CATALYST

Planned Activities Summary Report

Run Date:

Contractor:	Clallam County Health & Human Services
Contract Year:	FY 08-09
Contractor Type:	Community Contractor

Contract Manager:	Carla Huyck
Contact Person:	Jill Dole
Phone:	(360) 565-2608
Email:	jdole@co.clallam.wa.us

Rationale: Several different data sources were utilized to identify the disparities in the 2007 – 2008 Clallam County Clallam County Health and Human Services (CCHHS) Tobacco Prevention and Control Program (TPCP) Work Plan. The recently updated TPCP Strategic Plan, SFY 2008-09 Work Plan, local and state data, as well as collaboration and feedback from Prevention Works! A Community Coalition of Clallam County Board of Directors, General Membership, ESD 114 Staff, the Jamestown S’Klallam, Lower Elwha Klallam, Quileute, and Makah Tribes. A thorough review of the Clallam County 2006 – 2007 BRFSS, was conducted by CCHHS TPCP Staff, and the Human Services Planner. Because of that review, the data showed that the tobacco-related disparity most in need of attention is individuals between the ages of 18 – 34. Both Healthy Youth Survey and Communities That Care: Port Angeles data were reviewed, and support of comprehensive school policies and programs will be provided by CCHHS to Educational School District 114 Student Assistance Professionals who work in area schools. Clallam County Health and Human Services has a successful history of collaborating with the Jamestown S’Klallam, Lower Elwha Klallam, Quileute, and Makah Tribes. We have accomplished this collaboration, and will continue our partnerships with the tribes, by acting as a resource for both TPCP and Chemical Dependency Treatment Provider (CDP) staff and by publicizing trainings that we sponsor and making those trainings available to tribal members and staff. In Clallam County (Dec. 2007), nearly 68% of all births in the county were paid for by Medicaid, compared with the state rate of nearly 43%. Furthermore, 2005 birth certificate data show that about 20% of all women smoke during their pregnancies in Clallam County, compared to the state rate of about 10%. In December, 2007, Clallam County’s unemployment rate was 7.7%, compared with a State rate of 4.6%. Socioeconomic evidence shows that lower educational and lower socioeconomic levels are associated with increased smoking rates, which ultimately lead to increased health problems and premature deaths. In Clallam County in the year 2006: There was a lower median household income in the county ($42,802), compared to the state ($56,079). According to United States 2000 Census data: 42.3% of Clallam County residents have achieved a high school diploma or lower, compared to the state rate of 37.8%. The tobacco-related health disparities that will be addressed by Clallam County Health and Human Services Tobacco Prevention and Control Program during SFY 2008 – 2009 include: Addressing the increased rate of maternal smoking; Decreasing the number of children and adults exposed to secondhand smoke; Increasing the number of individuals in CD treatment who stop smoking by collaborating with area CDP staff. Barriers we may encounter in addressing the above-mentioned disparities include: Healthcare professionals who use nicotine; CDP’s who use nicotine; Scheduling time to train health care providers implement Brief Tobacco Interventions (BTIS); Limited funding for CCHHS TPCP; Specific population group/community impacted by work. The following will be impacted by the Tobacco Prevention and Control Program during SFY 2008 – 2009: Pregnant and parenting women, their children, and their families; Health Care Professionals including but not limited to Chemical Dependency Treatment Professionals, Doctors, Nurses, Dentists, Dental Hygienists and Social Workers. Among residents of Clallam County, CCHHS TPCP will work to: Reduce the rate of tobacco use and reduce the rate of exposure to secondhand smoke.

Goal Activity SMART Activity Description Audience
Description Est. # to
Reach

C1 Capacity Development C1.01 Community Advisory Board During SFY 2008-2009, the Tobacco Prevention & Control Specialist will participate in monthly Prevention Works! Community Coalition of Clallam County (PW!) general membership meetings, and monthly PW! Board of Directors meetings. Collaboration with and support from experienced stakeholders, representing several community service agencies, enables the dissemination of tobacco control messages and outreach across the county. The coalition provides the TPCP with valuable information about disparate populations in the county, and how to best focus cessation messages. Stakeholders 21
C1.03 Adult/Yth Summit-Regional/State One TPCP staff member and one supervisor will attend the annual Division of Alcohol and Substance Abuse (DASA) Prevention Summit in Fall, 2008. 0
C1.04 DOH State/Regional Meetings TPCP staff member will attend three regional one-day meetings during SFY 2008-2009. 0
C1.05 Staff Professional Development Between July 1, 2008 and June 30, 2009, TPCP staff will attend three day-long trainings, one of which will focus on leadership development. 0
C1.07 Raising Awareness/Nat. Media Event During SFY 2008-2009, TPCP staff will increase community awareness about tobacco issues through a variety of venues, such as press releases, advertising in local media, posters at the County Courthouse, and emails to distribution lists. A minimum of one email message per month will be sent to the Prevention Works! Community Coalition Webmaster, who will then forward the emails to the general membership. These emails will keep the membership informed and updated on local, state, and national tobacco issues and events. Information will also be available on the Prevention Works! Website (www.preventionworkswcc.org), and the CCHHS Website (www.clallam.net/healthservices/html/hhs_tobacco.htm). 0
C1.12 DOH Conference Calls Between July 1, 2008 and June 30, 2009 TPCP staff will participate in at least four (4) DOH-sponsored conference calls, as available. 0
C1.14 Strategic Planning Between July 1, 2008, and February 2, 2009 TPCP staff will review and update Clallam County Health and Human Services' TPCP strategic plan, based on guidance from DOH. 0
C1.15 Administrative Duties and Leave This activity covers internal staff meetings, CATALYST reporting, agency required trainings, workplan development, vacation, sick leave, and equipment. A brief description will be provided when reporting monthly results. 0
C2 Prevent Initiation C2.01.01 Synar Compliance Checks Between January 1 and June 30, 2008, TPC staff will conduct 30 Synar Compliance Checks. Hard copies of forms used during compliance checks will be mailed to DOH and the LCB. Retailers Checked - No Sales 0
Retailers Checked - Sales Made 0
C2.01.02 Other Compliance Checks Between July 1, 2008, and June 30, 2009, TPC staff will conduct 25 non-Synar Compliance Checks. Hard copies of forms used during compliance checks will be mailed to DOH and the LCB. About half of the 25 compliance checks will be conducted between July 1, 2008, and December 31, 2008. The remainder will be conducted between January 1, 2009, and June 30, 2009, and will be completed on the same days as Synar checks. This is done in order to save costs when traveling to the West End of Clallam County. Retailers Checked - No Sales 0
Retailers Checked - Sales Made 0
C2.02 Retailer Education By March 31, 2009, TPCP staff will mail 75 DOH Retailer Guides to currently licensed tobacco retailers in Clallam County. By April 30, 2009 TPC staff will offer two retailer education classes in collaboration with Washington State Liquor Control Board; classes will be offered on the same day, one in Port Angeles, and one in Forks. One-on-one education will be conducted with tobacco retailers who conducting compliance checks by distributing DOH Retailer Guides. Tobacco Retailers 130
C2.03 Public Edu - Youth Access During SFY 2008-2009TPCP will notify the community of compliance check results through news releases distributed to three local newspapers (Peninsula Daily News, Sequim Gazette, and Forks Forum), one television station (PNN), and one radio station (KNOP). Information will also be presented to community partners including Clallam County Prevention Works! Community Coalition Board of Directors (12) and General membership (25), and the Clallam County Board of Health (7). 0
C2.08 Support Comp School Programs During SFY 2008 - 2009, TPCP staff will collaborate with the ESD 114 staff supervisor, four Student Assistant Professionals (SAPs) and four school districts by maintaining ongoing communication as needed in order to increase awareness of tobacco issues and tie in with comprehensive school prevention planning. TPCP staff will provide materials to ESD 114 staff for youth tobacco cessation/diversion classes and assist in the implementation of awareness activities and events as needed. 0
C3 Promote Cessation C3.01 Promote Quitline Services During SFY 2008-2009, TPCP staff will promote the Washington State Quitline by providing Quitline materials including business cards, brochures, and Fax Referrals to a variety of venues throughout the county. Information will be provided about how to use quitline.com and how to access materials through the Washington State Clearinghouse. Communication and technical assistance regarding the benefits and use of such materials will be ongoing. Quitline posters will be posted in the Clallam County Smoking Kiosks, in bus kiosks, and in front of the courthouse. Quitline ads will run weekly in three area newspapers, as well as quarterly ads promoting national media events, cessation, and highlighting the dangers of second hand smoke. 0
C3.04 Health Care Systems Change By June, 2009, TPCP staff will have conducted Brief Tobacco Intervention Skills training with five (5) Clallam County Health Department staff. Training will benefit low-income pregnant/parenting women and their families, including children. The Quitline will be promoted at all systems change trainings and presentations. This includes ongoing education about the Fax Referral Program, quitline.com, and how to order materials from the Washington State Clearinghouse. The TPCP staff will also provide BTIS training and support to health care providers and staff at Olympic Medical Center in anticipation of their Smoke-Free Campus policy. A monthly Systems Change Tracking Report will be turned in to the DOH. Healthcare System (Office, Clinic and/or Organization) 1
C3.05 Adult Cessation During SFY 2008-2009 TPCP staff will offer support to community members who are attempting to quit smoking. This may include referring call-ins to the WAQL, supporting the efforts of the local Nicotine Anonymous Group through referrals, and networking treatment providers with potential clients as needed. 0
C3.07 Local Assessment of Cessation During SFY 2009, TPCP staff will collect data to create and update a brochure containing local cessation resources available in Clallam County. The brochure will be distributed to residents, the WAQL, two area hospitals (Olympic Medical Center and Forks Hospital), The Dream Center (drop-in for homeless youth), Family Planning of Clallam County, Juvenile Services, and ten treatment providers. The brochure will be updated twice annually. 0
C4 Eliminate SHS C4.01 Pub Edu - SHS During SFY 2009, TPCP staff will communicate the harmful effects of secondhand smoke by presenting twice to community members, and twice to parents of children under the age of 18. Education will be conducted at the annual Clallam County Fair, three community health fairs, and will reach 65 community members and 25 parents of children under the age of 18 through these venues. 0
C4.02 Pub Awareness - SF Homes/Autos By June 30, 2009, TPCP staff will provide secondhand smoke informational literature pertaining to the importance of having a smoke free home and car to 25 community members, 2 childcare centers, and 5 health care providers, who will then distribute the materials to community members. 0
C4.05 SHS Enforcement and Compliance During SFY 2008-2009, TPCP staff will collaborate with Clallam County Health Officer Dr. Tom Locke, HHS Director Iva Burks, and the Environmental Health Division in educating businesses and the community about the revised Washington State Clean Indoor Air Act. Enforcement will be based on a compliance model, not a punitive model. Collaboration with Chief Deputy Prosecuting Attorney, Public Health Advisory Committee, and Board of Health will occur on an as-needed basis. Random compliance checks will take place on a case-by-case basis, in collaboration with the County Environmental Health Department. Jurisdictions 3

Goal	Activity	SMART Activity Description	Audience Description	Est. # to Reach
C1 Capacity Development	C1.01 Community Advisory Board	During SFY 2008-2009, the Tobacco Prevention & Control Specialist will participate in monthly Prevention Works! Community Coalition of Clallam County (PW!) general membership meetings, and monthly PW! Board of Directors meetings. Collaboration with and support from experienced stakeholders, representing several community service agencies, enables the dissemination of tobacco control messages and outreach across the county. The coalition provides the TPCP with valuable information about disparate populations in the county, and how to best focus cessation messages.	Stakeholders	21
	C1.03 Adult/Yth Summit-Regional/State	One TPCP staff member and one supervisor will attend the annual Division of Alcohol and Substance Abuse (DASA) Prevention Summit in Fall, 2008.		0
	C1.04 DOH State/Regional Meetings	TPCP staff member will attend three regional one-day meetings during SFY 2008-2009.		0
	C1.05 Staff Professional Development	Between July 1, 2008 and June 30, 2009, TPCP staff will attend three day-long trainings, one of which will focus on leadership development.		0
	C1.07 Raising Awareness/Nat. Media Event	During SFY 2008-2009, TPCP staff will increase community awareness about tobacco issues through a variety of venues, such as press releases, advertising in local media, posters at the County Courthouse, and emails to distribution lists. A minimum of one email message per month will be sent to the Prevention Works! Community Coalition Webmaster, who will then forward the emails to the general membership. These emails will keep the membership informed and updated on local, state, and national tobacco issues and events. Information will also be available on the Prevention Works! Website (www.preventionworkswcc.org), and the CCHHS Website (www.clallam.net/healthservices/html/hhs_tobacco.htm).		0
	C1.12 DOH Conference Calls	Between July 1, 2008 and June 30, 2009 TPCP staff will participate in at least four (4) DOH-sponsored conference calls, as available.		0
	C1.14 Strategic Planning	Between July 1, 2008, and February 2, 2009 TPCP staff will review and update Clallam County Health and Human Services' TPCP strategic plan, based on guidance from DOH.		0
	C1.15 Administrative Duties and Leave	This activity covers internal staff meetings, CATALYST reporting, agency required trainings, workplan development, vacation, sick leave, and equipment. A brief description will be provided when reporting monthly results.		0
C2 Prevent Initiation	C2.01.01 Synar Compliance Checks	Between January 1 and June 30, 2008, TPC staff will conduct 30 Synar Compliance Checks. Hard copies of forms used during compliance checks will be mailed to DOH and the LCB.	Retailers Checked - No Sales	0
			Retailers Checked - Sales Made	0
	C2.01.02 Other Compliance Checks	Between July 1, 2008, and June 30, 2009, TPC staff will conduct 25 non-Synar Compliance Checks. Hard copies of forms used during compliance checks will be mailed to DOH and the LCB. About half of the 25 compliance checks will be conducted between July 1, 2008, and December 31, 2008. The remainder will be conducted between January 1, 2009, and June 30, 2009, and will be completed on the same days as Synar checks. This is done in order to save costs when traveling to the West End of Clallam County.	Retailers Checked - No Sales	0
			Retailers Checked - Sales Made	0
	C2.02 Retailer Education	By March 31, 2009, TPCP staff will mail 75 DOH Retailer Guides to currently licensed tobacco retailers in Clallam County. By April 30, 2009 TPC staff will offer two retailer education classes in collaboration with Washington State Liquor Control Board; classes will be offered on the same day, one in Port Angeles, and one in Forks. One-on-one education will be conducted with tobacco retailers who conducting compliance checks by distributing DOH Retailer Guides.	Tobacco Retailers	130
	C2.03 Public Edu - Youth Access	During SFY 2008-2009TPCP will notify the community of compliance check results through news releases distributed to three local newspapers (Peninsula Daily News, Sequim Gazette, and Forks Forum), one television station (PNN), and one radio station (KNOP). Information will also be presented to community partners including Clallam County Prevention Works! Community Coalition Board of Directors (12) and General membership (25), and the Clallam County Board of Health (7).		0
	C2.08 Support Comp School Programs	During SFY 2008 - 2009, TPCP staff will collaborate with the ESD 114 staff supervisor, four Student Assistant Professionals (SAPs) and four school districts by maintaining ongoing communication as needed in order to increase awareness of tobacco issues and tie in with comprehensive school prevention planning. TPCP staff will provide materials to ESD 114 staff for youth tobacco cessation/diversion classes and assist in the implementation of awareness activities and events as needed.		0
C3 Promote Cessation	C3.01 Promote Quitline Services	During SFY 2008-2009, TPCP staff will promote the Washington State Quitline by providing Quitline materials including business cards, brochures, and Fax Referrals to a variety of venues throughout the county. Information will be provided about how to use quitline.com and how to access materials through the Washington State Clearinghouse. Communication and technical assistance regarding the benefits and use of such materials will be ongoing. Quitline posters will be posted in the Clallam County Smoking Kiosks, in bus kiosks, and in front of the courthouse. Quitline ads will run weekly in three area newspapers, as well as quarterly ads promoting national media events, cessation, and highlighting the dangers of second hand smoke.		0
	C3.04 Health Care Systems Change	By June, 2009, TPCP staff will have conducted Brief Tobacco Intervention Skills training with five (5) Clallam County Health Department staff. Training will benefit low-income pregnant/parenting women and their families, including children. The Quitline will be promoted at all systems change trainings and presentations. This includes ongoing education about the Fax Referral Program, quitline.com, and how to order materials from the Washington State Clearinghouse. The TPCP staff will also provide BTIS training and support to health care providers and staff at Olympic Medical Center in anticipation of their Smoke-Free Campus policy. A monthly Systems Change Tracking Report will be turned in to the DOH.	Healthcare System (Office, Clinic and/or Organization)	1
	C3.05 Adult Cessation	During SFY 2008-2009 TPCP staff will offer support to community members who are attempting to quit smoking. This may include referring call-ins to the WAQL, supporting the efforts of the local Nicotine Anonymous Group through referrals, and networking treatment providers with potential clients as needed.		0
	C3.07 Local Assessment of Cessation	During SFY 2009, TPCP staff will collect data to create and update a brochure containing local cessation resources available in Clallam County. The brochure will be distributed to residents, the WAQL, two area hospitals (Olympic Medical Center and Forks Hospital), The Dream Center (drop-in for homeless youth), Family Planning of Clallam County, Juvenile Services, and ten treatment providers. The brochure will be updated twice annually.		0
C4 Eliminate SHS	C4.01 Pub Edu - SHS	During SFY 2009, TPCP staff will communicate the harmful effects of secondhand smoke by presenting twice to community members, and twice to parents of children under the age of 18. Education will be conducted at the annual Clallam County Fair, three community health fairs, and will reach 65 community members and 25 parents of children under the age of 18 through these venues.		0
	C4.02 Pub Awareness - SF Homes/Autos	By June 30, 2009, TPCP staff will provide secondhand smoke informational literature pertaining to the importance of having a smoke free home and car to 25 community members, 2 childcare centers, and 5 health care providers, who will then distribute the materials to community members.		0
	C4.05 SHS Enforcement and Compliance	During SFY 2008-2009, TPCP staff will collaborate with Clallam County Health Officer Dr. Tom Locke, HHS Director Iva Burks, and the Environmental Health Division in educating businesses and the community about the revised Washington State Clean Indoor Air Act. Enforcement will be based on a compliance model, not a punitive model. Collaboration with Chief Deputy Prosecuting Attorney, Public Health Advisory Committee, and Board of Health will occur on an as-needed basis. Random compliance checks will take place on a case-by-case basis, in collaboration with the County Environmental Health Department.	Jurisdictions	3