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Tobacco Use Reduction in PLWH Program Information
Introduction
Smoking prevalence is more than twice as high among People Living with HIV (PLWH) than among the general population. Individuals with HIV who smoke are more likely to die from tobacco-related illness (such as lung cancer, heart disease, or stroke) than from complications of HIV. The Michigan Department of Health and Human Services (MDHHS) Tobacco Section and MDHHS HIV Care and Prevention Section have collaborated to partner with AIDS Service Organizations, Local Health Departments, and Infectious Disease clinics for the Tobacco Use Reduction in People Living with HIV (TURP) pilot project.
The goals of the TURP is to:
Improve health outcomes in PLWH Increase the number of tobacco quit attempts Increase the use of tobacco treatment clinical practice guideline.
This document provides information about the MDHHS Tobacco Section and MDHHS HIV Care and Prevention section so that grantees have a better understanding of the context of this partnership. The program manual is also a resource on health equity in public health practice, Michigan tobacco laws, evidence based practices for tobacco dependence treatment, and contact information for tobacco cessation providers in your community.
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ContentsIntroduction.................................................................................................................................1
Michigan Department of Health and Human Services Tobacco Control Program Mission & Vision..........................................................................................................................................3
Strategic Plan for Tobacco Use Prevention and Reduction..........................................................8
Goal Area 1: Identify and Eliminate Disparities in Tobacco Use................................................12
Health Equity in Public Health Practice....................................................................................12
Goal Area 2: Eliminate Exposure to Secondhand Smoke........................................................14
Michigan Laws......................................................................................................................16
Second Hand Smoke Resources..........................................................................................20
Goal Area 3: Promote Tobacco Dependence Treatment Among Adults and Youth Tobacco Dependence Treatment Resources.........................................................................................22
Tobacco Dependence Resources.........................................................................................24
Goal Area 4: Prevent Tobacco Use Initiation by Youth............................................................26
Youth Tobacco – Links to Resources...................................................................................28
Goal Area 5: Expand and Stabilize Tobacco Infrastructure, Funding and Revenue................30
Using the Evidence to Strengthen Tobacco.............................................................................33
Project Resources.......................................................................................................................35
Tobacco Reduction Project in People Living with HIV.............................................................37
Tobacco Control Program, Michigan Department of Health and Human Services (MDHHS). 37
FY 17/18 Funded AIDS Service Organizations........................................................................37
List of the funded LGBT agencies:..............................................................................................39
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Michigan Department of Health and Human Services Tobacco Control Program Mission & Vision
MissionTo reduce and eliminate tobacco-related deaths and diseases in
Michigan through leadership, collaboration, and education.
VisionThe Michigan Department of Health and Human Services
Tobacco Control Program is dedicated to:
Eliminating disparities specific to race/ethnicity, socioeconomic status, occupation, geography, gender and sexual orientation
Eliminating exposure to secondhand smoke in worksites and public places
Reducing smoking-related illnesses among Michigan residents, especially children
Preventing youth initiation and access to tobacco products Increasing and promoting accessible and affordable
cessation services Sustaining success through building infrastructure and
partnerships, and increasing funding Using public health principles to promote and achieve health
equity and social justice for all Michigander
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DIVISION OF CHRONIC DISEASE AND INJURY CONTROL
Tobacco Section Julia Hitchingham -- SAM 1 Vacant – Sec A Farid Shamo – PHC 2A Linda Nordeen – Dept Spec 2 Martha Mello – Affil—Dept Spec 2 Tobacco Prevention & Control Unit Vacant – PHC Mgr 2 Karen Brown – PHC 2A Patricia Heiler – PHC A Lynn Stauff – PHC 2A Molly Cotant – PHC 2A Laura de la Rambelje – Affil – PHC 2A Elaine Lyon – PHC 2A Carrie Hamer – Affil – PHC E Jim Harrington – Affil – PHC 2A Dawn McCune – Affil – Proj Assist Sheyonne Watson – Affil – PHC E
Tobacco Enforcement & Compliance Unit Vacant – PHC Mgr 2 Blaine Cressman – PHC 2A Nicholas Holtman – Dept Spec 2A Colin Consiglio – Dept Anal E Jason Osoff – Dept Anal E Vacant – Dept Anal E Vacant – Dept Anal E
Cancer Prevention & Control Section Patty Brookover – SAM 1 Sandie Carmer– Sec A Robin Roberts – PHC 2A Mike Carr – Stat Spec 2 Viki Lorraine – PHC 2A Vacant – PHC E Gwen Murphy – Dept Spec 2 Tory Doney – Affil– Dept Anal Trainee E Sam Burke – Affil – Dept Tech E Bethany Hollender – Affil – PHC A Deborah Kennedy – Affil -- PHC E Elizabeth Blain – Affil – Proj Assist
Oral Health Unit Chris Farrell – PHC Mgr 2 Eva Winston (Temp) – Sec E Susan Deming – Dept Anal A Jill Moore – Dept Anal E Jennifer Calkins – Affil – Dept Tech E Emily Norrix – PHC E Jaymee Clark – Affil – Dept Anal E Pam Manning – Affil – Dept Anal E Erin Suddeth – Affil- PHC E Sandy Sutton – Affil – Dept Anal E Sharda Gill (Temp) – Dept Tech E
Comprehensive Cancer Control Unit Polly Hager – PHC Mgr 2 Tracy Solis - Sec E Steve Springer – PHC 2A Angela McFall – PHC 2A E.J. Siegl – PHC 2A Ann Garvin – Nurse Cons 2A Debbie Webster – PHC 2A Dilhara Muthukuda – PHC E Vacant – PHC E Mary Lou Searls – Affil – Dept Spec 2 Beth Trierweiler – Affil – Dept Anal E Diana Haggerty – Affil - Epi A Audra Putt – Affil – PHC E Courtney Cole – Affil – PHC E
Injury & Violence Prevention Unit Jennifer DeLaCruz -- PHC Mgr 2 Rayla Brown – Sec E Laura Rowen – PHC A Jessica Grzywacz – PHC 2A Pat Smith – PHC 2A Vacant – Dept Anal E Vacant – Student Assist Melissa Herrst-Affil – Dept Tech E Erica Schafer—Affil – Dept Tech E Anne Esdale – Affil –PHC 12 Amber Daniels – Affil-- PHC Vacant – Affil – Dept Anal E Jan Fields – Affil – Dept Anal E
Diabetes & Other Chronic Diseases Section Richard Wimberley – SAM 1 Jackie Grubaugh – Sec A Elaine Hewitt – Affil--Dept Spec 2 Tracy Liichow – Affil Dept Anal E
Robin Benbow – Exec Sec E-10 Linda Scarpetta – Director – SDA 17
Cardiovascular Health, Nutrition & Physical Activity Section Teri Wilson – SAM 1 Kim Raiford – Sec A Scott Bell – Dept Spec 2 Arcelia Richardson – Affil – Dept Anal E Dawn Rodman – Affil – Dept Spec 2 Vacant – PHC 2A
Diabetes and Kidney Unit Dawn Crane – PHC Mgr 2 Megan Goff – Sec E Lauren Neely - PHC A Tamah Gustafson – PHC 2A Bill Baugh – Affil -- Dept Anal A Kim Lombard – Affil – PHC 2A Vacant – Affil – PHC E
Other Chronic Diseases Unit Amber Matthews – Affil—Sec E John Dowling – PHC 2A Candice Lee – Affil – PHC A Tisa Vorce – Affil – PHC A Karen McCloskey – Affil – PHC 2A Doreen Chambers – Affil – Dept Tech E Alice Hoffman – Affil – PHC 11
Physical Activity & Nutrition Unit Gwen Imes – PHC Mgr 2 Anita Powell– Sec E Lonias Gilmore – PHC 2A Akia Burnett – PHC 2A Lorena Disha – PHC E Michele Kawabe – Affil - PHC E Ashley Beversdorf – Affil – PHC E Jan de la Torre – Affil – PHC 2A Janee Moore – PHC A
7/5/2017 - Updated
Heart Disease & Stroke Unit Krystal Quartermus – PHC Mgr 2 Jacqueline Humphrey – Sec E Suzanne O’Brien – Nurse Cons 2A Kiley Buta – Dept Anal E Beth Jabin – PHC E Adrian Zeh – Dept Anal E Kristina Dawkins – PHC E Karen Fuller – PHC E
Program Integration Annemarie Hodges – Affil – PHC 13 Holly Wilson – Affil – PHC 13 Jodi Spicer – Affil – PHC 11 Loan Nguyen– Affil—PHC 11
Total Staff Positions 120 State Employees 74 (62%) Affiliates 46 (38%)
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TOBACCO SECTION WORKPLAN (Annotated Version)
FY 2015/ 16
Support smoke-free housing policies for Housing Commissions. Promote smoke-free policies for outdoor public places (parks, beaches, events etc…) Enforce & Evaluate The Dr. Ron Davis Smoke Free Law (Public Act 188). Increase Support for Commercial SF Tribal Communities Support state coalition, Tobacco Free Michigan’s and other state Partners tobacco-related policy efforts. Support efforts to increase SF Policy in Casinos Keep the Smoke Free Air Law Intact (Public Act 188). Continue Second Hand Smoke education efforts for vehicles and homes.
Promote and support comprehensive 24/ 7 tobacco-free school policies. Promote and support tobacco-free university/ college campus policy development/ implementation & The Quitline Promote and support tobacco preven-tion and reduction efforts among young adult populations and increase youth involvement Promote & support parental/ caregiver initiatives to prevent and reduce youth tobacco use. Support Efforts to Amend Michigan’s Youth Tobacco Act Support through collaboration with partners Tobacco 21 Work with state –level Youth Access to Tobacco Work Group. Collaborate with the MDCH Substance Abuse Prevention Section on youth tobacco issues including implementation of the MI FDA Tobacco Retailer Inspection Project. Continue Retailer, FDA, Hookah, Synar education packet and
Distribute Nicotine Replacement Therapy patches to priority populations through the State of Michigan Quitline. Promote Quitline Fax referral service to patient based entities. Increase Services through Medicaid. Institutionalize Cessation in standard clinical practices through systems change. Enhance culturally specific services. Tobacco HIV Care Collaborative Project.
Expand policy education efforts in communities disparately effected by tobacco use (i.e. 100 % SF grounds for mental health facilities, adherence to the Dr. Ron Davis law and hookah.) Promote faith leaders involvement in tobacco control; increase the number of tobacco-free policies within faith-based organizations. Collaborate with other state or community-based agencies to close the gap in Michigan-specific tobacco-related data.
Collaborate with community-based agencies that provide services to parents, women and children to integrate SHS and cessation messages into existing communication outlets & tobacco use prevention into existing programs.
Enhance culturally appropriate cessation services. Promote Quit Attempts in mental health and substance abuse facilities.
Expand Funding for more agencies that represent groups that are disparately affected by tobacco use.
Integrate messages on the effects of tobacco use and secondhand smoke exposure on chronic diseases into existing media outlets.
Public Education on Tobacco Pricing Develop Revenue Budget Blue Print Seek and apply for additional funding Support Development of Legislative Strategies Increase earned media opportunities Contribute to Science of Tobacco by publishing more studies.
Eliminate SHS Exposure t
Youth Prevention & Access Promoting Tobacco Treatment Eliminate Health Disparities
Sustainability
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Strategic Plan for Tobacco Use Prevention and Reduction
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Goal Area 1: Identify and Eliminate Disparities in Tobacco Use
Health Equity in Public Health Practice
Health equity is loosely defined as everyone having opportunity to attain their highest level of health. Differences in health status among population groups that are unfair, unjust, and actionable are health inequities. Health disparities are the different health outcomes among groups of people. The tobacco industry uses predatory marketing and political lobbying to capitalize on health inequities. MDHHS Tobacco Section has made addressing health equity a goal in the strategic plan in order to eliminate health disparities in communities with disproportionate tobacco use such as LGBT community, people living with HIV (PLWH), and multi-cultural communities (or communities of color).
To learn more about Health Equity, please reference the links below articles, videos, and tools to increase understanding.
Health equity: exploring social and economic dimensions
http://archived.naccho.org/topics/infrastructure/upload/healthequityexploringthesocialandeconomicdimensions.pdf
Unnatural causes
http://www.unnaturalcauses.org/media_and_documents_about_the_issues.php
Guidelines for achieving health equity
http://www.health.state.mn.us/divs/opi/healthequity/resources/docs/Guidelines_for_Achieving_Health_Equity_in_Public_Health_Practice_1.pdf
MDHHS- Michigan equity practice guide for state level public health practitioners
http://www.michigan.gov/documents/mdhhs/Michigan_Health_Equity_Practice_Guide_544551_7.pdf
Michigan health equity roadmap
https://www.michigan.gov/documents/mdch/MI_Roadmap_FINAL_080310_revised_WEB_VERSION_329422_7.pdf
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Naccho Health Equity Training
NACCHO offers two online courses on health equity/inequity:
“The Roots of Inequity”
http://rootsofhealthinequity.org/
“Health Equity and Prevention Primer”
http://www.preventioninstitute.org/tools/focus-area-tools/health-equity-toolkit.html
Tackling health inequities through public health practice handbook
http://www.naccho.org/topics/justice/upload/NACCHO_Handbook_hyperlinks_000.pdf
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Goal Area 2: Eliminate Exposure to Secondhand Smoke
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Michigan Laws
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Second Hand Smoke Resources
Visit and review the United States Surgeon General’s 2006 Report on the Health Consequences of Involuntary Exposure to Tobacco Smoke available at http://www.ncbi.nlm.nih.gov/books/NBK44324/ . It is helpful to review the entire report, but the key piece of the report for review is Chapter 1: Major Conclusions, which is available as a link at the site.
Visit and review the Centers for Disease Control and Prevention’s Secondhand Smoke Facts webpage at http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/general_facts/ .
Visit and review the Centers for Disease Control and Prevention’s Health Effects of Secondhand Smoke webpage at http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/ .
Visit the American Lung Association’s State Legislated Actions on Tobacco Issues (SLATI) State Pages at http://www.lungusa2.org/slati/states.php . Click on Michigan and review the current tobacco control laws for Michigan.
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Goal Area 3: Promote Tobacco Dependence Treatment Among Adults and Youth Tobacco Dependence Treatment Resources
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Tobacco Dependence Resources
Visit the Michigan Department of Community Health Tobacco Control Program Quit Smoking webpage at http://www.michigan.gov/MDHHS/0,1607,7-132-2940_2955_2973_53244---,00.html . Review all documents available on the webpage.
Visit the Michigan Tobacco Quitline website https://michigan.quitlogix.org/ and review the information on the website including the fax referral form.
Review the U.S. Surgeon General’s Report The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General, 2014 at http://www.surgeongeneral.gov/library/reports/50-years-of-progress/index.html . Review the Executive Summary and the Fact Sheets.
Be aware of the 2008 Treating Tobacco Use and Dependence Clinical Guidelines Quick Reference Guide for Clinicians available at http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/index.html .
Be aware of the Systems Change: Treating Tobacco Use and Dependence Based on the Public Health Service (PHS) Clinical Practice Guideline—2008 Update available at http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/decisionmakers/systems/index.html .
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Goal Area 4: Prevent Tobacco Use Initiation by Youth
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Youth Tobacco – Links to Resources
Hookah related information:
http://www.cdc.gov/features/hookahsmoking/
http://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm
http://www.medicalnewstoday.com/articles/279194.php
Campaign for Tobacco Free Kids factsheets:
http://www.tobaccofreekids.org/facts_issues/fact_sheets/toll/tobacco_kids/
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Goal Area 5: Expand and Stabilize Tobacco Infrastructure, Funding and Revenue
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Tobacco Infrastructure, Funding and Revenue Resources
Review the Centers for Disease Control and Prevention’s webpage on Sustainability available at http://www.cdc.gov/tobacco/tobacco_control_programs/program_development/sustainingstates/sustaining_funding/index.htm .
Review the Centers for Disease Control and Prevention’s Best Practices for Comprehensive Tobacco Control available at http://www.cdc.gov/tobacco/stateandcommunity/best_practices/ . Review the Executive Summary and the Recommended Funding Levels.
Review the Campaign for Tobacco-Free Kids sustainability materials available at http://www.tobaccofreekids.org/facts_issues/fact_sheets/policies/prevention_us_state/save_lives_money/ .
Using the Evidence to Strengthen Tobacco
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Using the Evidence to Strengthen Tobacco
Use Prevention Strategies
Resources and References
The Guide to Community Preventive Serviceshttp://www.thecommunityguide.org
The Guide to Community Preventive Services (Community Guide) provides recommendations on population-based interventions to promote health and to prevent disease, injury, disability, and premature death, appropriate for use by communities and healthcare systems. The Community Guide, led by the independent Task Force on Community Preventive Services, addresses a variety of health topics important to communities, public health agencies and health care systems. It is summarizing what is known about the effectiveness and cost-effectiveness of population-based interventions designed to promote health, prevent disease, injury, disability and premature death as well as exposure to environmental hazards.
Reducing Tobacco Use: A Report of the Surgeon General - 2000http://www.cdc.gov/tobacco/sgr_tobacco_use.htm
This report evaluates each of the five major approaches to reducing tobacco use: educational, clinical, regulatory, economic, and comprehensive. Further, the report attempts to place the approaches in the larger context of tobacco control, providing a vision for the future of tobacco use prevention and control based on these available tools.
Best Practices for Comprehensive Tobacco Control Programshttp://www.cdc.gov/tobacco/bestprac.htm
CDC's Best Practices for Comprehensive Tobacco Control Programs is an evidence-based guide to help states plan and establish effective tobacco control programs to prevent and reduce tobacco use. The book identifies and describes the key elements for effective state tobacco control programs, including programs designed for communities, schools, and the entire state. Best Practices also addresses the significance of cessation programs, counter-marketing, enforcement, surveillance and evaluation, and chronic disease programs to reduce the burden of tobacco-related diseases. Tobacco control program funding models for all 50 States and the District of Columbia are includedAmericans for Nonsmokers' Rightshttp://www.no-smoke.org
Americans for Nonsmokers' Rights is the only national lobbying organization dedicated to nonsmokers' rights, taking on the tobacco industry at all levels of government to protect
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nonsmokers from secondhand smoke and youth from tobacco addiction. ANR pursues an action-oriented program of policy and legislation.
CDC, Office on Smoking and Health's (OSH) Tobacco Information and Prevention Sources (TIPS)http://www.cdc.gov/tobacco/index.htm
The Office on Smoking and Health (OSH) is a division within the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), which is one of the centers within the Centers for Disease Control and Prevention (CDC). OSH is responsible for leading and coordinating strategic efforts aimed at preventing tobacco use among youth, promoting smoking cessation, and protecting nonsmokers from environmental tobacco smoke (ETS). It provides some level of funding for areas of states and US territories.
10.2014
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Project Resources
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Tobacco Reduction Project in People Living with HIVTobacco Control Program, Michigan Department of Health and Human Services (MDHHS)
FY 17/18 Funded AIDS Service Organizations
Central Michigan District Health Department (LS)2012 E. Preston Ave. Mt. Pleasant, MI 48858 Lorrie Youngs, 989.773.5921, ext. [email protected] Johnson, [email protected]
Community AIDS Resources and Education Services (CARES) (DR)629 Pioneer St.Kalamazoo, MI 49008 Love Chambers, 269.381.2437, ext. [email protected] rg Pat Clark, 269.381.2437, ext. [email protected]
Grand Rapids Red Project (DR)343 Atlas Ave. SEGrand Rapids MI 49506 Storee Harris, [email protected] Sarnaki, [email protected]
Great Lakes Bay Health Centers (DR)1522 Janes AveSaginaw, MI 48607 Rachel Muex, [email protected] Peters, [email protected]
Health Emergency Lifeline Programs (LS)Teresa Roscoe, Executive Director1726 Howard Street, Detroit MI 48216Phone 313.832.3300, ext. 11Email [email protected] Vital (coordinator) 313.832.3300, ext. [email protected]
Meghen Hadala, 313.832.3300 ext. 29
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Henry Ford Health System (SW)2799 W. Grand Blvd.Detroit, MI 48202 Joanne Huitsing, [email protected] Payne, [email protected]
Ingham County Health Dept. (SW)5303 S. Cedar St.Lansing, MI 48911 Sarah Bryant, [email protected]
Lansing Area AIDS Network (LAAN) (LS)913 W. Holmes Rd. Suite 115Lansing, MI 48910 Fiza Irfan, 517.394.3560, [email protected] Distel, 517.394.3719, ext.113
Marquette County Health Dpt. (SW)184 U.S. HWY 41, EastNegaunee, MI 49866 Laura Fredrickson, [email protected]
Matrix Human Services (DR)120 Parsons, Detroit MI 48201313.344.6220Dave Perkins (VP, fiscal)[email protected] Ryan, 248.545.1435, ext. [email protected] , (coordinator)Patricia Blake-Smith, [email protected] , 313.475.5690Sheila Anderson, [email protected] , 586.491.4108
Mercy Health-Hackley Campus (LS)McClees Clinic1700 Clinton StreetMuskegon, MI 49442 Aimee Taylor, [email protected] Hobson, [email protected]
Sacred Heart Rehabilitation Center, Inc.(Bay Area Social Intervention Ser.) (SW)301 E. Genesee Ave.Saginaw, MI 48607 Shadena Shipman, 989.776.6000, ext. [email protected] Neal, 989.776.6000, ext. [email protected]
UNIFIED HIV Health and Beyond (LS)3011 W Grand Blvd Ste. 230Detroit, MI 48202Erin Suprunuk, [email protected] Hatcher, [email protected]
Angel Tomsic, VP, 313.446.9800, ext. 811, or 313.231.7885 [email protected]
University of Michigan Health System (SW)HIV/AIDS Treatment Program1500 E. Medical Center Dr.Ann Arbor, MI 48109-5378 Amy Jacobs, 734.763.9227 [email protected]
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Wayne State University/Children’s HospitalHorizons Project (SW)60 W. HancockDetroit, MI 48201 Erica Kelley, 313.577.6991, ext. 4291 [email protected] Green-Jones, [email protected] Outlaw, [email protected] Duncan [email protected]
Wellness Services, Inc. (SW)311 E. Court StreetFlint, MI 48502 Teresa Springer, [email protected] Strickland, [email protected] Moore, 810.232.0888, ext. [email protected]
Key Project StaffTobacco Section, MDHHS109 W. Michigan Ave., 8th Floor Lansing, MI 48913
Dwayne Riley (DR), Consultant517. [email protected]
Lynne Stauff (LS), Project Coordinator [email protected]
Sheyonna Watson (SW), [email protected]
Dawn McCune, Project [email protected]
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List of the funded LGBT agencies:
1. Affirmations (Oakland) Lilianna Reyes, 248-398-7105
2. LGBT (Detroit) Curtis Lipscomb 313-285-9733
3. Kalamazoo Gay Lesbian Resource Center (Kalamazoo County) Meg Bauer 269-349-4234
4. Grand Rapids PRIDE Center Larry DeShane 248-854-9920
5. Perceptions Saginaw Valley (Midland, Bay, Saginaw) Chris Lauckner and Andrea Eisler Hill 989-832-2129
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