PUBLIC HEALTH POLICY CHANGE

THE TOBACCO-FREE COLLEGE CAMPUS

The BACCHUS Network™

The legal information and assistance provided in this webinar does not constitute legal advice or legal representation.

Public Health Policy Change Webinar Series

• Providing substantive public health policy knowledge,

competencies & research in an interactive format

• Covering public health policy topics surrounding Tobacco,

Obesity, School and Worksite Wellness, and more

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The legal information and assistance provided in this webinar does not constitute legal advice or legal representation.

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Today’s Webinar

• An Overview of the Tobacco-Free Campus Concept (Dave

Schaibley)

• Historical Perspective and Policy Change (Tad Spencer)

• Lessons from the Field (Jaime Lederer)

• Building a Policy that Lasts (Erin Simmons)

• Q&A (moderated by Dave Schaibley)

The Tobacco Control Legal Consortium

A national network of attorneys and legal centers

dedicated to advancing tobacco-control policy.

The Tobacco-Free Campus

• Why Tobacco-Free?

• What Types of Campuses?

• Why Are Campuses Unique?

PUBLIC HEALTH POLICY CHANGE

The Tobacco-Free College Campus

Tad Spencer, The BACCHUS Network™

About The BACCHUS Network™

• 36 year-old national non-profit, based in Denver, CO

• College and university based network of student peer

education programs, devoted to the prevention of alcohol

and other drug abuse and other student health and safety

concerns.

• Largest active student organization in all of higher education

• Over 600 affiliates nationwide

About BACCHUS Tobacco Prevention

• Funded by CDC Office on Smoking and Health from 1999 - 2006

• Currently directly funded by Montana and Colorado Departments

of Public Health

• Consultants in Iowa, Louisiana, Ohio, Pennsylvania, Texas, Utah,

Mississippi, Nebraska, Tennessee, Kansas, Oklahoma, North

Dakota, Arizona, West Virginia, Massachusetts, and Georgia

• Partnered with National & Regional American Cancer Society and

NCAA

Services We Offer to All

• College-age health promotion materials (bacchusnetworkstore.org)

• Customized trainings for campuses and state/community groups

• Campus tobacco policy

• Campus-wide cessation promotion

• Strategic planning for tobacco policy

• Certified Peer Educator training

• Screening and Brief Intervention (alcohol)

• Bystander Intervention

• And more!

• Informational websites (bacchusnetwork.org, tobaccofreeU.org,

smartersex.org)

• Campaign manuals and related materials

• National Collegiate Alcohol Awareness Week (October)

• Great American Smokeout (November)

• Sexual Responsibility Week (February)

• Safe Spring Break (March)

• General health promotion technical assistance for affiliates

• Regular newsletters and quarterly magazine, The Peer Educator

• Discounted materials and conference registrations

• Campus peer education groups can affiliate at:

bacchusnetwork.org/join.html

• $300 per year

• Must renew charter each year to stay active

Services for Affiliates

A (very brief) History

of the

College Tobacco Policy

Movement (and popular music)

Chronology - Late 80s

• Starting to prohibit smoking in some

buildings, although…

• Still focused on health effects to the

smoker

1 http://leatherrebel.com/hairmetal.html

2 http://www.billboard.com/artist/richard-

marx/84143#/artist/richard-marx/84143

1

2

Chronology - Early 90s

• Starting to prohibit smoking in buildings

• May be more focused on cleaning costs and

maintenance

1 http://www.lyricsfreak.com/g/garth+brooks/

2 http://www.clashmusic.com/news/nirvana-ep-to-be-re-issued

1

2

Chronology - Mid 90s

• Most campus buildings are smoke-free

• Start to prohibit in residence halls (fire danger)

• Controversial!

• Penn State student newspaper article from January 1996:

“People are going to (smoke in the residence halls) anyway…People would still

do it (in the rooms).”

(A student) agreed that smoking regulations would not stop anyone.

“It's a good theory, but it's unenforceable…I think it will be gone in two

years.”

1 http://rap.about.com/od/toppicks/ss/SummerRapSongs_6.htm

2 http://www.vid81.com/los-del-rio/

1

2

Macarena!

Chronology - Late 90s / Early 00s

• Policy on the books…but…?

• Post-MSA, start to look at SHS and policies

1 http://www.starpulse.com/Music/Limp_Bizkit/gallery/KGG-000217/

2

http://www.nypost.com/p/blogs/popwrap/britney_spears_most_memorable_moments_hlQhRdv

YDVwn8PJNYQ5LhM

1

2

Chronology - Mid 00s

• Heavily focused on preventing SHS exposure

(health of others)

• Many campuses install perimeter policies

• Problems with smoking areas arise

1 http://idolator.com/5838732/50-cent-and-david-guetta-party-about-

b-s-on-new-dance-track 2

http://www.fanpop.com/spots/nickelback/images/25842778/title/n

ickelback-wallpaper

1

2

Chronology - Now

• Focus on smoke-free or tobacco-free

campuses

• Since 2008, rate has accelerated

• No longer “weird”

• Smoke-free: Focus is health of non-

users

• Tobacco-free: Focus is health of ALL

1 http://www.ladygaga.com

1

Our Focus on Policy

• Focus shifted in 2007-08--doing more

with less

• State initiatives informed national

campaigns

• ALA in Oregon began compiling list

of tobacco-free campuses

• ANR has similar smoke-free list

• A shift for many health educators to

now do policy work

• Different skill set

• More “confrontational”

The Process

• Similar to community-level work

• Building & Educating

• Mobilizing

• Implementation

Words of Wisdom 1:

Policy initiatives are all about

relationship building.

Words of Wisdom 2:

Campus policies help accelerate

norm change.

Step 1: Research

• Environmental Scan (tool available from BACCHUS)

• Tobacco Use and Attitudes Survey (tool available from BACCHUS)

• Research current policies

• Values of institution (written and implied)

• Previous tobacco work on campus

• Interview key people

• SWOT analysis

Step 2: Build a Task Force

• Gather representation from across campus

• Engage students, faculty and staff

Step 3: Identify Power Centers

• Who do you need to influence?

• Who influences those people?

• What are some methods to influence those people?

• Identify other stakeholders and connect with them.

Also, gather information on:

• How are people impacted by SHS?

• Where are they most exposed to SHS?

Step 4: Educate & Network

• Talk about SHS, health impact, economic impacts, litter, global

issues, etc.

• Connect issues to student concerns (environment, health,

psychology, social justice)

• Shape messaging to “speak to” various groups

Messaging may include:

• Most people who use tobacco want to quit

• Most others would help them quit

• Policies help people quit

Step 5: Talk About the Solution

• Present tobacco-free policy as a solution

• Apply pressure to decision makers

• Online petitions

• Letters/articles in the student paper

• Pressure from prominent alums

• Resolutions adopted by governing bodies

• Visual quotes from students impacted by SHS

• Asthma

• Disabilities

• Cardiovascular

• Pregnancy

Step 6: Build Support

• Go back to groups you’ve met; ask for their support

• Present to influential bodies (student senate, faculty senate, staff

council)

Step 7: Take It to the Top

• Compile a comprehensive proposal with sample policy language

and thorough implementation plan

• Hopefully, it is approved!

Step 8: Thorough Preparation

• Extensive education about the new policy

• Market, market, market

• Temporary and permanent signage

• Prepare cessation resources & have a marketing plan for those

• Communicate with visitors, alums, parents, incoming and

prospective students

• Prepare to print the policy in all necessary handbooks, websites,

etc.

• Top Reasons Why Policies Fail:

• Did not get enough buy-in from across campus during education phase.

• Did not commit enough time and education during the preparation phase.

Step 9: Implementation

• Focus on building compliance

through education BEFORE

policy goes into effect

• However, have a plan in place

for fines, sanctions, etc. AND

have buy-in from

enforcement officials

Step 10: Maintenance

• Revisit the policy from time to time

• Have a plan for addressing weak enforcement areas

• Notify all new/incoming students and employees of the policy

• Share your success stories with others!

Diamond Award

for Campus Tobacco Policy

• Annually recognize campuses that have applied for

and met the standards for a strong written policy

• Similar to LEED certification

• Apply by January 31; form at: www.tobaccofreeU.org

• Three levels: Silver, Gold, Diamond

• Levels indicate smoking/tobacco use is prohibited everywhere on

campus

• Also prohibits sales and promotion of tobacco products

• Diamond level indicates no money is accepted from tobacco

industry and no college/university stocks are in tobacco

companies

Lessons Learned

• Policy work can be a sharp change for health educators.

• Others with a different skill set may need to co-lead.

• Take the time to build relationships across campus (including with

tobacco users!)

• Policy helps create a healthier norm on campus.

• The more preparation, the better. Educate, educate, educate.

• Top-down doesn’t work.

• Focus on compliance, but have an enforcement plan and buy-in

for it in place.

• It is worthwhile work!

For More Information

Tad Spencer

Director of Colorado Tobacco Prevention Initiatives

The BACCHUS Network

P: 303-871-0901

E: tad@bacchusnetwork.org

www.bacchusnetwork.org

www.tobaccofreeU.org

Twitter: @BACCHUSNetwork

Ask about our trainings…we’ll come to you!

PUBLIC HEALTH POLICY CHANGE

Developing a Tobacco-Free Campus Policy for K – 12

Schools

Jaime Lederer, MSW, MPH

Tobacco Prevention Programs & Policy Manager

Boston Public Schools

Video

37

About BPS

• 125 schools

• 57,000 students

• 41% Latino, 36% Black, 13% White, 9% Asian, 2% Multiracial/other

• 74% eligible for free or reduced-priced meals in schools

• 45% speak a language other than English at home

38

Tobacco Prevention in Boston

• Reduce access to tobacco/nicotine products

• Smoke-Free Homes Initiative

• Barrier-free access to cessation services/increase cessation services &

capacity

39

Our Approach

Our Mission:

• The Boston Public Schools Health and Wellness Department aims to

actively promote the health and wellness of all students to advance both

their healthy development and readiness to learn.

Coordinated School Health Approach

• Focus on intra-departmental and community partnership relationships to

address the health and wellness of the district to reduce gaps in service

delivery, promote a healthy environment and focus efforts to improve

school health, educational and social outcomes.

40

YRBS Data

Key Findings from 2011 Youth Risk Behavior Survey

• Cigarette smoking on a steady decline over past 20 years

• 64.7% in 1993 to 41% in 2011

• Believed to be related to tobacco prevention efforts and increase in the

cost of cigarettes.

• Recent rise in reporting of other tobacco product (OTPs) use

• Cigars, little cigars/cigarillos and flavored tobacco use is becoming more

common

• 10.7% report using one or more times in past 30 days

• Highest reported use among male students (14%).

41

Why a new policy?

• More comprehensive definition

• Tobacco & nicotine products

• School property

• Applies to all students, staff & visitors

• Clearer policy for better enforcement at schools and administrative

buildings

• Buffer zone

• Recommended disciplinary steps

• Signage requirements

42

Tobacco Prevention: Policy, Systems,

Environment • Action: BPS is addressing the tobacco use of our students through a

policy, systems, environment approach that includes

• developing a more comprehensive tobacco use policy for the district

• funding support and technical assistance for tobacco prevention

education for wellness councils and schools

• partnering with statewide youth tobacco prevention advocacy

organizations

• linking students and staff with free or low-cost cessation

opportunities.

• Linking health disparities and inequities with Academic Achievement

Framework & Acceleration Agenda

43

Tobacco Policy Task Force

Purpose: To develop a comprehensive tobacco use policy for BPS in order

to decrease smoking and other tobacco use among students, staff and

members of the BPS community.

• January 2011: Convened 17-memberTask Force

• Jan 2011 – Jun 2011: Met 4 times

• Reviewed

• District tobacco policy

• School handbooks for policy variations

• MA DPH School Tobacco Policies Recommendations

• School & District policies from 10 major cities in US

44

Tobacco Policy Task Force

BPS community invited to

participate:

• Principals

• Parents

• Teachers

• Students

• Nurses

BPS Departments:

• Health & Wellness

• Health Services

• School Safety

• Facilities

• Support Services

45

Feedback for Revisions

• Boston Public Health Commission Tobacco Control

• Tobacco Control Legal Consortium

• The 84, a statewide youth tobacco prevention advocacy program

• Students

• School-based Wellness Council members

• Chief Academic Officers

• Athletics department

• BPS Legal Advisor & Labor Counsel

• Superintendent’s Executive Committee

46

Tobacco Policy Revisions

47

COMPARISON PROPOSED CURRENT

Tobacco-Free

Environment

Defines school property and BPS-owned property

Specifies all individuals, including school personnel

and visitors

Includes a 50 ft buffer zone

Defines tobacco products

Prohibits promotion of tobacco products and tobacco

industry brands

Lists school facilities and BPS-owned

property

Specifies all individuals, including school

personnel

Implementation and

Enforcement

Building administrators and supervisors have

responsibility to:

1) Identify Point Person(s) for implementation &

enforcement

2) Inform everyone by including policy in student and

staff handbooks, proper signage in designated

locations

3) Inform about fines administered by Boston Public

Health Commission

4) Provide information about reporting violation

anonymously

5) Provide staff with cessation information

Building administrators and supervisors

have responsibility to:

1.) inform everyone

2.) supervise implementation, including proper

signage

Prevention,

Intervention,

and Cessation

Prevention Education included in Health Education

Training for staff responsible shall be encouraged

through professional development

Provide cessation information

Discipline

Clearly lays our recommended disciplinary guidelines

for students, staff, and visitors

Schools responsible for developing and

implementing plan to address violations

Policy Proposal & Steps to Approval • June 2011: Present before Superintendent’s Executive Committee

• June 2011: Scheduled to present to School Committee: POSTPONED

• June – December 2011: Waiting period

• December 14, 2011: Presented to School Committee

• January 11, 2012: School Committee Votes

48

Partner Roles & Helpful Resources

• Boston Public Health Commission

• Tobacco Control Legal Consortium

• The 84

• MA Department of Public Health School Tobacco Policy Guide

49

Lessons Learned

• Importance of talking with people

• Making a case for prevention

• Youth Programs/Voices

• Linking with other priorities of institution/organization

• Social justice and health equity

50

Additional Tips & Observations

• New developments in tobacco prevention and products unknown to

many

• Have a plan for implementation as part of policy development

• What kinds of supports are going to be necessary?

• How will implementation be funded

• Take steps toward implementation that support a change in culture

prior

51

Tobacco Policy Implementation Supports

Resources

• $1,000 tobacco prevention mini-grants for School Wellness Councils

• Evidence-based tobacco curricula

• Connect to cessation services

• Boston Public Health Commission and student designed signs in all

buildings

Education

• Professional development sessions for teachers and staff

Support

• Technical assistance for schools

• Coordination of student-led tobacco prevention initiatives

52

Contact

Jaime Lederer, MSW, MPH

Tobacco Prevention Program & Policy Manager

JLederer@boston.k12.ma.us

617-635-6643x41253

617-635-1502 (fax)

Health and Wellness Department

Boston Public Schools

160 Harrishof Street

Roxbury, MA 02119

The BPS Tobacco Prevention program was made possible through the Communities Putting

Prevention to Work Initiative which is funded by the Department of Health & Human

Services to the Boston Public Health Commission.

53

PUBLIC HEALTH POLICY CHANGE

The Tobacco-Free College Campus

Erin Simmons, ALA MN

BUILDING A POLICY

THAT LASTS

Phases of a Policy

• Phase 1: Planning

• Phase 2: Implementation

• Phase 3: Year 1

Phase 1: Planning

• Building your team

Phase 1: Planning

• Identifying your teams responsibilities

• Campus assessments

• Policy language

• Implementation

• Communication

• Enforcement

Phase 1: Planning

• Policy Language

• Rationale

• Definitions

• Locations

• Enforcement

• Cessation

Phase 1: Planning

Phase 2: Implementation

• Communication

• Employees

• Students

• Media

Phase 2: Implementation

• Signage

Phase 2: Implementation

• Neighborhood

Phase 3: Year 1

• Enforcement

• Employees

Phase 3: Year 1

• Enforcement

• Students and Visitors

Phase 3: Year 1

• Communication

Phase 3: Year 1

• Celebrate

How can we help you?

Erin Simmons

American Lung Association, MN

erin.simmons@lungmn.org

507-382-7421

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Coupon Restrictions and Sampling Restrictions

Tuesday, February 7th 12:00 p.m. – 1:30 p.m. CST

Visit www.publichealthlawcenter.org for more information