Moorpark College Share the Air

Transcription

1 2017 California Higher Education Collaborative Conference Moorpark College Share the Air Allison Barton, MPH, BSN, RN, CHES, Health Educator, Moorpark College Student Health Center

2 The Catalist Votes Moorpark College Best Place to Smoke and Skate.

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4 VCCCD and MC Policies

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6 How did we get to this point? Standard bearer Safety and Wellness Committee Ventura County Public Health Tobacco Education CYAN

7 On-Campus Partners Maintenance Business Services Campus Police Associated Students

8 On-Campus Cessation Services Physician-supervised quit services are available for students, faculty, and staff at the MC Student Health Center.

9 Policy Promotion Banners, flags, door clings, webpage Event Program and PA Announcements MC Police/Cadet Training

10 Policy Promotion banners flags door clings

11 Policy Promotion Cadet training

12 Enforcement Social Enforcement Behavioral Intervention Team (BIT) Reporting Code of Conduct Campus Police/Cadets

13 Lessons Learned Don t be discouraged. Do what it takes. Capitalize on relationships, and be willing to reassess relationships. Borrow good ideas from other campuses. Take advantage of grants to fund your implementation.

14 2017 California Higher Education Collaborative Conference OHLONE COLLEGE S 100 PEOPLE 100 DAYS CAMPAIGN Luwissa Wong Health Promotion Specialist, Ohlone Student Health Center October 25, 2017

15 Ohlone College v Located in Fremont, CA & Newark, CA v Around 10,600 students enrolled per year at our two campuses and online v Nearly 2 out of 3 students are young adults ages 18-24

16 Ethnically Diverse Student Population Other/multiracial 11% African American 5% White 24% Asian Pacific Islander 41% Chicano/Latino 19%

17 Ohlone s campus smoking policy, 2000-Current Received 4 year county grant to begin advocacy Policy strengthened to smoke-free campus, except parking lots Policy strengthened to 100% tobacco-free campus Policy change to 4 designated smoking areas Policy strengthened: smoke-free district

18 Tobacco-free Fun Run / Walk A 2 mile run / walk around the campus perimeter; tobacco education and smoking policy messages posted throughout the course

19 Smoke-free Campus Policy Press Conference, May 2004

20 20 Smoke-free campus policy postcards

21 21 Signage around campus Smoking policy printed on bookstore bags

22 100 People / 100 Days Team Purpose: A campus-based volunteer group organized to help educate the students, staff, and faculty about the smoke-free campus policy Rationale: To successfully implement and enforce the policy, we need campus-wide involvement and ownership of the policy

23 Diverse Participation Total participants: 111 people 40% 35% 30% 25% 33% 37% 20% 18% 15% 12% 10% 5% 0% Faculty Staff Administrators Students

24 100 People / 100 Days Team 4 hours of flex credit for faculty Program will begin on August 16 and culminate with the Great American Smoke-out on November 18 Each member will receive a Starter s Kit which will contain: T-shirt Whistle / lanyard, Policy Promoter button Instructions, map of smoking areas Postcards, list of possible FAQs, wall poster Role: Educate and track problems/violations

25 Fast forward to 2013

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28 Committee Membership Staff from: Student Health Center Human Resources Faculty from: Respiratory Therapy Program Students from: Respiratory Therapy Program

29 Education 30 People/30 Days Campaign Painted signs around campus perimeter Policy acknowledgement for new employees Policy in syllabus New policy in signature

30 Participant Instruction Sheet Purpose: The purpose of the 30 People 30 Days Team is to educate the campus community about the new smoke free policy. Who: The team will consist of 30members with a mixture of students, staff, faculty, and administrators. Why: Because smoking is the leading cause of preventable death in our country and second hand smoke is as harmful as smoking the college wants to preserve the health of it s students, staff, and faculty. Ohlone wants our campus community to be the promoters and educators of the policy to minimize the need for formal enforcement and help with compliance during the first few months of school. Time Line: April 1, 2013 April 30, 2013, August 26, 2013-September 25, 2013, January 27, February 26, 2014 Fall 2014 Promotional Kit: T-shirt Policy promoter button Smoke-free policy postcards Policy tear off sheets Instruction sheet Copy of tracking form for faculty for flex credit I am a participant 81/2 x11 poster for office List of FAQ

31 T-shirt design by RT student Wes Wong

32 Enforcement Language If faculty, staff, and students are found in violation of this policy, it will be handled as any other policy violations. This will include two verbal/written warnings. The third offense will be placed in the faculty, staff, or student s permanent record. Students and employees who are found in violation of the standards of conduct shall be subject to college sanction as follows: Students shall be subject to sanctions (outlined in the Standards of Student Conduct and Discipline and due process procedures) up to and including expulsion. Employees shall be subject to appropriate personnel action up to and including termination of employment. Students and employees may be required to participate satisfactorily in a smoking cessation program approved by the college, such as 1800 NO BUTTS.

33 Doing the Deed If you see ANYONE not complying with the policy you may do any and/ or all of the following: Hand them a tear off sheet and educate them that Ohlone is now a smoke-free school Ask them if they are aware that Ohlone is a smoke-free school and answer any questions they may have or direct them to security or the student health center for further explanation Explain that the tear off sheet has information about smoking cessation Direct them to the Student Health Center if they need further encouragement to comply NEVER feel obligated to confront a student who might be belligerent or abusive. If they are, get their name if possible and report them to security. Be as gracious and educational about the process. No need for long lectures or diatribes about the effects of smoking or second-hand smoke Always express your appreciation when the person is compliant with your directions. Remember to pat yourself on the back for helping with this project and realize that you are contributing not only to the health of the person you are educating but to the health of the whole campus.

34 Challenges Difficulty in getting participants to submit tracking forms People didn t carry tear-offs around campus with them (didn t have a place to carry them) Perhaps afraid of getting negative response

35 Questions? Allison Barton, MPH, BSN, RN, CHES Moorpark College Student Health Center E: Luwissa Wong Ohlone College Student Health Center E:

36 Smoke & Tobacco-Free College Campuses: An Overview Cynthia Hallett, MPH President and

37 American Nonsmokers Rights Foundation 10/24/17

38 Background & History 2002 The American Nonsmokers Rights (ANR) Foundation produced its first list of colleges with smokefree policy provisions Ozarks Technical Community College, Springfield, MO adopts first known 100% smokefree policy ANR Foundation only lists 100% college campuses American College Health Association (ACHA) adopts Position Statement: Tobacco on College & University Campuses ACHA strengthens position from Smokefree to Tobacco-free President Yudof calls for Smokefree UC campuses within 24 months; Surgeon General s Report and Launch of Tobacco-Free College Campus Initiative. 2013/14 Truth launches its HBCU and Community College efforts American Cancer Society launches TFGCI. 10/24/17

39 2012 Surgeon General's Report on Tobacco Use Among Youth and Young Adults In 2010, there were more than 20 million students enrolled in degree-granting institutions. This does not include faculty, staff, and visitors to campuses who are also impacted by a smokefree or tobacco-free campus policy. Many risk factors, including tobacco use, peak from years of age; college attendance could be a turning point in choosing not to use tobacco 24.8% of full-time college students aged years old were current smokers in The number of smokers who initiated smoking after age 18 increased from 600,000 in 2002 to 1 million in Progression from occasional to daily smoking almost always occurs by age 26. While smoking rates are higher for their peers not enrolled in college, college students and campus policies offer a unique opportunity to create and sustain tobacco-free living. Curbing tobacco influence on campuses could prevent a new cohort of lifetime smokers. 10/24/17

40 Why Have a Tobacco-Free Campus? Primary goal: Creating a healthy place to work, learn, and to enjoy the amenities/activities of the school for employees, students, and visitors. Change social norm and acceptability of tobacco use Eliminate exposure to secondhand smoke Support tobacco-free lifestyles Help prevent uptake of tobacco use Support people who want to quit Reject tobacco industry targeting of students Eliminate environmental impact of cigarette butt waste 10/24/17

41 College Campus Policy Trends, Present 10/24/17

42 College Campus 100% List Published Quarterly ties.pdf Lists Institutions of Higher Learning with 100% Smokefree and Tobacco-Free Campuses Notation for inclusion of E-Cigarette, Hookah, and Marijuana in policies 2,064 smokefree campus sites, 1,736 tobacco-free; 1,649 prohibit e-cigarette use, 845 prohibit hookah use, and 209 prohibit marijuana use (October 2017) 10/24/17 In 2006: fewer than 40 smokefree campuses.

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44 March 2017 Information compiled from the British Medical Journal and the American Nonsmokers Rights Foundation. (Jan 2, 2013) 10/24/17

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47 Model Campus Policies Two models on web: Model Policy for a Smokefree College/University: cy.pdf; OR Model Policy for a Tobacco-Free College/University: accofreepolicy.pdf Always start with clean model policy language; check our website for current model Do not copy another school s policy 10/24/17

48 100% Criteria Tip Sheet CriteriaTipsheetFinal.pdf Use model policy language. Campus = off-campus facilities or affiliated properties. Include only the few, limited exemptions, if any, and do not give satellite campuses leeway to create their own exemptions. Keep website updated with your policy details. Send us your policy! 10/24/17

49 Acceptable Exemptions* 1. Research in a controlled laboratory setting 2. Religious ceremonies UC Irvine controlled research lab 3. Inside a personal vehicle, although many policies explicitly include even personal vehicles * Many campus policies contain NO exemptions 10/24/17

50 Common Unacceptable Exemptions Theatrical productions Permission of the President Designated smoking areas Sports arena or special events Vague language: educational, artistic, or clinical/ research exemptions Property leased to others on campus 10/24/17

51 Why are Designated Areas Not Acceptable? Inconsistent with goal of creating healthy environment to live, work, and learn Sends message that tobacco use is acceptable Creates confusion leading to compliance and enforcement challenges 10/24/17

52 Getting Started Do your research Determine decision-making channels & process Environmental scan Campus surveys 10/24/17

53 Administration, faculty & staff Health services, Office of President, HR, security, maintenance, faculty senate, etc. Students Student government, student organizations, Greek life, athletes, LGBTQ groups, health classes, etc. Alumni Neighbors & businesses Build Partnerships 10/24/17

54 Form a Task Force Must be representative of whole campus Involve partners from the beginning of the discussion/process Forms core of campus-wide coalition 10/24/17

55 Educate, Educate, Educate Shape messages to speak to various groups: Healthier community for working, learning, & living Impact of smoking & secondhand smoke exposure Support for quitting Reject industry targeting & manipulation Cleaner campus/environment Reduced health care costs Use social media & traditional in-person outreach Be creative, catchy, & personal Address concerns and questions directly, before introduction of the policy 10/24/17

56 Build Broader Support Generating relationships: Letters of support & personal stories to administration Develop relationships with campus reporters Articles, interviews, editorials, LTEs, profiles Online petitions Use social networking tools Pressure from alumni Endorsements from student & faculty organizations 10/24/17

57 Be Prepared When will decision be made? Ramp up displays of support. Prepare talking points. Get ready for implementation! 10/24/17

58 Determine Goals Decide on goals & deal-breakers Key considerations 1. Smokefree or tobacco-free? 2. Whole campus or designated areas? 3. Campus boundaries? 10/24/17

59 Smokefree or Tobacco-Free A smokefree campus: Eliminates secondhand smoke exposure Changes social norm about smoking Helps prevent uptake and promotes cessation 10/24/17

60 Tobacco-free Campuses Tobacco-free is more encompassing Focus on tobacco use, not just exposure Cigarettes, flavored products, little cigars, smokeless tobacco May also include prohibiting: Tobacco sales on campus Tobacco industry sponsorship, advertising and promotion and Tobacco industry funding of academic research 10/24/17

61 Define Campus & Boundaries Campus boundaries Adjacent sidewalks? City streets? Being good neighbors: businesses & residents 10/24/17

62 Dillard University, LA 10/24/17

63 Claflin University, SC 10/24/17

64 no-smoke.org/colleges.html

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66 Thank You! Cynthia Hallett, MPH President and CEO Laura Walpert Policy Analyst Twitter and 10/24/17

67 California Higher Education Collaborative Conference SMOKE/TOBACCO-FREE POLICIES: RATIONALE, ADOPTION, IMPLEMENTATION, AND COMPLIANCE Kim Homer Vagadori, MPH October 25, 2017

68 California Youth Advocacy Network (CYAN) Technical Assistance Trainings Statewide Advocacy and Policy Campaigns Educational Materials and Publications Opportunities for Networking

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70 California Youth Advocacy Network College Program History Timeline of Campaigns and Recognitions CSU Smoke/Tobacco-Free California State University (CSU) adopts 100% smoke/ tobacco-free policy. 17 HSACCC Support Health Services Association - California Community Colleges issues White Paper supporting 100% smoke/ tobacco-free community colleges Public College Report Card Public College Report Card - CYAN and COUGH issue statewide report card on public college and university smoke/tobacco-free policies. Finds 37% of schools are smoke or tobacco-free. F AB 795 State Law AB 795 adopted - allows enforcement with citations UC Smoke/Tobacco-Free UC adopts 100% smoke/ tobacco-free policy. Expansion COUGH expands efforts to all public colleges and universities in California. 07 CSU Sponsorship CSU policy prohibiting tobacco industry sponsorship UC Research Funding University of California (UC) policy restricting tobacco industry funding of academic research. 04 CSU Title V CSU Title V Amendment allows campuses to adopt and enforce smoke/tobacco-free policies. 03 Awards CYAN s COUGH receives several national awards for work with CSU. 02 Campuses Organized and United for Good Health (COUGH) created. 01 CSU Kickoff California State University (CSU) systemwide policy campaign kickoff The Beginning California Youth Advocacy Network (CYAN) College Program begins. info@cyanonline.org (916)

71 California Policy Trends Tobacco-Free Policy Rationale Policy Recommendations Common Concerns and Arguments Potential Challenges Implementation and Enforcement

72 California Policy Trends Report Card: Reviewed and scored all 146 public college and university tobacco use policies Grades based on current written policy Receive bonus points for including e- cigarettes

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76 Assembly Bill 1594 Bill would have prohibited smoking and the use of tobacco products on all public colleges and universities in California Includes electronic smoking devices Watered-down enforcement language making citations more difficult

77 Tobacco-Free Policy Rationale Increase in published scientific literature on the need for and benefit of 100% smoke/tobacco-free policies Findings reveal a decrease in tobacco use, exposure to secondhand smoke, and littered tobacco waste

78 Tobacco-Free Policy Rationale Tobacco-Free Policy Rationale Decreased Tobacco Use Evidence that workplace and public smoke-free air policies are effective in reducing smoking behavior 100% smoke-free campus policies (college) are an effective intervention in reducing tobacco use among college students During same time period, one institution with a 100% smoke-free policy saw a decrease in smoking from 16.5% to 12.8% compared to an increase from 9.5% to 10.1% at an institution with a 30-ft policy (Seo et al, 2011)

79 Tobacco-Free Policy Rationale Decreased Exposure to Secondhand Smoke Secondhand smoke is a known carcinogen. The Surgeon General has concluded there is no risk-free level of exposure to secondhand smoke. Stanford study on outdoor tobacco smoke concluded that secondhand smoke exposure levels can be significant near an active smoker (Klepeis et al., 2007) AJPH study found as policy strength increased, exposure to secondhand smoke decreased (Fallin et al., 2014) Establishing smoke/tobacco-free environments is the only proven way to prevent exposure

80 Tobacco-Free Policy Rationale Decrease in Littered Tobacco Waste Beaches saw a decrease in littered tobacco waste after the adoption of smoke-free policies As policy strength increases, campuses see a significant decrease in tobacco waste

81 Tobacco-Free Policy Rationale 100% Smoke/tobacco-free policies are also effective in Increasing quit attempts; Decreasing frequency of use; Preventing initiation; Protecting workers not protected by indoor air laws; and Changing social norms around tobacco use.

82 Policy Recommendations Adoption 100% smoke/tobacco-free, including e-cigs and other new products Work with students, faculty, and staff to take on issues Encourage development of a diverse task force Implementation Give a lot of thought and time to implementation Involve all members of campus community in the policy process Integrate policy into multiple departments/offices at institution Compliance and Enforcement Prioritize policy education Recommend a multi-component enforcement plans If possible, write-in language that allows your college to cite with fines (AB 795)

83 Common Concerns and Arguments Smoke/tobacco-free policies lose business because of their policies There s no data to support this belief No campuses have reported a decrease in sponsored events or facility rentals due to their policies Designated areas are better for everyone Designated areas come with many problems: Promote tobacco use Discourage quit attempts Increase littered tobacco waste Create highly toxic areas on campus due to number of individuals using tobacco in one area

84 Common Concerns and Arguments Policies aren t enforceable Many smoke/tobacco-free policies are self-enforcing (changing social norms) Colleges have a number of options for enforcement Policy should only limit smoking, not tobacco Focus of these policies is on the health and well-being of everyone, not just non-smokers Policies prevent initiation of many new products being developed and marketed by the tobacco industry E-cigarettes shouldn t be included, they are a quit device E-cigarettes are not approved (or regulated) by the FDA as a cessation device

85 Potential Challenges Smoking Off Campus Challenges with neighbors Litter on city/county streets Clouds of smoke at entrances/exits Increased fire risk in wooded areas City-Owned Streets University unable to enforce policy on streets owned by the city or county Individuals regularly smoke in these areas Compliance and Enforcement There is no enforcement plan No one wants to enforce the policy People are purposefully violating the policy

86 Potential Challenges Funding and Time Lack of funds to pay for implementation of new policy Limited staff time to implement policy Demand for Cessation Increased demand for services with limited staff Fewer services for staff and faculty Support for Policy Advocates have graduated Other issues appear to be more important Individuals have lost their energy around the issue International Students and Faculty Higher rates of tobacco use Unclear of policy Limited access to cessation services

87 Implementation Best Practices and Enforcement Before the Policy Engage the entire community in the policy process, not just administrators or decision makers Listen to concerns, needs, potential challenges Create a task force to lead the efforts Collect data to show the problem Can be used to show change after the policy has changed Write policy language

88 Implementation Best Practices and Enforcement After Policy Adoption Allow for a lengthy (6 months 1 year) implementation period Opportunity to focus on education, alert individuals of the new policy, promote cessation services Create an implementation plan Common areas of focus: Communications and marketing Education and training Cessation Facilities (signage and ashcans) Policy

89 Implementation Best Practices and Enforcement After Policy Adoption Messaging Keep messages positive Brand the policy Be clear What the policy covers Why policy was adopted Compliance Pair policy messages with cessation messages Develop a compliance/enforcement plan Potential challenges, how to address challenges, etc.

90 Implementation and Enforcement Enforcement Options Passive Voluntary compliance Signage Active Social Approaches Ambassador Programs AIR Approach (Approach, Inform, Refer) Enforcement/Reminder Cards Student Code of Conduct/ Employee Personnel Policies Citations State Education Code Online Compliance Training Community Service Positive Enforcement Signage

91 Policy Ambassador Programs Campus rounds or patrols Pairs or teams Scripting Carry resources/materials Identification Hot Spots used for targeting Tracking experiences

92 Policy Ambassador Programs Pros Does work to increase compliance on campus. Training (and pay) make the process much easier for the volunteers Cons Need dedicated staff to recruit and train Ambassadors Stubborn tobacco-users come to realize that they have no actual authority Ambassadors can become frustrated or disheartened

93 Online Compliance Training Similar to traffic school May be used with or without a fine Quiz ensures violator watches the training Back-end details will be different for each campus

94 Online Compliance Training Pros Adds teeth without the use of fines Policy Violators get to learn about tobacco industry tactics, the environmental impact of tobacco and other topics Cons Needs an enforcer with authority Backend details have to get sorted out (who will follow up?)

95 Recommendations for Issuing Citations Include enforcement language in the policy Focus on education for first 1-2 years of policy Create enforcement plan How will you know if tobacco use continues to be a problem on your campus? What data do you need before considering alternative methods of enforcement?

96 Assembly Bill 795 Campuses have two options: Administrative Fine Fine paid to the university Court Fine Citations through the County Court. Must first get approval through the City Attorney s Office or County Counsel. changelabsolutions.org/tobacco-control This fact sheet explains how public colleges and universities in California can use citations and fines as a tool to enforce smokefree/tobacco-free policies, in order to better protect and promote the health of their students, staff, and visitors. cyanonline.org December 2013 Understanding AB 795 Using Citations and Fines to Enforce Smokefree Campus Policies in California s Public Colleges and Universities The health risks associated with smoking and tobacco use are well known. Tobaccorelated disease is the leading cause of preventable death in the United States, accounting for an estimated 443,000 deaths every year, due to heart disease, cancer, stroke, emphysema, and other respiratory diseases. 1,2 Secondhand smoke is also a leading cause of death, with the U.S. Centers for Disease Control and Prevention estimating that approximately 50,000 nonsmokers die every year from diseases caused by secondhand smoke. 3 Colleges and universities throughout the United States are strengthening their tobacco use policies to protect the health and well-being of their students, employees, and visitors. Unfortunately, even with stronger smokefree/tobaccofree policies, secondhand smoke may drift into buildings, cigarette litter may be a persistent problem on campus, and compliance with policies may be minimal. As a result, colleges may seek to increase compliance by issuing citations and fines to individuals who violate a campus tobacco use policy.

97 Citations: Administrative Fine Pros Easier for campus to set up Can make fines very small Money can be used for policy education, enforcement, and cessation Less severe than student code of conduct/ disciplinary letter from HR Cons Backend logistics must get sorted out by police or administration Must create a process for mediation

98 Citations: CSU Education Code Education Code CSU Board of Trustees can establish rules and regulations Allows CSU police officers to issue citations to individuals violating the smoke/tobacco-free policy. Misdemeanor Already included in the county bail schedules.

99 Going through the County Courts/Using the Education Code Pros Backend logistics are handled by the court system No mediation Cons Court fees make citations more harsh Should tobacco-use be considered a misdemeanor? If you re not a CSU, you must first get approval from the City Attorney's Office our County Counsel

100 Upcoming Opportunities Great American Smokeout November 16 Registration due this Friday CSU Los Angeles Training November 8 UC/CSU Smoke/Tobacco-Free Policy Workshop December 7 (Oakland, CA) Compliance Interventions Year 1: University of California campuses Year 2: Any California campus (15 sites)

101 Questions? Comments? Katie Moose Sal Ramirez Kim Homer Vagadori (916) catobaccofreecolleges.org