Explore This Treatment Service

The Tobacco Treatment Service (TTS) closed on September 25th.


The Tobacco Treatment Service (TTS) is the clinical arm of the Tobacco Research and Treatment Center at Massachusetts General Hospital. Our team of tobacco treatment specialists provide inpatient consultation to patients hospitalized at Massachusetts General Hospital. We also conduct educational programs for health care providers.

Tobacco Research and Treatment Center

The Tobacco Research and Treatment Center (TRTC), based in the Department of Medicine and Division of General Internal Medicine at Massachusetts General Hospital, aims to reduce the health consequences of tobacco use by offering state-of-the-art clinical treatment to smokers and by conducting research to identify better ways to prevent and treat tobacco use in youth and adults. The TRTC was established in 1992 by Nancy Rigotti, MD, to identify and disseminate innovative tobacco treatment strategies for the health care setting and to mentor new investigators in tobacco treatment and policy research. The TRTC consists of a multidisciplinary team of physicians, social and behavioral scientists, nurses, social workers and research staff. 

Treatments and Services

The Massachusetts General Hospital Tobacco Treatment Service conducts inpatient bedside counseling.

Inpatient Tobacco Treatment Service

All patients identified as tobacco users upon admission to Massachusetts General Hospital are automatically referred to our inpatient service. Certified tobacco treatment specialists visit tobacco users to help these patients manage their nicotine withdrawal symptoms while in the hospital. They also help patients to develop a post-discharge quit plan.

Professional Education Services

Nancy Rigotti, MD, and her team provide training and in-service education on current guidelines for evidence-based tobacco treatment to help individual clinicians and medical practices address tobacco use with their patients.

Tobacco Treatment Service Staff

Nancy Rigotti, MD, Director

Nancy Rigotti, MD, Professor of Medicine at Harvard Medical School, founded and directs the Tobacco Treatment Service at Massachusetts General Hospital. As a primary care physician, Dr. Rigotti has worked for three decades to help her patients stop smoking and to train other physicians and nurses to do the same. She has done extensive research in smoking cessation methods and policies, and is a well-known international expert in the field of tobacco control.

Michele Reyen, MPH, Program Manager

Michele Reyen is the program manager for the Mass General Tobacco Treatment Service, as well as a health educator. She has a Master's degree in Public Health, specializing in social and behavior sciences. Prior to coming to Mass General, Michele worked in public health at Brigham and Women's Hospital.

Caitlin McCann, BA, CTTS-M, Counselor 

Caitlin McCann has worked in the field of smoking cessation since 2010. Prior to working at Mass General, she worked at Gosnold Treatment Centers, a drug and alcohol rehabilitation facility, as a patient access counselor. Additionally, she worked at Dismas House, assisting inmates with reintegration into society. She graduated with a Bachelors of Arts degree from Assumption College in Social and Rehabilitation Services, and also has a minor in Psychology. She is certified as a Tobacco Treatment Specialist, Master's level.

Nancy McCleary, RN, CTTS-M, Counselor

Nancy McCleary has worked in the field of smoking cessation since 1990. Prior to working at Mass General she worked at North Shore Medical Center (NSMC) for 15 years, where she counseled both inpatients and outpatients. She was part of a team that developed and initiated the Smoking Cessation Service at NSMC. In addition to working as a smoking cessation counselor at Mass General doing individual inpatient counseling and leading tobacco cessation groups, she also works with Dr. Rigotti on research studies involving tobacco treatment. She has completed the Massachusetts Tobacco Treatment Specialist, Master's level certification.

Laurie Lane, RRT, CTTS-M, Counselor

Laurie Lane has worked in the field of tobacco treatment since 1998. Her clinical experience includes counseling patients in both the inpatient and outpatient settings. She has also consulted with many area employers to provide tobacco treatment as part of their employee wellness programs. Additionally, she has over 25 years of general and critical care experience working as a Registered Respiratory Therapist with both pediatric and adult populations.

Bruce Mattus, BS, RRT, Counselor

Bruce Mattus is an experienced healthcare administrator and respiratory therapist. Until 2017, he was the Director of Respiratory and Special Testing / Liaison for the NP and PA program at Brigham and Women’s Faulkner Hospital. In this role, Bruce oversaw multiple departments and programs. Bruce was responsible for numerous initiatives including building and instituting a hospital-wide tobacco cessation program for inpatients at the Faulkner.

Mira Oravcova-Mejia, M.Ed. CTTS-M, Counselor

Mira Oravcova -Mejia has worked in the field of smoking cessation since 2014. Prior to working in inpatient treatment she provided outpatient counseling in MGH Health Centers in Revere, Chelsea, Everett and Charlestown and was also leading tobacco cessation groups. She has a Master’s degree in Health Education and is certified as a Tobacco Treatment Specialist, Master’s level. She is fluent in Slovak, Czech, Spanish, Russian.

Kathleen McKool, RN, MSN, CTTS-M, Consultant

Kathleen McKool has worked with Dr. Rigotti since 1986. Her clinical experience includes providing intensive individual counseling to patients who have complex medical conditions, leading group programs and counseling by telephone. She has worked on research projects with Dr. Rigotti on smoking cessation medications and counseling in both inpatient and outpatient settings. She is an instructor for the Massachusetts Tobacco Treatment Specialist Training and Certification Program. Her specialty is cardiovascular nursing, and she also works at the Mass General Cardiology Department's Cardiovascular Disease Prevention Center.

Information for Providers

Referral to a tobacco treatment program is appropriate for all tobacco users, but especially for those who have psychiatric comorbidity, other substance abuse, little social support or low level of confidence in their ability to quit.

Referrals for Tobacco Cessation Services for Patients

QuitWorks is a free, evidence-based service that provides behavioral counseling and pharmacotherapy to patients. Any health care provider can complete a referral form and fax to the program to initiate treatment services.

Mass General Community Health Associates' Living TOBACCO-FREE Program
Informational Brochure
Mass General Community Health Associates offers individual and group counseling services through the Living TOBACCO-FREE program. Living TOBACCO-FREE is available at Mass General affiliated community health centers in Chelsea, Charlestown, Revere, and Everett.

Tobacco Cessation Medications

Quitworks Quick Guide to Pharmacotherapy in Tobacco Treatment
Guide to pharmacotherapy treatment for tobacco cessation.

Nicotine Patch Dosing

Background Information

CDC's Tobacco Information and Prevention Source (TIPS)
The Center for Disease Control's (CDC) TIPS includes tobacco and prevention information, the Surgeon General's report, research and data, and quit tips.

Tips for preparation, quitting and staying tobacco-free, including telephone and other support materials.

Evidence-based information on treatment, guidelines, references, links and slide kits.

Resources for Tobacco Users

Mass General Outpatient Counseling Programs

Informational Brochure
Mass General Community Health Associates offers in-person counseling services through the Living TOBACCO-FREE program. Living TOBACCO-FREE is available at Mass General affiliated community health centers in Chelsea, Charlestown, Revere, and Everett. To enroll in counseling, patients can either get a referral from their healthcare provider or call 781-485-6210 to schedule an appointment themselves.

Smokefree Support Service
Informational Flyer
The Mass General Cancer Center  Support Service (MGH SSS) provides a free, phone-based, one-on-one tobacco counseling resource for all Cancer Center patients. If you are interested, you may request a referral from your treatment team at any time. You can also reach out directly at mghccsmokefree@partners.org

Informational Resources

Strategies to Quit Smoking
Medication Options for Tobacco Treatment
E-cigarettes: What you Should Know

Telephone Support Program

National Quitline/Massachusetts Smokers' Helpline
1-800-QUIT-NOW (1-800-784-8669)
1-800-8DEJALO (1-800-833-5256) (Spanish)
1-888-229-2182 (hearing impaired)
National Quitline Website
Massachusetts Smokers' Helpline Website
Smiling Instead of Smoking is a free app developed by researchers at Harvard Medical School to help smokers quit smoking.  It incorporates positive psychology exercises to help meet the challenge of quitting smoking. It can be used on iPhones and Android phones.

Web-based Support Programs

American Cancer Society
American Heart Association
American Legacy Foundation: Become an EX Smoker
American Lung Association: The Quitter in You
Nicotine Anonymous
Smokefree Women