Ask. Advise. Refer. is ADHA's national Tobacco Intervention Initiative (TII) designed to promote cessation intervention by dental hygienists.  The Ask. Advise. Refer. approach integrates the “5 A’s” (Ask, Advise, Assess, Assist, Arrange) into an abbreviated intervention that remains consistent with recommended guidelines. 

A national network of state TII Liaisons has been established to disseminate pertinent information to hygienists on how to incorporate Ask, Advise. Refer. into clinical practice.

As part of the Ask. Advise. Refer. campaign, dental hygienists will refer their patient/client  to quitlines as well as to web-based and local cessation programs.  Quitlines are telephone-based tobacco cessation services that have been around since the late 1980's.  Most are accessed through a toll-free number and provide callers with a myriad of services including educational materials, referral to formal cessation programs, and individualized telephone counseling.  They are a significant resource universally available to dental hygienists.  Evidence has revealed that quitlines are convenient, effective and preferred by smokers. 

On this site dental hygienists will find information on how to utilize this initiative and resources for consumers.

• Toolkit
• Consumer Resources
• Quitline Resource List
• List of TII State Liaisons
• Related Links