Tennessee Tobacco Prevention Training
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Transcript of Tennessee Tobacco Prevention Training
Tennessee Tobacco Prevention Training
September 29, 2014 – MurfreesboroOctober 2, 2014 – KnoxvilleOctober 8, 2014 – Jackson
Agenda
• Policy Change Works—Grassroots policy change
• National Partners: ACS, ALA, AHA• QuitLine update• Community Project Sharing• Mini Grant announcement
• Funded by Tennessee Department of Health
• Website www.tnantitobacco.org • Annual Training• Advocacy• Public Relations Campaign• Promoting the TN QuitLine
1-800-QUITNOW• Technical assistance
Services
Staff
• Dr. Jo Edwards - Director• Gail Hardin, MS, MCHES– Program
Manager• Regina Hendon, CPS—West TN• Emmalene Palmer, BS – Middle TN• Keith Shultz, BS, CPS – East TN
Learning Objectives
• Describe the steps in developing a strategy for policy change
• Apply the steps to create a plan for policy change • Identify some key national partners for tobacco
control• Describe how the TN Tobacco QuitLine works• List some examples of successful local tobacco
prevention and cessation projects
We know what worksSustained funding of comprehensive programs
Excise tax increases
100% smoke-free policies
Aggressive media campaigns
Cessation access
Comprehensive advertising restrictions
We know what worksSource: CDC “Tobacco Control: A Winnable Battle”
When cigarette prices increase, cigarette sales decrease
Source: ImpacTeen Chartbook: Cigarette Smoking Prevalence and Policies in the 50 States.
Increasing excise taxes increasesprice
• 10% increase in cigarette prices 4% drop in adult cigarette consumption
• Youth much less likely to start smoking when prices are high
• Adjust taxes to offset inflation and tobacco industry attempts to control retail prices
• E.g., promotional discounts for retailers who reduce cigarette prices
• Tobacco taxes are the single most effective component of a comprehensive tobacco control program
Source: CDC “Tobacco Control: A Winnable Battle”
Why policy change?
Prevent heart attacks Help motivate smokers to quit Worker safety issue – not “personal nuisance”
• All workers deserve equal protection
• Only way to protect non-smokers from secondhand smoke
Smoke-free workplace laws don’t hurt business No trade-off between health and economics
CDC: Smoke-free Policies Save Lives
Source: CDC “Tobacco Control: A Winnable Battle”
“We are continually faced with great opportunities which are brilliantly disguised as unsolvable problems.” ― Margaret Mead
Policy Advocacy vs. Lobbying
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
• Policy: any plan or course of action adopted by a government, political party, business, business organization , non-govt org, private group, etc.
• Is designed to guide, influence and determine decisions and actions.
• Policy Advocacy: the act of generating, influencing, and implementing policy
Policy Advocacy vs. Lobbying
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
• Direct Lobbying happens when you communicate with legislators or government officials involved in legislation and you try to have an impact of the way they act with regards to a specific piece of legislation or ballot initiative
• Indirect Lobbying, also called grassroots lobbying is any attempt to influence legislation or impact the results of a ballot initiative by affecting public opinion and calling people to action.
Advocating or Lobbying?
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
Ask local grocery store and gas station owners to voluntarily remove self-service tobacco machines.
• Advocating?• Lobbying?
Call community members to ask the to vote “yes” on a new clean indoor policy act recently placed on the ballot.
• Advocating?• Lobbying?
Advocating or Lobbying?
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
Place an ad on a local newspaper’s online site informing the public about the dangers of secondhand smoke
• Advocating?• Lobbying?
Contact legislators or other government employees to influence votes on pending clean air ordinance.
• Advocating?• Lobbying?
Advocating or Lobbying?
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
Make presentations to community organizations to garner support and endorsements for smoke-free public places.
• Advocating?• Lobbying?
Send a newsletter on anti-tobacco issues to community members, city councils members & local restaurant owners.
• Advocating?• Lobbying?
Direct Action Organizing
Midwest Academywww.midwestacademy.com
All information that follows is taken from this resource
• Based on Self Interest & Relationships• Win real, immediate concrete improvement• Give people a sense of their own power• Alter the relations of power
The Basics of DAO
Relationships
• Caring about others• Treating everyone respectfully regardless of
status or lack thereof.• Judging not—refuse to talk negatively about
others (except for target of your campaign!)
Forms of Community Organizing
Direct Service Self-Help Education Advocacy Direct Action
Challenges ExistingPower Relationship
Accepts ExistingPower Relationship
Source: Organizing for Social Change, by Midwest Academy
• Win real, immediate concrete improvement• Give people a sense of their own power• Alter the relations of power
Three Principles of DAO
Source: Organizing for Social Change, by Midwest Academy
Issue Campaign
• To win a victory on a specific issue• Issue = specific solution to a problem• Power:
• Deprive the other side of something it wants• Give the other side something it wants• Elect someone who supports your issues
Source: Organizing for Social Change, by Midwest Academy
Illusions about Power
Often people believe they will win because: • They are right• Truth is on their side• They have the moral high ground• They have the best info & it is spelled correctly • They speak for large numbers of people
Source: Organizing for Social Change, by Midwest Academy
Tricks the other side uses
• “Let’s negotiate”• Invitation to “Stakeholders Meeting”• “I can get you on the Expert Panel”• “Just work it out among yourselves”• “I’m the wrong person”• “This could affect your funding”• “You’re reasonable, but your allies aren’t,
can’t we just work with you?”• “I agree with you, but there just isn’t any $”
Source: Organizing for Social Change, by Midwest Academy
Stages of an Issue Campaign
1. Choose issue and develop strategy
2. Open communication with the Decision Maker
3. Announce the campaign
4. Begin Outreach Activities
5. Stage Direct encounters with Decision Makers
6. Build your organization
Source: Organizing for Social Change by Midwest Academy
Analyze the Problem
• Problem = broad area of concern• Issue = define a solution or partial solution
to the problem
A good issue should…
1. Result in a real improvement in people’s lives
2. Make people aware of their own organized power
3. Alter the relations of power
4. Be worthwhile
5. Be winnable
6. Be widely felt
A good issue should…
7. Be easy to understand
8. Have a clear decision maker
9. Have a clear time frame that works for you
10.Be non-divisive
11.Build leadership within your organization
12.Set up your organization for the next campaign
13.Pocketbook Angle (get people $, save people $)
14.Be consistent with your org’s values & vision
Source: Organizing for Social Change, by Midwest Academy
“The best thing you can do is the right thing;
the next best thing you can do is the wrong thing;
the worst thing you can do is nothing.”
- Theodore Roosevelt
Developing a Strategy
Strategy• A method of gaining enough power to
make a government or corporate official do something in the public’s interest that he or she does not otherwise wish to do
Source: Organizing for Social Change, p. 30
Strategy
• It’s always better if the decision-maker voluntarily agrees
• Therefore, start with• A contact by phone, email, letter• Meeting & conversation
• Explain the facts on your side, how much people need the change, how the change will advance the target’s career
Midwest Academy’s Strategy Chart
GOALS Organizational Considerations
ConstituentsAlliesOpponents
TARGETSDecision Makers
TACTICS
What we want to WIN!
Resources that members and organizations bring
Who will join us?
Who will oppose us?
Primary Targets
SecondaryTargets
PetitionsEmailsMediaHearingsAccount-ability Session
Goals
• Long-Term Goals—a vision of what can be accomplished
• Intermediate Issue Goals—what you hope to win in this campaign—a solution to the problem
• Short-Term Issue Goals—steps toward your Intermediate goals
GOALS Organizational Considerations
Constituents
AlliesOpponents
TARGETSDecision Makers
TACTICS
Long range: Youth tobacco use by 10% by 2020Mid tobacco taxes by $xxxShortGrow grassroots…
Resources that members & orgs bring
Who will join us?
Who will oppose us?
Primary Targets
SecondaryTargets
PetitionsEmailsMediaHearingsAccount-ability Session
Organizational Considerations
• What resources can your organization contribute? Staff time, Money, etc.
• What do you want to get out of the campaign in addition to winning the issue
• Visibility?• More partners?• Fundraising?
• An organization should come out stronger than before the campaign even if it loses the issue
Source: Organizing for Social Change, by Midwest Academy
GOALS Organizational Considerations
Constituents
AlliesOpponents
TARGETSDecision Makers
TACTICS
Long range: Youth tobacco use by 10% by 2020Mid tobacco taxes by $xxxShortGrow grassroots…
ALA: staff time, grassrts network, can lobbyPri. Care Assn: can lobby, meeting facilities, communications network
Who will join us?
Who will oppose us?
Primary Targets
SecondaryTargets
PetitionsEmailsMediaHearingsAccount-ability Session
Constituents & Allies
• Who cares about this?• What could they win or lose?• What power do they have?• How are they organized?
Opponents
• Groups, individuals, institutions that stand to lose or be upset if you win
• What will your victory cost them?• How actively will they oppose you?• Avoid engaging opponents during the campaign• Don’t hold debates with them unless you expect to win over
larger numbers of their base
• Put more emphasis on researching opponents’ weaknesses and developing strategies that maximize your strengths
Targets
• Always a PERSON• Who can make the decision or
strongly influence it?• List all possible people who can give
you what you want• List reasons each target has to
oppose you as well as to agree with you
Source: Organizing for Social Change, by Midwest Academy
Tactics
• This column always filled out LAST• Always be connected to the larger strategy• Should be fun!• Should be within the experience of your
members, but outside the experience of your targets
Tactics--Examples
• Media Events• Meetings with Elected Officials• Public Hearings• Accountability Sessions• Elections• Negotiations
Source: Organizing for Social Change, by Midwest Academy
Criteria for Tactics
• Focused on the Decision-Maker or Secondary Target
• Puts power behind a specific demand• Meets your organizational goals as well as your
issue goals• Outside the experience of the target—something
they do not expect• Your organization members are comfortable doing
the tactic
Tactics
• Petitions – online or on paper• Letter writing—send in half to the target, bring the rest
with you to present him/her with a big stack of letters• Media Events• Turnout Events—the groups that get people coming out are
the ones that get attention • 7 calls = 1 “yes”• Get the message to people in at least 3 ways
• Face-to-Face Meetings • Come with specific demand• Have 1 back up demand
Visits with public officials
• Bring 15-25 people• Usually better to meet with elected officials than
appointed ones• Geographic & political considerations• DON’T recruit people you don’t really know!• One spokesperson, but introduce everyone and their
connection to the issue or to the official
• Have a specific demand and a fall back demand
Holding your own hearing
• Establishes your group as an authority on the issue• Outreach to other groups• Show off your supporters• You control almost every aspect. It does NOT show the
opposing view. • Fun and not difficult to do• Good training for your leaders• Save the strongest speaker to last • Close with call to ACTION and NEXT STEPS
Famous Elected Official Lies
Source: Organizing for Social Change, by Midwest Academy
• “I was just about to do what you want, but because you came here like this, now I won’t.”
• “I never respond to pressure. I always make up my own mind.”
• “Look, I’m your friend.”• “There’s just no money.”
Model Policies from CDC http://www.cdc.gov/nccdphp/dch/programs/CommunitiesPuttingPreventiontoWork/resources/tobacco.htm
Public Health Law CenterLink available from Public Policy section on our website www.tnantitobacco.org
Local efforts to regulate e-cigs /vaping
• Bradley County Commission passed resolution banning e-cigarettes in govt buildings. 6/2/14
• City of East Ridge City Council passed ordinance banning use of e-cigs and vapor products in city buildings 6/27/14
• Washington County Commission banned vapor products in county buildings 7/6/14
• TN State Fair (Nashville) added e-cigs to their tobacco ban 5/14
Source: Smoke Free TN, news reports
Local E-cigs regulation
School Boards amending their policies to include e-cigs and/or vapor products• Blount County Board of Education on 5/14• Crossville Board of Education 6/2/14• Cumberland County Board of Education• Lebanon Board of Education 6/14 • Robertson County Board of Education 7/7/14
Local E-cigs regulation
Colleges banning e-cigs or vapor products as part of their tobacco policies
• ETSU• Motlow• MTSU• Vanderbilt
“Change will not come if we wait for some other person, or if we wait for some other time.
We are the ones we've been waiting for.
We are the change that we seek.” ― Barack
Obama
TN QuitLine Update
Presenter: Pamela Graef Luckett,
MCC, LPC, CTTSDirector, Tobacco Quitline
IQH, Information & Quality Healthcare
TN QuitLine Update
• IQH, Information and Quality Healthcare – description of the organization and history of experience with tobacco quitlines
• QuitLine Service Descriptions• Days/Hours of operation• QuitLine staff qualifications• Productivity Statistics
TN QuitLine Update
Fax/Referral • Recommendations for use• Where to find it – how to send it• What to expect in return
What to expect when you call• During open hours• During after hours
What to expect if you go online for treatment