Experiences in developing policy to eliminate tobacco use on post-secondary campuses: A documentation of practice study

Transcription

1 Welcome to today s webinar: Experiences in developing policy to eliminate tobacco use on post-secondary campuses: A documentation of practice study Kernoghan, A., Lambraki, I., Honsberger, N. & Garcia, J. Presented by: Janet Allen, Anthany Beatty, Alison Kernoghan, and Jennifer O Brien TIME: 10:30 A.M. 12:00 P.M. FOR AUDIO: Call (647) (if you are located within the GTA) or +1(866) (toll-free) Access code: # If you are having technical difficulties, please call

2 POLL: Who s There? How many people are attending today s webinar with you? *Please count yourself plus anyone else in the room who is sharing your login credentials or more (Please enter into the chat box the number of people attending this webinar with you) 2

3 Today s Speakers Janet Allen is the tobacco control coordinator at Algoma Public Health. She has been practicing nursing for over 30 years with the last 25 years involving chronic disease prevention, specifically tobacco control. Throughout this time she has assisted with and continues to provide coordination of numerous tobacco related policies, projects and partnerships both locally and regionally. Janet Allen Algoma Public Health

4 Today s Speakers Anthany Beatty University of Kentucky Anthany is the Assistant Vice President of Campus Services and Public Safety at the University of Kentucky where he is responsible for areas that include the University of Kentucky Police Department, Office of Crisis Management Preparedness, Parking and Transportation Services, and Environmental Health and Safety. Formerly with the Lexington Police Department, Anthany achieved every rank in the division before being appointed Chief of Police in His first foray into tobacco control for population health was during his tenure as chief of Police when the city of Lexington went smoke-free in public buildings and facilities.

5 Today s Speakers Alison Kernoghan Alison manages research and evaluation projects that focus on capacity development and tobacco control at the Propel Centre for Population Health Impact. One of these is an ongoing Documentation of Practice project in partnership with the Program Training and Consultation Centre. Practice-based evidence is generated through this project which documents the development and implementation of innovative tobacco control practices occurring at Ontario public health units. Propel Centre for Population Health Impact

6 Today s Speakers Jennifer O Brien Leave the Pack Behind Jennifer joined Leave The Pack Behind in Now, as the Acting Assistant Manager of Communications and Programming, Jennifer co-steers the programming directions of Leave The Pack Behind on-campus and in communities across Ontario. She actively collaborates with public health units, government partners, non-government organizations and various other stakeholders, to increase availability and access to Leave The Pack Behind s evidence-based programs and services for young adults.

7 Experiences in developing policy to eliminate tobacco use on post-secondary campuses: A documentation of practice study Presented by: Janet Allen, Anthany Beatty, Alison Kernoghan, and Jennifer O Brien PTCC Webinar - December 14, 2016 Suggested citation: Kernoghan, A., Lambraki, I., Honsberger, N., & Garcia, J. (2016). Documentation of Practice: Experiences in Developing Policy to Eliminate Tobacco Use on Post-Secondary Campuses. Toronto, Ontario: Program Training and Consultation Centre and the Propel Centre for Population Health Impact, University of Waterloo. Founded by:

8 Background Propel Centre for Population Health Impact Founded by the Canadian Cancer Society and University of Waterloo, the Propel Centre for Population Health Impact is a pan-canadian platform for engaged scholarship to prevent cancers, other chronic disease and their behavioural and environmental causes. Program Training and Consultation Centre (PTCC) Resource centre for the Smoke-Free Ontario Strategy - mandated to build the capacity of health providers to execute the strategy. Documentation of Practice Studies Generate evidence from practice by documenting local level tobacco control initiatives. 8

9 TF/ SF Campus Project Rationale and purpose Higher smoking prevalence among young adults (20-24 years) 800, 000 post-secondary students in Ontario Study the successes and challenges of 3 postsecondary institutions and their partners in their efforts to adopt 100% tobacco- or smoke-free (TF/SF) policies 9

10 Polling Question 1 What level of experience do you have in working on tobacco- or smoke-free (TF/SF) campus initiatives? No direct experience to date Exploring we are starting conversations and examining options but don t have a resourced plan at this time Mobilizing we have begun advancing our plan, but have a ways to go Championing we have made strong progress and continue to strategize as we move forward 10

11 Case Selection Case selection criteria were identified through discussions with PTCC staff, experts in tobacco control (e.g. LTPB), and literature reviews: Post-secondary schools that have made efforts to, or have adopted 100% TF/SF policies Public universities or colleges from Canada or the U.S.A Cases should include differing numbers of campus sites Cases should include those with varying distances to campus boundaries and different campus footprints 11

12 Methods Semi-structured interviews with 2-4 informants per case (10 total) Interviews with 4 additional informants who have been involved with TF/SF campus initiatives but not featured as a case Informants represented roles including campus faculty and staff, school administrators, an ambassador from Leave the Pack Behind and public health practitioners Supplementary documents were also reviewed Individual and cross case analysis completed

13 Cases 13

14 Agenda Overview of individual case stories University of Kentucky Niagara College Sault College Key mechanisms that were important for TF/SF campus policy development and adoption Presenters will respond to questions Overview of all mechanisms with opportunities for public health participation Wrap up Opportunities to ask questions throughout 14

15 An Equal Opportunity University

16 Kentucky U.S Total Men Women Centers for Disease Control and Prevention, 2008 (gender estimates for 2006) An Equal Opportunity University

17 305 colleges and universities have enacted a 100% tobacco-free campus policy, both indoors and out with no exemptions (Americans for Nonsmokers Rights, 2009) 3 out of 10 UK students use some form of tobacco (UK Survey, May 2009) 64% of UK students felt positive or very positive about the campus becoming tobacco free (UK Survey, May 2009) An Equal Opportunity University

18 November the University adopts a smoke-free policy for all University buildings, structures, and vehicles (indoor only). November the University adopts a tobacco-free policy for the medical campus and health care facilities (indoor and outdoor). November 19, 2009 the University expands the tobacco-free policy to the entire campus and all University properties in Fayette County. An Equal Opportunity University

19 Faculty Senate College of Agriculture Dining Services Testing & Counseling University Neighborhood Advisory Council Human Resources Physical Plant Division Bluegrass Community Technical College Graduate Student Congress Research Resident Student Association Residence Life Hilary J. Boone Center University Libraries Staff Senate Student Government Auxiliary Services Athletics University Health Services University Architect Student Affairs Public Affairs Office of Legal Counsel Real Property Office UK HealthCare External Affairs Enrollment Management Dean s Council An Equal Opportunity University

20 A Healthier Campus for everyone Free Programs with Free Nicotine Replacement Gum or Patches Deeply Discounted Nicotine Gum and Patches for at campus convenience stores, hospital gift shop, and pharmacies A complete list of resources are available at Compliance with the Tobacco-Free Policy is expected. Violations of the policy will be subject to corrective action according the Student Code of Conduct, with the responsible party being the Dean of the appropriate college, Dean of Students, or Office of Residence Life An Equal Opportunity University

21 Beginning Nov. 19, 2009, the use of any tobacco products (cigarettes, chewing tobacco, pipes, cigars, snuff, electronic cigarettes, hookah, etc.) will not be allowed anywhere on campus, including all areas indoors and outdoors, and all University owned, operated, leased, and/or controlled properties within Fayette County. An Equal Opportunity University

22 Questions? Please enter your questions and comments in the chat box. If you are experiencing technical difficulties, please your question(s) to An Equal Opportunity University

23 Niagara College Established in 1967 Spread over three campus locations within the Regional Municipality of Niagara More than 9,000 full-time students enrolled in over 100 programs More than 15,000 Continuing Education Registrants each year Policy in place which goes beyond the Smoke-Free Ontario Act by restricting smoking to designated smoking areas on campus 24

24 Leave the Pack Behind Tobacco control program funded by the Ministry of Health and Long-Term Care that offers free, proven age-tailored quit-smoking resources Services young adults years of age Operates on all 44 post-secondary campuses and in communities across Ontario On campus, hires and trains student peer-teams to implement social marketing campaigns, promote age-tailored interventions and support tobacco policy work

25 Policy change at Niagara College STEP ONE Identify concerns and gaps in current policy STEP TWO Meet with key campus stakeholders and policy makers STEP THREE Establish a Smoking Control Committee to address issues STEP FOUR Survey students/staff on 100% smoke-free campus STEP FIVE Policy updated and raise awareness of policy change 26

26 Adding policy to the agenda Student/Staff concerns about tobacco use on campus: Lack of knowledge on where students/staff/visitors could use tobacco on campus Campus grounds had inconsistencies with smoking signage and the website s policy information was not readily accessible Second-hand smoke exposure for others Campus administration was interested in improving student health and had environmental concerns related to tobacco use and improving the campus grounds

27 Smoking Control Committee On-campus stakeholders: Campus Administration Human Resources Health & Safety Facility Management Services Student Services Student Administration Council Off-campus stakeholders: Leave The Pack Behind Niagara Region Public Health Student Health & Counselling Services (including the LTPB peer-team) Campus Security & Parking Services

28 Considering a 100% smoke-free campus Designated smoking areas were starting to be used Due to lack of enforcement, smoking was still a prevalent issue across campus Committee continued to meet to address issue of smoking on campus and to explore alternative options The committee agreed that it was a good idea to go 100% smoke-free but that more research was required to determine what it would take to adopt a policy such as this and what barriers /concerns might exist

29 100% smoke-free campus As the committee considered the option of a 100% SF campus, a smoke-free sub-committee was formed to examine the benefits and drawbacks of a 100% SF policy A survey developed by Leave The Pack Behind was distributed by the college Majority of respondents were staff (~95%) Favourable support for SF/TF campus environment

30 Planning a 100% smoke-free campus A policy sub-committee began planning a comprehensive 100% smoke-free campus policy Leave The Pack Behind student team conducted walk-abouts to educate the college community on changes to the policy

31 Planning a 100% smoke-free campus A communication campaign sub-committee formed to address the need for a communication plan A comprehensive policy plan must include the provision of cessation supports for faculty, staff, and students Leave The Pack Behind offers cessation supports for students include free nicotine replacement therapy (patches and gum) accessible through LTPB and counselling for cessation through the campus health clinic

32 Where policy adoption stalled Enforcement concern: If a smoke-free policy lacks teeth it isn t going to be effective. The committee proposed a process by which a first-time violator would be given a verbal warning Any subsequent violation would receive a monetary fine When the enforcement plan was presented to college s legal department, there was no support Cited the college s inability to levy monetary fees to students, staff or guests found smoking Efforts to move forward with adopting a 100% Smoke-free campus have stalled and issuing fines for enforcement has been removed from the revised policy.

33 Lessons learned Ensure comprehensive representation and attendance at committee meetings Administration is interested in hearing from students There is a need for effective enforcement Ensure that the institutions policy is easily accessible and made available to new students, staff and visitors A common concern for institutions is a change (drop) in student enrollment

34 Questions? Please enter your questions and comments in the chat box. If you are experiencing technical difficulties, please your question(s) to 35

35 A comprehensive approach to becoming a smoke free campus 2013 International Alliance for Invitational Education (

36 How did Public Health Partner with the College to Support Development of the Policy?

37 What Was the Role of Public Health throughout the Policy s Development?

38 The Clean Air Committee and Its Approach to Smoking Policy Development Phased in approach Consideration of inclusion in municipal smoking bylaw Inclusion of vaping and waterpipe use Addressing other substances intended for inhalation DSAs away from entrances

39 What Stalled the Implementation of Phase 2? Impacts on enrollment The addiction perspective High smoking rates in some programs Smoking off campus Safety Emerging products

40 Lessons Learned Ensure comprehensive attendance at committee meetings Facilitate a closer connection between the committee and the campus executive team Include significant student representation on the committee Develop clear expectations at the outset of the policy development process Be prepared to counter opposing forces

41 Recognize this is not a priority for everyone on the committee Public Health as a consultant can only make suggestions Mobilizing support throughout the process/make the positive voices heard Faculty benefits package negotiated provincially for Colleges with no cessation support presently included Increase utilization of the policy as an opportunity for College student program placements

42 Questions? Please enter your questions and comments in the chat box. If you are experiencing technical difficulties, please your question(s) to 43

43 The key to getting TF/SF policy on the agenda was commitment from champions, most significantly from the campus administration. Can you tell us how this played out in your case? 44

44 A key to building buy-in and acceptance of the policy was developing a brand that people identify with. Can you tell us how this played out in your case? 45

45 Another key to building buyin and acceptance was by educating and including the campus community in the process to build ownership of the policy. Can you tell us how this played out in your case? 46

46 Key mechanisms and implications for practice Commitment from campus administrators to get TF/SF campus on the policy agenda and see it through Relationship building Connect with Leave the Pack Behind Assist with grant applications Maintain close engagement with campus administrators and those who oppose the initiative 47

47 Key mechanisms and implications for practice A shared understanding and vision among stakeholders involved in policy development Provide resources and encourage comprehensive policy development Ensure broad representation on planning committees and support the development of shared understandings Work with Leave the Pack Behind to mobilize student involvement 48

48 Key mechanisms and implications for practice Broad identification with a policy brand and policy ownership by the campus community Assist with brand development, providing a comprehensive health promotion and youth engagement perspectives Provide information on engagement strategies and connections to local media Assist with the development of communication and promotional campaigns using a range of strategies 49

49 Opportunities Connect campuses to other organizations in the community that have gone SF (e.g. long term care facility or hospital) Provide student practicum opportunities to generate data to support TFSF campus policy initiatives Encourage campuses and adjacent hospitals to move forward with TF/SF campus policies in a coordinated manner. 50

50 Polling Question 2 Have you incorporated or do you plan to incorporate any of the suggested strategies into your work with post-secondary campuses to (check all that apply). get TF/SF campus on the policy agenda? encourage shared understandings and vision among stakeholders? ensure broad identification with a policy brand and policy ownership by the campus community? 51

51 Questions? Please enter your questions and comments in the chat box. If you are experiencing technical difficulties, please your question(s) to 52

52 Acknowledgements Informants: We would like to thank our speakers for supporting this presentation as well as the numerous other case informants for sharing their insights and supporting the project: Informants from Algoma Public Health, Leave the Pack Behind, Niagara College, Niagara Region Public Health, Sault College, the University of Kentucky and additional informants who have been involved in other TF/SF campus initiatives in Ontario. PTCC: We would like to thank PTCC for their support of the study from conceptualization to knowledge exchange as well as the funding provided. 53

53 For More Information Reports: Individual and cross-case reports are available on the PTCC website: Contact information: Dr. Irene Lambraki, Research Assistant Professor School of Public Health and Health Systems, University of Waterloo ext

54 The Propel Centre for Population Health Impact was founded by the Canadian Cancer Society and the University of Waterloo

55 Thank you for participating Your feedback is important to us! A link to our webinar survey will be ed to you following this webinar. 56

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