Leadership Academies
Tobacco use prevalence in the Arizona behavioral health system of care
In 2011, the general prevalence was between 30-50%. In 2017, the smoking rate for the overall population was at 15.6%.
Target to reduce the cigarette smoking rate among the Arkansas adult population
Target to reduce the cigarette smoking rate among the Arkansas youth population
In 2020, the smoking rate among adults was at 20.5%. No data has been provided to SCLC regarding the youth population.
The smoking rate of adult population in Hawaii who are Heavy Alcohol Users
The smoking rate of adult population in Hawaii with Severe and Persistent Mental Illness (SPMI)
The smoking rate of the adult population in Hawaii who are Heavy Alcohol Users was at 25.9% in 2020. Data has not been provided to SCLC regarding adults with SPMI.
Prevalence of Current Smoking among Kansas Adults Aged 18 Years and Older By Mental Health Status
Prevalence of Current Smoking among Kansas Adults Aged 18 Years and Older by Heavy Drinking Status
In 2020, the prevalence of current smoking among Kansas adults aged 18 years and older by Mental Health Status was 30.2%, and the prevalence of current smoking among Kansas adults aged 18 years and older by Heavy Drinking Status was 30.9%.
Smoking rate among Kentuckians with Poor Mental Health
Smoking rate among Kentuckians who Binge Drink: Target Surpassed
In 2020, the rate of smokers with Poor Mental Health was at 34.6%. The rate of smokers who Binge Drink was at 33.2%.
Smoking prevalence among adult mental health clients
Smoking prevalence among adult addictions clients
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%.
The smoking rate of adult population in Massachusetts with Poor Mental Health
The smoking rate of adult population in Massachusetts with a Substance Use Disorder
In 2020, the smoking rate among adults with Poor Mental Health was at 21.2%. Data for Substance Use Disorder was not provided to SCLC.
Smoking Rate Among Adults Reporting Poor Mental Health
Smoking Rate Among Adults Who are Heavy Alcohol Drinkers
In 2020, the smoking rate among adults reporting Poor Mental Health was at 27.6%. The smoking rate among adults who are Heavy Alcohol Drinkers was at 31.9%.
Adult Smokers with Depression
Adult Smokers with Serious Mental Illness
In 2020, the smoking prevalence among adult smokers with Depression was at 23.2%. Updated data for adult smokers with Serious Mental Illness has not been provided to SCLC.
The cigarette smoking rate among Mississippians with Mental Illnesses
In 2020, the smoking rate among adults reporting Poor Mental Health was at 32.8%. The smoking rate among adults who are Heavy Alcohol Drinkers was at 43.4%"
Tobacco Use by Montana Adults with Frequent Poor Mental Health: Target Surpassed
Tobacco Use by Montana Adults among Binge Drinkers
In 2020, tobacco use by Montana adults with Frequent Poor Mental Health was at 29.8%. Tobacco use by Montana adults among Binge Drinkers was at 24.7% in 2020.
Current Smokers Reporting Poor Mental Health
Tobacco Use by Clients in Substance Use Disorder Treatment, at Discharge
In 2020, the rate of current smokers reporting Poor Mental Health was at 17.7%. Updated data on tobacco use by clients in Substance Use Disorder Treatment, at discharge has not been provided to SCLC.
Smokers with Serious Mental Illnesses
Smokers with Mental Illness and Substance Use Disorders
In 2020, New York State reduced the rate of Smokers with Serious Mental Illnesses to 19.7%. The rate of Smokers who Drink Heavily decreased to 26.9% (CDC BRFSS).
Baseline Source: Patient Characteristic Survey conducted by NYS Office of Mental Health
Smoking prevalence among the general population
Smoking prevalence among adults reporting Poor Mental Health
Baseline determined using 2010 DMHDDSAS NC; Treatment and Outcomes Performance System. In 2018, North Carolina held a Reconvening to establish new targets and baselines.
Smoking prevalence among adult behavioral health consumers: Target Surpassed
Smoking prevalence among adult substance abuse service consumers: Target Surpassed
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%.
Smoking rate among Adults with Poor Mental Health
Smoking rate among Adult Heavy Drinkers
In 2020, the smoking rate among adults with Poor Mental Health was 26.4%. The smoking rate among adult Heavy Drinkers was 27.5%.
Medicaid Adults Ages 18-64 Years with a Mental Health related Principal Diagnosis and Any Tobacco/Nicotine Use Diagnosis within the Same Year
Medicaid Adults Ages 18-64 Years with an Substance Use Disorder related Principal Diagnosis and Any Tobacco/Nicotine Use Diagnosis within the Same Year
Updated data has not been provided to SCLC.
Smoking prevalence among the Texas population with five or more days of Poor Mental Health: Target Surpassed
Smoking prevalence among the Texas population of Heavy Alcohol Users
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%.
Prevalence of Current Smoking among Alaska Adults Aged 18 Years and Older By Mental Health Status
Prevalence of Current Smoking among Alaska Adults Aged 18 Years and Older by Binge Drinking Status
Baseline determined using 2017 BRFSS.
Prevalence of Current Smoking among Indiana Adults Aged 18 Years and Older By Mental Health Status
Prevalence of Current Smoking among Indiana Adults Aged 18 Years and Older by Heavy Drinking Status
The smoking rate of adult population in Indiana with Frequent Poor Mental Health was at 33.0% in 2020, and the smoking rate of adult population in Indiana who are Heavy Alcohol Users was at 37.2% in 2020. Baseline determined using 2017 BRFSS.
Smoking Prevalence among Adults with Frequent Poor Mental Health
Smoking Prevalence among Adults by Heavy Drinking Status
Louisiana held their inaugural summit in July 2021.
Current Cigarette Use Among Adults with Frequent Mental Distress
Current Cigarette Use Among Adult Heavy Drinkers
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.
See BRFSS-based 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.
24 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. In 2021, the National Center of Excellence for Tobacco Free-Recovery held summits with Rhode Island, the 21st state, and Louisiana, the 22nd. A virtual reconvening was held for the state of Kansas in December 2021 to continue the work from the previous State Leadership Academy in 2018.
The National Center of Excellence for Tobacco Free-Recovery is excited to announce Idaho and Washington as the 23rd and 24th states to become Leadership Academy states in 2022.
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:
1. Where are we now? (baseline)
A jumping-off point against which to measure progress.
2. Where do we want to be? (target)
Agreement on a single measurable outcome. Agreement on the what rather than the how.
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.
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.
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.
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.
Academy State Resource Hub
The Kansas Tobacco Guideline for Behavioral Health Care Toolkit was developed by the Public Heal…
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…
North Carolina Evidence Based Practices Center created this toolkit to address overall well…
The mission of Taking Texas Tobacco Free (TTTF) is to promote wellness among Texans by…