Skip to content
A Comprehensive Training Model for Treating Tobacco Dependence in Mental Health Settings
<bold>IMPLEMENTING A WELLNESS CURRICULUM ON TOBACCO TO ENGAGE SMOKERS WITH MENTAL ILLNESS - April 7, 2011
PRE-TEST</bold>
*
First Name
(Required.)
*
Last Name
(Required.)
*
Please check if your agency has the following practices or policies in effect with regard to addressing tobacco at this moment (answer each item Yes or No)
(Required.)
Yes
No
Peer specialist delivered services that educate about tobacco, engage tobacco users into treatment or peers that provide tobacco treatment services
Yes
No
Onsite clinical services to help tobacco users to quit (assessment, groups or individual counseling)
Yes
No
Onsite access to a prescriber who helps tobacco users to quit by prescribing nicotine replacement or another tobacco treatment medications
Yes
No
Written policies about tobacco that include tobacco dependence education and recovery options for clients?
Yes
No
Written policies about tobacco that include tobacco dependence education and recovery options for staff?
Yes
No
A specific policy that prohibits tobacco use, not only in buildings, but outside on all adjacent property? (tobacco-free grounds)
Yes
No
*
Does your agency have a Quality Improvement (QI) plan for addressing tobacco at this moment?
(Required.)
Yes
No
