Consistent FIMR case reviews found that AI/AN women experience higher rates of commercial tobacco use before, during, and after pregnancy.  They recommend that families have improved access to evidence-based and culturally appropriate commercial tobacco cessation services.

In partnership with the Michigan Dept. of Health and Human Services, the ITC promoted the Michigan Tobacco Quitline and American Indian Commercial Tobacco Program within all tribal programs and communities. We also convened a network of trained Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) providers in five tribal communities, who are now implementing SCRIPT in their communities.