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Nicotine dependence is the most prevalent substance abuse disorder among individuals with mental illness. Studies show that individuals with mental illness smoke nearly twice as much as those in the general population. Because they are often heavy smokers, individuals with co-occurring mental illness or addictive disorders are now estimated to make up forty-five percent of the US cigarette market. Learn the health benefits of quitting tobacco use and the positive changes that occur after only twelve hours. This lesson describes a four step process that will help you decide to quit, know what to expect, plan your strategy, implement your plan, and stay smoke-free forever.