Tobacco- and Smoke-Free Project Team
Town Hall Discussion
March 27, 2013
Project Structure
Communications
Facilities and
Grounds
Steering
Committee
Policy & Overall
Coordination
Enforcement
Health &
Wellness
Project Roadmap
Jan
• Convene teams
• Plan assessment
• Outline Policy
May – Jul
• Implement actions
• Communications
Feb - Mar
• Complete Assessment
• Utilize to draft policy and
implementation plan
• Launch website
• Invite feedback
Aug
• Policy takes effect
• Monitor, evaluate, adjust
• Communications
Apr
• Submit to President for
approval
• Brief student leaders & 3Ds
• Announce policy
Sep – Dec
• Monitor, evaluate, adjust
• Communications
Assessment
National Surveys
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•
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14.7% of student respondents indicated that they had used cigarettes in
the last 30 days and 8.3% indicated that they had used Hookah.
Perceived use very high.
In a recent health survey, 19% of US adults (18 and over) identified
themselves as current cigarette smokers.
At AU
•
•
•
•
12.5% of undergraduate student respondents indicated that they smoke
multiple times a day, with another 6.8% reporting smoking between once a
week to once a day.
10% of graduate students identified themselves as a smoker.
Estimate that the percentage of faculty, staff and contractors who smoke in
their respective buildings and department is closer to 10%.
It is estimated that nearly 30% of contract workers smoke.
American College Health Association National College Health Assessment, Spring 2012
National Health Interview Survey, 2011
AU Undergraduate Student Smoking Ban Survey, 2013.
AU Graduate Student Survey Related to Smoke Free, 2011.
Forms of Tobacco
Hookah Use:
• Seen by some to be
safer.
• Second most commonly
used form of tobacco.
• Nationally, 8.4% of
students used in past
30 days.
• Nearly 60% of hookah
users report using
another form of tobacco
as well.
Source: University of Kentucky
Campuses are seeing the
use of e-cigarettes:
• 2.6% of students who use
tobacco also use
e-cigarettes.
• 13% of cigarette smokers
also use e-cigarettes.
Where Smoking Occurs Today
Policy Framework
Policy Element
1. Effective date and rationale for policy
Proposed
•
•
•
•
2. Does the policy apply to only smoking or to the
use of any tobacco product?
•
•
3. Are students and employees prohibited from
bringing tobacco products or just using these
products on campus?
•
•
August 15, 2013.
Tobacco use in any form is a significant health
hazard (Surgeon General).
To reduce the health risks associated with
exposure to environmental tobacco smoke
(secondhand smoke).
Reduce health costs associated with tobacco and
smoking use.
Prohibits use of any and all tobacco products,
whether inhaled or ingested.
Applies to all tobacco and smoking products
including Hookah, and electronic cigarettes.
Not prohibited from bringing to campus.
Use, distribution, and sale on campus are
prohibited.
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Policy Framework
Policy Element
Proposed
4. Does the policy apply to contractors, students,
visitors, and other nonemployees, or only to
employees?
•
Applies to anyone who is on property owned, leased
or otherwise controlled or operated by the
university including students, faculty, staff,
contract/other employees, visitors, volunteers,
contractors, and service representatives.
5. Does the policy apply to all campus areas (e.g.,
owned property, leased facilities, parking lots,
parking decks, construction areas)?
•
Applies to buildings, parking lots, other structures
and grounds.
Applies to vehicles owned, leased or rented by AU.
Only permitted for controlled research or theatrical
performances as set forth in the DC Code.
6. Who is responsible for informing students,
faculty, staff, contract workers, visitors?
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•
•
•
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For students, Dean of Students.
For staff, immediate supervisors and ultimately HR.
For faculty, immediate supervisors and ultimately
Dean of Academic Affairs.
For contract employees, Contract Administrator.
Enforcement of the policy is reliant on the
cooperation of all students, faculty, staff and
contractors.
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Policy Framework – Facilities Sub Committee
Policy Element
7. Are there designated smoking areas on campus?
Proposed
•
•
Three temporary sites will be designated until the
end of the fall semester.
The University does not own the sidewalks and
streets that border its campus.
•
8. Does the policy apply to the use of tobacco
products in private vehicles while these vehicles are
on campus (e.g., in parking lots)?
Use of tobacco products prohibited in cars on university
property including parking lots.
•
9. Does the policy apply to the use of tobacco
products in university vehicles when these vehicles
are off campus?
Yes. Use in university vehicles when off campus is
prohibited.
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Facilities and Grounds
Signs
Tobacco use allowed until the end of the
fall 2013 semester.
Campus Map
The university does
not own the streets
and sidewalks that
border the campus.
Other Properties
Campus Map
Area 1
Transition Areas
Area 2
Tobacco use allowed
until the end of the
fall 2013 semester.
Area 3
Transition Area 1:
Beeghly Deck near Osborn
OSBORN
Transition Area 2
Kogod Ellipse near Massachusetts Ave.
Transition Area 3
Walkway near Roper and SIS
Policy Framework – Enforcement Sub Committee
Policy Element
Proposed
10. Who is responsible for spotting and reporting
violations? Fielding complaints regarding possible
violations? Initiating disciplinary measures for
noncompliance?
•
•
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Create a culture of compliance.
Tobacco-Free Ambassadors support compliance.
All may approach tobacco user or report use of
tobacco through reporting system.
11. What will the disciplinary measures be?
•
Students, Staff and Faculty subject to respective
discipline processes.
Visitors may be barred from campus.
•
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Enforcement
Creating a Culture of Compliance
• Tobacco-Free Ambassadors, team of faculty, staff, student
volunteers who are committed to promoting compliance with
the tobacco-free policy.
• Compliance is achieved through consistent messaging via
scripting, and policy and tobacco treatment education.
• Use of a firm, polite and compassionate approach!
• It is an ongoing, long-term initiative.
Source: Tobacco-Free University of Kentucky
Tobacco-Free AU Ambassadors
• Paid part-time staff and volunteers.
• Walk through campus with a focus on “hot spots”; use scripting
with violators.
• Report violators, monitor report line, follow up in a timely
fashion.
• Collect data (e.g., cigarette butt pick up to evaluate compliance,
number of violators, response to scripting).
• Educate about the policy and treatment resources.
• Promote visibility and good will!
Source: Tobacco-Free University of Kentucky
Tobacco-Free AU Ambassadors
Example of Scripting:
“Hello, my name is ________________ and I am a(n)
______________ (position) at AU. Our campus is completely
tobacco-free so I need to ask you to please put out your
cigarette. Thank you for respecting our policy!”
If asked where smoking is permitted:
“Until the end of November, smoking is permitted (cite
locations). Additionally the University does not own the
sidewalks and streets that border its campus.”
Source: Tobacco-Free University of Kentucky
3Ts of Tobacco Free Policy Implementation
1. Tell about the policy via good signage and integration,
consistent communication
2. Treat tobacco users by providing free nicotine
replacement and a menu of counseling/behavioral support
3. Train staff and volunteers in firm yet compassionate
scripting in handling violators
Hahn, E.J., Fallin, A. Darville, A. Kercsmar, S.E. McCann, M. Record R. (2012) The Three T’s of
adopting a tobacco-free policy on college campuses. Nursing Clinics of North America, 47(1),
109-117.
Three Step Process for Corrective Action
1) Tell tobacco user to
move to a proper
location and remind
that the campus is
tobacco-free. Provide
treatment
information.
2) Tobacco user is
reported to a policy
enforcement
volunteer. Contact
with the person will be
made with a reminder
of the policy referral
to available resources.
3) Tobacco user is
referred to respective
disciplinary process.
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Enforcement
Student Code of Conduct
“Failure to follow the directive of a
University Official.”
Staff Progressive Discipline
Processes
“Failure to follow University policy.”
Faculty
To be determined
Contractors
To be determined
Visitors
To be determined
Communications
Tobacco- and Smoke-Free Campus Update: March 1
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Communications
Tobacco- and Smoke-Free Campus Update to the AU Community: Feedback
Tone of the Response
11 - Negative
14 - Neutral
7 - Positive
AU Community Status
7 - Faculty
5 - Staff
20 - Students
(4-WCL, 3-PhD, 7-Undergrad, 6-Undetermined)
Type of Response
8 - Complaints
3 - General Comments (Praise/Thank you)
8 - Questions
13 - Suggestions (some provided comments to all of the questions in the
memo)
Main Concerns
- AU can’t take away my right to smoke, i.e., infringement on rights.
- This may unintentionally target our international students and their culture.
- This will cause a decrease in enrollment.
- How will policy be enforced?; what will the policy encompass?
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Communications
Tobacco- and Smoke-Free Website
- Launched week of March 18
- Direct URL: http://www.american.edu/initiatives/tobaccofree/Tobacco-Free-AU.cfm
- User-friendly URL: http://www.american.edu/tobaccofree
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Communications
Next Steps
- 2nd memo to campus community on proposed policy framework: March 27
- Tobacco-Free AU Town Hall Discussion: March 27, 5:30 p.m.
- Presentations to campus constituencies starting week of March 25
Faculty
Town Hall
PrOCo
Faculty Senate
University Council
Students
Town Hall
RHA Meeting
SG Meetings
Student Health
Advisory
Committee
University Council
Staff
Town Hall
OCL Directors Meeting
HR Reps
HR Staff
Benefits Committee
University Council
Staff Council
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Policy Framework – Health & Wellness Sub Committee
Policy Element
12. What tobacco use cessation services will the
university offer to employees and through what
channels?
Proposed
•
•
Various support for students, faculty, staff.
Ensure support from contractors.
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Student Resources
• Wellness Center/Student Health Center Tobacco Cessation
Programs
• Smoking /Tobacco Cessation Visits and Medication Management
• Reduced cost /free Nicotine Replacement Therapy (NRT) options for
all participating students
• Educational sessions on coverage provided by Student Health
Insurance
— Smoking cessation programs / Chantix with referral from SHC
• Educational sessions on accessing benefits from other plans
• Wellness Center and Health Center Programming
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Faculty and Staff Resources
• AhealthyU
– Faculty and Staff Wellness Program
– Faculty Staff Assistance Plan
– AhealthyU/Wellsource: Online LivingFree® smoking cessation program
• AU Medical Flexible Spending Account
– Covers smoking cessation programs and medications (including over-thecounter medications), if prescribed by a physician
• AU Health Plans – CareFirst/Express Scripts
– Chantix and generic medications available at no copay
– CareFirst smoking cessation web site
• AU Health Plans – Kaiser
– Members pay 50% of the cost for smoking cessation medications
– Online smoking cessation program & website; Telephonic wellness coaching
• Contractors (e.g. Bon Appetit, Aramark)
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Initiatives and Collaborations
• Community Collaboration
— Kaiser Mid-Atlantic’s on-site smoking cessation program (8 weeks)
— Local/national organizations (e.g. American Lung Association, American
Cancer Society, DC Department of Public Health)
• Supplies
— Nicotine gum
• Tabling and Health Promotion
—
Great American Smoke Out, Kick Butts Day
• Online Resources
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Questions/Next Steps
Policy
– Present at Town Hall and other meetings to obtain feedback
– Determine unit responsible for ongoing management and monitoring
– Finalize policy
Implementation Planning
– Plan from all sub committees
– Develop budget
• Salary for part-time staff
• Signage
• Supplies including smoking cessation material
– Protocols for visitors
Longer term monitoring plan including avenues for
input and feedback
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We Welcome Your Feedback.
Email us at:
tobaccofree@american.edu
Or visit us at:
http://www.american.edu/tobaccofree