 Tobacco use is the leading preventable cause of death in the United States, and current estimates project that 6.4 million of our nations youth will die prematurely from a smoking-related disease Fellows et al., 2002. Extant data suggest that three of every five adolescent smokers are nicotine-dependent, and that some subgroups of adolescents are at higher risk for dependence e.g., daily or heavy smokers, incarcerated youth, youth in vocational schools, depressed youth, youth with Attention Deficit Hyperactivity Disorder ADHD. Adolescent tobacco smoking increases risk for a wide range of negative health consequences Abrantes et al., 2005; Anda et al., 1990; Biederman et al., 2006; Escobedo et al., 1998; Kandel et al., 1986; Kollins et al., 2005; Wilens Dodson 2004. For example, smoking-related cancer risk is increased with early age of initiating smoking and longer time of smoking, underscoring the importance of addressing this health risk behavior in youth Centers for Disease Control and Prevention, 1994. 