Implementation Resource Index
Policy Implementation Resources
Check out the most recent Medicaid Bulletin that notes the date change to July 1, 2025.
Refer to this Medicaid Bulletin released by NC Medicaid for full information about the requirement.
Dimensions: Tobacco-Free Policy Toolkit
Listening Session Guide and Sample Agenda
NC Tobacco Prevention & Control Branch
Regional and local tobacco control staff
Sample Tobacco Free Policy: Outpatient & Housing Supports
Sample Tobacco Free Policy: In-patient & Residential Treatment Settings
Treatment Integration Resources
ALA Billing Guide for Tobacco Screening & Cessation
ALA Billing Guide Addendum for Behavioral Health
Brief Intervention for Tobacco Use: The 5As
Million Hearts Tobacco Cessation Change Package
NC Tobacco Treatment Standard of Care
NC Treatment Outcomes and Program Performance System (NC-TOPPS)
Practice Bulletin: You Quit, Two Quit
Trauma-Informed Care Implementation Resource Center
Clinical Tools
5As/5Rs Brief Intervention Pocket Card
American Academy of Pediatrics: Treating Nicotine Dependence in Adolescents (English) & Spanish
Fagerström test for nicotine dependence
Hooked on Nicotine Checklist (HONC) (smoking) (vaping)
General Population Clients Tobacco Use Screening & Documentation Form
Postpartum Clients Tobacco Use Screening & Documentation Form
Pregnant Clients Tobacco Use Screening & Documentation Form
Screening for secondhand smoke & vape
Group Curricula & Workbooks
BecomeAnEX & workbooks in English and Spanish
You Quit Two Quit: Becoming Tobacco Free Booklet English & Spanish
Medications
CDC: How to use tobacco use treatment medications
Mayo Clinic Prescribing Algorithm
NC Medicaid Covered Nicotine Replacement Therapies NDC Codes
Nicotine Replacement Therapy: How to Use Patch, Gum, Lozenge (English) (Spanish)
QuitlineNC
American Indians
Training
Public Health Resources:
Tobacco Treatment Specialist Training:
- Duke-UNC Tobacco Treatment Specialist Training Program
- Nationally Certified Tobacco Treatment Provider (NCTTP) Training Programs List
Other Training Resources:
Key Research
Tobacco-Free Policy Research
Surgeon General Reports
Surgeon General’s Report: Eliminating Tobacco-Related Disease and Death: Addressing Disparities
Smoking Cessation: A Report of the Surgeon General
E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General
The Health Consequences of Smoking – 50 Years of Progress: A Report of the Surgeon General
The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General
Impact of Tobacco Use & Quitting on Mental Wellbeing
Mental wellbeing:
- Change in mental health after smoking cessation: Systematic review and meta-analysis
- Smoking, Mental Illness, and Public Health
Impact on Other Substance Use:
- A meta-analysis of smoking cessation interventions with individuals in substance abuse treatment or recovery
- Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse: A Nationally Representative, Prospective Longitudinal Investigation
Impact on People with Intellectual/Develop Disability or Traumatic Brain Injuries
Tobacco Use Treatment Research
The four icons used on this page are from the Noun Project and were created by the following artists: policy- Shems Eddine Boukhatem, surgeon general reports- Priyanka, impact of quitting- Nithinan Tatah, & tobacco use treatment- Davide Benatti
Outcomes for Breathe Easy NC
The last 5 years of data have shown an increase in tobacco use treatment and smoke-free policies in behavioral health settings, as well as a decrease in tobacco use in NC Behavioral Risk Factor Surveillance System data. More people with behavioral health conditions in North Carolina will live longer, happier lives as a result.
Facilities data for 2016-20 comes from the National Survey of Substance Abuse Treatment Services & the National Mental Health Services Survey.
2021 facilities data is from the National Survey of Substance Use & Mental Health Services Survey.
Smoke-free policy data was not available for mental health facilities beyond 2016. In 2016, 51.5% of NC mental health facilities reported having a smoke-free campus.
