Resources
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General Resources
Maryland 211: 211 has community resources and treatment centers for substance abuse, mental health, and other services including housing, food and legal assistance.
https://211md.org/
Local health departments: Do an internet search for your county’s health department. Most health departments provide substance abuse treatment.
SAMHSA's National Helpline 1-800-662-HELP (4357) OR TTY: 1-800-487-4889
Website: www.samhsa.gov/find-help/national-helpline
The Treatment Referral Routing Service: provides 24-hour free and confidential treatment referral and information about mental and/or substance use disorders, prevention, and recovery in English and Spanish.
Maryland Tobacco Quitline 1-800-QUIT NOW (1-800-784-8669)
TTY: 1-877-777-6534 Website: www.smokingstopshere.com
Maryland residents can receive FREE and confidential smoking cessation phone counseling. Free reactive and proactive phone coaching calls (4 calls). Web-based and text services are available. Certified Coaches provide individually-tailored quit plans and provide referrals to local county resources – cessation classes, in-person counseling and free medication. They operate 24 hours a day / 7 days a week. Provide free NRT (patch and/or gum) in a 12-week supply.
American Addiction Centers Substance & Drug Use Hotline - (866) 255-8836
SAMSHA Opioid Treatment Program Directory
SAMSHA Treatment Finder
Alcoholics Anonymous
Narcotics Anonymous
National Institute on Alcohol Abuse and Alcoholism
National Institute on Drug Abuse
SAMSHA - Evidence-based practices resource center
NOVA (PBS) Documentary "Addiction: discover how opioid addiction affects the brain and how evidence-based treatments are saving lives." (Approximately 1 hr)
https://www.pbs.org/wgbh/nova/video/addiction
Never Use Alone - To provide a life saving point of contact for people who use drugs http://neverusealone.com/
BeSafe App – An overdose prevention tool https://www.besafe.community/
Harm Reduction and Naloxone - Information on harm reduction and nalaxone resources by state https://www.naloxoneforall.org/
Treatment Resources
SAMHSA’s national behavioral health treatment locator
SAMSHA’s National helpline – 24 hour information and referral line: 1-800-662-HELP (4357)
Maryland 211 - community resources and treatment centers for substance abuse, mental health and other services including housing, food and legal assistance
Psychology Today Treatment Finder
Visit our Other Resources page in our Substance Exposed Newborns Curriculum to find specific recovery programs in Maryland, including program that allow women to bring their children.
Screening Resources
NIDA Validated Screening Tools
The Screening and Assessment Tools Chart provides a comprehensive guide and links to evidence-based screening and assessment tools you can use with your patients from adolescence to adulthood. It is organized by substance type, patient age, and administration method to help you find the right tool for your practice.
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The Tobacco, Alcohol, Prescription medication, and other Substance Use (TAPS) Tool is validated for use with adults to generate a risk level for each substance class. It can be self-administered or conducted via clinician interview and combines screening and brief assessment of past 90-day problematic use into one tool.
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For validated online screening tools for adolescents, visit NIDAMED’s Screening Tools for Adolescent Substance Use. These tools will help you assess substance use disorder risks among adolescents 12-17 years old.
Resources for Screening
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Implementing Drug and Alcohol Screening in Primary Care. Also, please view the fact sheet to learn about how to implement drug and alcohol screening.
SAMHSA Screening, Brief Intervention, and Referral to Treatment (SBIRT)
SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders.
Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur.
About SBIRT
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Screening quickly assesses the severity of substance use and identifies the appropriate level of treatment.
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Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change.
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Referral to treatment provides those identified as needing more extensive treatment with access to specialty care.
Resources in Spanish
Below are resources in Spanish for your reference and to share.
NIAAA - Easy-to-read material in Spanish for the public and for professionals with a wide range of topics related to alcoholism. https://www.niaaa.nih.gov/publications/publicaciones-en-espa%C3%B1ol
Understand the risks of alcohol overdose - General facts on alcohol https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/entender-los-riesgos-de-sobredosis-de-alcohol
Drinking & Your Pregnancy - Information on drinking in pregnancy
https://pubs.niaaa.nih.gov/publications/DrinkingPregnancy_HTMLSpan/pregnancy_spanish.htm
Treatment for Alcohol Problems (including many resources at the bottom) - https://pubs.niaaa.nih.gov/publications/treatmentSpanish/treatmentSpanish.htm
NIH: Summary information on the most frequently abused drugs, including street and clinical names, health and other effects, statistics and trends.
https://www.drugabuse.gov/es/informacion-sobre-drogas
Drug Facts Sheets in Spanish: https://www.drugabuse.gov/es/informacion-sobre-drogas/sustancias-de-abuso-habitual
The Science of Addiction: Info on addiction, recovery, relapse, MAT, different therapies
Additional fact sheets and information on common drugs:
Marijuana: https://www.drugabuse.gov/es/publicaciones/drugfacts/la-marihuana
Heroin: https://www.drugabuse.gov/es/publicaciones/drugfacts/la-heroina
Fentanyl: https://www.drugabuse.gov/es/publicaciones/drugfacts/el-fentanilo
Cocaine: https://www.drugabuse.gov/es/publicaciones/drugfacts/la-cocaina
Inhalants: https://www.drugabuse.gov/es/publicaciones/drugfacts/inhalantes
Prescription Stimulants: https://www.drugabuse.gov/es/publicaciones/drugfacts/estimulantes-de-prescripcion-medica
Meth: https://www.drugabuse.gov/es/publicaciones/drugfacts/la-metanfetamina
Tobacco, Nicotine & E Cigs: https://www.drugabuse.gov/es/publicaciones/serie-de-reportes/adiccion-al-tabaco/nota-de-la-directora
Maryland Prevelance
Cigarette use: Maryland
Source: Truth.org Last updated: April 2024
Smoking rate in Maryland
- In 2022, 9.6% of adults in Maryland smoked. Nationally, adult smoking prevalence was 14.0%.1
- In 2021, 3.6% of high school students in Maryland smoked cigarettes on at least one day in the past 30 days. Nationally, the rate was 3.8%.2
Other tobacco product use: Maryland*
Vaping rate in Maryland
- In 2022, 4.6% of adults in Maryland used e-cigarettes. Nationally, adult e-cigarette use prevalence was 7.7%1
- In 2022, 1.8% of adults in Maryland used smokeless tobacco every day or some days. Nationally, adult smokeless tobacco use prevalence was 3.4%1
- In 2021, 14.7% of high school students in Maryland used electronic vapor products on at least one day in the past 30 days. Nationally, e-cigarette use prevalence among high school students was 18.0%.2
- In 2021, 3.0% of high school students in Maryland used chewing tobacco, snuff or dip on at least one day in the past 30 days. Nationally, smokeless tobacco use prevalence among high school students was 2.5%.2
- In 2021, 3.2% of high school students in Maryland smoked cigars, cigarillos or little cigars on at least one day in the past 30 days. Nationally, cigar use prevalence among high school students was 3.1%.2
Economics of tobacco use and tobacco control
Tobacco taxes in Maryland
- Maryland received $632.1 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.4
- Of this, the state allocated $20.6 million in state funds to tobacco prevention in fiscal year 2022, 42.9% of the Centers for Disease Control and Prevention’s annual spending target.4
- Smoking-related health care costs: $3.14 billion per year.4
- Smoking-related losses in productivity: $6.4 billion per year.5
Maryland tobacco laws
Tobacco taxes
- Maryland is ranked 5th in the U.S. for its cigarette tax of $3.75 per pack (enacted Feb 2021), compared with the national average of $1.93. (New York has the highest tax at $5.35 and Missouri has the lowest at 17 cents.)6-8
- Cigars are taxed at 70% of the wholesale price and premium cigars are taxed at 15% of the wholesale price. All other tobacco products are taxed at 53% of the wholesale price.6,7
Clean indoor air ordinances
- Smoking is prohibited in all government and private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments, retail stores and recreational/cultural facilities.7
- Vaping is prohibited on Maryland Area Regional Commuter (MARC) trains and at MDOT MTA-owned stations.9
Flavor restrictions
- The sale of cartridge-based and disposable e-cigarettes with flavors other than menthol is prohibited.10
Licensing laws
- Retailers and wholesalers are required to obtain a license to sell tobacco products.6
- A license is required to sell e-cigarettes.9
Youth access laws
- In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately.
- Minors are prohibited from buying electronic smoking devices, including e-cigarettes.6,7
Local tobacco laws
- Montgomery County, Maryland:
- Prohibits e-cigarette manufacturers from distributing all e-cigarettes to retail stores within a half mile of a middle or high school.10
- Prohibits e-cigarette manufacturers from distributing flavored e-cigarettes to retail stores within a half mile of any middle or high school, library, or recreational facility.10
Tips for Professionals
Quit Kits
The National LGBTQI+ Cancer Network wants to help you and your loved ones start their next quit attempt today -- for FREE! We're giving out a FREE 2-week supply of nicotine replacement therapy products. You'll also get our new LGBTQI+ tobacco cessation trifold, which shares how quitting tobacco is an act of both loving yourself and your community. Every quit attempt matters! Help us imagine a tobacco-free future by sharing this with your colleagues, family, and friends. Questions? Email Bryce (he/him) at bryce@cancer-network.org.