Tobacco Use Prevention and Cessation for Adults and Mature Adolescents

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Source: Institute for Clinical Systems Improvement (ICSI). Tobacco use prevention and cessation for adults and mature adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2004 June. 42 p. Tobacco Use Prevention and Cessation for Adults and Mature Adolescents Community intervention. A Establish tobacco use for all patients and reassess users at every clinic visit. A Establish secondhand smoke exposure for all patients and encourage a smoke-free environment. A Document the tobacco use discussion. A Used tobacco in the past 12 months? Reinforce non-use. A When did the patient last use tobacco? A 0-12 months ago. A Wants extra help remaining tobacco free? A *Congratulate on quitting. *Encourage in-office or referral counseling. A Congratulate on quitting Current tobacco user Intending to quit in next 6 months? A Intending to quit in next month? A Assist the patient to quit: *Negotiate quit date. *Counsel to support cessation and build abstinence skills. *Discuss pharmacotherapy. *Offer phone line. *Other resources. *Encourage follow-up. A A = Annotation Patient not intending to quit in next 6 months: *Advise to quit. *Provide non-confrontational motivational material. A Patient not intending to quit in next month: *Advise to quit. *Personalize the importance of quitting and your desire to help. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.