Demonstrate providers' fidelity to guidelines for tobacco counseling and delivery of cessation interventions using practice system changes over time, including:

a) systematic screening using charting tools;
b) linkages to adjunct materials, including self-help handouts and Internet      resources.

a) Adolescents who receive guidelines-based clinician delivered smoking cessation counseling at primary care visits will be more likely to make quit attempts; and,

b)more likely to remain abstinent (with better long term cessation rates) at 6 and 12 months after clinical counseling interventions, compared to those who do not receive interventions.