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Taking Mental Health and Substance Use Organizations Tobacco-Free: Resource Page
Transitioning to a tobacco-free organization is not always easy, but it is possible, and fortunately, many resources are available to help support mental health and substance use (MH/SU) organizations that are planning for and/or moving toward a tobacco-free campus policy.
On this page, you will find a digest of available resources from national and state-based organizations and MH/SU organizations from across the country. These tools are compiled so that you can have examples, build on successes already implemented in the field, and feel supported through the many steps in taking your facilities tobacco-free.
If you don't see what you're looking for here, or if you would like to discuss more ideas with our Tobacco Section staff, please email us at MDHHS-QuitKit@michigan.gov or call us at 517-335-8376 and we'll be happy to help.
- Organizations change when people change.
- Resistance is inevitable.
- Commitment to the past hinders change in the future.
- Connecting to the head and the heart builds commitment.
- A leader’s actions speak louder than words.
- Effective communication demands quality and quantity.
- People support what they create.
- Sustaining change takes support and reinforcement.
- Way Station, Inc: Tobacco Cessation Implementation Plan
- Northern Lakes Community Mental Health: Tobacco-Free Initiative Information Kit
- Pittsburgh Mercy:
- Answers to Frequently Asked Questions from Staff About Smoke-Free/Tobacco-Free Policy
- News Release About Becoming a Tobacco-Free Environment
- How to Ask Someone to Stop Smoking Around You
- Cancer Prevention & Research Institute of Texas:
- National Behavioral Health Network for Tobacco & Cancer Control:
- Credo Community Center for the Treatment of Addictions: Tobacco-Free Policy
- Signs of Victory: Smoke-Free and Tobacco-Free Property Policy
- Pittsburgh Mercy:
- Smoking Cessation Leadership Center: Tobacco-Free Policy Example
- Kaiser Permanente: Tobacco-Free Campus Policy Example
- Spindletop Center:
- Denton County MHMR Center: Client Notice of Coming Tobacco-Free Campus Policy
- Heart of Texas Region MHMR Center: Tobacco-Free Campus Policy
- Alpha Home: Tobacco-Free Inside & Out signage
- Behavioral Health Center of Nueces County: Tobacco-Free signage
- Betty Hardwick Center: Tobacco-Free signage
- Billy T. Cattan Recovery Outreach Center: Tobacco-Free Facility signage
- Border Region Behavioral Health Center: Tobacco-Free Property signage
- Counseling And Recovery Services: Tobacco-Free signage
- Crossroads Treatment Center of Fort Worth: Smoke-Free, Tobacco-Free & Vape-Free signage
- Denton County MHMR Center: Tobacco-Free signage
- Gulf Coast Center: Tobacco-Free Campus signage
- Santa Maria Hostel: Tobacco-Free Campus signage
- Spindletop Center: Tobacco-Free Campus signage
- STEP Med: Tobacco-Free Inside and Out signage
- National Behavioral Health Network for Tobacco and Cancer Control: Implementation Toolkit for Statewide Tobacco Control Programs
- University of Colorado School of Medicine Behavioral Health and Wellness Program: Dimensions — Tobacco-Free Toolkit for Healthcare Providers
- University of California San Francisco Smoking Cessation Leadership Center: Tobacco-Free Toolkit for Community Health Facilities
- National Association of State Mental Health Program Directors: Tobacco-Free Living in Psychiatric Settings: A Best Practices Toolkit Promoting Wellness and Recovery
- Maine Prevention Services: Tobacco-Free Behavioral Health Toolkit
- Tobacco Control Legal Consortium: Kansas Tobacco Guideline for Behavioral Health Care — An Implementation Toolkit
- California Behavioral Health & Wellness Initiative: Tobacco-Free Toolkit for Behavioral Health Agencies
- The County of Fresno Department of Health: Tobacco-Free Recovery — A Guide to Help Behavioral Health Facilities Go Smoke-Free
- Public Health Law Center at Mitchell Hamline School of Law: U.S. State Laws Requiring Tobacco-Free Grounds for Mental Health and Substance Use Facilities
- Taking Texas Tobacco-Free:
Impact of Co-Treatment in Substance Use Treatment Facilities
- Baca, CT, Yahne CE. (2009). Smoking Cessation During Substance Abuse Treatment: What You Need to Know. Journal of Substance Use & Addiction Treatment; 36(2):205-219.
- Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel, Liaisons, and Staff. (2008). A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update: A U.S. Public Health Service Report. American Journal of Preventive Medicine; 35(2):158-176.
- Prochaska JJ, Delucchi K, Hall SM. (2004). A Meta-Analysis of Smoking Cessation Interventions with Individuals in Substance Abuse Treatment or Recovery. Journal of Consulting and Clinical Psychology; 72(6):1144.
Impact on Client Census Rates
- Conrad M, Bolte T, Gaines L, et al. (2018). The Untreated Addiction: Going Tobacco-Free in a VA Substance Abuse Residential Rehabilitation Treatment Program (SARRTP). The Journal of Behavioral Health Services & Research; 45(4):659-667.
- Richey R, Garver-Apgar C, Martin L, et al. (2017). Tobacco-Free Policy Outcomes for an Inpatient Substance Abuse Treatment Center. Health Promotion Practice; 18(4):554-560.
- Flach SD, Diener A. (2004). Eliciting Patients’ Preferences for Cigarette and Alcohol Cessation: An Application of Conjoint Analysis. Addictive Behaviors; 29(4):791-799.
Organizational Benefit of Tobacco-Free Policies
- Friedmann P, Jiang L, Richter K. (2008). Cigarette Smoking Cessation Services in Outpatient Substance Abuse Treatment Programs in the United States. Journal of Substance Abuse Treatment; 34(2):165-172.
- Guydish J, Passalacqua E, Tajima B, et al. (2011). Smoking Prevalence in Addiction Treatment: A Review. Nicotine & Tobacco Research; 13(6):401–411.
- Schroeder S, Morris C. (2010) Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems. Annual Review of Public Health; 31(1):297-314.
- Hehir AM, Indig D, Prosser S, et al. (2013). Implementation of a Smoke-Free Policy in a High Secure Mental Health Inpatient Facility: Staff Survey to Describe Experience and Attitudes. BMC Public Health; 13(1):1-8.
Rates of Tobacco Use
- Evins AE, Cather C, Laffer A. (2015). Treatment of Tobacco Use Disorders in Smokers with Serious Mental Illness: Toward Clinical Best Practices. Harvard Review of Psychiatry; 23(2):90.
- Prochaska JJ. (2010). Failure to Treat Tobacco Use in Mental Health and Addiction Treatment Settings: A Form of Harm Reduction. Drug and Alcohol Dependence; 110(3):177-182.
- Gubner NR, Williams DD, Le T, et al. (2019). Smoking Related Outcomes Before and After Implementation of Tobacco-Free Grounds in Residential Substance Use Disorder Treatment Programs. Drug and Alcohol Dependence; 197:8-14.
Impact of Comprehensive Tobacco Control Environment
- Marynak K, VanFrank B, Tetlow S, et al. (2018). Tobacco Cessation Interventions and Smoke-Free Policies in Mental Health and Substance Abuse Treatment Facilities — United States, 2016. Morbidity and Mortality Weekly Report; 67(18):519-523.
- Romano I, Costello MJ, Ropp C., et al. (2019). Evaluating the Short-Term Impact of a Tobacco-Free Policy in an Inpatient Addiction Treatment Setting. Journal of Substance Use & Addiction Treatment; 107:50-59.
Eight Truths About Change
- Aaron S, Nelson K. (2008) The Eight Constants of Change…What Leaders Need to Know to Drive Change and Win. 1st CornerStone Leadership Institute.