The tobacco use rate among individuals in opioid use recovery is remarkably high (75%-95%). As such, they are recognized as a priority population for tobacco control and intervention. Despite the detrimental health effects of concurrent use of tobacco and opioids, as well as positive effects of tobacco cessation on opioid treatment outcomes, many opioid treatment programs (OTPs) do not intervene on their patients’ tobacco use.

Taking Texas Tobacco Free is a successful, evidence-based tobacco control intervention for cancer prevention that will provide policy and workflow guidance, specialized training, and resources to healthcare settings across Texas. Taking Texas Tobacco Free was previously implemented in substance use treatment centers through PP170070, including in 6 opioid treatment programs. Opioid treatment programs are unique, relative to other substance use treatment settings, due to the complicated relationship between pain and tobacco use for many patients; these differences led us to create a tailored program called OUTPACE Tobacco  (Opioid Use Treatment Programs Advancing Cessation Efforts), which has been implemented in 2 additional opioid treatment centers through PP230078. Together, these programs have helped opioid treatment centers strengthen their capacity to deliver effective tobacco cessation and relapse prevention interventions. All resources developed are available via the icons above and through a step-by-step implementation guide, featured below.

Opioid Treatment Centers that We Worked With