MACDC October 8, 2015 Presenters: Kathleen McCabe, Health - PowerPoint PPT Presentation

Smoke-Free Housing Training MACDC October 8, 2015 Presenters: Kathleen McCabe, Health Resources in Action Chris Banthin, Public Health Advocacy Institute Lynne Sales, Peabody Properties Marianne McLaughlin, Jamaica Plain NDC 1

Agenda 1. Welcome and Introductions 2. Why go smoke-free? 3. How to go smoke-free? 4. Compliance and Enforcement 5. Resources, Close and Feedback form October 8, 2015 | Smoke-Free Housing

Training Objectives  Participants will be able to:  Articulate why smoke-free housing are important  Identify that smoking contributes to asthma rates  Explain that smoke drifts between units and cannot be contained  Explain the focus on affordable housing as a social justice issue  Identify that properties are smoke-free, not smoker free May 13, 2015 | Smoke-Free Housing

CDC Smoke-Free Housing Video - Boston  https://www.youtube.com/watch?v=BDUHWcI48EU October 8, 2015 | Smoke-Free Housing

What is Smoke-Free Housing? Definition  Smoke-free housing policies mean that smoking is prohibited, not people who smoke (“No Smoking”, not “No Smokers”) Boston Housing Authority Smoke-Free - Sept. 2012  Smoking is prohibited anywhere in buildings, including individual units.  Policies may apply to outdoor common areas and entrances, a designated perimeter around buildings or entire campuses. No smoking policies are the best way make multi-unit buildings smoke-free October 8, 2015 | Smoke-Free Housing

Part 1: Why Go Smoke-Free? Health Benefits Fire Safety Cost Savings Market Demand October 8, 2015 | Smoke-Free Housing

There is no risk-free level of exposure to secondhand smoke.  Secondhand smoke drifts between units in multi-unit housing  “Home is the place where children are most exposed to secondhand smoke” and “a major source of exposure for adults.” (U.S. Surgeon General 2006)  Children residing in multiunit residential buildings experience higher levels of exposure to secondhand smoke compared children in single- detached dwellings. Pediatrics, 12/2010 October 8, 2015 | Smoke-Free Housing

Who is exposed? Image from the Centers of Disease Control and Prevention (CDC October 8, 2015 | Smoke-Free Housing

Why is it so bad ? May 13, 2015 | Smoke-Free Housing

Secondhand smoke causes severe health problems and death in nonsmokers. Increased risk of strokes (30%) and heart disease (25%) in nonsmokers Adults: nasal irritation, lung cancer, and reproductive issues Children: SIDS, middle ear disease, respiratory illnesses and impaired lung function Surgeon General 2014 May 13, 2015 | Smoke-Free Housing

Fire Safety Benefits  Cigarette started fires are the leading cause of residential fire death in MA  Eliminating smoking from buildings greatly reduces risk of fire  Some properties have negotiated reduced insurance premiums after going smoke-free October 8, 2015 | Smoke-Free Housing

Room of origin: Apartment # 104 located on first floor Side ‘ C ’ of the South Wing

October 8, 2015 | Smoke-Free Housing

Cost Benefits October 8, 2015 | Smoke-Free Housing

Cost of smoking in public housing May 13, 2015 | Smoke-Free Housing

Market Demand – RESEARCH OBJECTIVES:  Gauge market demand for no smoking rules residential rental and condominium buildings.  Measure the percentage of such buildings.  Assess the experiences with implementation. – RESEARCH METHODOLOGY:  Telephonic survey: 1,304 responses  Mail survey : 372 responses  In Massachusetts  Statistically significant October 8, 2015 | Smoke-Free Housing

Market Demand: Effect of No Smoking Rule Included in a Property Listing 20.5% More Interested Less Interested 11.5% No Difference 68% October 8, 2015 | Smoke-Free Housing

Market Demand 41 % of Prospective Residents are Willing to Pay More for a No Smoking Rule 70 60 50 40 Willing to Pay 10% More 30 Willing to Pay 20% More 20 10 0 October 8, 2015 | Smoke-Free Housing

Market Demand Effect of Prospective Resident Smelling Tobacco Smoke 5% 14% Less Interested More Interested No Difference 81% October 8, 2015 | Smoke-Free Housing

Part 2: How to Go Smoke-Free Process Resident Engagement and Education Policy Decisions Cessation Communicating key messages Lease Renewal October 8, 2015 | Smoke-Free Housing

Process: How to Achieve a Smoke-Free Building  STEP 1: Getting Started  STEP 2: Resident Engagement  STEP 3: Make a Plan  STEP 4: Get the Word Out in the Community  STEP 5: Put your Plan into Action October 8, 2015 | Smoke-Free Housing

Getting Started  Landlord / Board or Governing Body  Residents  Educate decision-makers • Why Go Smoke-Free • How to go smoke-free  Understand the resources available May 13, 2015 | Smoke-Free Housing

STEP 2: Resident Engagement - WHY Boston Housing Authority Smoke-Free Housing Murals Engaging residents encourages compliance Residents who understand WHY the building is going smoke-free are more likely to comply with the rule and encourage others to as May 13, 2015 | Smoke-Free Housing well. Just notifying residents of the rule change does not work!

What can residents do?  Survey  Schedule, promote and attend resident meetings  Conduct outreach /education  Provide input as policy is developed  Resident engagement should happen before, during and after implementation May 13, 2015 | Smoke-Free Housing

Make a Plan  Create your lease addendum  Ask residents to sign lease addendum  Be clear about new rules  Set implementation date  6 months – 1 year out  Involve staff in the planning. Provide staff training. October 8, 2015 | Smoke-Free Housing

Policy Decisions Policy Decisions:  Grandfathering  E-Cigarettes  Designated Smoking Area / Buffer Zone / Property-wide  Medical Marijuana  All Buildings or Some?  Timeline for Implementation May 13, 2015 | Smoke-Free Housing

E-Cigarettes - background  They produce a nicotine infused vapor, which is often flavored. They are less harmful than traditional cigarettes.  E-cigarettes are completely unregulated. There are no standards for health, addictiveness, safety and even lethality. Impacts of Smoke-Free Housing Policies  They are not cessation products. Manufacturers include Philip Morris, Lorillard, R.J. Reynolds, and others.  Use is increasing, including among youth. Dual use with traditional tobacco products is increasing. October 8, 2015 | Smoke-Free Housing

E-Cigarettes – policy decisions  Ban use property-wide  Ban use everywhere that traditional tobacco products are banned, except individual units  Do not mention in smoke-free housing policy October 8, 2015 | Smoke-Free Housing

Medical Marijuana • Smoking marijuana is not a reasonable accommodation under the law. • The various federal statutes and cases that tell us which accommodations are reasonable all preclude “ongoing illegal drug use.” • Marijuana is an illegal drug under Schedule I of the Controlled Substance Act, which means that it “has no currently accepted medical use in treatment in the United States.” • It is not legally reasonable to allow marijuana use in contravention to a no-smoking rule. October 8, 2015 | Smoke-Free Housing

Cessation – BPHC video  https://www.youtube.com/watch?v=hHCque2z9qI&f eature=youtu.be October 8, 2015 | Smoke-Free Housing

Support Smokers Who Want to Quit  Why is this important?  Creating a smoke-free environment for everyone does not require residents to quit smoking, but does help them quit if they try. 1  Many people might want to try to quit and will be looking for resources to help them  What can you do? Smoke-Free as of June 2011  Understand the resources available to help smokers quit. Contact your local health department to understand what resources are available  Support quit attempts and utilization of cessation services. If possible, host a cessation group on site 1 Implementation of a Smoke-Policy in Multiunit Housing, NICOTINE & TOBACCO RESEARCH, Feb. 2012 October 8, 2015 | Smoke-Free Housing

Cessation Services and Benefits  Massachusetts’ smokers want to quit— and need help to succeed.  Massachusetts residents want to quit smoking.  77% of adult smokers in Massachusetts want to quit;  60% have tried to quit in the past year;  44% report they plan to quit in the next thirty days.  When a smoking cessation benefit was added to MassHealth, over 40% of MassHealth smokers took advantage of it. October 8, 2015 | Smoke-Free Housing

October 8, 2015 | Smoke-Free Housing

October 8, 2015 | Smoke-Free Housing