Building Partnerships for Tobacco Prevention and Control

1
Building Partnerships forTobacco Prevention and
ControlCross Cultural Leadership Institute

• Shelley Cooper-Ashford,
• Center for MultiCultural Health
• Wendy Nakatsukasa-Ono,
• Center for Health Training

2
Issues to Be Addressed

• Overview of cross cultural efforts in WA State
• Small group activitycross cultural efforts in
  your communities
• Overview of Cross Cultural Leadership Institute
• Discussion re lessons learned
• Small group activityapplication in your
  communities

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Cross Cultural Efforts in Washington State

• Convened Cross Cultural Workgroup on Tobacco
  (CCWT) in 5/01
• Purpose To identify innovative ways of
  eliminating tobacco use and exposure in high-risk
  populations
• Included representatives from 6 priority
  populations, DOH-TPC community contractors and
  other interested parties

4
Cross Cultural Efforts in Washington State

• Priority populations
• African Americans
• American Indians/Alaska Natives
• Asians/Pacific Islanders
• Latinos
• Sexual minorities
• Rural populations

5
CCWT Activities

• Conducted community assessments and identified 6
  critical issues
• Lack of sustained funding
• Lack of outreach and access to programs/services
• Low priority of the issue in high-risk
  communities
• Institutional racism
• Lack of focused resources
• Targeting of high-risk communities

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CCWT Activities

• Developed 3 to 5-year goals that established
  structure for strategic plan
• Sustain commitment
• Increase community involvement, outreach and
  access
• Increase community awareness
• Improve cultural sensitivity
• Provide culturally appropriate materials/services
• Reduce tobacco company influence

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CCWT Activities

• Developed 3 to 5-year goals for strategic plan
• Sustain commitment
• Increase community involvement, outreach and
  access
• Increase community awareness

8
CCWT Activities

• Developed 3 to 5-year goals for strategic plan
• Improve cultural sensitivity
• Provide culturally appropriate materials/
  services
• Reduce tobacco industry influence

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Strategies to EliminateTobacco-Related
Disparities

• Contracted with cross cultural community
  contractors (CCCs) in 5 priority populations
• African AmericanCtr. for MultiCultural Health
• Asian/Pacific IslanderWA Asian Pacific Islander
  Families Against Substance Abuse
• Hispanic/LatinoWA Association of Community and
  Migrant Health Centers
• LGBTVerbena
• Urban IndianSeattle Indian Health Board

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Strategies to EliminateTobacco-Related
Disparities

• Improved surveillance and assessment
• Included question re sexual orientation on BRFSS
• Oversampled African Americans and
  Hispanics/Latinos on BRFSS
• Conducted BRFSS in English and Spanish
• Contracted with NW Portland Area Indian Health
  Board to conduct tribal assessment
• Funded Ctr. for Health Training to develop
• and implement Cross Cultural Leadership Institute

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Small Group ActivityCross Cultural Efforts
inYour Communities

• Share your experience with cross cultural efforts
  in your communities
• Challenges?
• Strategies used?
• Lessons learned?

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Cross CulturalLeadership Institute

• Developed in partnership with DOH-TPC, Center for
  MultiCultural Health and training team from Asian
  Pacific Partners for Empowerment and Leadership
  (APPEAL)
• Modeled after APPEAL Tobacco Control Leadership
  Program
• Tailored for cross cultural communities

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Cross CulturalLeadership Institute

• Purpose To build capacity to develop and
  implement effective TPC programs and policies
• Worked with CCCs and supported community-driven
  processes for recruiting Team Leaders (TLs) and
  Fellows
• Supported up to 2 TLs and 5 Fellows from each
  community to participate in CCLI

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ObjectivesCross CulturalLeadership Institute

• Increase TLs and Fellows competencies in five
  core areas
• Expanding TPC capacities
• Fostering collaboration
• Developing cultural and community competence
• Refining facilitation and communication skills
• Building advocacy skills

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ObjectivesCross CulturalLeadership Institute

• Build relationships between TLs and Fellows and
  community team identity
• Build relationships between cross cultural teams
• Increase community teams capacity to work with
  the CCCs to develop and implement Community Work
  Plans

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ComponentsCross CulturalLeadership Institute

• Two-day residential TL Training
• Orientation session for TLs and Fellows
• Four-day residential Leadership Summit for TLs
  and Fellows
• Implementation of Community Work Plans in
  partnership with CCCs

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2003 2004 Cross CulturalLeadership Institute

• Recruited and trained 10 TLs in 11/03
• Developed and implemented orientation session for
  TLs and Fellows in 5/04
• Developed and implemented Leadership Summit with
  9 TLs and 35 Fellows in 6/04
• Held reunion for TLs and Fellows in 1/05

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2004 2005 Cross CulturalLeadership Institute

• Recruited and trained 12 TLs in 2/05
• Developed and implemented orientation session for
  TLs and Fellows in 4/05
• Will develop and implement Leadership Summit with
  12 TLs and 33 Fellows in 5/05

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Lessons Learned

• The APPEAL Tobacco Control Leadership Program
  model is effective in building capacity in cross
  cultural communities.
• Decentralizing the recruitment of TLs and Fellows
  supports differences in community processes, but
  can be challenging to manage.
• Mainstream organizations may not understand how
  this model builds capacity in cross cultural
  communities.

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Small Group ActivityApplication in Your
Communities

• Think about how this model can influence cross
  cultural efforts in your communities
• Aspects of the model that could be applied in
  your communities?
• Ways that this model could be used to address
  some of the challenges that you identified
  earlier?

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• Shelley Cooper-Ashford
• Center for MultiCultural Health
• 206/461-6910, ext. 219
• shelleyc_at_cschc.org
• http//www.multicultural-health.org
• Wendy Nakatsukasa-Ono
• Center for Health Training
• 206/447-9538
• wono_at_jba-cht.com
• http//www.centerforhealthtraining.org