and offers the basic tenets of self-determination theory, and Gadow’s moral framework for nursing, click here to download. For more information on the manual or the American Psychiatric Nurses Association Tobacco Dependence Task Force contact Daryl Sharp, PhD, APRN, BC, FNAP, Chairperson, Tobacco Dependence Council, APNA, Associate Professor of Clinical Nursing, Director, Doctor of Nursing Practice Program University of Rochester School of Nursing, Rochester, NY at (585) 275-6465 or e-mail Daryl_Sharp@URMC.Rochester.edu.
Curricula
Learning About Healthy Living (LAHL) is a 20 session group treatment approach that is designed for all types of smokers with different mental health problems. The goal of the intervention is to increase individual’s awareness about the risks of tobacco use, treatment options, enhance motivation to address tobacco, and to begin by making other healthy life choices.
LAHL has been in use in mental health treatment programs in New Jersey since 2004. The LAHL treatment approach supports the current focus on wellness and recovery within the mental health field and is being used in mental health sites with great success. The LAHL manual is now available as a publicly available resource. It is hoped that the dissemination of this valued resource will help more smokers with mental illness across the country.
The UW-CTRI has a list of courses on tobacco treatment you can take to receive free CME/CE credits: Click here to access the website.
Behavioral Health Care Provider and Peer Consumer training - The Behavioral Health and Wellness Program (BHWP) conducts training and education for healthcare providers (primary care, behavioral health, and psychiatry residents) and Peer Consumers (people with mental illnesses and/or substance use disorders) regarding wellness initiatives for persons with behavioral health issues.
Multiple training curricula have been developed to address the role of wellness in recovery, integrating wellness into behavioral health treatment, and the unique needs of this population. For more information on the provider training or the Peer-to-Peer training, please contact: Mandy Graves May, MPH Director of Training and Outreach
(303) 724-3713 or visit http://bhwellness.org
The American Academy of Family Physicians has created a podcast titled "How to Provide Tobacco Cessation Treatment to Patients with Mental Illness". Find out what treatments are most effective for this population and the effects of tobacco cessation pharmacotherapies on other medications. All are welcome to download a copy at http://www.aafp.org/online/en/home/clinical/publichealth/tobacco/cme/podcasts.html
The AAFP has also created a new section on the Ask and Act website titled "Smoking and Mental Illness" and added mental health slides to CME presentations.
MedscapeCME is part of the WebMD Health Professional Network. The site offers specialists, primary care physicians, and other health professionals a variety of professional educational content developed by Medscape, LLC as well as third parties. Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME), the American Nurses Credentialing Center (ANCC) to provide continuing nursing education, and the Accreditation Council for Pharmacy Education (ACPE) to provide continuing pharmacy education.
![]()
Rx for Change: Clinician-Assisted Tobacco Cessation, which draws heavily from the Clinical Practice Guideline for Treating Tobacco Use and Dependence, is a comprehensive, turn-key program for training students and licensed clinicians in virtually any health professional field. All materials have been externally reviewed and are updated continuously to reflect current science for the treatment of tobacco use and dependence. For more information contact Reason Reyes at Reason.Reyes@ucsf.edu.
Rx for Change: Tobacco-Free for Recovery, Assisting Mental Health Consumers with Tobacco Cessation, a new cessation curriculum for Peer Counselors is now available online at http://rxforchange.ucsf.edu . With input from consumers, mental health professionals, advocates, and leaders, this 3-hour program was created to equip peer counselors with the necessary knowledge and skills to assist and support other mental health consumers with quitting smoking. A smoke-free lifestyle is viewed as a vital element on the path toward wellness and recovery.
Visit http://rxforchange.ucsf.edu and register for free to find PowerPoint slides, audience handouts, and correspondence video segments that are relevant to the Peer Counselor – Mental Health curriculum. Other new Rx curricula include Psychiatry RX. Dr. Jodi Prochaska and colleagues at the University of California, San Francisco, have created a 4-hour curriculum that is specific to psychiatry and has shown very promising results in changing the knowledge, attitudes, confidence, and clinical practices of psychiatry residents in treating tobacco use and dependence in their patients.
Tobacco Cessation for Correctional Populations: A Health Education Manual - New Second Edition! - This curriculum is designed for use in all correctional facilities. Participating inmates will learn about the health effects of tobacco use, how to quit using tobacco in the correctional environment and how to stay quit upon release. Included are instructions for facilitators, reproducible handouts and a resource section to obtain additional information and materials.
Articles and Publications
- Tobacco Control Legal Consortium’s fact sheet on “The Mental Health Parity and Addiction Equity Act and the Affordable Care Act: Implications for Coverage of Tobacco Cessation Benefits”.
- Methadone Toxicity Due to Smoking Cessation—A Case Report on the Drug-Drug Interaction Involving Cytochrome P450 and Isoenzyme 1A2 Wahawisan, J. et Al. (2011). Annals of Pharmaco. 45:e34,1-4.
- Methadone-Nicotine Interactions in Methadone Maintenance Treatment Patients Elkader, AK. et Al. (2009). J Clin. Psychopharm. 29:3, 231-238.
- A smoking cessation intervention for the methadone-maintained Stein, MD. et Al. (2006). The Authors. Journal Compilation. SSA. Addiction: 101, 599-607.
- Break Free Alliance's 2012 Report - "Smoking in Low Socioeconomic Status Populations: Prevalence, Health Impact, Challenges and Recommendations" - Health Education Council
- NAMI - Smoking and Mentall Illness (2010)
- Banning Smoking in Psychiatric Settings: Data Extraction Table
- Banning Smoking in Psychiatric Settings, An Evidence Brief McCutcheon, C. (2012).
- NASMHPD Research Institute (NRI's), "Smoking Policies and Practices in State Psychiatric Facilities: Survey Results from 2011" - Final Report
- Smoking and Mental Illness - Breaking the Link - Prochaska, JJ. Health Policy and Reform, New England Journal of Medicine, July 20, 2011.
- A Hidden Epidemic: Tobacco and Mental Illness - Legacy Foundation Report, June 2011.
- Do Quitlines Have a Role in Serving the Tobacco Cessation Needs of Persons with Mental Illnesses and Substance Use Disorders?: The Behavioral Health Advisory Forum (BHAF) Background Report, September 2010.
- NEW Clinical Crossroads: A 51 Year Old Woman with Bipolar Disorder who Wants to Quit Smoking The Journal of the American Medical Association (JAMA) special article by Steven A Schroeder, MD, JAMA 2009 301:522-531 (Feb 4, 2009 issue).
- A Double-blind Placebo-Controlled Trial of Bupropion Sustained-Release for Smoking Cessation in Schizophrenia - Evins, AE. Cather, C. et al. Journal of Clinical Psychopharmacology, June 2005, Vol. 25. Number 3
- Independent Effects of Tobacco Abstinence and Bupropion on Cognitive Function in Schizophrenia - Evins, AE. Deckersbach, T. et al. Journal of Clinical Psychiatry, September 2005, Vol. 66. Number 9
- Effect of smokefree workplaces on smoking behaviour: systematic review - Fichtenberg, CM. Glantz, SA, BMJ.com, July 2002, Vol. 325
- Eliminating Tobacco Use in Mental Health Facilities: Patients' rights, Public Health, and Policy Issues
- A Meta-Analysis of Smoking Cessation Interventions With Individuals in Substance Abuse Treatment or Recovery
- Treatment of Tobacco Use in an Inpatient Psychiatric Setting
- Treatment for Cigarette Smoking Among Depressed Mental Health Outpatients: A Randomized Clinical Trial
- Congruencies in Increased Mortality Rates, Years of Potential Life Lost and Causes of Death Among Public Mental Health Clients in Eight States
- A behavioural and functional neuroimaging investigation into the effects of nicotine on sensorimotor gating in healthy subjects and persons with schizophrenia
- Training in Tobacco Treatments in Psychiatry: A National Survey of Psychiatry Residency Training Directors
- TECHNICAL REPORT ON SMOKING POLICY AND TREATMENT IN STATE OPERATED PSYCHIATRIC FACILITIES
- The US Public Health Service "treating tobacco use and dependence clinical practice guidelines" as a legal standard of care
- Marketing to the marginalised: tobacco industry targeting of the homeless and mentally ill
- Tobacco use among individuals with schizophrenia: what role has the tobacco industry played? Prochaska JJ, Hall SM, Bero L. Schizophrenia Bulletin 2008;34:555-567.
- Treating tobacco dependence in clinically depressed smokers: Effect of smoking cessation on mental health functioning. Prochaska JJ, Hall SM, Tsoh J, Eisendrath S, Rossi JS, Redding CA, Rosen AB, Meisner M, Humfleet G, Gorecki J.American Journal of Public Health 2008;98:446-448.
- RESULTS OF THE CONVERSION TO A TOBACCO-FREE ENVIRONMENT IN A STATE PSYCHIATRIC HOSPITAL
- Smoking and Mental Illness
- Facts about Smoking and Mental Health Disorders
- Smoking bans in psychiatric inpatient settings? A review of the research
- Return to Smoking Following a Smoke-Free Psychiatric Hospitalization
The National Mental Health Partnership for Wellness and Smoking Cessation Communique (Click Here)
Videos
- "Becoming Tobacco Free,” is a six-minute video targeted towards mental health consumers and was created by New York State Office of Mental Health in partnership with Columbia’s Center for Practice Innovations (CPI), NYC Health Department, and Dr. Jill Williams. The video features clips of consumers discussing their journey to becoming tobacco free, the health benefits of quitting, tools to help think through the pros and cons of quitting, what to expect when quitting, and how to get help.
- Smoke Alarm - From the Smoke Alarm: SMOKE ALARM is being hailed nationally among mental health organizations as one of the most effective and salient exposé's on this pressing public health issue.
- “Smoking, Hazards and Solutions in Long-Term Care,” video & study guide presented by Georgia Stevens, PhD, APRN, BC. Note - There is a fee for this video: $150 purchase; $75 rental.
Mental Health and the Tobacco Industry
- Legacy Tobacco Library: The Legacy Tobacco Documents Library (LTDL) contains more than 7 million documents (40+ million pages) created by major tobacco companies related to their advertising, manufacturing, marketing, sales, and scientific research activities. The articles and documents below are just a few examples of how the tobacco industry has capitalized on groups they have termed “consumer subcultures” which include homeless, and the mentally ill.
- Project Scum
- Downscale Publications / DP2
- Capital District Psych Center
- Working Party on Social Acceptability of Tobacco Use
- Tobacco industry documents expose R.J. Reynolds marketing plan: Project SCUM
- Homeless Hunger Initiative
- Our Target Is
Other Resources and Facts
- Click HERE to download this database of Resources for Behavioral Healthcare Providers from our partner Janis Dauer.
- Provider Training and Resources from the New York State Office of Alcoholism and Substance Abuse Services (OASAS), Tobacco Independence: Freedom from a deadly addiction
- Free Training Videos for Treating Substance Dependence, Mental Health and Nicotine Dependence for Clients and for Counselors - New York State Office of Alcoholism and Substance Abuse Services (OASAS)
- Ending the Tobacco Epidemic for People with Substance Use Disorders and Mental Health -SAMHSA In-service training facts and resources handout.
- www.njchoices.org
- Clinical practice guidelines as a legal standard of care
- Drug interactions and smoking
- Ask Advise Refer Provider Poster
- 1 800 QUIT NOW Patient Poster

Tobacco Treatment for Persons with Substance Use Disorders - A Toolkit for Substance Abuse Treatment Providers -
Smoking Cessation for Persons with Mental Health Illness - A Toolkit for Mental Health Providers 
Intensive Tobacco Dependence Intervention for Persons Challenged by Mental Illness: Manual for Nurses
Learning About Healthy Living (LAHL)


