Resources
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: http://dpt2.samhsa.gov/treatment/directory.aspx
SAMSHA Treatment Finder: https://findtreatment.samhsa.gov/
Alcoholics Anonymous: http://www.aa.org/
Narcotics Anonymous: https://www.na.org/
National Institute on Alcohol Abuse and Alcoholism - http://www.niaaa.nih.gov/
National Institute on Drug Abuse - http://www.drugabuse.gov/
SAMSHA - Evidence-based practices resource center - https://www.samhsa.gov/ebp-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
https://findtreatment.samhsa.gov/
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: https://www.psychologytoday.com/us/treatment-rehab/md/baltimore?category=substance-abuse
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.
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
Vaping Resources
CDC -
https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm - Get the facts about electronic cigarettes, their health effects and the risks of using e-cigarettes.
FDA -
https://www.fda.gov/news-events/public-health-focus/lung-illnesses-associated-use-vaping-products - Lung Illnesses Associated with Use of Vaping Products - FDA reports
https://www.fda.gov/news-events/press-announcements/statement-consumer-warning-stop-using-thc-vaping-products-amid-ongoing-investigation-lung-illnesses - Statement on consumer warning to stop using THC vaping products amid ongoing investigation into lung illnesses
https://www.fda.gov/news-events/fda-voices-perspectives-fda-leadership-and-experts/how-fda-regulating-e-cigarettes - How FDA is Regulating E-Cigarettes
SAMSHA -
https://store.samhsa.gov/product/Tips-for-Teens-The-Truth-About-E-Cigarettes/PEP19-12 - Tips for Teens: The Truth About E-cigarettes (PDFs)
SmokeFree.Gov -
https://teen.smokefree.gov/quit-vaping - How to quit vaping page specifically targeting teens
The Truth Initiative
https://www.thetruth.com/articles/hot-topic/quit-vaping - Text DITCHJUUL to 88709 or enter your phone number on this website. Parents and other adults looking to help young people quit can text "QUIT" to (202) 899-7550
https://truthinitiative.org/research-resources/emerging-tobacco-products/4-things-parents-need-know-about-juul-and-nicotine - 4 things parents need to know about JUUL and nicotine addiction
https://truthinitiative.org/research-resources/quitting-smoking-vaping/quitting-e-cigarettes - "Quitting E-cigarettes" article
https://truthinitiative.org/research-resources/emerging-tobacco-products/e-cigarettes-facts-stats-and-regulations - E-cigarettes: Facts, stats and regulations
https://truthinitiative.org/research-resources/emerging-tobacco-products/6-important-facts-about-juul - 6 important facts about JUUL
https://truthinitiative.org/research-resources/emerging-tobacco-products/how-are-schools-responding-juul-and-youth-e-cigarette - How are schools responding to JUUL and the youth e-cigarette epidemic?
https://truthinitiative.org/research-resources/quitting-smoking-vaping/quitting-vaping-here-are-5-tips-handling-nicotine - Tips for nicotine withdrawal
Become an Ex -
https://www.becomeanex.org/quitting-e-cigarettes/ - "How to quit vaping page"
https://excommunity.becomeanex.org/groups/e-cig-users - Social media group for people quitting vaping.