September 29, 2014 – Murfreesboro
October 2, 2014 – Knoxville
October 8, 2014 – Jackson
Tennessee Tobacco
Prevention Training
• Policy Change Works—Grassroots policy
change
• National Partners: ACS, ALA, AHA
• QuitLine update
• Community Project Sharing
• Mini Grant announcement
Agenda
Housekeeping
• 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
• 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
Staff
MTSU’s Center for Health
& Human Services
www.tnantitobacco.org
• 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
Learning Objectives
WeSustained
know what
works
funding of
comprehensive programs
Excise tax increases
100% smoke-free policies
Aggressive media campaigns
Cessation access
Comprehensive advertising
restrictions
We know what works
Source: 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.
• 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
Increasing excise taxes increases
price
Source: CDC “Tobacco Control: A Winnable Battle”
CDC: Smoke-free Policies Save Lives
 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
Why policy change?
Source: CDC “Tobacco Control: A Winnable Battle”
“We are continually
faced with great
opportunities which
are brilliantly
disguised as
unsolvable
problems.”
― Margaret Mead
• 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.
Policy Advocacy vs.
Lobbying
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
•
•
•
•
Policy
Voluntary Policy
Regulatory Policy
Administrative Policy
Legislative Policy
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?
Advocating or
Lobbying?
Source: http://learningcenter.ttac.org/learning/comp02/02_comp.asp
Midwest Academy
www.midwestacademy.com
All information that follows is
taken from this resource
Direct Action Organizing
•
•
•
•
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
Self-Interest
• 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!)
Relationships
Accepts Existing
Power Relationship
Direct Service
Self-Help
Challenges Existing
Power Relationship
Education
Advocacy
Direct Action
Forms of Community Organizing
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
• 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
Issue Campaign
Source: Organizing for Social Change, by Midwest Academy
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
Illusions about Power
Source: Organizing for Social Change, by Midwest Academy
•
•
•
•
•
•
•
“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 $”
Tricks the other side uses
Source: Organizing for Social Change, by Midwest Academy
Getting Started
1.
2.
3.
4.
5.
6.
Choose issue and develop strategy
Open communication with the Decision Maker
Announce the campaign
Begin Outreach Activities
Stage Direct encounters with Decision Makers
Build your organization
Stages of an Issue Campaign
Source: Organizing for Social Change by Midwest Academy
• Problem = broad area of concern
• Issue = define a solution or partial solution
to the problem
Analyze the Problem
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
A good issue should…
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
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
Developing a Strategy
Source: Organizing for Social Change, p. 30
• 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
Strategy
GOALS Organizational
Considerations
What we Resources
want to
that members
WIN!
and
organizations
bring
Constituents TARGETS
Allies
Decision
Opponents
Makers
Who will
join us?
Primary
Targets
TACTICS
Petitions
Emails
Media
Who will
Secondary Hearings
oppose us? Targets
Accountability
Session
Midwest Academy’s
Strategy Chart
• 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
GOALS
Long range:
Youth
tobacco use
by 10% by
2020
Mid
tobacco
taxes by $xxx
Short
Grow
grassroots…
Organizatio
nal
Considerati
ons
Constituent TARGETS
s
Decision
Allies
Makers
Opponents
Resources
that
members
& orgs
bring
Who will
join us?
Who will
oppose
us?
Primary
Targets
TACTICS
Petitions
Emails
Media
Secondary Hearings
Targets
Accountability
Session
• 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
Organizational Considerations
Source: Organizing for Social Change, by Midwest Academy
GOALS
Organizational
Considerations
Constitue TARGETS
nts
Decision
Allies
Makers
Opponen
ts
Long range:
Youth
tobacco use
by 10% by
2020
Mid
tobacco
taxes by
$xxx
Short
Grow
grassroots
…
ALA: staff
time, grassrts
network, can
lobby
Pri. Care
Assn: can
lobby, meeting
facilities,
communicatio
ns network
Who will Primary
join us? Targets
TACTICS
Petitions
Emails
Media
Who will Secondary Hearings
oppose Targets
Accountus?
ability
Session
•
•
•
•
Who cares about this?
What could they win or lose?
What power do they have?
How are they organized?
Constituents & Allies
• 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
Opponents
• 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
Targets
Source: Organizing for Social Change, by Midwest Academy
•
•
•
•
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
•
•
•
•
•
•
Media Events
Meetings with Elected Officials
Public Hearings
Accountability Sessions
Elections
Negotiations
Tactics--Examples
Source: Organizing for Social Change, by Midwest Academy
• 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
Criteria for 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
Tactics
• 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
Visits with public officials
• Attending an
Official Hearing
• Your OWN
public hearing
Hearings
•
•
•
•
•
•
•
•
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
Holding your own hearing
• “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.”
Famous Elected Official Lies
Source: Organizing for Social Change, by Midwest Academy
If you think you’re too small
to make a difference, talk to
a mosquito.
--African proverb
Additional Policy Resources
Model Policies from CDC
http://www.cdc.gov/nccdphp/dch/programs/CommunitiesPuttingPreventiontoWork/resources/
tobacco.htm
Public Health Law Center
Link available from Public Policy section on our website www.tnantitobacco.org
More from the Public Health Law Center
More from
the Public
Health Law
Center
Tobacco-Free Colleges manual—accessible from tnantitobacco.org Public Policy section
• 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
Local efforts to regulate
e-cigs /vaping
Source: Smoke Free TN, news reports
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
Local E-cigs regulation
“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
Presenter:
Pamela Graef Luckett,
MCC, LPC, CTTS
Director, 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
TN QuitLine Update
Specialized Programs
•
•
•
•
•
•
Youth
Hispanic
Smokeless tobacco
Pregnant Smoker
African American
Native American
Questions?
TN QuitLine Update