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The Clinical Effort Against Secondhand Smoke Exposure (CEASE) aims to increase access and delivery of tobacco cessation assistance and interventions for families. CEASE trains and supports healthcare clinics to provide assistance for parents, teens, and other family members who use tobacco products. 

CEASE uses a three-step (ask, assist, refer) version of the highly effective five-step approach to tobacco cessation (ask, advise, assess, assist, arrange). 


The first step (ask), takes place at the front desk, after checking the patient in for their visit. The family will be handed a CEASE iPad to take a quick screening survey (about 1-2 minutes) that explores family tobacco use. Once completed, the family will receive a CEASE Action Sheet if they indicated a tobacco user in their family. 


In the exam room, the provider talks with the family about household tobacco use (assist) using the CEASE Action Sheet. At the end of the discussion, a provider might provide NRT assistance and a referral to the free Indiana Quitline (refer). 


The CEASE Program comes at no cost to the clinic. We provide training, data collection, connection to Indiana state resources, and all program materials. If you are interested in becoming a CEASE site, please fill out your contact information here.


Clicking on a Tablet

The family takes a quick screening survey at the beginning of the visit.

Doctor Diagnosis
Filling Prescription

The family will talk with their provider to talk about family tobacco use and cessation using the CEASE Action Sheet.


At the end of the visit, the provider might provide NRT and referral to the Indiana Quitline.

Nationally Recognized for Innovation

CEASE is recognized for innovation in increasing quit rates among families and reducing household smoke exposure.

Recognized by the National Cancer Institute 

CEASE is recognized to be a highly effective program with its high research integrity, impact, and dissemination capability.  

Productive and Cost-Effective Programming

CEASE is a more cost-effective tobacco cessation effort compared to usual care from healthcare organizations. 

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