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School Resources in Pennsylvania

Not On Tobacco ® (N-O-T) – Proven Teen Smoking & Vaping Cessation Program

N-O-T is the American Lung Association’s voluntary, non-punitive cessation program for teens aged 14-19 who want to quit vaping, smoking, or any other tobacco product. It enables teens to overcome their nicotine addiction in a safe, trusting and non-judgmental environment.

How N-O-T Works

N-O-T is taught by a trained and certified adult in ten, 50-minute sessions. It is most effective in a small group format (6-10 participants) that emphasizes teamwork. The easy-to-use method helps teens quit by addressing total health in order to develop and maintain positive behaviors. Participants will talk about the importance of physical activity, nutrition, enhancing their sense of self-control, and improving life skills such as stress management, decision making, coping and interpersonal skills. Additionally, they will learn to identify their reasons for smoking or vaping, healthy alternatives to tobacco use and finding people who will support them in their efforts to quit.

After attending a seven-hour training (online and on-demand), each facilitator is provided with a guide to deliver the structured curriculum in a school or community-based small group setting.

Session 1: Reasons for Quitting
Session 2: Why I Smoke/Vape
Session 3: Nicotine Addiction and Triggers
Session 4: Effects of Smoking/Vaping
Session 5: Physical, Psychological and Social Benefits of Quitting
Session 6: Quitting Nicotine Use
Session 7: Overcoming Obstacles to Quitting
Session 8: How to Deal with Stress
Session 9: Myths of Big Tobacco
Session 10: Staying Committed to Quitting

Adults or organizations who wish to facilitate N-O-T are invited to learn more about the American Lung Association’s youth cessation resources, which include:

  • An online on-demand facilitator training course
  • 3-year facilitator certification
  • Not-On-Tobacco® certification tracking, management and recognition which allows certified facilitators to deliver the program anywhere nationwide
  • Facilitator curriculum and participant workbook to print on demand
  • Access to American Lung Association’s INDEPTH® alternative to suspension or citation program
  • Annual curriculum updates to ensure best practices in address emerging tobacco trends
  • Results of case studies and presented outcomes regarding evidence of program efficacy
  • Bi-Annual Nationwide Not-On-Tobacco® facilitator technical assistance webinars on emerging tobacco trends
  • Recertification training webinars for 3-year certification renewal


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Intervention for Nicotine Dependence: Education, Prevention, Tobacco and Health (INDEPTH®) — An Alternative to Suspension or Citation

INDEPTH® is a convenient alternative to suspension or citation that helps schools and communities address the teen vaping problem in a more supportive way. Instead of solely focusing on punitive measures, INDEPTH® is an interactive program that teaches students about nicotine dependence, establishing healthy alternatives and how to kick the unhealthy addiction that got them in trouble in the first place.

Developed by the American Lung Association in partnership with the Prevention Research Center of West Virginia University, this free education program is available for any school or community to establish to help our teens make healthier choices.

How INDEPTH® Works

INDEPTH® is taught by a trained adult in four, 50-minutes sessions. Each session addresses a different tobacco-related issue and can be facilitated either one-on-one or in a group setting. The goal of every program is to educate students about nicotine dependence and cravings and ultimately guide them through the process of identifying their own reasons for chewing, smoking or vaping tobacco products.

Any adult can complete the online INDEPTH® training, and facilitators receive a step-by-step guide that can be used to plan and implement the INDEPTH® program at their school or community-based organization.

Session 1 Getting the Facts: Breaks down the program for participants

Session 2 Nicotine Dependence: Explains the harmful effects of nicotine and tobacco products

Session 3 Alternatives: Helps teens understand their urges and identify healthy alternatives to replace tobacco use.

Session 4 Past, Present, Future: Talks about next steps and how to avoid future tobacco-related problems

Although INDEPTH® is not a cessation program, 60 percent of student participants reported that they were willing to quit using tobacco products after completing the program. This is why the American Lung Association equips every INDEPTH® facilitator with “after INDEPTH®” resources that can help your students become and remain tobacco and nicotine-free, including access to policy support and youth cessation programming. It is recommended that schools and community-based organizations implementing INDEPTH® also become trained as Not On Tobacco® (N-O-T) facilitators to provide a youth cessation option for those students wishing to quit.

Let’s stop punishing students, and instead create lasting change in tobacco and nicotine usage in your school and community by starting your own INDEPTH® program.

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CATCH® My Breath – Youth Vaping Prevention Program

CATCH® My Breath is an evidence-based and peer-reviewed vaping prevention program. This program equips students with the knowledge and skills they need to make informed decisions about the use of e-cigarettes. CATCH® My Breath meets national and state health education standards. This program can be implemented in a classroom, after school activities, youth group, and more.

Become a trained CATCH® My Breath facilitator today! The Train-the-Trainer course includes 7 hours of training split up into two days. Participants will learn about the health risks of e-cigarette use and the hazardous chemical involved, analyze tobacco marketing tactics, and understand how to develop, practice, and demonstrate refusal skills with youth.

The CATCH® My Breath Program (grades 5-6, 7-8, and 9-12) consists of 4 unique lessons for each grade group, that are approximately 35 minutes each. Each session of the program includes a lesson plan with learner outcomes, a detailed outline of directions, and all materials such as corresponding PowerPoint presentations.

Educational Strategies Used:

  • Social and Emotional Learning (SEL) skills
  • Peer-facilitated cooperative learning groups
  • Large-group discussions
  • Analysis of mass media
  • Goal setting
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Vape Free Schools Initiative – Assess Your School’s Tobacco-Free Campus Policy

Join the American Lung Association Vape-Free Schools Initiative! Through this Initiative, the Lung Association is helping schools navigate this public health emergency with tools to protect and support both schools and students. Our campus policy assessment will help your school identify gaps that may exist in your current policies on school buildings and campuses grades K-12 and determine strategies for strengthening it to provide a comprehensive public health approach to countering the e-cigarette epidemic.

ACT to Address Youth Cessation

ACT to Address Youth Cessation

The American Lung Association’s ACT to Address Youth Cessation Training is a one-hour on-demand, online course that provides an overview for school personnel and community members in youth/adolescent supportive roles in conducting a brief intervention for teens who use tobacco. The session outlines the steps of Ask, Counsel, Treat, and provides guidance, support and best practices for effectively delivering ACT as a brief intervention for adolescents who identify as tobacco users, including e-cigarettes.

All adults in youth supportive roles are encouraged to take this free course. Complete the course here: ACT to Address Youth Cessation (