Our Impact

To reduce high rates of tobacco use among people with mental health and tobacco dependence, the Tobacco Control Program partners with Front Porch, an initiative of Northeast Kingdom Human Services.

The Problem:

Tobacco and nicotine use among people with mental health and substance use disorder is nearly double the rate of use of the general population. Programs like Front Porch understand tobacco use leads to chronic, life-long health issues that are compounded by any mental health condition. 

The Plan:

Front Porch provides immediate care for adults and families who are experiencing a mental health situation. The services offered by Front Porch go beyond standard mental health support, providing a community-based, person-centered approach.  Through partnership with the Vermont Department of Health Tobacco Control Program, Front Porch has been able to learn new techniques, gather resources and provide better tobacco cessation services to support patient recovery.

The Outcome:

Front Porch uses a multi-layered approach to connect individuals to both mental health and physical health resources. One guest, who was experiencing a depressive episode with multiple contributing psychosocial stressors, was offered nicotine replacement therapy (NRT), which aligned with the guest's goal of stopping smoking. This holistic support not only helped the guest through the crisis, but it also empowered them to take steps toward improving their overall health.  

This case highlights the value of integrating mental health and physical health support. With their work and connection with the Vermont Department of Health, Front Porch was able to provide comprehensive care that addressed both the emotional and physical aspects of recovery with NRT.  

The guest is now stable, actively working on their goals for both mental health and wellness.

802quits, Vermont’s go-to resource for free tobacco treatment and support, used financial incentives to encourage high-risk Vermonters to utilize services.

The Problem:

In Vermont, the rate of tobacco use among pregnant and postpartum woman is more than twice the national average. Among Vermonters with Medicaid and those uninsured, the rate of tobacco use is nearly 3x higher than those with private insurance. In an effort to increase quit attempts among these populations, the Vermont Tobacco Program developed a program offering financial incentives to individuals who completed Quitline coaching sessions.

The Plan:

In 2012, 802Quits began offering up to $65 in quit tobacco incentives to certain high-risk individuals. Thanks to the success of this effort, as of March 2021, the Tobacco Control Program now offers:

• Up to $250 for pregnant and postpartum woman
• Up to $150 for people Medicaid members and the uninsured
• Up to $150 for people using menthol flavored tobacco products
• Up to $200 for people with mental health conditions

Currently, Vermont is the only state to offer all four incentives.

Additionally, the Tobacco Control Program deployed a robust, paid digital media campaign to raise awareness and drive enrollment among the groups of interest, and to increase health care provider referrals.

The Outcome:

Between March and June 2021, financial incentives were given to 4 pregnant or postpartum callers, 30 menthol callers and 155 Medicaid or uninsured callers.

Additionally, this effort generated these results:

• Among pregnant and postpartum callers, the Quitline saw a 75% increase in calls numbers 1-5 and a 50% increase in calls numbers 6-10.
• Comparing this period’s data to the same period in 2020, the Quitline saw an increase of 16.8% among first-time callers and 6.9% for calls numbers 2-5, which suggests incentives increased calls.

Read the 802Quits Tobacco and Nicotine Treatment Outcome Report. For more details on 802Quits and its cash-value incentive programs, visit 802Quits.org.

Franklin Grand Isle Tobacco Prevention Coalition leads a collaborative, comprehensive effort to inform, support, prevent and protect the Franklin Grand Isle community from the harms of commercial tobacco use and nicotine addiction. 

The Problem: A vape store opened in downtown St. Albans in fall 2024, exposing students at the nearby high school and career and technical center to enticing tobacco and nicotine product window display advertising, which can increase curiosity and the likelihood of product initiation among youth.

The Plan: Concerned citizens and advocates of the Franklin Grand Isle Tobacco Prevention Coalition, funded by the Health Department Tobacco Control Program, asked the City Council for protection from the tobacco advertising exposure. 

The Outcome: The City Council solicited recommendations on model zoning policies for the community and unanimously passed a zoning amendment in May 2025 limiting the city’s future land use. Smoke or vape shops are now restricted to the service/industrial district and require approval with the development review board. Additional rules on signage and lighting were established, including limitations on window displays.