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Many tobacco control programs include cessation services; however, few include free in-person counselling. We could locate only three descriptions of use and outcomes of free in-person counselling in a real-world setting1–3; thus, we describe our experience with in-person counselling in Vermont.
Vermont intensified its tobacco control program in 2001 using Master Settlement Agreement funds (http://humanservices.vermont.gov/tobacco). In the last few years, cessation components include (a) access to a quitline run by the American Cancer Society (http://www.cancer.org/docroot/PED/content/PED_10_5_1x_Quitline_Partnerships.asp), (b) a cessation website (http://www.quitnet.com), (c) free or reduced-cost nicotine replacement therapy (NRT) and (d) an in-person counselling program based at local hospitals (http://www.healthvermont.gov/prevent/tobacco/index.asp). Media spots refer smokers to the quitline or to their local hospital. The in-person program includes group programs based on the American Cancer Fresh Start (http://www.acsworkplacesolutions.com/freshstart.asp) or the American Lung Association Freedom From Smoking Programs (http://www.ffsonline.org) and individual counselling by tobacco treatment specialists (TTSs). The program has trained 30 TTSs and almost all completed the University of Massachusetts TTS training.4 In 2008 there were 9.0 FTE TTSs based at the 13 Vermont hospitals.
The outcomes reported below are from …
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