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
Recommend
More recommend