Toolkit for Substance Abuse Treatment Providers

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Note: Throughout this toolkit, the term “tobacco use” is used to refer to all forms of tobacco use, including spit tobacco, snuff, cigars, and pipes. The toolkit is intended to be generally applicable to users of all types of tobacco.

This toolkit is intended for counselors, clinical supervisors, managers, administrators, behavioral health organizations and other professionals involved in the delivery of substance abuse treatment. The toolkit contains a variety of information and step-by-step instructions about:

- Low burden means of assessing readiness to quit;
- Possible treatments;
- Referral to Colorado community resources; and
- Recommended agency policies for tobacco treatment and control.

Clients in treatment for substance use disorders use tobacco more than the general population, suffer greatly from their tobacco use, and are in need of treatment to eliminate or reduce their tobacco use. They have extraordinarily higher rates of tobacco-related health problems than the general population.

Since treating tobacco use saves lives and is a key part of holistic, individualized treatment planning, persons with substance abuse disorders need to quit, they want to stop using tobacco and they want help in quitting. They can quit tobacco while successfully addressing their use of alcohol and other drugs. Also, stopping tobacco use does not appear to negatively affect treatment of alcohol and other drugs and may even help clients with their alcohol and other drug use.

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