Strategies for Success. Implementing tobacco control programs locally is a process that requires community members’ time and effort. 1.Engage stakeholders

Strategies for Success


Implementing tobacco control programs locally is a process that requires community members’ time and effort.

1. Engage stakeholders.2. Develop a strategic plan.3. Implement the program.4. Evaluate the program.5. Sustain programs.

Strategies for SuccessEngaging Stakeholders


Community mobilization “is the process of working collaboratively with and through groups of people affiliated by geographic proximity, special interest, or similar situations to address issues affecting the wellbeing of those people.”

Engaging Stakeholders

Fawcett et al., 1995


Parent Organizations Business Community Tribal Councils Faith-Based Organizations Neighborhood Associations Teachers and Other

Education Professionals

Community Mobilization (State and Local) Concerned Citizens Community Leaders Youth Groups Local Boards of Health Local Health Departments Professional Associations Medical Community

Engaging Stakeholders

Strategies for SuccessEngaging Stakeholders



Strategic plans are roadmaps to your organization’s destination.

Strategic plans include (among other items)— Set of goals and objectives. Strategies for achieving the goals. Funding sources. Evaluation methods.

Developing a Strategic Plan

Strategies for SuccessImplementing the Program

Strategies for SuccessEvaluating the Program

http://www.cdc.gov/tobacco/basic_information/secondhand_smoke/evaluation_toolkit/pdfs/evaluation_toolkit.pdf

http://www.cdc.gov/tobacco/tobacco_control_programs/surveillance_evaluation/key_outcome/pdfs/key_Indicators.pdf

http://www.cdc.gov/tobacco/tobacco_control_programs/surveillance_evaluation/process_evaluation/pdfs/tobaccousemanual_updated04182008.pdf

http://www.cdc.gov/tobacco/tobacco_control_programs/surveillance_evaluation/evaluation_manual/pdfs/evaluation.pdf

Comprehensive Programs

Sustaining State Programs for Tobacco Control:

Sustaining the Program


COLORADO

Sustaining the Program: A Success Story

Sustaining the Program

Examples of Hindrances to Adequate Funding:

Lobbying by tobacco companies.

Political climate of “hands-off” approach to

government.

State budget deficits.


Overcoming Funding Difficulties Have a well-written strategic plan that partners and politicians

can easily buy into. Always look out for new sources of funding. Follow procedures in Best Practices. Have diverse, skilled, and active leaders. Evaluate your program, so you have evidence of success.

Sustaining the ProgramComprehensive Programs

Strategies for SuccessCDC’s Best Practices for Comprehensive

Tobacco Control Programs

Centers for Disease Control and Prevention, Office on Smoking and Health


Preventing Initiation among Youth and Young Adults

Strategies for SuccessPreventing Initiation among Youth and Young Adults

www.thetruth.com

Preventing Initiation among Youth and Young AdultsStrategies for Success

http://www.thetruth.com/

http://www.keepkidssmokefree.org/youth_involvement.htm

http://healthymissouri.net/showmesmokefree


Strategies for SuccessPromoting Quitting Among Adults and Youth


Each Year: 70% of U.S. smokers report a desire to quit. Almost 50% of people who have ever smoked have

quit.

Quitting often requires several attempts over a span of a few years.

Promoting Quitting Among Adults and Youth

CDC, Office on Smoking and Health

Smoke-free policies motivate smokers to quit.


The Health Consequences of Smoking , Surgeon General’s Report, 2006


Quitting smoking has immediate and long-term benefits, reducing risks for diseases caused by smoking and improving health in general.


Comprehensive approaches use a combination of these options and are systems-based:

♦ Brief clinical interventions♦ Counseling ♦ Nicotine replacement therapy (NRT)♦ Prescription NRT and medication

Science-Based Treatment Options


Effective cessation outreach should include — Payment by a third party

(Managed care organization or health insurance).

Communication through multiple means.

Training for health care providers. Worksite and health center

programs.



Successful strategies: Increasing the unit price for tobacco products. Organizing mass media campaigns in

combination with other interventions. Reducing smokers’ out-of-pocket costs for

cessation therapies. Multi-component interventions that include

telephone support.



Clinical Practice Guideline “Treating Tobacco Use and Dependence”

Provides recommendations for brief and intensive clinical interventions and implementing effective

treatment programs.


Strategies for SuccessEliminating Exposure to Secondhand Smoke

What are the benefits of a smoke-free environment?

Strategies for Success: Smoke-free Air


Regulatory Efforts Mandated by ordinance Legal consequences for

noncompliance Consistent and permanent for

locality Precedent set by other

localities Campaign target: city councils

and mayors

Voluntary Efforts Not mandated No consequences for

noncompliance Useful as educational

campaign Can be used against passing

regulations Campaign target: restaurants

and businesses

Americans for Nonsmokers’ Rights

Eliminating Exposure to Secondhand Smoke

Strategies for Success: Smoke-free Air

What has been successful or unsuccessful in your community?


Start on the local level.

Work on a traditional council-based campaign.

Develop a written campaign plan.

Agree on a bottom line.

Reach out.

No law is better than a weak or ineffective one.

American for Nonsmokers Rights and Tobacco Control Partners



Tobacco Technical Assistance Consortium


Smoke-free environments

Avoid the “minors only” trap . . .♦Secondhand smoke is dangerous to everyone.

♦Smoke-free policies are to protect the public and employees.

♦“Minors only” is difficult to enforce.


Smoke-free environments

Avoid the “ventilation” trap. . .♦No ventilation system can remove the dangers of secondhand

smoke.

♦All employees deserve smoke-free workplace.

♦Businesses have to make large capital investment.

♦It will be more difficult to pass stronger legislation in the future.



Smoke-Free Environments

Avoid the “smoke-free hours” trap . . . Employees deserve consistent protection. Mixed messages lead to confusion and low compliance. Enforcement becomes difficult and taxing.


Smoke-Free Environments

Avoid the “hardship” trap. . .♦Don’t allow permits, licenses, and tax incentives – they

imply financial losses will accompany smoke-free policy.

♦Smoke-free laws have been shown to increase sales tax income.




PreemptionWhen a state law conflicts with federal law, the federal

law preempts — or trumps — the state law.

When a state law conflicts with a local ordinance, state law preempts the local ordinance.



Preemption in Tobacco Control Local ordinances (laws) —

Are easier to enact. Have better compliance and enforcement. Contribute to societal rejection of tobacco. Are more difficult for big tobacco to combat.

Americans for Nonsmokers’ Rights and National Cancer Network

Eliminating Exposure to Secondhand SmokeStrategies for Success


“...At the town meeting, we’re almost always killed.At the board of health level, we do better.At the city council level, we do very well.

And at the state level we do great.”


http://www.no-smoke.org/pdf/preemptionmap.pdf

Tobacco industry tactics against preemption are REAL.

“We introduce legislation of our own to scatter the resources of antis.”

From memo by Tina Walls, Vice President, State Government Affairs, Philip Morris.



Strategies for SuccessIdentifying and Eliminating Disparities


Questions to ask yourselves: How do we plan to reach out to populations with

tobacco-related disparities? Who from those populations can serve as

spokespersons? What activities and program strategies are effective with

each of these populations?

Identifying and Eliminating Disparities

To make a difference is not a matter of accident, a matter of casual occurrence of the

tides. People choose to make a

difference.

Maya Angelou

Communities of ExcellenceRestrictions on tobacco ads

Identifiable tobacco control funds/staff

High taxes on tobacco

No sales of tobacco to minors

Public education campaigns

Cessation services

Tobacco-free public places and worksites

Detailed plan of action

Monitor & counter tobacco influence

Tobacco-free school campuses

Communities of Excellence Plus in Tobacco Control

ConclusionWe know what works...

What works are comprehensive programs that use a public health approach: Increase excise taxes on tobacco. Enact and enforce smoke-free air laws. Provide systems-based cessation services.

When we apply what we know works...we can realize our own potential.

Review

Public Health Approach

Locate resources and data to help with planning and communication.

Understand the benefits of using credible resources.

Understand the public health approach to reducing tobacco use.

Know of effective policy interventions.

Review

Credible Tobacco Control Resources



Define the components of a comprehensive tobacco prevention and control program.

Understand elements of science-based tobacco control programs.

Review

Understand how to implement strategies at the community level for successful outcomes.

Understand how to sustain your tobacco control programs.

Tobacco Technical Assistance ConsortiumRollins School of Public Health

Emory UniversityAtlanta, Georgia

To Contact: [email protected]: 404-712-8474

Documents

Strategies for Success. Implementing tobacco control programs locally is a process that requires community members’ time and effort. 1.Engage stakeholders