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I am personally pleased by small things that our program has accomplished and the positive feedback I get from the patients directly, such as getting a Christmas card from a former patient that says, not drinking and not smoking.- Theresa Taylor, Clinic Supervisor, Ministry Health Care, Waupaca Outpatient AODA/Mental Health Treatment Clinic I challenge all deliveries of care: CSPs, residential, private psychotherapy, and those programs who treat the most vulnerable, who may want to focus on other issues, to think about how they can address tobacco and to adopt a zero-tolerance policy. ~William Fry, Director, Columbia St

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As scientific evidence has steadily accumulated, policy actions and the political will to reduce this toll have waxed and waned

10.1016/S0091-6749(05)80129-0