Tobacco Cessation Program
An 8‑week “Tobacco Cessation Certification Program” can move from epidemiology and addiction science to assessment, intervention skills, relapse prevention, and program planning, with a strong behavioral and mental health focus.
Week 1: Epidemiology and Fundamentals
Global and India‑specific burden of tobacco use; patterns of smoking and smokeless use; health consequences across organ systems.
Tobacco products, nicotine delivery, dependence concepts, and public health frameworks (WHO FCTC, MPOWER, national tobacco control program).
Week 2: Addiction Science and Mental Health
Neurobiology of nicotine addiction, conditioning, and withdrawal; links with depression, anxiety, psychosis, and substance use disorders.
Biopsychosocial model of tobacco use, social determinants, stigma, and the role of mental health professionals in integrated care.
Week 3: Assessment and Brief Interventions
Identifying tobacco users in clinical and community settings; using 5A/5R models, Fagerström test, readiness rulers, and motivational assessment.
Delivering brief advice and motivational interviewing‑informed conversations in 3–5 minutes for primary care and busy OPDs.
Week 4: Behavioral Counseling Skills
Structured cessation counseling sessions: setting a quit date, coping planning, stimulus control, and problem‑solving for high‑risk situations.
Cognitive‑behavioral strategies for cravings, affect regulation, and habit substitution; family and peer involvement to support quitting.
Week 5: Pharmacotherapy for Cessation
Evidence‑based medications: NRT (patch, gum, lozenge), bupropion, varenicline; indications, contraindications, common side‑effects.
Choosing and combining behavioral and pharmacological strategies; addressing myths and improving adherence to treatment.
Week 6: Special Populations and Settings
Approaches for adolescents, women, pregnant people, persons with severe mental illness, and low‑literacy or rural communities.
Integrating cessation into oncology, NCD clinics, psychiatry, and workplace or community programs, including brief group interventions.
Week 7: Relapse Prevention and Long‑Term Follow‑up
Understanding lapse versus relapse, common triggers, and high‑risk periods; designing follow‑up schedules and telephone/online support.
Stress management, mindfulness, and coping skills; building self‑efficacy and using digital tools or quitlines to maintain abstinence.
Week 8: Program Design, Ethics, and Evaluation
Planning a tobacco cessation service: workflow, documentation, referral pathways, and collaboration with national or state programs.
Ethical issues, cultural sensitivity, confidentiality, and monitoring outcomes (quit rates, reduction, user satisfaction); final case‑based assessment or mini‑project designing a brief cessation initiative.
