Genesis Club In Worcester, Mass.

WORCESTER, MA - MARCH 11: Genesis Club, an employment and resource center for people with mental illness, has created a national model for exercise, nutrition, and smoking cessation. Smoking rates among people with mental illness are persistently high. A recent report from the Centers for Disease Control and Prevention found that more than one-third of adults in the United States with a mental illness smoke. Among those with no mental illness, about one-fifth smoke. April Vargas, has tried to quit, but has cut down her cigarette intake. She tests the carbon monoxide level in her lungs. She got a much improved reading. (Photo by Suzanne Kreiter/The Boston Globe via Getty Images)