Presentation Transcript

1. Strategies for Success
2. Strategies for Success Implementing tobacco control programs locally is a process that requires community members’ time and effort. Engage stakeholders. Develop a strategic plan. Implement the program. Evaluate the program. Sustain programs.
3. Strategies for Success Engaging Stakeholders
4. Strategies for Success Engaging 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.” Fawcett et al., 1995
5. Strategies for Success Engaging Stakeholders CommunityMobilization (State and Local) Concerned Citizens Community Leaders Youth Groups Local Boards of Health Local Health Departments Professional Associations Medical Community Parent Organizations Business Community Tribal Councils Faith-Based Organizations Neighborhood Associations Teachers and Other Education Professionals
6. Strategies for Success Engaging Stakeholders
7. Strategies for Success
8. Strategies for Success Developing a Strategic Plan 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.
9. Strategies for Success Implementing the Program
10. Strategies for Success Evaluating the Program
11. Comprehensive Programs Sustaining the Program Sustaining State Programs for Tobacco Control:
12. Comprehensive Programs Sustaining the Program: A Success Story COLORADO
13. Comprehensive Programs Sustaining the Program Examples of Hindrances to Adequate Funding: Lobbying by tobacco companies. Political climate of “hands-off” approach to government. State budget deficits.
14. Comprehensive Programs Sustaining the Program 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.
15. Strategies for Success CDC’s Best Practices for Comprehensive Tobacco Control Programs Centers for Disease Control and Prevention, Office on Smoking and Health
16. Strategies for Success Preventing Initiation among Youth and Young Adults
17. Strategies for Success Preventing Initiation among Youth and Young Adults
18. Strategies for Success Preventing Initiation among Youth and Young Adults www.thetruth.com
19. Strategies for Success
20. Strategies for Success Promoting Quitting Among Adults and Youth
21. Strategies for Success Promoting Quitting Among Adults and Youth Quitting often requires several attempts over a span of a few years. CDC, Office on Smoking and Health Each Year: 70% of U.S. smokers report a desire to quit. Almost 50% of people who have ever smoked have quit.
22. Strategies for Success Promoting Quitting Among Adults and Youth Smoke-free policies motivate smokers to quit.
23. Strategies for Success Promoting Quitting Among Adults and Youth Quitting smoking has immediate and long-term benefits, reducing risks for diseases caused by smoking and improving health in general. The Health Consequences of Smoking , Surgeon General’s Report, 2006
24. Strategies for Success Promoting Quitting Among Adults and Youth Science-Based Treatment Options Comprehensive approaches use a combination of these options and are systems-based: Brief clinical interventions Counseling Nicotine replacement therapy (NRT) Prescription NRT and medication
25. Strategies for Success Promoting Quitting Among Adults and Youth 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. Effective cessation outreach should include —
26. Strategies for Success Promoting Quitting Among Adults and Youth 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.
27. Strategies for Success Promoting Quitting Among Adults and Youth Clinical Practice Guideline “Treating Tobacco Use and Dependence” Provides recommendations for brief and intensive clinical interventions and implementing effective treatment programs.
28. Strategies for Success Eliminating Exposure to Secondhand Smoke
29. What are the benefits of a smoke-free environment? Strategies for Success: Smoke-free Air
30. Strategies for Success Eliminating Exposure to Secondhand Smoke 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
31. What has been successful or unsuccessful in your community? Strategies for Success: Smoke-free Air
32.  Strategies for Success Eliminating Exposure to Secondhand Smoke 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
33. Strategies for Success Eliminating Exposure to Secondhand Smoke Tobacco Technical Assistance Consortium
34. Strategies for Success Eliminating Exposure to Secondhand Smoke Smoke-free environments Avoid the “minors only” trap . . . Secondhand smoke is dangerous to everyone. Smoke-free policies are to protect the public andemployees. “Minors only” is difficult to enforce. Americans for Nonsmokers’ Rights
35. Strategies for Success Eliminating Exposure to Secondhand Smoke 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. Americans for Nonsmokers’ Rights
36. Strategies for Success Eliminating Exposure to Secondhand Smoke 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.
37. Strategies for Success Eliminating Exposure to Secondhand Smoke 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. Americans for Nonsmokers’ Rights
38. Strategies for Success Eliminating Exposure to Secondhand Smoke Americans for Nonsmokers’ Rights Preemption When 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.
39. Strategies for Success Eliminating Exposure to Secondhand Smoke 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
40. Strategies for Success Eliminating Exposure to Secondhand Smoke “...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.”
41. Strategies for Success Eliminating Exposure to Secondhand Smoke From memo by Tina Walls, Vice President, State Government Affairs, Philip Morris. Americans for Nonsmokers’ Rights Tobacco industry tactics against preemption are REAL. “We introduce legislation of our own to scatter the resources of antis.”
42. Strategies for Success Identifying and Eliminating Disparities
43. Strategies for Success Identifying 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?
44. 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
45. Communities of Excellence Restrictions on tobacco ads Cessation services Identifiable tobacco control funds/staff Tobacco-free public places and worksites High taxes on tobacco Detailed plan of action Monitor & counter tobacco influence No sales of tobacco to minors Public education campaigns Tobacco-free school campuses Communities of Excellence Plus in Tobacco Control
46. Conclusion We 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.
47. Review
48. Review Public Health Approach Credible Tobacco Control Resources 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.
49. Review Comprehensive Programs Define the components of a comprehensive tobacco prevention and control program. Understand elements of science-based tobacco control programs. Strategies for Success Understand how to implement strategies at the community level for successful outcomes. Understand how to sustain your tobacco control programs.
50. Tobacco Technical Assistance Consortium Rollins School of Public Health Emory University Atlanta, Georgia To Contact: ttac@sph.emory.edu Phone: 404-712-8474