The Cuyahoga County Comprehensive Partnership for Tobacco Reduction (CCCPTR or “The Partnership”), under the leadership of the Cuyahoga County Board of Health (CCBH), has been diligently working to reduce the burden of tobacco use in Cuyahoga County since 2001. In order to provide a comprehensive tobacco control program we have applied a multiple-level strategy over the past three years. The program activities have been divided into three (3) levels:

School programs – Two evidence-based prevention programs are offered – Life Skills Training and Word of Mouth.

Neighborhood programs - This programming focuses on cessation, and utilizes an existing community-based and worksite based cessation program (Freedom from Smoking®).

Community-wide programs – This level of programming includes surveillance, counter-marketing, community awareness campaigns, and youth advocacy.

Cuyahoga County Board of Health American Cancer Society

American Lung Association of Ohio Asian Services in ActionBerea Children's Home

Changing Attitudes Utilizing Skills from Everyday Life (CAUSE) CASE Division of Adolescent Health

Center for Community SolutionsCenter for Families and Children

CASE Center for Health Promotion ResearchCity Year Cleveland

Cleveland Department of Public HealthCleveland Clinic Foundation

Cleveland Municipal School DistrictCuyahoga County Tobacco Control Coalition

Greater Cleveland Health Education & Service CouncilHealth Space Cleveland

Hispanic Urban Minority Alcohol and Drug Abuse Outreach Programs, Inc

Lakewood Department of Human ServicesLakewood City School District

Lakewood HospitalLesbian/Gay Community Service Center

Let's Talk About...Youth Enrichment ProgramMetro-Health Medical Center

Northeast Ohio Neighborhood Health Services (NEON)PLAN of North East Ohio

Recovery ResourcesSaint Vincent Charity Hospital

Shaker Heights Health Department South Pointe Hospital

University Hospitals Family Medicine FoundationWarrensville Heights City School District

Wellness Council of Northeast Ohio

The Cuyahoga County Comprehensive Partnership for Tobacco Reduction

Matt Russell, Najeebah Shine, MS, RD, LD., Elaine Borawski, Ph.D., Nichelle Brown, MPH, Marcita Peak, MPA, Jennifer Clayton, MPH

CASE Center for Health Promotion Research, Cuyahoga County Board of HealthPROJECT DESCRIPTION

PARTNERSHIP FUNDING

YYOUTH OUTH SSURVEILLIANCEURVEILLIANCE

The Partnership Youth Tobacco Survey is a cross-sectional school-The Partnership Youth Tobacco Survey is a cross-sectional school-based surveillance instrument that provides information regardingbased surveillance instrument that provides information regardingtobacco use among adolescents in Cuyahoga County. The survey tobacco use among adolescents in Cuyahoga County. The survey also guides programmatic efforts and is completed by High School also guides programmatic efforts and is completed by High School and Middle School students on alternating years.and Middle School students on alternating years.

YYOUTH CESSATIONOUTH CESSATION

The Off (Officially Free From) Nicotine The Off (Officially Free From) Nicotine program is a cessation program tailored to teens utilizing program is a cessation program tailored to teens utilizing evidence-based components and innovations in a highly perso-evidence-based components and innovations in a highly perso-nalized and flexible approach. The program is available to nalized and flexible approach. The program is available to Cuyahoga County schools & community groups at no charge.Cuyahoga County schools & community groups at no charge.

PPARTNERSHIPARTNERSHIP WWEBSITE EBSITE

www.tobaccoreduction.org www.tobaccoreduction.org

OOHIO HIO QQUIT-LINEUIT-LINE

From November 2004 to January 2006,From November 2004 to January 2006,the Ohio Quit-Line has received 48,271 calls from Ohio’s 88 the Ohio Quit-Line has received 48,271 calls from Ohio’s 88 counties. Cuyahoga County produced the most calls during this counties. Cuyahoga County produced the most calls during this time with 6,486, second was Franklin with 4,245. These numbers time with 6,486, second was Franklin with 4,245. These numbers are partially reflective of population size. are partially reflective of population size.

CCOMPLIENCE OMPLIENCE CCHECKS HECKS

Starting in 2001, the Partnership has coordinated Starting in 2001, the Partnership has coordinated annual tobacco law compliance checks. Local teens annual tobacco law compliance checks. Local teens underunder 18 work 18 workwith Partnership representatives to perform random tobacco buyingwith Partnership representatives to perform random tobacco buyingoperations. Underage sales are documented and the results areoperations. Underage sales are documented and the results areshared with both city officials and the selected establishments.shared with both city officials and the selected establishments.

AADULT DULT CCESSATION ESSATION

Since the start of the Partnership in 2001, 712 Since the start of the Partnership in 2001, 712 adults have enrolled in the cessation programsadults have enrolled in the cessation programsoffered by hospitals, businesses, and a number of local nonprofit offered by hospitals, businesses, and a number of local nonprofit organizations. Freedom from Smoking® (FFS) is an eight weekorganizations. Freedom from Smoking® (FFS) is an eight weekprogram developed by the American Lung Association and is usedprogram developed by the American Lung Association and is usedin all adult cessation programs offered through the Partnership.in all adult cessation programs offered through the Partnership.

The Smoke-Free guide lists overXXX smoke–free restaurants found throughout Cuyahoga County.

SSMOKE-FREEMOKE-FREE RRESTUARANTS ESTUARANTS

The Partnership in collaboration with the Clean The Partnership in collaboration with the Clean Indoor Air Campaign and the C.C. Tobacco Coal-Indoor Air Campaign and the C.C. Tobacco Coal-ition compiled the Smoke-Free Restaurant Guide, which lists overition compiled the Smoke-Free Restaurant Guide, which lists over600 Cuyahoga County Smoke-Free establishments. The establish-600 Cuyahoga County Smoke-Free establishments. The establish-ments must be 100% smoke free during all business hours-thosements must be 100% smoke free during all business hours-thosewith "smoking sections" will not be included.with "smoking sections" will not be included.

SSHOUTHOUT T TEAMS EAMS

SHOUT teams are comprised of local stud-SHOUT teams are comprised of local stud-ents who plan tobacco reduction and advocacy activities in theirents who plan tobacco reduction and advocacy activities in theirschool and community with the support of an adult advisor and aschool and community with the support of an adult advisor and aCase graduate student acting as a mentor. There are currently 16Case graduate student acting as a mentor. There are currently 16teams in a diverse set of local High School & Middle Schools.teams in a diverse set of local High School & Middle Schools.

From 2001-2005, over XXXXstudents from xx schools haveparticipated in tobacco prevention programs.

YYOUTH OUTH PPREVENTION REVENTION

From 2002-2005, 5,501 Cuyahoga County (CC)From 2002-2005, 5,501 Cuyahoga County (CC)44thth & 5 & 5th th graders received Word of Mouth tobacco prevention graders received Word of Mouth tobacco prevention programming, while 3,354 6programming, while 3,354 6th th graders received Lifeskills sub- graders received Lifeskills sub-stance abuse prevention/competency enhancement program-stance abuse prevention/competency enhancement program-ming. Programs have been conducted in 55 schools across CC.ming. Programs have been conducted in 55 schools across CC.

AADULT DULT SSURVEILLANCE URVEILLANCE

Since 2001, 1200-1500 C.C. residents answer an annual Since 2001, 1200-1500 C.C. residents answer an annual telephone survey conducted by ORC Macro. The survey telephone survey conducted by ORC Macro. The survey collects trend data on tobacco use, awareness, attitudes, collects trend data on tobacco use, awareness, attitudes, and tobacco related health outcomes. The data is also used and tobacco related health outcomes. The data is also used to identify geographic areas most in need of programming.to identify geographic areas most in need of programming.

Health and Caring for All Health and Caring for All

Community Vision CouncilCommunity Vision Council

COMMUNITY PARTNERS