2024 Readiness Assessment: Pennsylvania Statewide Tobacco-Free Recovery Initiative

The Pennsylvania Statewide Tobacco-Free Recovery Initiative (PA STFRI) is supported by PA DOH through CDC funding to facilitate partnerships among academia, state agencies, county public health departments, treatment providers and recovery advocates to advance recovery-oriented evidence-based tobacco use disorder interventions in behavioral health services. For more information, visit: https://tobaccofreerecoverypa.com

The purpose of this survey is to assess organizations’ readiness for providing tobacco-free services. The PA STFRI team will use responses to the following knowledge, attitude and practice indicators to inform trainings, tools and other resources for behavioral health sites in Pennsylvania. You will not be linked to survey responses; this survey will not ask for your name.

The survey takes less than 15 minutes to complete. The survey will close August 31, 2024. (DOH ID: HD002269)

The following terms will be used throughout the survey. Their definitions, for the purposes of this assessment, are provided here:

Tobacco: refers to all forms of tobacco products, including cigarettes, electronic cigarettes (e-cigs), or vaping, and smokeless tobacco products.

Tobacco use disorder: a dependence on nicotine or problematic pattern of nicotine use. Nicotine is found in products such as cigarettes, cigars, smokeless tobacco (i.e. chew), hookah, and electronic vaping devices.

Tobacco use disorder treatment: methods and services to help people stop using tobacco (e.g. pharmacotherapy, behavioral counseling, social support, etc.).

Pharmacotherapy: refers to nicotine replacement therapy (NRT) (i.e. the patch, gum, lozenges) and non-NRT medications (i.e. CHANTIX, Wellbutrin).

Tobacco-free policy: organizational rules and procedures pertaining to environmental restrictions on tobacco use (ie. tobacco environmental policy) and tobacco use disorder treatment services.

Tobacco environmental policy: organizational rules and procedures pertaining to environmental restrictions on tobacco use.

Tobacco-free recovery services: behavioral health services with tobacco-free policies in place and supportive treatment options for people who use tobacco. Tobacco-free recovery services use the recovery model to support patients' long-term recovery from all their behavioral health conditions, including tobacco use disorder.

1. Name of Your Behavioral Health Organization/Agency/Company: *This question is required.

2. Site address:

Street Address

City

State

Zip Code

3. County (where site is located):

4. Which of the following environments does your site’s catchment area include? (Check all that apply.)

Urban
Suburban
Rural
Other type of environment Please enter an 'other' value for this selection.

5. In the past year, did you hear about the Pennsylvania Statewide Tobacco Free Recovery Initiative or tobaccofreerecoverypa.com from a media advertisement encouraging providers to treat tobacco use concurrently with mental health/substance use disorder treatment and recovery?