Table 5

Levels of tobacco treatment: providers, interventions, training, and certifications needs

Complexity and intensity of treatment needed Venue/where Provider Intervention Training needs
MinimalRoutine contact with healthcare systemPhysicians, nurses, other healthcare providersBrief 5As (AHRQ clinical practice guideline for clinicians)1–2 hour provider training
Office systems
ModerateCommunity health centres, hospitals, healthcare and social service agenciesTobacco treatment specialists (TTSs)Intensive with follow up (AHRQ clinical practice guideline for specialists)2 day basic skills course and 6 day certification course
Complex/intensive (co-morbidity)Alcohol and drug addiction treatment centres, mental health settingsPhDs, physicians, or licensed alcohol/drug addiction and mental health providersIntensive plus alcohol/drug abuse or mental health treatmentSpecialised skills course