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Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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Page 1: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Tennessee Tobacco Prevention Training

September 29, 2014 – MurfreesboroOctober 2, 2014 – KnoxvilleOctober 8, 2014 – Jackson

Page 2: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Agenda

• Policy Change Works—Grassroots policy change

• National Partners: ACS, ALA, AHA• QuitLine update• Community Project Sharing• Mini Grant announcement

Page 3: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Housekeeping

Page 4: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

• 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

Page 5: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 6: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

MTSU’s Center for Health & Human Services

Page 7: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

www.tnantitobacco.org

Page 8: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 9: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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”

Page 10: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

When cigarette prices increase, cigarette sales decrease

Source: ImpacTeen Chartbook: Cigarette Smoking Prevalence and Policies in the 50 States.

Page 11: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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”

Page 12: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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”

Page 13: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

“We are continually faced with great opportunities which are brilliantly disguised as unsolvable problems.” ― Margaret Mead

Page 14: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 15: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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.

Page 16: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Policy

• Voluntary Policy• Regulatory Policy• Administrative Policy• Legislative Policy

Page 17: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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?

Page 18: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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?

Page 19: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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?

Page 20: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Direct Action Organizing

Midwest Academywww.midwestacademy.com

All information that follows is taken from this resource

Page 21: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

• 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

Page 22: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Self-Interest

Page 23: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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!)

Page 24: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 25: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

• 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

Page 26: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 27: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 28: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 29: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Getting Started

Page 30: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 31: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Analyze the Problem

• Problem = broad area of concern• Issue = define a solution or partial solution

to the problem

Page 32: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 33: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 34: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

“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

Page 35: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 36: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 37: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 38: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 39: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 40: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 41: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 42: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Constituents & Allies

• Who cares about this?• What could they win or lose?• What power do they have?• How are they organized?

Page 43: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 44: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 45: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 46: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Tactics--Examples

• Media Events• Meetings with Elected Officials• Public Hearings• Accountability Sessions• Elections• Negotiations

Source: Organizing for Social Change, by Midwest Academy

Page 47: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 48: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 49: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 50: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Hearings

• Attending an Official Hearing

• Your OWN public hearing

Page 51: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 52: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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.”

Page 53: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

If you think you’re too small to make a difference, talk to a mosquito.

--African proverb

Page 54: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Additional Policy Resources

Page 55: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Model Policies from CDC http://www.cdc.gov/nccdphp/dch/programs/CommunitiesPuttingPreventiontoWork/resources/tobacco.htm

Page 56: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Public Health Law CenterLink available from Public Policy section on our website www.tnantitobacco.org

Page 57: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

More from the Public Health Law Center

Page 58: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

More from the Public Health Law Center

Page 59: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Tobacco-Free Colleges manual—accessible from tnantitobacco.org Public Policy section

Page 60: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson
Page 61: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 62: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 63: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

Local E-cigs regulation

Colleges banning e-cigs or vapor products as part of their tobacco policies

• ETSU• Motlow• MTSU• Vanderbilt

Page 64: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

“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

Page 65: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

TN QuitLine Update

Presenter: Pamela Graef Luckett,

MCC, LPC, CTTSDirector, Tobacco Quitline

IQH, Information & Quality Healthcare

Page 66: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 67: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

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

Page 68: Tennessee Tobacco Prevention Training September 29, 2014 – Murfreesboro October 2, 2014 – Knoxville October 8, 2014 – Jackson

TN QuitLine Update

Specialized Programs• Youth• Hispanic• Smokeless tobacco• Pregnant Smoker• African American• Native American

Questions?