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Mental Health




While 14% of the adult U.S. population smokes, the smoking prevalence among those with mental and behavioral health needs have been cited as high as 64% (Annamalai 2015). Additionally, though individuals with mental and behavioral health needs comprise only 21% of the population, they make up approximately 44% of the tobacco market and are less likely to quit (Lasser 2000, Agrawal 2008). Individuals who smoke and have a serious mental illness account for over 38% of annual tobacco-related deaths (Prochaska 2017). Taking Texas Tobacco Free (TTTF) is a multicomponent, tobacco free workplace program that has been implemented in 22 Texas Local Mental Health Authorities (LMHAs). As part of TTTF implementation in LMHAs, we provided 1 hour of basic tobacco-related education to 1,535 employees and 2 hours of enhanced education/training to 3,676 clinical providers. Clinical providers had additional opportunities for advanced training in areas such as motivational interviewing and becoming a tobacco treatment specialist.

Local Mental Health Authorities that We Worked With


1.   Betty Hardwick Center (Abilene)

2.   Emergence Health Network (El Paso)

3.   Heart of Texas Region (Waco)

4.   Metrocare Services (Dallas)

5.   Pecan Valley Centers (Granbury)

6.   Permian Basin Centers (Midland/Odessa)

7.   Spindletop Center (Beaumont)



8.   Andrews Center (Tyler)

9.   Bluebonnet trails Center (Round Rock)

10. Border Region Center (Laredo)

11. Coastal Plains Center (Portland)

12. Community Healthcore (Longview)

13. Denton County (Denton)

14. Gulf Bend Center (Victoria)

15. Helen Farabee Center (Wichita Falls)

16. Nueces County (Corpus Christi)

17. Starcare Centers (Lubbock)

18. Texas Panhandle Center (Amarillo)


19. Central Counties Services (Temple/Belton)


20. LifePath Systems (McKinney/Plano)

21. West Texas Centers (Big Spring)


22. Gulf Coast Center (Galveston)

" Our clients have been thrilled that we are offering this program and many have expressed the gratitude in the help they are getting. So many of our clients have stated that they are so happy to have this help available to them and that they have wanted to quit for a very long time but didn't know how, or didn't have the confidence that they could do it alone. Most definitely our clients could not afford the Nicotine Replacement Therapies themselves."

-BJ Peterson, Gulf Bend Centers

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Lung Cancer Screening 


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Health Centers

Substance Use

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Training Program

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