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Home My WebLink AboutC02-127 CDPHECoo - I \now"` 1"� STATE OF COLORADO Bill Owens, Governor Jane E. Norton, Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Denver, Colorado 80246-1530 Phone (303) 692-2000 TDD Line (303) 691-7700 Located in Glendale, Colorado httpVAvww.cdphe.state.co.us May 2, 2002 State Fiscal Year 2002 - 03, Laboratory and Radiation Services Division 8100 Lowry Blvd. Denver,'Colorado 80230-6928 (303) 692-3090 Contract Renewal Letter Contract Renewal Letter Number 01, cold y 1876 Colorado Department of Public Health and Environment Contract Routing Number 0 03r ft&" Pursuant to paragraph C4 of the contract with contract routing number 01-00238 and contract encumbrance number FLA- PPG0100238, hereinafter referred to as the "Original Contract" (a copy of which is attached hereto and by this reference incorporated herein and made a part hereof) between the State of Colorado, Department of Public Health and Environment and the Board of County Commissioners for Eagle Count+, for the renewal term from July 1, 2002, through June 30, 2003, the parties agree that the maximum amount payable by the State for the eligible services referenced in paragraph C1 of the Original Contract is increased by S -Eight Thousand, Seven Hundred Five Dollars, ($68,705.00) for a new total financial obligation of the State of One Hundred Twenty -Eight Thousand, Seven Hundred Five Dollars, ($128,705.00). The revised work plan, which is attached hereto' as "Attachment 1", and the revised budget, which is attached hereto as "Attachment 2", are incorporated herein by this reference and made apart hereof. The first sentence in paragraph Cl of the Original Contract is hereby modified accordingly. All other terms and conditions ofthe Original Contract are hereby reaffirmed. This amendment to the Original. Contract is intended to be effective as of July 1, 2002. However, in no event shall this amendment be deemed vali&until it shall have been approved by the State Controller or such assistant as he may designate. Please sign, date, and return all 4 originals of this Contract Renewal Letter by May 20, 2002, to the attention of - David E. Smith, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, Colorado 80246, Mail Code: HPDP-STEPP-A5. One original of this Contract Renewal Letter will be returned to you when fully approved. (a political subdivision of the State of Color o� OAF cQ G By: 04 ag K9K Name: Title: OR FEIN: 84-6000762L APPROVALS FOR THE STATE CONTROLLER: Arthur L. Barnhart —� By: ��+ 7/1 lo z STATE OF COLORADO Bill Owens, Governor By: For the xecutive Director DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PROGRAM: By: l:\STEPP Program\Grants - Contracts\TobaccoSettlement\continuation-2002\County Nursing Services\EagleCX renewal Ltr.doc.doc Attachment ment 1 State Tobacco Education and Pre....�tion Partnership (STEPP) Colorado Department of Public Health and Environment w HPDP A5 4300 Cherry Creek Drive South Denver, CO 80246 County Nursing Service Funding Application Cover Page July 1, 2002 - June 30, 2003 Date: March 8, 2002 Agency Name: Eagle County Health & Human Services Address: P.O. Box 660, Eagle, CO 81631 Agency Administrator: Kathleen L. Forinash Tobacco Prevention and Control Program Manager: Sarah Schipper - Telephone: (970) 328-8858 — Forinash (970) 328-8819 — Schipper (970) 328-8840 (main number.) Fag: (970) 328 , 8829 E-Mail: forinash@ea e-county.com and schip ea a -coon ; .coin Total Funds Requested for Project Period (July 1, 2002 — June 30, 2003): $ 68,705 Approximate Distribution of All First Year Funds by Program Goals (Total should equal 100%) Prevent initiation of tobacco use among -youth: 35% Promote cessation of tobacco use among youth and adults: 25% Reduce exposure to secondhand smoke: 30% Increase capacity for effective tobacco control : 10% Submitted By: KathleenForinash, Director " Eagle County Health & Human Services 1 StCTIMi 1: EXECUTIVE f MMARY = Eagle County Healti,,�, Numan Services In the initial year of the STEPP program in Eagle County, a comprehensive assessment of tobacco use and community tobacco access was completed, a community tobacco coalition was formed and leadership sectors of the community received information on the status of tobacco use in the County. The second year approach builds on this information and network to address initiation of tobacco use by youth; promote cessation of tobacco use; reduce exposure to secondhand smoke and increase the community's capacity for effective tobacco control. Eagle County proposes to implement all the required objectives and to also promote quitting among pregnant women. The overall approach will include: > Strengthening of the Tobacco Coalition network through partnership with other community coalitions and service providers — Eagle River Valley Youth Coalition; Early Childhood Health Advisory Council; health care providers; public and private -schools. > Working closely with the schools and youth serving organizations to develop avenues for youth participation and create youth cessation initiatives. > Meeting with elected officials to share information on smoke, -free alternatives and develop local strategies. > Continuing the assessment of tobacco use and availability. > Developing and supporting volunteer opportunities in civic and non-profit organizations to support project activities and create an ongoing culture that reduces tobacco use. The Eagle County Health & Human Services Department will continue as gl ty ep grantee and will provide program management, public health and volunteer coordination services to accomplish goals and objectives. The Department will continue to sub -contract with Valley Partnership for Drug Prevention for expertise in assessment, enforcement and cessation programs. The Department will also sub -contract with the Eagle River Valley Youth Coalition for services in forming a youth tobacco coalition and supporting youth advocacy and empowerment activities. 2 The Department will provide mcy.,ry and quarterly reports on program amities in accordance with requirements and will cooperate with STEPP staff in the evaluation of tobacco control efforts utilizing tools, instruments, and appropriate training provided to the county through state staff. The current planning process has been integrated into a regional plan with community support for tobacco use prevention efforts. Current data: ➢ 43% of youth indicate they have tried smoking, compared to national rates of 70%; ➢ 36% of girls report currently smoking compared to about 37% of girls nationally; ➢ use rates of smokeless tobacco among youth are at 80/o, the national rate is 9%. ➢ 37% of adults perceive adult tobacco use as serious/very serious issue in the community; IF. ➢ 75% of these same adults view tobacco use by youth as serious/ very serious issue. ➢ access for youth to tobacco products could be a problem in the community. ➢ 60% of those interviewed did not consider secondhand smoke as a serious or very serious issue for them; most indicated a need to develop youth cessation and prevention programs and enforce ordinances. concerning youth tobacco possession and tobacco sales - 2001 respondents outlined the following tobacco issues of concern in;priority order. 1. Tobacco use by youth 2. Availability of tobacco prevention programs for youth 3. Tobacco use by adults 4. Accessibility of tobacco products to youth 5. Enforcement of tobacco control laws. 3 1ECTIDN'2: IlVIPLEMENTA�)N QUESTIONS 1. Capacity building and/or infrastructure needs A. Comprehensive tobacco control strategies : Eagle County will continue to contract with Valley Partnership for Drug Prevention for information and expertise in tobacco prevention strategies and tobacco control options. Valley Partnership is conversant with state and national initiatives and with research on tobacco use. Utilizing this knowledge base makes sense in terms of both quality of effort, efficient use of resources, and community acknowledgement of expertise. Eagle County had limited knowledge of the STEPP approach to tobacco use and control when the assessment process for development of a five year strategic plan regarding tobacco use began. Over the past r_ year, Valley Partnership for Drug Prevention, has provided expertise, legwork and coaching in the , . components of an effective community approach to tobacco use and control. An awareness of how to craft a comprehensive program has emerged.. Resources for information and best practices are being incorporated. The Department's "literacy" in tobacco use and control planning and programming has developed. B. Building community coalitions: The first year of coalition building identified a core group of community partners willing to engage in broad community planning around tobacco issues. Many of the Core partners work with youth and are active with the Eagle River Youth Coalition. It became logical for the project to take this Core partnership to a new level by contracting for ERYC services to develop the youth tobacco coalition. This partnership signals the dynamic and effective approach to coalition building in Eagle County will be to engage existing systems and organizations where they are, making it attractive for organizations to incorporate tobacco prevention, cessation and control efforts as part of their broader missions. Staff will reach community organizations with education and targeted program dollars. Community coalition meetings will have specialized topics, such as tobacco free schools, to weave together agency efforts around goals. 4 C. Community Volunteers and' lershipladvocacy slalls developmer,... The Eagle County project will incorporate community volunteers to develop tobacco cessation programs, particularly for youth, and to develop knowledge and skills for community education and tobacco control . There are no existing youth cessation programs in the County. Trained volunteers, working in conjunction with the schools and youth serving organizations, will be key in the development of needed programs. As the project moves to reduce secondhand smoke and promote tobacco control measures, community volunteers will become the voice of the community to reinforce positive social norms. The HHS Volunteer Coordinator will assist the project in recruitment, selection and management of tobacco coalition volunteers. D. Eiristing Capacity Factors: Eagle County Government provides computer capability and support including Internet access. Eagle County Health & Human Services has a fully developed capacity for volunteer administration and .- rnanages over 200 volunteers in Eagle County. The HHS Volunteer Coordinator willjoin-the STEPP program and assist in recruitment and.organization of community volunteers. Eagle County HHS has a staff that mirrors the demographics of the community. Nearly one in three staff is biilingual and bi-cultural. Staff regularly participate in formal training on .cultural competency and staff and team meetings develop sensitivity and awareness of the interplay of cultural issues in working with the community. Eagle County HHS has a primary mission to `work in partnership with the community to encourage healthy life styles To carry out that mission, HHS staff link services with multiple community organizations and provide leadership and staff support to a variety of community coalitions and task forces. These linkages will be utilized to incorporate tobacco strategies. 2. Community Population: Eagle County is a Waal resort county located on the Western Slope. The 2000 population of 41,659 represents a 90% increase in the past decade. The population growth in Eagle County is expected to 5 continue, with projections to mo%, double its population to 77,000 by,i year 2025. Nearly 5000 youth between the ages of 10 and 19 are vulnerable to the initiation of tobacco use. Eagle County has a transient population with- 37% of the residents living in the community for less than one year. The transiency is a result of labor market forces, limited housing and the cost of living. Eagle County is also marked by in -migration of middle-class, middle-aged retirees and low-income Hispanic working families. Nearly one in four residents are over the age of 44. Median age is 31.2 years. The 2000 Census indicates that one quarter of the population is Hispanic; other racial groups comprise 15 % of the population. Families living at or below the federal poverty level are 6.1 percent. Using the same cost factors relative to Eagle County costs suggests that the Eagle County `poverty level' is double that of the federal figures. The r. 2002 median family income for the County is $ 74,900, although the average annual wage is only $ 28,854 compared to the state average of $ 33,493. The Cost of living is most dramatically seen in the cost kof, housing. - The average rental cost of a two bedroom apartment is $1037 and the 2000 median home price was $ 489,950. It requires $139,000 in annual income to -purchase as average priced home in the County. The county is comprised of two distinct "communities".:.The*Eagle River Valley begins at Vail Pass -and - concludes at the entrance to Glenwood Canyon. This community has I-70 as its main street and includes the towns of Red Cliff, Minturn, Vail, Avon, Eagle, and Gypsum. The other "community" is the Roaring Fork Valley incorporating the Basalt and El Jebel. In the Roaring Fork Valley, human service planning is done in conjunction with Pitkin and Garfield Counties. Addressing the diversity: The need to address the ever changing face of Eagle County will be met in two ways:' (1) transciency- through the use of social norming messages in schools and public places; (2) young adult population - through positive reinforcement of restrictions on tobacco sales and promotion; (3) economic diversity - through connection and educational efforts with a mutiplicity of community groups to partnerships and alliances for tobacco cessation and control and with promotion of QuitLine and QuitNet.; (4) latino-anglo - language and cultural diversity will be addressed by dissemination of materials in both English and Spanish; 6 (5) two valleys —community coaT� in both the Roaring Fork and Eagl�►,ver Valleys. The "two valley" phenomenon is addressed by separate community coalitions and plans that relate to community resources in the Eagle River Valley (this plan) and the Roaring Fork Valley (tri-county, Garfield, Pitkin and Eagle). Planning has been integrated into a regional process with regular consultation occurring between Pitkin, Garfield and Eagle County Health offices, Valley View Hospital, Vail Valley Medical Center, Eagle County School District, Eagle River Youth Coalition, and the three county tobacco groups. 3. Community readiness: information from 30 Key Informant Interviews in 2001 indicates that 37% of adults perceive adult tobacco use as either a serious or very serious issue in the community; 75% of these same adults view tobacco use by I. youth as either a serious or very serious issue. The majority of respondents indicated a belief in the need to increase availability of and access to cessation and prevention programs for youth. A significant percentage indicated -.that enforcement of laws and ordinances concerning:youth tobacco possession and/or tobacco sales to minors were of serious or very serious concern. Although 600A: of key respondents did not consider secondhand smoke a serious or very serious issue in their daily lives, most indicated a need to developyouth' cessation and: prevention. Current data on youth tobacco use in Eagle County indicates that about 43% of youth have tried smoking, compared to national rates of 70%; that about 36% of girls currently smoke compared to 37% of girls nationally. The use rates of smokeless tobacco among youth are at 8%; the national rate is 9 %. Programs and enforce ordinances concerning youth tobacco possession and tobacco use by youth. Respondents of the 2001 survey prioritized tobacco issues as: 1. Tobacco use by youth 2. Availability of tobacco prevention programs for youth 3. Tobacco use by adults 4. Accessibility of tobacco products to youth 5. Enforcement of tobacco use laws. 7 Action recommendations by this a group were: l . Target youth 2. Educate the general public 3. Provide healthy alternatives to youth 4. Enforce tobacco laws and ordinances. Community leaders site the responsibility of the entire community for prevention of tobacco use. In addition to tobacco use data, the initial year of tobacco planning included information gathering about tobacco product and advertising placement; vending machine placement; smoke -free public places; observation of tobacco use in public places; tobacco -free schools signage; and a review of Eagle County ' r. regulations and ordinances concerning tobacco possession, sales to minors an clean indoor air. Tobacco placement and advertising: Although there were a. few instances of advertising at child eye level,, most businesses -.did not, have any tobacco advertising. The sale of single cigarettes was not observed. Most`. gas stations keep smoking products behind the counter, restricting youth .access. Many convenience stores and gas stations display some type of "We ID" signage. Several have no. smoking signs. Grocery stores typically keep cigarettes in locked cabinets in sight of the clerk and display signage about identification. Of = 43 restaurantstbars visited, only three had cigarette vending machines. Public Smoking: Of the 43 establishments visited most were free from smoke, although few had smoke - free signs. In Vail, where resort activity is concentrated, the few places that did allow smoking did so only in evening hours. The general attitude is supportive of smoke free behavior. Ordinances : Vail has a youth access to tobacco law modeled after the state law; a clean indoor air ordinance, delineating where people can and cannot smoke. Gypsum has an ordinance prohibiting youth possession of tobacco, although enforcement is spotty because Gypsum does not have a police force. Community policing is done by the Sheriff's Office. 8 TobAcco-free Schools: Educatia l tobacco -free schools implementatio,, needed. Seven of the 18 schools had either no signs or only "drug -free" sips posted. Five schools had at least one tobacco -free sign, but needed more. Six schools were in compliance. All could use signs on athletic fields. 4. Community support for Health & Human Services as the lead organization for tobacco education and prevention. Eagle County Health & Human Services has been designated by the Board of County Commissioners as the lead organization for tobacco education and prevention. As such, the department enters virgin territory. The only other health organization in the community is the Vail Valley Medical Center. While VVMC promotes positive health practices, such as mammograms, it does not address tobacco use. Other human r- service organizations in the County recognize the appropriate role of HHS to provide strategic planning and implementation of a program for tobacco education and prevention.. These organizations participate in the Eagle County Tobacco Coalition.'- The Department will continue to. recruit and, involve community partners through personal contacts, community meetings, public information activities; rand electronic. interface. 5. Applicant Capability to implement and evaluate tobacco -education and prevention. Eagle County HHS.,has _extensive.experience in grants managementand-programaccountability. The Department collaborates with a variety of community and regional health and human service agencies. Valley Partnership for Drug Prevention has a rich history in tobacco use prevention in the Roaring Fork Valley. For the past nine years, Valley Partnership has been the lead agency for tobacco use prevention, reduction, and control in that portion of Eagle County. Eagle County HHS capacity to implement tobacco control programs has markedly grown by working closely with Valley Partnership as mentor and support. Sarah Schipper, RN, NO, Nurse Manager for Eagle County HHS, will be the leader of the Eagle County project. Sarah has 37 years in public health and nursing, 21 years in Eagle County. She brings to the project an extensive knowledge of the communities of Eagle County, well -developed working relationships with its organizations, and first hand experience with public health client populations. She is experienced in public health assessments and program development and is a former smoker. 9 Shelley Molz, MA, is Executive %,.,ctor of Valley Partnership. She has b�instrumental in the growth of the agency as a health promotion and community mobilization organization. Shelley is recognized on a national basis for her expertise in prevention programs. She is skilled in coalition management and facilitation, data analysis, and program development. The Eagle River Youth Coalition was formed as a 50103 organization in 2001. Members include youth organizations, CSU Extension, the School District, law enforcement, mental health, Medical Center, United Way, and Eagle County Government. Coalition members serve on the Eagle County Tobacco Coalition The Department will provide monthly and quarterly reports on program activities in accordance with requirements. A fimd accounting system permits clear separation of project expenses and revenue. The Department currently accounts for multiple programs and funding streams to state, federal, county, and private organizations. The project will cooperate with STEPP staff in the evaluation of tobacco control efforts utilizing tools, instruments; and'appropriate training made available to the county through state staff. 6. Coalition Members and Community Partnerships Collaboration occurs with Pitkin and Garfield County Health Divisions, Valley View' Hospital, Vail Medial Center, Eagle County School District; Eagle' River Youth Coalition, and Tobacco Reduction Task Force in Garfield County and the Tobacco Task Folice in Pitkin County. Eagle County Tobacco Coalition: o Eagle County Government: Am Menconi, Eagle County Commissioner o Eagle River Youth Coalition : Beth Reilly, Director o Eagle County School District: Susan Scott and Pat Phelan o CSUExtension: Glenda Wentworth o Meet the Wilderness : Tom McCalden o The Resource Center: Marra Carson -Brown — Eagle Valley Buddy Program o Vail Police Department: Susan Douglas o Vail Valley Medical Center: Sarah Ladd o Eagle County Health & Human Services : Sarah Schipper and Kathleen Forinash 10 Annual Action Plan Report Contractor Name: Eagle County Health and Human Services Goal Goal 1: Prevent initiation of tobacco use among youth. Strategy: Goal 1, Strategy 1: Promote tobacco-&ee schools. Objective: By 6130/03, increase to 90% (11) the number of schools with an enforcement'policy/protocolsIfor the tobacco -free schools law in the Eagle County School District -RJ S 1- baseline a 8% of 12 schools. Indicators: Data Collection: Schools an educated about the Tobacco -Free Schools law, the importance of tobacco -face campuses, and then School administration interviews and observation provided TA to develop enforcemast policies/ protocols. Frequency Schedule: semi -,annual visits Sample Size: 12 Sample Strategy: Systematic Sampling Community 1. Assessing enforcement issues with the Tobacco Free Schools Law through at least 12 site visits Intervention: 2 Monitoring and compliance with the state law requiring tobacco -free schools, conduct at least 12 site visits Target Audience: Lead Role Timeline Output: Outcome: 1. School Administrators 1 and 2. Project Coordinator and 1.Quarte r 2 1 and 2. Number of individual participant interviews 1 and 2. New knowledge about Tobacco -Free School Administrators with school adnrinistratars Schools law 2. Quarters 2,3,4 2. School Administrators 2.Number of completed forms provided in Tobacco- 2. New knowledge regarding policies and Free Schools Manual on signage inventory, policy protocols development, enforcement issues, and compliance checks Medla/Marketing: 1. Conduct 1 education campaign about enforcement of school tobacco use policies by sending out information in at least 2 school newsletters per school and making at least 2 verbal announcements per school in Pnglfsh and Spanish. Target Audience: Lead Role: Tirnellne: Output: Outcome: 1. Anglo and Latino staff, parents 1. Project Coordinator and School 1. Quarters 3,4 1. Number of school newsletters and other written and 1. New knowledge about tobacco -five schools and students. Administrators. verbal announcements in clutureUy appropriate languages. Policy/Regulatlon: L Collaborating with school administrators during 12 site visits to develop effective strategies to enforce the Tobacco Free Schools Law TargetAudience: Lead Role: Timeline: Output: Outcome: 1. School Administrators 1. Project Coordinator and School 1. Quarters 2,3,4 1. Number of individual participant interviews with 1. Increased awareness and increased support for Administrators school administrators and the number of schools that school to develop policies. have: a written policy with a statement prohibiting tobacco use:.on school grounds and a procoedure to handle violoations. Tuesday, April 1692002 Page 1 of 9 strategy: Goal 1, Strategy 2: Promote youth advocacy acid empoweraaent i Objective: By 00/03, increase by 100°/a (8) the number of youth involved in youth empowerment tobacco control activities in Eagle County - baseline = 8 youth of 2,429 = .3%. • Indicators: Data Collection: Youth participating on the tobacco task force Count youth attending task force meetings Frequency Schedule: - Sample Size: n/a Sample Strategy: n/a Community 1. Recruit 2 youth from already established ERYC onto tobacco task force by providing 8 brochures with information about the tobacco task force. Intervention: 2. Provide all necessary information from previous tobacco meetings to recruited youth. 3. Conduct I meeting with Target Audience: Lead Role Timeline Output: Outcome: 1 and 2. Youth from Eagle River 1. Project Coordinator I-Quarta 1 1. Number of recorded youth attendees at 3 Tobacco- 1 and 2. Youth gained new knowledge about Youth Coalition Free Eagle County meetings through Minutes tobacco use and increased skills about Coalition participation 2. Youth, Tobacco Free Eagle 2.Number of educational materials disseminated to • County Coalition, Project 2. Quarter 1 youth 3. increasing knowledge among youth serving Coordinator organizations about Oct Real Rinds. Medla/Marketing: 1. Conduct I educational campaign regarding the hazards of tobacco use in 3 County High schools by distributing at least 1 pamphlet or brochure to each student Target Audlence: Lead Role:' Timellne: output: Outcome: 1. Students, StWX Administrations 1. Project Coordinator, Youth on 1. Quarters 2,3,4 I. -Number -'of educational materials disseminated 1. Increased awareness, gained new knowledge, and Parents of students who attend 3 TFEC changed attitude. County High Schools Policy/Regulation: 1. Attend 2 school board meetings to advocate for enforcement of tobacco -five schools policies and report on progress of tobacco five schools policy development and compliance Target Audlence: Lead Role: Timeline: Output: Outcome: 1. School Board, School 1. Project Coordinator, Youth on 1. Quarters 2,4 1. Number of Board Meetings attended 1. Increased awareness of the Eagle County school Administration TFEC board and administration regarding the ft4or( of Tobacco free schools. ' Tuesdays April 16, 2WZ Page 2 of 9 Strategy: God 2, Strategy 1: Promote quilting among adults. Objective: By 6/30103, increase by 500/6 (15 calls per year) the number of quit attempts among adult tobacco users in Eagle County - baseline • 30 calls per year. Indicators: Data Collection: Residents report of quit attempts review STEPP QuitlinelQuitNet Reports Frequency Schedule: quarterly Sample Size: n/a Sample Strategy: n/a Community 1. Promote the statewide Quidine at all medical clinics, hospitals, schools, dentist's offices, non profit organizadons•and private physician's offices throughout the community as well as Basalt Intervention: Railroad Days, 4th of July Celebrations, and the Eagle County Fair. - 2. Promote the statewide Quitnet at all medical clinics, hospitals, schools, dentist's offices, non-profit organizations and private physician's offices throughout the community as well as Basalt Railroad Days, 4th of July Celebrations, and the Eagle County Fair. Target Audience: Lead Role .` Timellne Output: Outcome: 1 and 2. Anglo and Latino adult 1 and 2. Project Coordinator and 1. Quarters 1,2,3,4 1. Number of Quidine materials distributed in English 1. Increased awareness of Quidine services tobacco users Tobacco -Free Eagle County Task and 'Spanish as provided by STEPP Force 2. Increased awareness of Quitnet services 2. Number of Quitnet materials distributed in English and Spanish as provided by STEPP Media/Marketing: 1. Conduct i Media campaign targeting adults to increase the awareness of the hazards of tobacco use through 4 newspaper ads, 3 PSA's, and 500 pamphlets. Target Audience: Lead Role: Timellne: Output: Outcome: 1. Anglo and Latino adult residents 1. Project Coordinator, Tobacco Free 1. Quarters 2,3,4 1. Number of newspaper adveritesment, Public 1. Increased knowledge and awareness about the Eagle County Service Announcements and Pamphlets all in hazards of tobacco use culturally appropriate languages. PoIIWRegulatlon: 1. Conduct at least 2 meetings with 2 substance abuao treatment centers to advocate for adoption of no smoking policies and provide information to clients about available cessation programs Tar+Bet Audience: Lead Role: Timeline: Output: - Outcome: 1. Administration and staff of 1. TFEC, Project Coordinator 1. Quarters 1,2,3,4 1. Number ofrieetings with treatment centers I. Increased awareness about the importance of treats ent centers tobacco five environments and changed staff attitude about tobacco use. Tuaday, April 169 202 - Page 3 of 9 Strategy: Goal 4, Strategy 2: Fostering cultural competency within staf& coalition members, and the program (required). Objective: Increase by two, the number of trainings available to foster cultural competency focused on tobacco in Eagle County. ' Indicators: Data Collection: Number of trainings attendance logs Frequency Schedule: Semi-annually Sample Size: n/a Sample Strategy: n/a Community 1. Provide at least 1 training about how to disseminate information to the Latino population Intervention: 2. Provide at least I training about how to present information to youth Target Audience: Lead Role Timeline Output: Outcome: 1 and 2. Coalition members, local 1 and 2. Project Coordinator, 1 and 2. Quartos 1,2,3 1. Number of trainings offered 1. Increased awareness and new knowledge nests and interested community Tobacco Free Eagle County, Public fosturing cultural competency. presentm MedialMarketing: Target Audience: Lead Role: Timellne: Output: Outcome: Policy/Regulation: Target Audience: Lead Role: Timellne: Output: Outcome: Goal Goal 2: Promote cessation of tobacco use among youth and adults. T+N"Yr April 16+ 2002 Page 4 of 9 Strategy: Goal 2. Strategy 2: Promote quitting among pregnant women. Objective: By 6/30/03, increase by 25% (5 pregnant women) the proportion of pregnant women that make a quit attempt during pregnancy in Eagle County - baseline 50% of 20 pregnant women that smoke In a year. Indicators: Data Collection: The number of pregnant women who attempt to quit Interviews with pregnant women at public health Frequency Schedule: Annually Sample Size: 20 Sam Ie Strata R SY: Systerrratic Sampling Community I. Provide 150 Quitline packets in English and Spanish in 3 public health offices (sites) (Eagle, Avon, Vail) in Eagle County Intervention: 2. Provide 150 Quitnet packets in English and Spanish in 3 public health offices (sites) (Eagle, Avon, Vail) in Eagle County Target Audience: Lead Role w Tlmellne Output: Outcome: 1 and 2. Pregnant Anglo and Latino 1 and 2. Project Coordinator and 1 and 2. 1. Number of STEPP Quidine materials in English and 1 and 2. Increased knowledge, changed attic. woman public health staff Quarters 1, 2, 3, 4 Spanish distributed. and modified behavior. 2. Number of STEPP Quitnet materals in English and Spanish distributed. Media/Marketing: 1. Conduct 1 educational campaign in English and Spanish promoting quitting during pregnancy through 4 newspaper ads, 4 PSXs, and disseminating 500 Quidine/Quitnet packets to 3 local grocery stores in Eagle, Avon, and Vail Target Audience: Lead Role: Timeline: Output: Outcome: 1. Pregnant Anglo and Latino 1. Project Coordinator and Eagle 1. Quarters 2 and 3 1. Number of culturally appropriate materials 1. New knowledge and changed attitude women and the general public County Media Coordinator distributed Policy/Regulation: Target Audience: 1. Public health staff and administration 1. Develop 1 written policy for Eagle County Public Health to distribute and promote Quidinc and Quitnet materials to all pregnant women accessing services Lead Role: Timeline: Output: 1. Project Coordinator and public 1. Quarters I and 2 1. Number of pplicies written health staff Outcome: 1. Modified behavior of staff in implementing policy Tuesday, April 169 2002 Page 5 of 9 Strategy: Goal 2, Strategy 3: Promote youth cessation programs. Objective: By &30/03, increase by 200% (2 youth) the proportion of youth enrolled in youth cessation programs in Eagle County - baseline 0% of 2,429 youth 14-18 year olds in Eagle County. .� Indicators: Data Collection: Youth attending quit programs Count attendance at quit programs Frequency Schedule: Count eon -duplicated youth attending quit program meetings Sample Size: n/a Sample Strategy: n/a Community I. Advocate for schools and youth serving agencies to provide NOT programs for youth who use tobacco through at least 8 site visits to 3 high schools and S youth serving agencies. Intervention: 2. Provide I NOT train the trainers. Target Audience: Lead Role Timeline Output: Outcome: 1. Youth -serving agencies, schools 1. Project Coordinator and TFEC 1. Quarters 1,2 1. Number of discussions held regarding the potential 1. Increased knowledge about NOT program 2.Project Coordinator and American Lung Association 2. Quarter 2 2. Number of participants attending and number of 2. School pasonnel and youth train the trainers 2. Increased awareness access to services serving agency staff Medla/Marketing: 1. Conduct 1 educational compaign regarding the hazards of tobacco use and encouraging youth to quit in 3 County High Schools through the distn'budon of 1 pamphlet/brochum per student Target Audience: Lead Role: Tlmellne: Output: Outcome: I. Youth tobacco were in 3 county I . Project Coordinator, and the youth 1. Quarters 2,3,4 1. Number of educational materials disseminated 1. Increased knowledge and increased awareness of high schools on TFEC hazards and modified behavior. Policy/Regulation: 1. Advocate: for 2 substance abuse treatment programs to adopt policies to include tobacco cessation treatment and provide information on available youth cessation programs TargetAudlence: Lead Role: Timellne: Output: Outcome: 1. Substance abuse treatment staff 1. Project Coordinator and TFEC 1. Quarters 3,4 1. Number of written policies including youth 1. Changed attitudes by treatment professionals and administration cessation treatment about the need to address tobacco use in the treatment setting Goal Goal 3: Reduce exposure to secondhand smoke. Tuesday+ AprU 16.2002 Page 6 0[9 Strategy: Goal 3, Strategy 1: Pr=ote smoke -free public places. Objective: By 6130/03 -increase by 100% (1 town) the number of towns that adopt clean indoor air ordinances that prohibit smoking - baseline = 0% of 4 towns. Indicators: Targeted town adopts clean indoor air ordinance that prohibits smoking Frequency Schedule: quarterly Sample Size: 4 towns Data Collection: participation and observation of town council meetings Sample Strategy: Systematic Sampling Community 1. Distribute information about the hazards of SHS exposure and benefits of smoke -free environments by distributing 100 informational pamphlets to 10 public places Intervention: Target Audience: Lead Role Timeline Output: Outcome: 1. General public, Angle and Latino 1. Tobacco -Free Eagle County Task 1. Quarters 2,3 1. Number of materials distributed in English and 1. Increased knowledge about the hazards of Porte and Project Coordinator ` Spanish Media/Marketing: 1. Conduct 1 media campaign framing secondhand snake as a health issue and not an economic issue in 4 newspaper ads, 3 PSA's,1 letter to the editor and 100 pamphlets 2. Development of I media campaign on the hazards of SHS exposure and benefits of smoke -free environments by distributing information in 4 newspaper ads, 3 PSA's, l letter to the editor and 100 pamphlets Target Audience: Lead Role: Timeline: Output: Outcome: 1 and 2. General public, Anglo and I and 2. Tobacco -Free Eagle County 1 and 2. Quarters 2,3 1 and 2. Number of campaign materials, newspaper 1 and 2. New knowledge about ETS Latino Task Force, and Project Coordinator ads, PSA's, letters to the editor, brochures, pamphlets In English and Spanish Policy/Regulation: I.Advocate, by attending and presenting to government officials at 5 meetings for development of ordinances where snaking is either prohibited or designated to smoking areas that an enclosed and vented directly outdoors Target Audience: Lead Role: Timeline: Output: I. Targeted town council, Eagle 1. Tobacco -Free Eagle County Task 1. Quarters 2,3,4 1. Number of moctings and presentations County Commissioners Force Outcome: 1. Changed attitudes, increased elected officials awareness about the benefits of smolm fire public cnviromncnts. Tueud"t April 16, =2 Pig* 7 of 9 4. Strategy: (coal 3, Strategy 2: Promote smoke -free workplaces. Objective: By 6130/03, increase by 1 % (9 workplaces) the numberof workplaces that adopt formal policies that prohibit smoking - baseline -10% of 900 workplaces. Indicators: Workplaces adopt smoke -fret policies Frequency Schedule: Semi-annual Sample Size: 88 Data Collection: phone interviews Sample Strategy: Random sampling Community 1. Distribute information about the hazards of SHS exposure and benefits of smoke -free environments`by distiibuting 100 pamphlets to 30 targeted workplaces in English and Spanish Intervention: Target Audience: Lead Role Timeline Output, Outcome: 1. Anglo and Latino employees of 1. Tobacco Free Eagle Valley, and 1. Quarters 2,3 1. Number of Materials Distributed 1. Increased awareness for employees and ova targeted workplaces Project Coordinator ` of targeted workplaces Media/Marketing: 1. Conduct 1 media campaign framing secondhand smoke as a health issue and not an economic issue in 4 newspaper ads, 3 PSXs,1 letter to the editor and 100 pamphlets 2. Development of 1 media campaign on the hazards of SHS exposure and benefits of smoke -free environments by distributing information in 4 newspaper ads, 3 PSXs,1 letter to the editor and 100 pamphlets in English and Spanish Target Audience: Lead Role: Timeline: Output: Outcome: 1 and 2. Anglo and Latino employees I and 2. Project Coordinator and 1 and 2. Quarters 2,3 1 and 2. Number of campaign materials distributed: 1 and 2. Increased awareness and owners of targeted workplaces Tobacco Free Eagle County brochures, and pamphlets in English and Spanish Pollcy/Regulation: I Advocate for the development of policies for workplaces where smoking is either prohibited or designated to smoking areas that are enclosed and vented directly outdoors to targeted workplaces through 10 site visits Target Audience: Lead Role: Timeline: Output: Outcome: 1. Employees and owners of targeted1. Project Coordinator, Tobacco free 1. Quarters 2,3,4 1. Number of written policies developed 1. Changed attitudes and modified behavior. workplaces Eagle County Goal Goal 4: Increase capacity for effective tobacco control. Tunday, AprO 169 2002 Psga 8 of 9 Strategy: Goal 4, Strategy 1: Coalition building, recruiting, marketing, and organizing community volunteers (required). Objective: Increase by five people the total number of participants on Tobacco Free Eagle County Coalition, to include latinos, youth, representative from buisness community and school personnel. Indicators: More participants on coalition Frequency Schedule: Quarterly Sample size: n/a Data Collection: Coalition minutes and attendance logs Sample Strategy: n/a Community 1. Recruit at least 2 youth from already established ERYC by providing 8 brochures about tobacco task force to each recruit Intervention: 2. Recruit at least 1 Latino member from the community by distributing 50 pamphlets or brochures about the tobacco task force to La Mesa of Eagle County 3. Recruit at least 1 representative from the Eagle County School District by inviting the Curriculum Director to attend and providing him with past Minutes of meetings 4. Recruit at least 1 representative from the business community by distributing 100 pamphlets about the tobacco task force to the Chamber Resort Association Target Audience: Lead Role ; Tlmeline Output: Outcome: 1. Youth on the ERYC 1,2,3 and 4. Project Coordinator and - 1,2, 3 and 4. Quarters 1,2,3 1,2,3 and 4. Number of new recruits to Coalition 1, 2, 3 and 4. Increased awareness and incre p .l 2. Latino community member Tobacco Free Eagle County diversified community participation 3. Administration and staff of Eagle Coalition members County School District 4. Local business commumity Mledla/Marketing: Target Audience: Lead Role: Timellne: Output: Outcome: Policy/Regulation: Target Audience: Lead Role: Timellne: Output: Outcome: k• Tuesday, AprU 16, 202 Psge 9 0[ 9 Attachment 2 STi TOBACCO EDUCATION AND PREVENTION PARTF11��MP APTiON BUDGET AND10R EXPENDITURE REPORTF6RM FOR THE PERIOD: .fury 1, 2002- Jane 30, 2003 AGENCY: Eagle County Health 3 Human Services ' Annual Salary Rabe B of months Budget FTFJ fr rNsgd Ind Pet Total Amount Requilred SOURCE OF FUNDS OTHER' Requested Received from CDPHE PERSONAL SBMCES• $3.225.00 Nurse MEM. i 4*4 123.00 20.00% Vohs Coardinator- .00 10.00% 656.00 $3 655.00 Y - see corbad Fdnge Bem tx 590.00 $3,613.00 .00 Total Personal Services 1470.00 $16,838.00 $4,632.00 DIRECT OPERAMNG EXPENSES 1448.00 1448.00 PosbgdShkwky RentlU it6es T Fm lntemet Access Office .00 $2DO.00 Office Egutawt CommsterftuWnwd $12=00 112DO.00 1600.00 s1 .00 Media Cost Staff .00 $400.00 Staff Educational fps Cast 900.00 $4 900.00 MfisceLwK aw 000.00 $7 000.00 Total 16 648.00 18 848.00 TRAVEL lnState $Z490.00 SZ490.00 Od-ofstate $1 10.00 $1 510.00 Total Travel $4,000.00 $41000.00 CONTRACTUAL Corrsudant Cosh Cost .00 .00 Conbad T Cost Data CoMedion Cost Total Confracbw $33,250.00 .00 Total Direct Costs T 368.00 16 .00 $58.530.00 ADMfNISTRATNE INDIRECT COSTS Pd tndxed Percentage 13.5% 10175.00 $10175.00 Total h wared Costs $10,175.00 10175 00 TOTAL. PROJECT COST $18 705.00 '00tlwe funding Souunm (Ma bchirq Funds) Mot required for grants Eagle County Gavemment $21,470.00 TOTAL $21.470.00 Signature of Awttloliwd ReMmentative Date raarvsarmaa a j0 Originals to• 1. Contract Book 2. I 4. E2nLes to: I. Accounting