Table 3.

Suggested Modifications to Psychosocial Treatments for Tobacco-Dependence Treatment (Fiore et al., 2008) for Smokers With Intellectual and Developmental Disabilities

Category	Suggested modification
Intratreatment support	Enlist significant others (and treatment team if applicable) to express concerns about smoking and to listen to fears about quitting Identify roles for significant others to assist in efforts to quit if smoker were to make quit attempt
Practical counseling	Be certain that any educational materials are understandable to smoker; use repetition to reinforce skills Clearly define terms such as urge or craving to smoke Be aware of length of counseling time smoker can tolerate Additional counseling sessions may be necessary Extra counseling sessions around “quit date” Allow time at end of counseling session to reinforce key concepts.

Note. Adapted from U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (1998).