Enough Snuff: A Guide for Quitting Smokeless Tobacco
Updated for 2021!
Using smokeless tobacco (chew, snuff, snus or dissolvable tobacco products) is not a safe alternative to smoking.
Enough Snuff is an award-winning self-help cessation program for users of smokeless tobacco. The program has been evaluated in clinical trials and found to be a very effective way to quit and stay quit. The updated 9th edition of this effective program includes the most current information about nicotine replacement, prescription medication and chew substitutes.
Over 3% of adults and 5% of youth in the United States are smokeless tobacco users. Among adult men, nearly 7% currently use smokeless. As many as 80% of the people who use smokeless tobacco have tried to quit, only to find it’s not an easy habit to break.
Enough Snuff authors Herbert Severson, PhD, and Judith Gordon, PhD, acknowledge there is no magic formula for success as they encourage people to follow a four-step process for quitting:
1. Get Ready (e.g., track use patterns, assess addiction, determine readiness to quit)
2. Plan to Quit (e.g., select a quit plan and a quit date)
3. Deal with Withdrawal (e.g., use chew substitutes, nicotine replacement or medication)
4. Stay off Chew and Snuff (e.g., anticipate challenges, try again and commit to quitting)
The guide helps users assess their dependence, motivation, reasons for quitting, preferred quit method and ways to cope with withdrawal. The program is designed for high school students and adult users.
Enough Snuff was awarded the National Excellence Award by the Substance Abuse and Mental Health Services Agency (SAMHSA) and the Nation Registry of Effective Programs and Practices (NREPP). SAMHSA has recognized Enough Snuff as an effective, empirically proven intervention program for substance abuse.
About the Authors:
Herbert S. Severson, Ph.D. is a Senior Research Scientist at the Oregon Research Institute. He is a licensed clinical psychologist and has been involved in smokeless tobacco cessation and prevention for over 40 years. Dr. Severson has been a contributing author to three Surgeon General’s Reports.
Judith S. Gordon, Ph.D. is a professor in the College of Nursing and the Department of Family and Community Medicine at the University of Arizona. She has counseled individuals and facilitates smokeless tobacco cessation groups for adults and adolescent smokeless tobacco users for over 28 years.