Issues: Cardiovascular disease and cancer are highly prevalent amongst people with a history of alcohol or other substance dependence. In combination they are the leading causes of mortality for this clinical group and result in enormous social and ﬁnancial costs to the Australian population. The aim of the current study was to pilot test a Healthy Lifestyles intervention within a residential substance abuse setting. Approach: The Healthy Recovery program is an 8-session group delivered intervention that encourages people to reduce their smoking, improve their diet and increase their level of physical activity. Participants were attending residential treatment programs provided by The Salvation Army (n = 52). A range of self-report and biomedical measures were used to track client progress. Key Findings: The presentation will present preliminary results from this study, focused on changes in smoking behaviours and attitudes towards smoking. Implications: Discussion will focus on strategies for substance abuse services to integrate healthy lifestyles interventions within routine substance abuse treatment. Conclusion: People attending residential substance abuse services report a strong desire to improve their overall lifestyle. It is important that research continue to explore the most optimal ways to promote and maintain positive health behaviour changes. Discussion Section Following the presentation, a discussion will be led by Prof. Robert West. The discussion will aim to provide the audience with practical solutions to barriers identiﬁed to addressing smoking amongst people seeking treatment for other drug use. Strategies for easy implementation of smoking cessation support will be outlined.