Audience: Members of the tobacco control community, health care providers, mental health and addiction treatment providers, state and community agency staff, and consumers.

Key Points: Populations diagnosed with addiction or mental illness have disparately high levels of both tobacco use and negative tobacco effects when compared to the general population. At the same time, tobacco use has been so entrenched in the culture and treatment programs for these populations that initiatives that focus on quitting tobacco use have not only been ignored, in some cases they have been attacked! This presentation will provide a real-life Wisconsin example of a successful model to address the tobacco quitting needs of these two specific populations.

Learning Objectives: Describe how evidence-based tobacco treatment can be added to traditional addiction treatment through application of change theories; identify interventions to assist staff and patients to address nicotine dependence; list outcomes of successful program integration; identify lessons learned that may be applied to other populations with a high disparity of tobacco use and negative effects.

Benefits: This presentation will provide a greater understanding of the challenges in addressing the quitting needs of two populations who have disparately high levels of tobacco use. A successful model will be presented that can be adapted to other programs, and evidence will be shown that tobacco cessation efforts can have a positive impact in populations that have often been ignored in previous tobacco-focused health care efforts.