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But then in the report card, it says the high school tobacco use rate is nearly 19%

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The NAMI Kansas Self-Assessment: Kansas Tobacco Guideline for Behavioral Health Care was adapted from the Index for Tobacco Treatment Quality (ITTQ) 1 Special thanks to: Rick Cagan Director, Behavioral Health Tobacco Project National Alliance on Mental Illness NAMI Kansas Kim Richter , PhD, MPH, NCTTP Director, UKanQuit, University of Kansas Hospital Professor, Population Health, University of Kansas School of Medicine Dee Vernberg, PhD, MPH, BSN Senior Analyst Lawrence-Douglas County Public Health Grant Number R21DA020489 from the National Institute on Drug Abuse funded the development of the ITTQ