Leveraging Cross-sectoral Partnerships to Advance the Implementation of

Leveraging Cross-sectoral Partnerships to Advance the Implementation of Smoke-Free Public Housing April 5, 2018 from 2 pm-3 pm ET Logistics o Webinar audio will only be available through your computer speakers. o This webinar is being recorded and the recording will be shared. o Submit questions through the Q&A box to the right. Poll Question #1 1) What is your organizational affiliation?

Local or Tribal Health Department State or Territorial Health Department Public Housing Authority or official Federal Agency National Organization Community Based Organization Other

Agenda Welcome Cook County Department of Public Health Cincinnati Health Department Monroe County Health Department and Indiana University Health Bloomington Questions and Answers Learning Objectives o Participants will have increased knowledge of how to leverage cross-sectoral partnerships to advance smokefree public housing in their communities. o Participants will identify the facilitators and barriers local health departments may face in developing cross-sectoral partnerships to promote smoke-free public housing policies in their communities.

NACCHO Mission NACCHO is comprised of nearly 3,000 Theres value in belonging local health departments across the United States. Our mission is to serve as a leader, partner, catalyst, and voice with local health departments.

Learn more by viewing a short video available on our website. Values Equit y Respect Science Excellence Integrity

Innovation Participati on Leadershi p Our Work Advocacy Partnerships Funding Training and education Networking Resources, tools, and technical

assistance Applying Community Engagement Principles to Cultivate Transdisciplinary Partnerships with Inter-governmental Agencies in Cook County, Illinois NACCHO Webinar Binion, A., Massuda Barnett, G., Durica, D. Attribution Funding for this project was made possible, in part, by the Centers for Disease Control and Prevention and the Illinois Department of Public Health. The views expressed in do

not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. Cook County Department of Public Health Learning Objectives 1. Define community engagement and principles that can be applied to cultivate cross-sector, transdisciplinary partnerships. 2. Understand ways community engagement principles were employed to foster partnership with the public housing

authority. 3. Apply challenges and lessons learned to improve collaborations and increase health impact. Cook County Department of Public Health Transdisciplinary Partnership Allows members from differing backgrounds to contribute their own knowledge and expertise, but efforts are collective in determining best ideas or approaches for solutions to a problem. Oxford Dictionaries, 2017. Cook County Department of Public Health

Community Engagement The process of working collaboratively with and through groups of people affiliated by geographic proximity, special interest, or similar situations to address issues affecting the well-being of those people. Principles of Community Engagement (Second Edition), 2011. Cook County Department of Public Health Community Engagement Principles 1. Clear purpose/goals and who you want to engage 2. Become knowledgeable about the community 3. Establish relationships

4. Empowerment of community to own the issue 5. Cultivation value and need for partnership 6. Recognize and respect the diversity of the community. 7. Identify and mobilize community assets 8. Be prepared to release control and be flexible 9. Community collaboration requires long-term commitment Cook County Department of Public Health Transdisciplinary Partners Certified health department for 124 municipalities, and 2.4 million people No single overarching

regulatory authority or coordinating entity Health focused Cook County Department of Public Health 2nd largest housing authority in Illinois 22 family, senior and high-rise properties, totaling 1,800 public housing units and 200 multi-family units Business focused Purpose and Engagement Efforts

Public Health and Housing Authority Benefits of working together Clarity: What were reasons for collaboration Resources that CCDPH can provide Cook County Department of Public Health HACC: Ease of integrating

health CCDPH: Promotion of HiAP Technical Assistance to support purpose Relationship Building Executive Director and Board Members Resident Liaisons Champion

and Leadership Team Resident Advisory Boards Building Managers Involvement at all levels within HACC hierarchy Cook County Department of Public Health Empowerment to Own the Issue Continued cultivation of relationship Provision of

technical assistance Development of resources Trust Seeking assistance on other healthrelated issues Tapping into our expertise Cook County Department of Public Health Commitmen t and

Engagement Commitment from leadership Engagement of residents via surveys Cultivating Value and Need for Partnership HACC needed to address health in their mission

Cook County Department of Public Health CCDPH needed to address social determinants of health Identifying and Mobilizing Community Assets to Make Change Capacity Building Leadershi p

Education Cook County Department of Public Health Staff Residents Education Training Education Tools Used for Engagement and Technical Assistance

Surveys Educational Presentations Factsheets Connection to Tobacco Cessation Services Signage Cook County Department of Public Health Successes- Community Engagement 22 HACC owned properties are 100%

smoke-free as of December 1, 2015 18 forums reaching over 250 residents emphasizing the importance of SFH Expanded our relationship to include promotion of Healthy Homes within voucher housing program Participation in Cook County community health and improvement plan process Cook County Department of Public Health Expected Health Outcomes More than 3,500 residents spared from exposure to secondhand smoke in their homes 88% reduction in indoor air pollution 20% reduction in asthma hospital

admissions 4% increase in smoking cessation rates Cook County Department of Public Health Lessons Learned Importance of relationship building Meeting partners/community where they are Ensuring partnership is a win-win Expertise can be incentive Cook County Department of Public Health Acknowledgements

Cook County Department of Public Health Contact Information Aesha Binion, MPH Health Educator III Tobacco Prevention and Control Unit [email protected] cookcountypublichealth.org Cook County Department of Public Health Poll Question #2 2) Are you currently engaged in any crosssectoral partnerships (ex. local housing authority, CBOs, LHDs, etc.) in your

community related to smoke-free multi-unit housing? Yes No NEIGHBORS HELPING NEIGHBORS QUIT TOBACCO Cincinnati public housing residents lead smoking cessation classes for neighbors CMHA CINCINNATI METROPOLITAN HOUSING AUTHORITY (CMHA) SMOKEFREE SINCE: JULY 1, 2016

13,000 RESIDENTS 18 MULTI-UNIT SITES / 274 SCATTERED SITES RESIDENTS GENERALLY PAY 30% OF ADJUSTED GROSS INCOME IN RENT 33.6% of adults living in public housing smoke compared to 15.1% of the general public. Half have attempted to quit and failed. TOBACCO CESSATION PROVIDE RESOURCES FOR RESIDENTS WHO WANT TO QUIT.

Group/Community-based Smoking Cessation source of persuasion, stabilization, and support reduce the sense of isolation positive peer reinforcement CMHA Residents to Facilitate On-Site Cessation Classes AMERICAN LUNG ASSOCIATIONS FREEDOM FROM SMOKING PROGRAM LED BY TRAINED FACILITATOR (plans, delivers, and evaluates program) 8 MEETINGS OVER 7 WEEKS SESSIONS ARE 90 MINUTES 2 HOUR 5 16 PARTICIPANTS OPTIMAL

RESIDENT RECRUITMENT RESIDENT RECRUITMENT: FREEDOM FROM SMOKING TRAINING TAKE ADVANTAGE FACILITATOR OF EVERY OPPORTUNITY TO ENGAGE RESIDENTS

FOCUS GROUPS POLICY COMMUNICATION MEETINGS RESIDENT COUNCIL MEETINGS HEALTH FAIRS RESIDENT ADVISORY BOARD CONFERENCE CHCC MEETINGS! ENCOURAGING RESIDENTS TO PARTICIPATE TRAINING AT NO COST TO RESIDENTS THE TITLE FFS FACILITATOR IS THEIRS ARRANGE WITH PHA FOR TRANSPORTATION TO TRAINING PROVIDE LUNCH CONSIDERATIONS

FFS FACILITATORS MUST BE TOBACCO FREE CESSATION ADVOCATES TITLE GIVEN TO RESIDENTS WHO WANT TO BECOME FACILITATORS, BUT HAVE NOT BEEN TOBACCO-FREE FOR AT LEAST 1 YEAR YOGA/MINDFULNESS TIE-IN CAN INCREASED PARTICIPATION IN FFS CLASSES LESSONS LEARNED FIND A WAY TO INCLUDE RESIDENTS WHO ARE CURRENT SMOKERS IN FACILITATOR TRAINING TRAIN PHA EMPLOYEE, LHD EMPLOYEE, AND/OR OTHER CHAMPION WHO CAN CO-FACILITATE MEETINGS INITIALLY RECRUIT FFS PARTICIPANTS TO BECOME FACILITATORS YOUTH ENGAGEMENT CAN BE USEFUL IN PROMOTING FACILITATOR TRAINING

OUR PARTNERS CINCINNATI METROPOLITAN HOUSING AUTHORITY AMERICAN LUNG ASSOCIATION

OHIO DEPARTMENT OF HEALTH INTERACT FOR HEALTH US ENVIRONMENTAL PROTECTION AGENCY JURISDICTIONAL-WIDE RESIDENT ADVISORY BOARD (J-RAB) CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER HAMILTON COUNTY PUBLIC HEALTH AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION CRADLE CINCINNATI m.Arch, Inc. PUBLIC HOUSING IS GOING SMOKEFREE Deadline: July 30, 2018

CONTACT INFORMATION Tonia Smith RS, CHES, TTS Tobacco Free Living Coordinator [email protected] or Denisha Porter MPH, HHS, RS Director of Health Promotion and Worksite Wellness [email protected] Poll Question #3 3) Does your local housing authority have a smoke-free, multi-unit housing policy in place?

Yes, my organization is involved in the implementation Yes, but my organization is not involved in the implementation No In Public Health, Partnership is everything! Kathy Hewett, Lead Health Educator, Accreditation Coordinator Monroe County Health Department Bloomington, Indiana Carol Weiss-Kennedy Director of Community Health

IU Health Bloomington Hospital Bloomington, Indiana Monroe County Tobacco Coalition Bloomington, Indiana Partnering is a priority for us Monroe County Health Department IU Health Bloomingto n Hospital

Monroe County Pubic Health Nursing & Monroe County Public Health Clinic Addressing Tobacco Control and Prevention Together Partnering is a community priority Examples: Catalyst for collective action started in early 80s for people living with HIV - CAAG

Tobacco Coalition began 2001 2004 - Active Living Coalition 2009 - ACHIEVE 2015 - Community Health Assessment and Community Health Improvement (CHIP)

teams 2015-2018 Baby and Me, Tobacco Free 2016 What is the Monroe County Tobacco Coalition? Started in 2001 with grant from Indiana State Department of Health

Core members IU Health Bloomington Hospital Indiana University City of Bloomington

Monroe County Health Department Smoking Risks Indiana Challenges Neonatal mortality

Smoking rates Monroe County Stats better High numbers of students may sway data Data Source: Community Commons, Age 18+ by County, BRFSS 2006-12

History and Achievements Smoking Bans Bloomington first city in Indiana with comprehensive ban (2005) All public places Workplaces Bars

Private Vaping clubs included in ordinance in April, 2017 Indiana University smoke free 2007

Smoking in Cars with children County 2009 Tobacco Coalition Classes Support Weekly classes (multiple sites and times)

Instructors from all core coalition agencies nicotine replacement therapy Hospital foundation Community Agencies

Classes done at non-profit, such as Housing Authority on and off Local businesses One-on-One Lost funding, but.. Kept cessation classes going

Coalition continued to meet (not as frequently) Educate ourselves and each other Work on vaping, youth and smoking, other issues

Lost funding, but.. Kept eyes on upcoming smoking requirements for public housing Offered to reinitiate smoking cessation classes at the Bloomington Housing Authority Housing staff showed interest in becoming facilitators

Facilitated attendance in beginning cessation training Community Tobacco Cessation Facilitator Training Coalition created in-depth training Curriculum rebuilt

Different member agencies did training IU Health Bloomington Indiana University City of Bloomington

Monroe County Health Department Volunteers in Medicine Sustainable Programs Housing Authority staff members

trained to do tobacco facilitation have complete curriculum Tobacco Coalition Provides Support Will help as needed

Monroe County Tobacco Coalition Funded for 2017-2019 Coordinator placed at IU Health Bloomington Hospital Project examples

Educating public housing officials Growing coalition Monitoring points of sale for marketing to children Other project

Coalition members continue cessation classes (not funded by state) Thank you! Kathy Hewett Lead Health Educator and Accreditation Coordinator Monroe County Health Department 119 W 7th St Bloomington, IN 47404 812-349-2722 [email protected] Carol Weiss-Kennedy Director of Community Health

IU Health Bloomington 333 E Miller Drive Bloomington, IN 47401 812.353.9371 [email protected] Questions and Answers Additional NACCHO Resources Tobacco Webpage http://www.naccho.org/programs/comunity-health/chronic-disease/tobacco NACCHO Stories From the Field http://www.nacchostories.org/ NACCHO Toolbox http://naccho.org/resources/toolbox Publications

Best Practices Fact sheets Tools Stories from the Field Contact us: [email protected] THANK YOU! Thank you for participating in todays webinar! Please complete evaluation immediately following the webinar.

Evaluation Survey: http://naccho.co1.qualtrics.com/jfe/form/SV_4OWbCd2OrWaLoY5 Contact Information Melanie Ruhe, MPH Program Analyst, NACCHO 202-463-8154 [email protected]

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