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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.





DIMENSIONS: Tobacco Free Toolkit for Healthcare Providers - This toolkit is designed for a broad
continuum of healthcare providers. Materials are intended for direct providers, as well as administrators and healthcare organizations.


DIMENSIONS: Tobacco Free Toolkit for Healthcare Providers, Behavioral Health supplement


Policies and Procedures for Tobacco-Free Facilities and Services in Wisconsin's Substance Abuse & Mental Health Treatment Programs - Center for Tobacco, Research & Intervention (CTRI) at the University of Wisconsin, developed by WiNTip and sponsored by the Wisconsin Department of Health Services

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.




APNAIntensive 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.



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


AAFPThe 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.


MedscapeMedscapeCME 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

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. 


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

The National Mental Health Partnership for Wellness and Smoking Cessation Communique (Click Here)



  • "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

Other Resources and Facts