Rogers ES, et al. - Using data from the 2012–2015 National Ambulatory Medical Care Survey, researchers investigated the rates of tobacco screening, counseling, and medication orders during outpatient visits with adults having a psychiatric diagnosis. They found that 72% of visits included tobacco screening, cessation counseling was included in 23% of visits with tobacco users, and a cessation medication order was included in 4% of visits with tobacco users. Visits for a nonpsychiatric condition, of > 30 minutes, or with a primary care physician were more likely to include tobacco screening. Less likelihood of including tobacco screening was reported for visits if they were with a black, non-Hispanic patient or patient with Medicaid. Visits for a nonpsychiatric condition were more likely to include cessation counseling, and visits with a Hispanic or self-pay patient were less likely to include counseling. As far as offering equitable therapy for individuals with psychiatric conditions for smoking is concerned, especially in nonprimary settings, there is still room for improvement.