1. 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 Action Berea Children's Home Changing Attitudes Utilizing Skills from Everyday Life (CAUSE) CASE Division of Adolescent Health Center for Community Solutions Center for Families and Children CASE Center for Health Promotion Research City Year Cleveland Cleveland Department of Public Health Cleveland Clinic Foundation Cleveland Municipal School District Cuyahoga County Tobacco Control Coalition Greater Cleveland Health Education & Service Council Health Space Cleveland Hispanic Urban Minority Alcohol and Drug Abuse Outreach Programs, Inc Lakewood Department of Human Services Lakewood City School District Lakewood Hospital Lesbian/Gay Community Service Center Let's Talk About...Youth Enrichment Program Metro-Health Medical Center Northeast Ohio Neighborhood Health Services (NEON) PLAN of North East Ohio Recovery Resources Saint Vincent Charity Hospital Shaker Heights Health Department South Pointe Hospital University Hospitals Family Medicine Foundation Warrensville 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 Health PROJECT DESCRIPTION PARTNERSHIP FUNDING Y OUTH Y OUTH S URVEILLIANCE S URVEILLIANCE The Partnership Youth Tobacco Survey is a cross-sectional school- based surveillance instrument that provides information regarding tobacco use among adolescents in Cuyahoga County. The survey also guides programmatic efforts and is completed by High School and Middle School students on alternating years. Y OUTH CESSATION Y OUTH CESSATION The Off (Officially Free From) Nicotine program is a cessation program tailored to teens utilizing evidence-based components and innovations in a highly perso- nalized and flexible approach. The program is available to Cuyahoga County schools & community groups at no charge. P ARTNERSHIP P ARTNERSHIP W EBSITE W EBSITE www.tobaccoreduction.org www.tobaccoreduction.org O HIO Q UIT-LINE O HIO Q UIT-LINE From November 2004 to January 2006, the Ohio Quit-Line has received 48,271 calls from Ohio’s 88 counties. Cuyahoga County produced the most calls during this time with 6,486, second was Franklin with 4,245. These numbers are partially reflective of population size. C OMPLIENCE C HECKS C OMPLIENCE C HECKS Starting in 2001, the Partnership has coordinated annual tobacco law compliance checks. Local teens under 18 work with Partnership representatives to perform random tobacco buying operations. Underage sales are documented and the results are shared with both city officials and the selected establishments. A DULT C ESSATION A DULT C ESSATION Since the start of the Partnership in 2001, 712 adults have enrolled in the cessation programs offered by hospitals, businesses, and a number of local nonprofit organizations. Freedom from Smoking® (FFS) is an eight week program developed by the American Lung Association and is used in all adult cessation programs offered through the Partnership. The Smoke-Free guide lists over XXX smoke–free restaurants found throughout Cuyahoga County. S MOKE-FREE S MOKE-FREE R ESTUARANTS R ESTUARANTS The Partnership in collaboration with the Clean Indoor Air Campaign and the C.C. Tobacco Coal- ition compiled the Smoke-Free Restaurant Guide, which lists over 600 Cuyahoga County Smoke-Free establishments. The establish- ments must be 100% smoke free during all business hours-those with "smoking sections" will not be included. S HOUT T EAMS S HOUT T EAMS SHOUT teams are comprised of local stud- ents who plan tobacco reduction and advocacy activities in their school and community with the support of an adult advisor and a Case graduate student acting as a mentor. There are currently 16 teams in a diverse set of local High School & Middle Schools. From 2001-2005, over XXXX students from xx schools have participated in tobacco prevention programs. Y OUTH Y OUTH P REVENTION P REVENTION From 2002-2005, 5,501 Cuyahoga County (CC) 4 th & 5 th graders received Word of Mouth tobacco prevention programming, while 3,354 6 th graders received Lifeskills sub- stance abuse prevention/competency enhancement program- ming. Programs have been conducted in 55 schools across CC. A DULT S URVEILLANCE A DULT S URVEILLANCE Since 2001, 1200-1500 C.C. residents answer an annual telephone survey conducted by ORC Macro. The survey collects trend data on tobacco use, awareness, attitudes, and tobacco related health outcomes. The data is also used to identify geographic areas most in need of programming. Health and Caring for All Health and Caring for All Community Vision Council Community Vision Council COMMUNITY PARTNERS