TABLE OF CONTENTS

INTRODUCTION

Algorithm 1
Algorithm 2

ANNOTATIONS

ASSESSMENT AND TREATMENT

A. Person Encountering The Health Care Delivery System
B. Ask About Tobacco Use
C. Advise to Quit
D. Assess Willingness To Quit
E. Educate About Treatment Options; Arrive At Shared Decision For Choice Of Treatment; Determine And Document Treatment Plan
F. Assist Tobacco User To Quit
G. Initiate Counseling
H. Initiate Pharmacotherapy To Assist Quit         
I. Offer Self-Help Material
J. Arrange Follow-Up

PREVENTION

K. Initiate/Reinforce Relapse Prevention
L. Promote Motivation To Quit
M. Congratulate And Encourage Continued Abstinence
N. Assess Risk For Relapse
O. Assess Risk For Starting Tobacco Use
P. Initiate Prevention (Primary Prevention)

Q. Address Individual Conditions in Special Populations
        Q-1. Children and Adolescents
        Q-2. Pregnant Women
        Q-3. Military Recruits and Trainees
        Q-4. Hospitalized Patients
        Q-5. Older Patients
        Q-6. Psychiatric/Mental Health Patients

APPENDICES

Appendix A

A-1: Counseling: Brief Strategies
A-2: Counseling: Techniques
A-3: Pharmacotherapy
A-4: A. Motivational Techniques
        B. Motivational Interviewing
A-5: Relapse Prevention
A-6: Primary Prevention in Young Adults and Adolescents

Appendix B: Guideline Development Process
Appendix C: Acronym List
Appendix D: Participant List
Appendix E: Bibliography

Note:

Several Annotations in the update of the VA/DoD guideline have been adapted from the Clinical Practice Guideline for Treating Tobacco Use and Dependence, Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services, Public Health Service (PHS); 2000. Meta-analysis tables included in the PHS guideline and the respective list of studies included in the meta-analyses are cited in the these annotations using the format: “PHS Table # _”.

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