Leadership Academies

US Map Arizona Arkansas Hawaii Kansas Kentucky Maryland Massachusetts Michigan Minnesota Mississippi Montana New Jersey New York North Carolina Oklahoma Pennsylvania South Carolina Texas Alaska Indiana Louisiana Rhode Island
Arizona

Tobacco use prevalence in the Arizona behavioral health system of care 

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Baseline Set: 2011
30%
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Target 2016
18%
In 2011, the general prevalence was between 30-50%. In 2017, the smoking rate for the overall population was at 15.6%. Read more
Arkansas

Target to reduce the cigarette smoking rate among the Arkansas adult population 

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Baseline Set: 2012
22.9%
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Target 2017
19.9%

Target to reduce the cigarette smoking rate among the Arkansas youth population 

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Baseline Set: 2012
23.5%
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Target 2017
20.5%
In 2018, the smoking rate among adults was at 22.7%. No data has been provided to SCLC regarding the youth population. Read more
Hawaii

The smoking rate of adult population in Hawaii who are Heavy Alcohol Users

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Baseline Set: 2014
33%
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Target 2020
28%

The smoking rate of adult population in Hawaii with Severe and Persistent Mental Illness (SPMI)

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Baseline Set: 2014
40.8%
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Target 2020
34%
The smoking rate of the adult population in Hawaii who are Heavy Alochol Users was at 28.4% in 2018. Data has not been provided to SCLC regarding adults with SPMI. Read more
Kansas

Prevalence of Current Smoking among Kansas Adults Aged 18 Years and Older By Mental Health Status

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Baseline Set: 2018
32.7%
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Target 2025
20%

Prevalence of Current Smoking among Kansas Adults Aged 18 Years and Older by Heavy Drinking Status

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Baseline Set: 2018
30.1%
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Target 2025
20%
In 2018, the prevalence of current smoking among Kansas adults aged 18 years and older by Mental Health Status was 33%, and the prevalence of current smoking among Kansas adults aged 18 years and older by Heavy Drinking Status was 35%. Read more
Kentucky
Smoking rate among Kentuckians with Poor Mental Health
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Baseline Set: 2015
42.6%
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Target 2020
34.1%
Smoking rate among Kentuckians who Binge Drink: Target Surpassed
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Baseline Set: 2015
45.2%
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Target 2020
36.2%
In 2018, the rate of smokers with Poor Mental Health was at 34.5%. The rate of smokers who Binge Drink was at 34.5%. Read more
Maryland

Smoking prevalence among adult mental health clients

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Baseline Set: 2011
47.8%
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Target 2014
38.24%

Smoking prevalence among adult addictions clients

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Baseline Set: 2011
71.8%
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Target 2014
57.44%
In 2017, the smoking prevalence among adult mental health clients increased to 38.5%, and the smoking prevalence among adult addictions clients was at 71.7%. Read more
Massachusetts

The smoking rate of adult population in Massachusetts with Poor Mental Health

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Baseline Set: 2015
35.4%
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Target 2020
28%

The smoking rate of adult population in Massachusetts with a Substance Use Disorder

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Baseline Set: 2015
41.6%
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Target 2020
33%
In 2018, the smoking rate among adults with Poor Mental Health was at 24.3%. Data for Substance Use Disorder was not provided to SCLC. Read more
Michigan

Smoking Rate Among Adults Reporting Poor Mental Health

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Baseline Set: 2016
38.2%
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Target 2020
32%

Smoking Rate Among Adults Who are Heavy Alcohol Drinkers

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Baseline Set: 2016
39.3%
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Target 2020
33%
In 2018, the smoking rate among adults reporting Poor Mental Health was at 35.3%. The smoking rate among adults who are Heavy Alcohol Drinkers was at 41%. Read more
Minnesota

Adult Smokers with Depression

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Baseline Set: 2015
26.9%
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Target 2020
20%

Adult Smokers with Serious Mental Illness

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Baseline Set: 2015
60%
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Target 2020
45%
In 2018, the smoking prevalence among adult smokers with Depression was at 24.2%. Updated data for adult smokers with Serious Mental Illness has not been provided to SCLC. Read more
Mississippi

The cigarette smoking rate among Mississippians with Mental Illnesses

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Baseline Set: 2013
37.2%
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Target 2018
32.2%
Updated data on Mississippians with Mental Illnesses has not been provided to SCLC. Read more
Montana

Tobacco Use by Montana Adults with Frequent Poor Mental Health: Target Surpassed

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Baseline Set: 2016
41%
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Target 2021
36%

Tobacco Use by Montana Adults among Binge Drinkers

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Baseline Set: 2016
28%
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Target 2021
25%
In 2018, tobacco use by Montana adults with Frequent Poor Mental Health was at 34%. Tobacco use by Montana adults among Binge Drinkers was at 29% in 2018. Read more
New Jersey

Current Smokers Reporting Poor Mental Health

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Baseline Set: 2017
25.10%
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Target 2022
16.16%

Tobacco Use by Clients in Substance Use Disorder Treatment, at Discharge

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Baseline Set: 2017
64%
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Target 2022
54.4%
In 2018, the rate of current smokers reporting Poor Mental Health was at 23.3%. Updated data on tobacco use by clients in Substance Use Disorder Treatment, at discharge has not been provided to SCLC. Read more
New York

Smokers with Serious Mental Illnesses

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Baseline Set: 2010
30%
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Target 2015
24%

Smokers with Mental Illness and Substance Use Disorders

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Baseline Set: 2010
50%
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Target 2015
41%
In 2015, New York State reduced the rate of Smokers with Serious Mental Illnesses to 26.2%. The rate of Smokers with Mental Illness and Substance Use Disorders increased to 53%. Read more
North Carolina

Smoking prevalence among the general population

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Baseline Set: 2011
19.8%
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Target 2016
16%

Smoking prevalence among adults reporting Poor Mental Health

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Baseline Set: 2011
49%
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Target 2016
39%
Baseline determined using 2010 DMHDDSAS NC; Treatment and Outcomes Performance System. In 2018, North Carolina held a Reconvening to establish new targets and baselines. Read more
Oklahoma

Smoking prevalence among adult behavioral health consumers: Target Surpassed

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Baseline Set: 2011
62%
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Target 2015
60%

Smoking prevalence among adult substance abuse service consumers: Target Surpassed

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Baseline Set: 2011
74%
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Target 2015
60%
In 2017, Oklahoma reduced the smoking prevalence among adult behavioral health consumers to 54.23% and the smoking prevalence among adult substance abuse service consumers to 49.65%. Read more
Pennsylvania

A reconvening will be held in July 2020

Smoking rate among Adults with Poor Mental Health

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Baseline Set: 2017
37.4%
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Target 2022
30.4%

Smoking rate among Adult Heavy Drinkers

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Baseline Set: 2017
29.5%
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Target 2022
22.5%
In 2018, the smoking rate among adults with Poor Mental Health was 35.1%. The smoking rate among adult Heavy Drinkers was 30.2%. Read more
South Carolina

Medicaid Adults Ages 18-64 Years with a Mental Health related Principal Diagnosis and Any Tobacco/Nicotine Use Diagnosis within the Same Year

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Baseline Set: 2018
32.2%
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Target 2023
23%

Medicaid Adults Ages 18-64 Years with an Substance Use Disorder related Principal Diagnosis and Any Tobacco/Nicotine Use Diagnosis within the Same Year

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Baseline Set: 2018
62.3%
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Target 2023
53%
Updated data has not been provided to SCLC. Read more
Texas

Smoking prevalence among the Texas population with five or more days of Poor Mental Health: Target Surpassed

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Baseline Set: 2012
33.7%
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Target 2017
24%

Smoking prevalence among the Texas population of Heavy Alcohol Users

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Baseline Set: 2012
39.7%
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Target 2017
30%
In 2016, the smoking prevalence among the Texas population with five or more days of Poor Mental Health was reduced to 17.5%. In 2018, the smoking prevalence among the Texas population of Heavy Alcohol Users was at 39.1%. Read more
Alaska

Prevalence of Current Smoking among Alaska Adults Aged 18 Years and Older By Mental Health Status

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Baseline Set: 2019
42%
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Target 2025
35%

Prevalence of Current Smoking among Alaska Adults Aged 18 Years and Older by Binge Drinking Status

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Baseline Set: 2019
32%
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Target 2025
25%
Baseline determined using 2017 BRFSS. Read more
Indiana

Prevalence of Current Smoking among Indiana Adults Aged 18 Years and Older By Mental Health Status

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Baseline Set: 2019
37.8%
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Target 2025
25%

Prevalence of Current Smoking among Indiana Adults Aged 18 Years and Older by Heavy Drinking Status

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Baseline Set: 2019
39.1%
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Target 2025
25%
The smoking rate of adult population in Indiana with Frequent Poor Mental Health was at 40.5% in 2018, and the smoking rate of adult population in Indiana who are Heavy Alcohol Users was at 39.9% in 2018. Baseline determined using 2017 BRFSS. Read more
Louisiana

Smoking Prevalence among Adults with Frequent Poor Mental Health

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Baseline 2020:
29.3%
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2026 Target:
24.3%

Smoking Prevalence among Adults by Heavy Drinking Status

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Baseline 2020:
30.3%
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2026 Target:
25.3%
Louisiana held their inaugural summit in July 2021. Read more
Rhode Island

Current Cigarette Use Among Adults with Frequent Mental Distress

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Baseline Set: 2019
26.2%
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Target 2026
19.2%

Current Cigarette Use Among Adult Heavy Drinkers

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Baseline Set: 2019
30.4%
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Target 2026
24.4%
The smoking rates of adults with frequent mental distress and adult heavy drinkers. Baseline determined using Rhode Island Behavioral Risk Factor Surveillance System (BRFSS), 2011-2019. Read more

See co-morbidity data for all Leadership Academy States

 

The Purpose of the Academies

The goal of the Leadership Academies is to create a state-wide collaboration among mental health, substance use treatment, tobacco control, and public health departments, charged to produce an action plan to reduce smoking prevalence of behavioral health consumers and staff and to foster tobacco-free living.

22 states thus far have been selected and supported with technical assistance to design and conduct one and a half-day leadership academy summits using the Performance Partnership Model. The National Center of Excellence for Tobacco Free-Recovery is excited to announce Rhode Island as the 21st state and Louisiana as the 22nd. The RI Leadership Academy Summit was held in July 2021 and the LA Leadership Academy Summit was held in September 2021.  A virtual reconvening will be held for the state of Kansas in December 2021 to continue the work from the previous State Leadership Academy in 2018.

To view data from all the Academy Leadership States, visit our Master Table.

 

Tobacco Nation

This collection of U.S. states in the South and Midwest uses tobacco at disproportionately higher rates compared with the rest of the country. These states have smoking rates that exceed not only the national average but that of many countries with the highest smoking rates in the world. The Truth Initiative® termed this region “Tobacco Nation.” SCLC is committed to working with Tobacco Nation to reduce the use of tobacco among the behavioral health population.

What is the Partnership Model?

A Performance Partnership is a collaboration organized around a specific, measurable result. The model was developed in the 1990s and has produced a variety of outcomes in areas ranging from reducing child abuse and teen pregnancy to salmon restoration and bay cleanup. SCLC has used the model to partner with professional health organizations as well as local and state initiatives, including the Leadership Academies for Wellness and Smoking Cessation.

The model requires assembling a group of partners all interested in addressing the same issue, and asks The Four Questions:

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1. Where are we now? (baseline)
A jumping-off point against which to measure progress.

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2. Where do we want to be? (target)
Agreement on a single measurable outcome. Agreement on the what rather than the how.

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3. How will we get there? (multiple strategies)
No one party owns the answer to "How will we know we are getting there?" Allow a wide array of strategies--even competing strategies--to be used by the various partners. Consider low-cost and no-cost strategies.

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4. How will we know we are getting there? (measures)
Devise a measurement strategy that includes both process and outcome measures. If measures are moving in the wrong direction, regroup and rethink strategies.

Opportunity to Become a Leadership Academy State

As the state summits initiative has grown, our collaboration efforts have also expanded to support the next group of leaders. If your state is interested in holding a Leadership Academy Summit, please contact Christine Cheng, Partner Relations Director, for questions or call our toll-free line at 1-877-509-3786.

To learn more about the state summit model, please view the toolkit Enhance Your State's Tobacco Cessation Efforts Among the Behavioral Health Population.

The AJPH article, "From the Sidelines to the Frontline: How the Substance Abuse and Mental Health Services Administration Embraced Smoking Cessation" is another resource to help understand the academies.

SAMHSA's Best Practices for States

  • Adopting and implementing a tobacco-free facility/grounds policy.
  • Behavioral health providers routinely asking their clients if they use tobacco and providing evidence-based cessation treatment.
  • Effectiveness of tobacco cessation treatment is significantly increased by integrating cessation services/initiatives into the mental health or addiction treatment program.
  • Additional counseling and longer use of cessation medications.
  • Peer-driven approaches such as peer specialists trained in smoking cessation.

State Success Stories

Indiana

Indiana Health Coverage Programs updates billing guidance for tobacco dependence counseling, adds coverage of CPT 99406 and CDT D1320

New York

21 out of 23 NYS Office of Mental Health state operated campuses have a tobacco free policy.

Maryland

Smoking prevalence for addiction treatment consumers dropped from 71.8% in 2010 to 56.5% in 2014.

Oklahoma

Smoking prevalence for addiction treatment consumers served by the ODMHSAS provider system dropped from 74% in 2009 to 47% in 2014 (self-reported data).

Texas

Trained 4,600 behavioral health treatment providers in tobacco cessation. All local mental health authorities were tobacco-free by end of 2015.

North Carolina

All state behavioral healthcare facilities have adopted a tobacco-free campus policy. North Carolina reconvened in September 2018.

Academy State Resource Hub

This resource, created by KanQuit and Kansas Department of Health and Environment, examines the...
The Kansas Tobacco Guideline for Behavioral Health Care Toolkit was developed by the Public...
This infographic, created by Kansas Department of Health and Environment along with Resist, looks...
This infographic displays the link between e-cigarette use and mental health in Kansas youth.
This chart from Quit Now Kentucky provides a quick overview of various NRTs offered under...
This magnet from Kentucky Quit now provides easy steps for providers to start a conversation with...
These posters, created by the Maryland Tobacco Quitline and Better World Advertising, provide a...
These posters, created by the Mississippi Tobacco Quitline and Better World Advertising, provide...
The Montana Tobacco Quitline and the Department of Public Health and Human Services created this...
This website from New York state is a resource for providers to help their patients quit smoking...
This resource hub helps health professionals integrate evidence-based tobacco interventions into...
North Carolina Evidence Based Practices Center created this toolkit to address overall...
This infographic displays the results of the South Carolina survey, "Addressing Tobacco Use Among...
The mission of Taking Texas Tobacco Free (TTTF) is to promote wellness among Texans by...
The American Lung Association's "State of Tobacco Control" 2020 shows the progress and failures...