Cultivating the Smoke-Free Campus MovementThe Ontario Public Health Convention

Session 45; March 28, 2019

• None of the presenters at this session have received financial support or in-kind support from a commercial sponsor.

• None of the presenters have potential conflicts of interest to declare.

DAILYBEFORE

AGE 26

99%THERE IS

NO

↑

Key components:

• bans the use of any smoke product, everywhere on campus property, at all times

• applies to all facilities, property, and vehicles

• applies to all students, faculty, staff, and visitors on campus

Healthier Environment

Reduced Risk of Fire

Reduced Exposure to SHS

Reduced Risk of Legal Action

Community Leader

Social

Justice

Environmental

ImpactEconomic

Implication

Health and

Wellness

Cultivating the Smoke-Free Campus MovementThe Ontario Public Health Conference

March 29, 2019

|

Deb Garland

Program Manager,

Engagement & Wellness

Human Resources Services

SinceJanuary 1, 2018

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McMaster is Ontario’s FIRST 100% Tobacco and Smoke-Free Campus

“McMaster is globally recognized for its commitment to innovation and advancing health and societal wellbeing through our research, teaching and community service. A tobacco and smoke-free campus is the next important step toward fulfilling our responsibilities as educators, healthcare professionals and to the communities we

serve”.

Patrick Deane, President and Vice-Chancellor

| 11

McMaster is Ontario’s FIRST 100% Tobacco and Smoke-Free Campus

“McMaster is globally recognized for its commitment to innovation and advancing health and societal

wellbeing through our research, teaching and community service. A tobacco and smoke-free campus is

the next important step toward fulfilling our responsibilities as educators, healthcare professionals

and to the communities we serve”.

Patrick Deane, President and Vice-Chancellor

| 12

To create a working and learning

environment that promotes health and wellness in support of the

Okanagan Charter

It’s the next important step

towards fulfilling our responsibilities

as educators, healthcare

professionals and to the communities

we serve

Commitment to innovation and

advancing health and

societalwell-being

| 13

To create a working and learning

environment that promotes health and wellness in support of the

Okanagan Charter

It’s the next important step towards fulfilling

our responsibilities as educators,

healthcare professionals and

to the communities we serve

Commitment to innovation and

advancing health and

societalwell-being

| 14

Tobacco & Smoke-Free

Campus Committee

Leave the Pack Behind

(students)

Hamilton Public Health (UFF &

Nursing students)

Healthy Workplace Committee (employees)

Great Idea Initiative

(anonymous)

Smoke-Free Ontario Act

Organizational Priorities(senior leaders)

|

Communicate

15

Assess

Implement

Prepare

Evaluate

1 2 3

4 5

Adapt

6

|

Assess• McMaster’s current smoking policy

• Smoke-Free Ontario Act and related legislation

• Best practices and learnings from Canadian colleges and Universities who had planned or were successful going smoke-free

• Research related to smoking cessation, smoke-free workplaces and post-secondary institutions (mainly U.S.)

• Current smoking cessation supports for staff, faculty, undergraduate and graduate students

• Project resources and timelines (who and when); build a committee to support

• Review Sun Life, Homewood Health, NCHA, LTPB data and UFF intercept data

16

1

|

Prepare• Expand working committee

• Develop work plan

• Identify and consult with campus partners, affiliates and stakeholders

• Information and feedback to/from our leadership team (PVP)

• Conversations with Hamilton Public Health

• Strong support of evidence-based best practices to help inform decisions

• Case studies and successes from similar organizations

• Resources

• Communication support

• Training strategy

17

2

|

Communicate

18

3

|

Communicate

• Receive feedback on policy

• Facebook live event: One Day Stand

• E/LR consults with employee bargaining agents

• Policy draft available for feedback from community

• Approval to Board of Governors

• Support on-campus organizations as they update their contracts/agreements

• Field questions through a designated smokefree@mcmaster.ca email address; topics related to accommodations, designated smoking areas and compliance

19

3

|

Communicate

Highlights from the Policy

• Policy is aligned with McMaster’s commitment to advancing health and societal well-being

• Supports our signing of the Okanagan Charter for Health Promoting Universities

• Includes all tobacco, cannabis and smoking products including oral smoking devices – “gold standard policy”

• Burning of sacred medicines as part of Indigenous culture is permitted

• Applies to the entirety of McMaster’s central campus, and all other McMaster-owned properties

• Applies to all members of the University community – staff, faculty, students, visitors, contractors, volunteers, etc.

• Accountability and enforcement falls with every member of the McMaster community with strong support from our Security team

20

3

|

Implement

21

4

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Supports

• Employee & Family Assistance Program (EFAP)

• Enhanced Sun Life Health Benefits

• STOP on the Road Cessation Workshops

• RNAO Best Practices training for Occupational Health Nurses

• Customized workshop for employees supporting individuals through cessation (how to help)

• Customized support for employees at different sites (i.e. Burlington Campus)

• Toolkit for people leaders: how to prepare your team, supports, FAQs, etc.

• Health promotion newsletters

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• Support from Leave The Pack Behind

– NRT has always been offered (online and in campus clinic)

– 1DayStand

– Smoking Cessation Programs

• Party Without The Smoke Challenge

• Wouldurather…Contest

• Increased capacity

– Tobacco Intervention Workshop (in collaboration with RNAO)

– TEACH training program for 2 clinic nurses

– Hamilton Public Health training for nurses, physicians and several student groups

Supports

|

To understand and measure the impact of the Tobacco and Smoke Free Campus policy on:

• Exposure to second-hand smoke and tobacco

• Awareness of policy

• Compliance of policy

• Interest in reduction and cessation

• Smoking behaviour

24

Evaluate

5

|

Evaluate

• 1602 people accessed the survey and 1478 completed (completion rate of 92.3%)

• Staff (44.3%), Undergraduate Students (36.9%), Faculty (7.5%), Graduate Students (6.1%), Visitors/Volunteers/Other (5.3%)

• Majority used central campus 1280 Main St W (91.7%)

25

5

*Wilcoxon signed ranks test comparing median response: P < 0.0001

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Adapt

26

6

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Educate/Consult

7

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• Multi-pronged approach– Get buy-in from multiple groups (top, bottom, sideways)

• We’re competitive – tell us about others’ success• Keep the conversation percolating and be available• Have related research and best practices ready to help

guide decisions• We like free stuff • Educate yourself about other college/university successes

and challenges – I’m happy to chat!– Recording of Knowledge Transfer session on Facebook– Leader toolkits and further supports on website

https://dailynews.mcmaster.ca/smoke-free-campus/

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Cultivating the Smoke-Free Campus MovementThe Ontario Public Health Conference

March 29, 2019

• Tim Jackson – parent of two kids at George Brown College Casa Loma Child Care Centre

• Share my story of advocating for smoke free space at George Brown College Casa Loma

• Parent/Advocate/Community member perspective (to complement Deb @ MAC)

• Feb 2016 – Sophia has asthma attack, hospitalized at Sick Kids

• Fall of 2016 – Sophia starts at George Brown College Casa Loma daycare

• Fall of 2016 – nursing students from Trent identify smoking as a concern near daycare playground

• Fall 2016 – I start to validate the nursing student observations, reveals smoking a long standing problem

-

• March 2017 – Meet with Anne Sado(President of College), and Adrienne Galway (assistant to President)

• Summer of 2017 – passed to Gerard Hayes (Director of Student Experience)

• Summer of 2017 – Hayes convenes meeting with College stakeholders

• Fall 2017 – no major smoking policy announcement from George Brown College

• Oct 2017 – I do an interview with the student newspaper to raise awareness

• Fall 2017 – Fall 2018• Little communication, emails go unanswered• TPH getting involved • LTPB survey

• Summer 2018 – almost do CBC interview

• August 2018 – George Brown College announces adopting smoke free policy

• Epilogue• My wife emails to thank them, no answer

• I asked College if they wanted to provide info on the policy for this presentation, no answer

• Help institutions get connected to information at grassroots

• Many stakeholders involved + power in coordination

• Work with those who have power to make changes

• Process is not linear, pressure accumulates, wait for right window

• ‘Social proof’ – others are going smoke free

• Policy has a huge and personal impact on people (it’s not an abstraction)

Taking Action:

Organize - Visit SmokeFreeCampus.ca- Read the Guidebook- Explore the Dropbox- Review the Provincial Environmental Scan- Engage stakeholders

Develop- Draft new policy in reference to the gold standard

Educate - Hold a One Day Stand

Promote Cessation

Sticky pad

Sample Smoke-Free

Policy

Dropbox

Fall: November 13th, 2019

Winter: March 18th, 2020

Sticky pad

Sample Smoke-Free

Policy

Dropbox

Promotional 1DayStand

Poster

Media Release Template

Promotional 1DayStand

Flyer

For Young Adults: For Staff & Faculty:

• NRT/pharmacotherapy via benefits &/or PHU

• Individual counselling

• STOP on the Road workshops

• Smokers’ Helpline

of free patches/gum

• Pharmacotherapy (OHIP+ or Student Benefits)

Deb Garland - dgarland@mcmaster.ca

Tim Jackson - tjackson@jacksonleadership.com

Jennifer Ryder - jryder2@brocku.ca

Melissa van Zandvoort - Melissa.vanzandvoort@smdhu.org