Summarize the previous visit. Check in and consider the following questions: What was helpful? What wasn't helpful? Is there a strategy you would like to try? Do you have any questions so far?

Complete the Tobacco/Nicotine Screening if you haven't yet. The student may refuse this, and the Tobacco Treatment Specialist can follow up at subsequent visits to see if they'd like to complete the screening.

Incorporate evidence-based tobacco/nicotine prevention lessons and resources to supplement treatment efforts. 

Consider: 

• Catch My Breath
• You & Me Together Vape Free
• Stanford REACH Tobacco Prevention Toolkit

MaineHealth Center for Tobacco Independence offers webinars which can help explore & support student strengths, barriers, and motivations for reducing/quitting tobacco/nicotine products.

• Addressing Youth Tobacco Use Key Treatment Considerations
• Motivational Interviewing 101
• Small Steps to Big Change: Helping Teens Set Achievable Goals & Reduce Vaping

Tools and resources from the Treating Tobacco Together: Intensive Skills Training Workbook can inform motivational interviewing conversations with students.