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Behavioral health treatment programs and treatment systems should implement tobacco free policies designed to reduce, denormalize, and treat tobacco dependence, as has been done in hospital settings,[48] in VA Medical Centers,[49] and in the New York State addiction treatment system.[50] Additional and innovative tobacco control strategies are needed to address prevalent smoking, tobacco-related health disparities, and tobacco-related premature and excess mortality in behavioral health populations

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As mentioned, variation of nicotine metabolites might be reduced by additional information on puffing behaviour, nicotine dependence, and more detailed recent cigarette exposure