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HomeMy WebLinkAbout20021330 RESOLUTION RE: APPROVE TASK ORDER RENEWAL LETTER#1 FOR TOBACCO EDUCATION, PREVENTION, AND CESSATION PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with Task Order Renewal Letter#1 for the Tobacco Education, Prevention, and Cessation Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing July 1, 2002, and ending June 30, 2003, with further terms and conditions being as stated in Task Order Renewal Letter#1, and WHEREAS, after review, the Board deems it advisable to approve Task Order Renewal Letter#1, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Task Order Renewal Letter#1 for the Tobacco Education, Prevention, and Cessation Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign Task Order Renewal Letter#1. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of May, A.D., 2002. BOARD OF COUNTY COMMISSIONERS A EL," WELD COUNTY, OLORADO ATTEST: i - _{;p "��11 G -Vaad, Chair Weld County Clerk to tra 1 David. Lang, Pro-Tem Deputy Clerk to the Board -- _ M. J. eile APP AS TO FO : / li H. Je ke n y Afta4ney ‘s)R bent D. Masden 5 Date of signature: 3p 2002-1330 CC ; ki/t C (7/6-1-ii) HL0029 Memorandum fittc\rti . 04 TO: Glen Vaad, Chair Board of County Commissioners lFROM: Mark E. Wallace, MD, MPH, Director C Department of Public Health and Environment COLORADO DATE: May 20, 2002 SUBJECT: Task Order Renewal Letter for the Tobacco Education, Prevention and Cessation Program Enclosed for Board review and approval is Task Order Renewal Letter#1 between the Colorado Department of Public Health and Environment (CDPHE) and Weld County for the Tobacco Education, Prevention and Cessation Program. Funds from the Master Settlement Agreement between several states and certain tobacco companies have been appropriated to the CDPHE. This appropriation is available for the continued implementation of the tobacco education and prevention grant that has funded the Tobacco-Free Weld County Program at the Weld County Department of Public Health and Environment (WCDPHE). This renewal letter will permit the continued efforts of 3.5 FTE Health Promotion staff members who will work towards reducing initiation of tobacco use by youth, reducing exposure to environmental tobacco smoke and promoting cessation of tobacco use among youth and adults. Community collaboration and capacity building around these tobacco prevention efforts will continue in order to allow for the maximum outreach of the funds. For these activities, WCDPHE will receive a sum not to exceed $224,856.00 for the time period July 1, 2002 through June 30, 2003. I recommend your approval of this task order. Enclosure 2002-1330 STATE OF COLORADO Bill Owens,Governor Op Jo% Jane E.Norton,Executive Director Q; Dedicated to protecting and improving the health and environment of the people of Colorado y%/ay-� o * * 4300 Cherry Creek Dr.S. Laboratory and Radiation Services Division " „ Denver,Colorado 80246-1530 8100 Lowry Blvd. •tare x Phone(303)692-2000 Denver,Colorado 80230-6928 TDD Line(303)691-7700 (303)692-3090 Colorado Department Located in Glendale,Colorado of Public Health http://www.cdphe.state.co.us and Environment May 2,2002 Task Renewal Letter State Fiscal Year 2002-2003, Task Order Change Renewal Letter Number 1, Contract Routing Number 03-00P45 STEPP Program This Task Order Renewal Letter is between the Colorado Department of Public Health and Environment and the Board of County Commissioners of Weld County. This Task Order Renewal Letter is issued in accordance with paragraph F.4.of the Master Contract with contract routing number 00 FAA 00008 and,paragraph C3.of the Task Order with contract routing number 01-00279 and contract encumbrance number PO FLA PPG0100279. The Task Order, as amended, is hereinafter referred to as the"Original Task Order". The Original Task Order is incorporated herein by this reference,made a part hereof,and attached hereto. The parties hereto agree that the Original Task Order is renewed for the 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 Cl of the Original Task Order is increased by Two Hundred Twenty-Four Thousand,Eiuht Hundred Fifty- Six Dollars, ($224,856.00) for a new total financial obligation of the State of Four Hundred Forty-Five Thousand,Seven Hundred Fourteen Dollars, ($445,714.00).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 a part hereof. The fust sentence in paragraph C. 1,of the Original Task Order is hereby modified accordingly. All other terms and conditions of the Original Task Order are hereby reaffirmed. The proposed effective date of this Task Order Renewal Letter is July 1,2002. However,in accordance with section 24-30-202(1),C.R.S., as amended,the effective date of this Task Order Renewal Letter is the date it is approved by the State Controller. In no event shall this Task Order Renewal Letter be deemed valid until it shall have been approved by the State Controller or such assistant as he may designate. Please sign,date, and return all 3 originals of this Task Order Renewal Letter by May 20,2002,to the attention of: David 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 Task Order Renewal Order Letter will be returned to you when fully approved. Board of County Commissioners of Weld County STATE OF COLORADO (a political subdivision //of ls,Governor _ _ By: vi By: Name: Glenn Vaad For the Executive Director Title: Chair (05/22/2002) DEPARTMENT OFPUi3 C HEALTH FEIN: 846000813 AND ENVIRONMENT' APPROVALS: FOR THE STATE CONTROLLER: PROGRAM: Arthur L.Barnhart, State Controller By: By: Ant ! , WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT BY: elMC`4, c • Mark E. Wallace, MD, MPH,OlteCtOr ,20&Q-1330 State Tobacco Education and Prevention Partnership (STEPP) Ltt 11,02- Colorado Department of Public Health and Environment HPDP-A5 4300 Cherry Creek Drive South Attachment 1 Denver, CO 80246 STEPP Funding Application Cover Page July 1, 2002 - June 30, 2003 Date: March 6, 2002 Agency Name: Weld County Department of Public Health and Environment Address: 1555 N. 17th Avenue, Greeley, CO 80631 Agency Administrator: Mark Wallace, MD, MPH Tobacco Prevention and Control Program Manager: Ren Bedell, MPH Telephone: (970) 304-6420 Ext. 2381 Fax: (970) 304-6416 E-Mail: rbedell@co.weld.co.us Total Funds Requested for Project Period (July 1, 2002 - June 30, 2003): $ 2 . 4;BStoo Approximate Distribution of 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: 20% Reduce exposure to secondhand smoke: 30% Increase capacity for effective tobacco control: 15% Submitted By: Mark Wallace, MD, MPH 1 SECTION 1: EXECUTIVE SUMMARY Summarize the agency's overall strategy for implementation of a comprehensive tobacco education, prevention and cessation program. The Tobacco-Free Weld County Program (TFWCP) is one of a variety of comprehensive health promotion programs housed at the Weld County Department of Public Health and Environment (WCDPHE). Originally the program started in 1991 as part of the National Cancer Institute American Stop Smoking Intervention Study (ASSIST). Since this time the TFWCP has continued to lead the county in coordinating, developing, providing and monitoring tobacco prevention and reduction efforts. Since 2001 the TFWCP has been fully funded through Colorado's Master Settlement Agreement with the Tobacco Industry as appropriated by Senate Bill 71, passed in May 2000. To continue being effective in preventing and reducing tobacco use, which has been determined as the single most preventable cause of death and disease in our society, the TFWCP will continue to build upon strategies that have proven effective while working towards accomplishing goals as outlined in the five-year strategic plan. To determine what strategies have been effective, the TFWCP has relied upon a variety of information sources. The first source has been to look at a history of past successes of the program, second has been to ask community members and partners who are part of the Tobacco-Free Weld County Coalition what has worked in their collaborative efforts, third has been to conduct meetings with other tobacco prevention programs statewide and locally (such as Boulder and Lorimer Counties) to determine what is working in their communities and fourth has been to conduct a literature review of what has worked in other successful statewide tobacco prevention programs from around the nation. It is through the above-mentioned efforts that the TFWCP is confident in it's proposed activities and strategies for the fiscal year 2002-2003. The mission of the program will be to continue developing the role of the TFWCP as the lead agency for tobacco control efforts. This will involve providing a comprehensive tobacco prevention program that places an emphasis on reaching out to and addressing diversity within all parts of the county. Hispanic or Latino members are one example of diverse groups that are growing in the county and now represent 27% of the population. The four main goals of the program will include: 1) prevent initiation of tobacco use by youth, 2) promote cessation of tobacco use among youth and adults, 3) reduce exposure to secondhand smoke (SHS) and 4) increase capacity for effective tobacco control. Each of these goal areas will have activities written around community interventions, media advocacy and policy development. Given the size of the county, which at 4004 square miles is one of the largest in the state, the five-year plan was developed with an emphasis being placed on making the program countywide. This belief has driven the TFWCP since it first started to receive partial tobacco settlement funding in the year 2000. 2 Efforts have been focused on establishing a strong community coalition in the greater Greeley area that includes Eaton, Evans, LaSalle, Garden City, Greeley and Windsor. The current coalition has increased in membership representing a number of these communities to approximately 20-22 active, with an overall list of 60-plus collaborating and advisory members. The TFWCP recognizes the work of the coalition as critical in helping to accomplish the activities and goals each year. As part of increasing capacity for effective tobacco control, coalition members will continue to be recruited and provided with training opportunities that will allow them to continue being effective tobacco control advocates. Capacity building for a 2"d1 coalition will begin in the south part of the county so that work can expand among the many communities, healthcare clinics, workplaces and school districts. The new south county building will be used as a possible location for the coalition to meet and receive training. With over 90% of smokers starting tobacco use while in their teen years, the TFWCP believes that preventing youth from starting tobacco use in the first place should be a key starting point in every community. By continuing to develop and provide technical support and training to youth advocate groups against tobacco, the number of advocates will increase in the county along with educational opportunities. Ensuring that youth are not allowed to purchase tobacco from retailers or use tobacco at school are two areas that requires strategic partnerships with school administrators, school resource officers, tobacco retailers, and law enforcement. Developing these partnership is one of the strategies of the TFWCP. In promoting cessation of tobacco use among youth and adults the TFWCP strategy is to work towards the development and support of consistent and low- cost cessation services that will be available to each community within the county. Training and technical support will be provided to new community volunteers and interested healthcare providers on conducting and implementing proven cessation services and support to all groups of people (youths, adults, pregnant mothers and Hispanic/Latino bilingual population members). Increasing the TFWCP Cessation Program Specialist from .75 FTE to 1.0 FTE is a strategy that will be used to help expand these services into the south part of the county. Policy development and enforcement activities will be key strategies used to prevent exposure to secondhand smoke in public and workplace settings. Youth and adult coalition members will be used as advocates for policy development through media advocacy, presentations, letter writing, phone calls and one-on-one visits to key decision makers. 3 SECTION 2: CURRENT PROGRAM STATUS PROGRAM STAFFING A. Please list the current personnel dedicated to the tobacco control program (Tobacco Settlement). Indicate "vacant" if the position is funded but not filled. Please provide an organizational chart showing the location and staffing pattern of the tobacco control program within the agency. Position Title Staff Name cf Degree FTE Primary Responsibilities Program Coordinator Ren Bedell, MPH 1.0 Program Management/SHS Program Specialist Megan Martinez, B5 1.0 Prevent initiation of tobacco Program Specialist Griselda Still, BS .75 Promote cessation of tobacco Office Technician Penny Nell .50 Technical support • See "Attachment 3" for the Weld County Department of Public Health and Environment organizational chart, which shows the location and staffing pattern of the tobacco control program within the agency. B. Please describe the status of any vacant positions including the duration of vacancy, recruitment efforts, and planned start date. Include a brief description of the process used to hire and retain staff. No vacant positions at this time. C. Describe any major program responsibilities that are currently being completed by contractors. Responsibilities Contractor's Name & Degree Amount of Time on Project Dental Training Centennial Area Health Education Center 6 Months Evaluation Support Prime Solutions, Cindy Kronague, MPH 12 Months D. Describe proposed changes in program staffing that are planned for FY 2002-2003. For new/additional positions, provide the same information as requested in A. Position Title Staff Name cf Degree FTE Primary Responsibilities Prog. Supervisor/Specialist Ren Bedell, MPH 1.0 Program management/SHS Program Specialist Griselda Still, BS 1.0 Promote cessation of tobacco The above-proposed changes in program staffing are being included in this year's application as an effort to increase program capacity, recognition and efficiency in Weld County. The proposed changes do not add new or additional staff, but do change part of the role of the current Program Coordinator to the role of .50 FTE Program 4 Supervisor allowing the TFWCP to have more direct control over program management decisions and processes, in addition to allowing the program to participate as part of the WCDPHE management team. The Program Supervisor will also provide .50 FTE as a Program Specialist continuing work on reducing exposure to SHS. The Current .75 FTE Program Specialist position will increase to 1.0 FTE to allow for cessation program expansion into the South part of the county and assistance with new coalition efforts. Coalition Status Report 1. What is the name of your local tobacco control coalition? Tobacco-Free Weld County Coalition 2. How frequently does the coalition meet? Monthly 3. How many individual members belong to the coalition? Of these, how many members consistently attend monthly coalition meetings? The current coalition list has 62 members on it. Out of the list we have a consistent monthly coalition meeting attendance of 20 members. 4. What organizations do active members of your coalition represent? Indicate the types of organizations represented. Colleges and/or Universities Public Health Officials Community-Based Organizations Public and/or Private Education (K-12) Health Care Organizations Dental Societies Local Government Officials Law Enforcement and/or Agencies Tobacco Control Programs in Voluntary Health Organizations Other Counties Youth Serving Organizations Other 5. For each organization checked above, specify name of organization et representative and any racial/ethnic group or other special population within your county represented: Colleges/Universities University of Northern Colorado - Bob Guthman/Public Health instructor, Kathy Zavela/ Public Health Professor, Teri Bladen/UNC Student Wellness, Misti Burmeister/Public Health Program Graduate Student Aims Community College - Ron Fay/Director of Student Life Community Based Organizations Partners - Nomie Ketterling/Youth Coordinator 5 Centennial Area Health Education Center - Jan Moraczewski/Director Weld Citizen Area Network- George Gray/Executive Director Health Care Organizations North Colorado Medical Center - Bonnie Piel/Pulmonary Rehab Weld County Department of Public Health and Environment - Dr. Mark Wallace/Director, Gaye Akin/Health Promotion Programs Supervisor, Ren Bedell/Tobacco Free Weld County (TFWCP) Coordinator, Megan Martinez/TFWCP Youth Coordinator, Griselda Still/TFWCP Cessation Coordinator (Bilingual English/Spanish), Penny Duel/TFWCP Office Support Weld County Board of Health - Anne White/Board Member Local Government Officials Ault City Council member - Joe Sellers Youth Serving Organizations Youth Initiative - James Berg Public Education Greeley/Evans School District 6 - Dr. Mark Wallace/School Board President Phillip Moreno - School Board Member (Bilingual English/Spanish) Carol Martens/CKIDS Coordinator Weld Opportunity High School - Laura Ulmer/Health Educator Teacher Dental Societies Dentist - Dr. Angel Gomez (Latino Dentist) Law Enforcement SYNAR - Dave Reed/Criminal Investigator Erie Police - Ted Bathauer/Police Officer & School Resource Officer Voluntary Health Organizations American Lung Association - Bob Doyle/Tobacco Program Manager Nandra Kelm/Youth Tobacco Prevention Coordinator Sarah Yarian/"Not On Tobacco" (NOT) Program Coordinator American Cancer Society - Robert Grosboll/Cancer Prevention Roberta Erickson - Other Community Member - Doug Armbrust/Retired Physician (Radiologist) and Rotary Member Community Member - Carole Anderson/Prior Greeley City Council Member Community Member- Frank Fronek/Retired Bio Chemist Local lawyer - Ron Kingsford Engineer - John Leone 6 6. Does the coalition have any active sub-committees or work groups? If so, please describe. Yes the Tobacco-Free Weld County Coalition has the three following coalition workgroups: 1. Youth Workgroup (prevent initiation), 2. Cessation Workgroup (promote quitting) and, 3. Second Hand Smoke Workgroup (reduce exposure to SHS). 7. Describe any training provided to coalition members during the last twelve months. A local retired physician (radiologist) provided a presentational training about the hazards and realities of tobacco use. 8. Describe any planned changes in the coalition for FY 2002-03 such as membership recruitment changes, adding or decreasing subcommittees, meeting schedules and frequency and plans for training coalition members. During the FY 2002-2003 the coalition will be recruiting both active and advisory members in the north and south parts of the county. The goal is to focus on recruiting key community members and decision makers that can assist in forwarding tobacco prevention work in a variety of settings (schools, workplaces, public places, medical centers, etc...) and on a variety of issues (second hand smoke, cessation,youth access, policy and ordinance work). Efforts to ensure a balanced representation of any racial/ethnic group in the county will be a part of each coalition effort. The current three workgroups, youth cessation and second hand smoke will stay the same and meetings will continue to be at least once a month. Trainings that are needed include: cultural competency, policy development and media advocacy. Collaborations/Partnerships 1. Indicate the types of organizations with which the coalition has established partnerships. Colleges and/or Universities Public Health Officials Community-Based Organizations Public and/or Private Education (K-12) Health Care Organizations Law Enforcement and/or Agencies Mass Media Agencies Tobacco Control Programs in Other Counties Voluntary Health Organizations Youth Serving Organizations Other A. Describe the collaboration for each of the organizations checked. 7 Colleges and/or Universities: Currently the TFWCP has an excellent partnership with the University of Northern Colorado Department of Community Health and Nutrition. The Department collaborates through active participation on the coalition, development of grant ideas, trainings, and intern students. Public Health Officials: The director of the Weld County Department of Public Health and Environment works with the program by providing key contacts and verbal support. Community-Based Organizations: The Greeley City Community Outreach Program (COP) has been a partner in providing opportunities to educate many adults and at-risk youth (English and Spanish) on tobacco. Public and/or Private Education (K-12): The president and one board member of the Greeley/Evans School Board assist in advocating youth tobacco prevention efforts. Additionally Trademark and Weld Opportunity High Schools have partnered to provide on-site youth tobacco cessation classes. Health Care Organizations: The North Colorado Medical Center provides a donated space that trained coalition volunteers use to offer the American Lung Association "You Can Quit" tobacco cessation program for interested community members trying to quit tobacco. Additionally they donate the space for a separate on- going quit tobacco support group also conducted by trained coalition volunteers. Law Enforcement and/or Agencies: The Erie Police Department has recently partnered with the TFWCP to start implementing an alternative to suspension program that can be used to both enforce the Tobacco-Free Schools Law and the recently passed youth access town ordinance. SYNAR has partnered with the TFWCP to conduct on-going Tobacco retailer education and compliance efforts. Mass Media Agencies: The Greeley Tribune newspaper has reserved a place for monthly articles in the Wednesday health section on tobacco and other health issues from the Weld County Department of Public Health and Environment. Flack Outdoor Advertising has donated a number of outdoor billboard spaces and work to help promote program messages. Tobacco Control Programs in Other Counties: Partnerships have been established with the tobacco control programs from Boulder and Lorimer County health departments. Each of these programs share a number of communities, schools and media markets. Conference calls and regional meetings are conducted to share ideas and resources. 8 Voluntary Health Organizations: The American Lung Association (ALA) is a partner in all the four goal areas that the TFWCP is working on. ALA has provided facilitator training for high school teachers in the "Not On Tobacco"youth cessation program, an onsite youth presentation, "Deadly Secrets", about the deceptive tobacco marketing tactics to youth, and finally training on secondhand smoke reduction and community capacity building. The American Cancer Society (ACS) has been a partner in providing facilitator training for community volunteers in the adult cessation class "You Can Quit". Support is also provided for secondhand smoke reduction. Youth Serving Organizations: Partners, a youth serving organization, works with the TFWCP to provide at-risk youth opportunities for receiving tobacco prevention education. The City of Greeley provides host a monthly meeting called "Youth Net" in which opportunities are provided to all youth serving organizations to share programs and youth opportunities. TFWCP has presented to all of the other youth organizations at these meetings. Other: The TFWCP has been a member of the Colorado Tobacco Education and Prevention Alliance (CTEPA) which helps provide coalition members with opportunities to promote tobacco prevention and reduction to key decision makers. Additional support is provided for secondhand smoke reduction efforts. The Group to Alleviate Smoking Pollution (GASP) works with the TFWCP to promote smoke free restaurants. B. Specify any proposed partnerships for FY 2002-03. For the FY 2002-2003 the TFWCP will focus on building new partnerships with groups where they have not been established. An emphasis on new partnerships located in the south part of the county and Latino/Hispanic partnerships will be a priority. Some of the proposed partnerships that the TFWCP will work towards establishing or expanding include: • Businesses and Merchants (Support for Smoke-Free Workplaces) • Law Enforcement (Support for Tobacco Policy Enforcement) • Parent Teacher Organizations (Support for Tobacco-Free Schools) • Medical/Healthcare Providers (Tobacco Cessation Services) • Youth Serving Organizations (Youth Education and Advocacy) • Colleges di Universities (College Tobacco Prevention Activities) • Mass Media (Support and Media Coverage of Tobacco Issues/Events) • Local Government Officials (Support For Protecting Public Health) • Latino/Hispanic (Support and Opportunities for Culturally Appropriate Prevention/Reduction Work) 9 • Private and Public Education (Support for Prevention Education, Youth Cessation Services and Tobacco-Free Schools Law Enforcement) to SECTION 3: IMPLEMENTATION QUESTIONS 1. Describe the applicant's specific capacity building and/or infrastructure needs for tobacco education, prevention, and cessation programs for the fiscal year 2002-2003. The Tobacco Free Weld County Program's needs vary. The TFWCP needs to train and educate both coalition and community members. TFWCP plans to accomplish this by holding several tobacco education trainings within the 2002- 2003 year. TFWCP also needs to foster cultural competency within our community, coalition, and staff. Therefore, some culturally appropriate training will be provided, such as communicating effectively between cultures, Understanding different culture norms and values and different cultural work ethics. TFWCP needs to develop leadership and advocacy skills within the Weld County coalition and community. Therefore, TFWCP will need to provide empowerment opportunities for youth, adults and community organizations, as well as for the coalition and staff. The TFWCP staff needs to learn how to be culturally competent as well. The TFWCP staff plans to attend several trainings and also to facilitate some culturally competent training for the TFWCP coalition and community members. TFWCP plans to reach more of the Latino population in Weld County, which is the largest minority group, by participating in their events and providing resources and education as well as empowerment skills. TFWCP goal is to recruit more key community Latino members into the TFWCP coalition that can help reach into the their community. Another part of TFWCP capacity-building needs is training new and existing staff on comprehensive tobacco control strategies. TFWCP plans to develop a new staff orientation, which will include the Master Settlement Agreement, tobacco resources and STEPP participation in the tobacco programs across the state, as well as TFWCP goals and objectives including the TFWCP evaluation plan and the TFWCP five-year plan. As we follow our five-year plan, a need to expand into southern Weld County has become an important issue. TFWCP has several key communities in the southern part of the county such as Ft. Lupton, Erie, Fredrick, Firestone, bacon and Johnstown, to name a few. The TFWCP plan is to expand all resources and programs into these communities. Examples from the proposed plan include secondhand smoke awareness campaigns,youth cessation services and empowerment groups, and the adult cessation services including the Quitline and Quitnet services. 11 2. Describe the community's population. Describe any and all special populations in the community. Explain how the applicant will ensure that the plan addresses the needs of the identified special populations. With 4,004 square miles, Weld County has an area greater than that of Rhode Island, Delaware, and the District of Columbia combined, and is the 3'd largest county in Colorado. It is bordered on the north by Wyoming and Nebraska and on the south by the Denver metropolitan area. About one-third of the County's area is farmland along a corridor following Highway 85 where the South Platte, Cache la Poudre, and Saint Vrain rivers meet. According to the census conducted in 2000, Weld County has a population of 180,936 making it is one of the most populous counties in the state, with a density of 45.3 people per square mile. Weld County's population has increased 37.3% since 1990 and is constantly growing. The projected population for the year 2006 is 207,732. The population is made up of 81% Caucasians, small percentages of Black or African American, American Indian, and Alaska native, Asian, and Native Hawaiian or other Pacific Islander. Persons reporting Hispanic or Latino origin on the census represent 27% of the population in Weld County. Greeley has a population of 76,930, with 29.5% Hispanic and 70.5% non-Hispanic. Approximately 32% of our population is under 20 years old, 38% are between 20-44 and almost 28% are over 45 years old. There are 31 incorporated cities or towns in Weld County. The county seat and principal city, Greeley, is located in the west central part of the county and contains almost half the county's population. Generally, most of the remaining population resides within a 20-30 mile radius of Greeley. The northeastern part of the county is sparsely populated with small rural towns dotting the landscape, many of them with populations under 25. There is an increased need for services in the southern portion of the county, and a new health department building has opened up in Dacono. The I-25 corridor is becoming one of the most developed areas in Weld County with the towns growing by leaps and bounds in the southwest part of the county. The backbone of the county's economy is farming and raising cattle. Weld county is home of several large feeder cattle operations, and are among the nation's largest, with Monfort of Colorado being the largest and employing 4,000 people in Weld County. Because the county is made up of so much agricultural industry, we have an enormous migrant population as well. Migrants make up an additional influx of population during the year. Education continues to be one of the mainstays of Greeley's employment base and an important part of Weld County, with a major University and a Community College. The University of Northern Colorado in Greeley is the state's third largest university, employing 1,000 people with an enrollment of 11,000 and growing. Aims Community College located in Greeley employs more than 1,000 persons. 12 District 6 in Greeley/Evan employs 1,675 people. There are 13 school districts in Weld County serving more than 31,000 students, with more than 12,000 of those students of Hispanic origin. There are also high tech industries in Weld County including Eastman Kodak employing 2,300 people and Hewlett Packard employing more than 700 persons in the area. North Colorado Medical Center is a leading public medical facility and the Northern Colorado Oncology Center is a major cancer treatment facility in Colorado. Weld County has several print and radio media outlets locally and taps into the Denver and Cheyenne markets for television and radio. The Greeley Tribune has a circulation of 25,000 and there are 15 smaller papers in the communities surrounding Greeley. Radio is also a main media market in the county. Our program is tailored to work within the communities of Weld County with the knowledge that we are a largely agricultural and diverse community. We have in our five-year plan goals to work on tobacco issues throughout the entire county and expanding our efforts to include all the communities in Weld County. We are making small steps toward that already with the expansion to our south county building. We will have a staff member present and working on our objectives in south county one to two days a week. This is an important step for our program since the southern part of Weld County is growing so quickly. We will address our college population by working with the event's staff to determine the level of tobacco influences at the University of Northern Colorado and Aims Community College. We will be able to educate the college community about the dangers of tobacco and encourage them to not accept tobacco funds for their major events. We will work with the different cultural groups in Weld County as well. The Hispanic population is a very important part of our county, making up 27% of our total population. We have identified several groups we would like to work with in the communities surrounding Greeley at this time, and will continue to look for diverse groups to collaborate with in our efforts to educate people about tobacco issues. We have a wonderful opportunity to affect smoking policies in Weld County with the help of coalition members in the many businesses surrounding Greeley and throughout Weld County. We have both small and large companies and will work with them to encourage a smoke free workplace atmosphere for their employees. We also have an opportunity to address youth in several arenas. We have one active youth coalition and other groups that are currently applying for youth grants. Youth can be very influential in tobacco education within their own community of other youth, and also for adults. We will utilize their effectiveness and encourage them to become active tobacco educators, empowered and excited about the issues surrounding tobacco. 3. Summarize the major strengths and abilities of the applicant to successfully implement and evaluate tobacco education and prevention programs. Include 13 in the response the applicant's experience in working with the community and conducting tobacco education, prevention, and cessation programs. Also, address the applicant's capability to comply with the application requirements and monitor the proposed program activities. As an applicant for the 2002-2003 FY funding the TFWCP has a number of major strengths that help to highlight it as a well-established and effective tobacco prevention program capable of continued tobacco prevention and reduction efforts. Major strengths include an educated and diverse staff that well represent the communities in which they currently reside a well established coalition and community partnerships who help in forwarding the work of the TFWCP, bilingual English/Spanish capabilities to help promote the program within the Latino/Hispanic community, past experience in organizing community members to assist in changing or implementing health related policies and a history of assessing, educating, implementing and evaluating a tobacco program (since 1991). The TFWCP staff, which all reside and are familiar with Weld County, include a Program Coordinator with a masters level degree in the field of Public Health (MPH) and is nationally certified as a Community Health Education Specialist (CHES) with past experience in tobacco prevention, and two Program Specialists, each with a BS degree, one in Community Health Education and one in Spanish/Communications who is bilingual. Additionally there is one Tobacco Office Technician with extensive office and public experience who provides program and coalition support. The internal infrastructure of Weld County Department of Public Health and Environment (WCDPHE), which was established in 1938, provides the ideal location for the TFWCP. Both currently and historically the WCDPHE has managed a number of public health grants. It has been providing management support for TFWCP grants since 1991. Monthly fiscal reporting is one of the infrastructure duties that WCDPHE has streamlined. TFWCP staff are each familiar with and trained in developing and meeting monthly/annual program progress reporting and monitoring requirements. Computer software, workstations, internet access and technical support are available to each staff member. Meeting facilities are available onsite in Greeley and additionally a new south county health department building was just completed which will help to increase the resources and structure needed for conducting and developing community partnership meetings in this part of the county. Finally the WCDPHE provides a broad array of other health professionals including the director who is a medical doctor, nurses, health educators, dieticians, environmental health experts and assorted administrative support personnel who are willing to provide program and technical support on an ongoing basis. The TFWCP as mentioned has a diverse coalition of community members with a broad assortment of backgrounds and abilities. This coalition has historical record 14 of being politically active in decreasing public exposure to environmental tobacco smoke and reducing youth access to tobacco products. Consisting of many motivated citizens they have accomplished a number of legal changes in the community. These changes consist of passing an ordinance to ban smoking in the outdoor Island Grove Arena, supporting a resolution that banned smoking within 50 feet of all county buildings and vehicles, development of tobacco vending machine restrictions and a number of small community youth access ordinances. The coalition is a major strength of the TFWCP and with their support the TFWCP has the increased ability to accomplish more. Having this strength will be a key to achieving many key activities in the proposed plan. Other partnerships as listed under section 2 above provide an additional major strength to the program, because of the diverse opportunities and support they provide that allow the TFWCP to successfully implement various activities into the community. One example of a partnership is with Trademark and Weld Opportunity Schools that have provided volunteer teachers who were trained in youth tobacco cessation and are now providing classes to students wanting to quit. Partners, another organization has provided opportunities for the TFWCP to educate at-risk youth both Anglo and Hispanic. This track record of working successfully with the partnerships as listed under section 2 above gives more credibility and support for the program within the community, as well as recognition when recruiting new partnerships as proposed for FY 2002-2003. 15 SECTION 4: SCOPE OF WORK JUSTIFICATION This narrative should provide an overall description and rationale for your proposed activities over the 12 months. The narrative needs to describe the status of the implementation of your 5-year strategic plan, how you will be building upon your previous efforts,and key factors that help define the coalition's strategic direction. Given Weld County's size, the overall mission of the five-year strategic plan is to consistently provide tobacco prevention and reduction activities that have been determined to be effective while gradually expanding within the county. As needed, activities from the five-year strategic plan have been revised during the past year according to community needs, activity success and strategic input from coalition members. The five-year plan, the success of activities each year, community needs and available funding were the determining factors for TFWCP and coalition members when developing the current proposed plan. Below is a description and rational for proposed activities. The following proposed strategies will be used to prevent initiation of tobacco use by youth in Weld County: promote tobacco free schools, promote youth advocacy and empowerment, decrease youth access to tobacco products and decrease pro-tobacco use influences. According to Tobacco Free Schools Law, all forms of tobacco are to be banned from all school property during school and at all school events by students, teachers, staff and visitors. A comprehensive policy will include this and also enforcement, and a person or group of people responsible for enforcement. There are a number of schools in the Weld County area that are not in total compliance with Tobacco Free Schools Law, and many do not have a protocol in place to deal with tobacco violations. This will be addressed during the year and the number of schools with a comprehensive TFSL will increase throughout the county. There is currently a youth coalition through University High School in Greeley. The group applied and received the programming grant from STEPP this year. There is a new youth group applying for the planning grant from Eaton. These groups will meet monthly and work on youth issues surrounding tobacco and will be involved in recruiting more youth to join the youth movement in Colorado. We will recruit two new groups by the end of 2003 and will expand to areas outside the greater Greeley area. The youth involved in these groups will be trained and will develop advocacy skills that will increase their ability to communicate the dangers of tobacco. The youth will be involved in many collaborative activities with the TFWCP, such as helping to educate others in the county. This past years compliance checks by SYNAR have shown a significant number of tobacco retailers in Weld County have sold to minors. We will be conducting retailer training at least twice in the coming year to educate and encourage retailers to not sell tobacco products to youth. Retailer training and continued SYNAR checks will decrease the percentage of retailers selling to youth. This 16 past year we focused our efforts on the Greater Greeley area, and this next year we will expand to include the rest of the county's tobacco retailers. Community events including both the general population and Latino/Hispanic members of the population will be the target for decreasing pro-tobacco influences. We will focus on these events because of the number of community members who are influenced by them, especially youth. Weld county has many community events that are held in each of the many communities throughout the county. Some of these events attract many youth and sometimes are targeted for promoting tobacco products. Additionally some events are sponsored by the tobacco industry making their product and name become incorporated into the community including among youth. We will work with event staff to ensure a decrease in pro-tobacco influences at these events and in the surrounding community. The following proposed strategies will be used to promote cessation of tobacco use among youth and adults in Weld County: promote availability of effective cessation services and resources, promote public awareness for non-use and decrease social acceptability of tobacco use and promoting youth cessation programs. Last year a list of tobacco cessation programs and providers within the county was developed. It was determined that there was no consistency in programs being offered and that many were limited to community members who could afford the expensive fees or were English speaking. This year the TFWCP has worked to develop and market consistent, low cost, bilingual cessation services in the greater Greeley area. The TFWCP will continue to expand this effort by training coalition and community volunteers in the south part of the county to facilitate the proven American Cancer Society "You Can Quit Program" on an ongoing basis. Having a donated space for the class, and volunteers to facilitate it keeps it low cost. This has been successful in the greater Greeley area. Classes are not for everyone wanting to quit. The new Colorado State Quitline and Quitnet, which provides free English or Spanish counseling sessions to adults trying to quit tobacco will also be promoted at adult cessation classes, health care provider trainings and through different forms of media. This program offers up to five free counseling sessions by trained professionals to adults who would prefer to try quitting in the convenience of their homes. This service has worked successfully in increasing tobacco-quit attempts in other states and will be measured for success in Weld County as part of an activity. Many individuals in Weld County rely upon the advice and help of healthcare professionals and practitioners to make healthy choices, such as quitting tobacco. Training on implementing cessation services (I.e.: 5A's model) into the clinical setting is not always part of healthcare professional and practitioner training or education. The TFWCP will provide training and free resources (Quitline/Quitnet) to these professionals in the proposed plan. This has worked for the greater 17 Greeley area and will expand to include dentists, family physicians, prenatal care providers and nurses in the south part of the county. An emphasis on training healthcare providers at clinics serving low-income populations such as Salud and Sunrise Community clinics will be emphasized. Reducing the number of mothers who smoke during pregnancy is part of the prenatal education and incentive program started this year by the TFWCP in collaboration with the two prenatal care nursing programs at the WCDPHE. TFWCP will continue to expand upon this effort by providing training for the home visitation nurses, as well as technical assistance. Community marketing campaigns will also address the issue of smoking while pregnant to encourage pregnant women to quit. Success in this collaborative effort can be taken to the new WCDPHE nursing site in the south part of the county. Most youth who smoke want to quit. The TFWCP will recruit more adults to be trained to facilitate youth cessation programs in their community or school. Currently the TFWCP has successfully established two youth cessation programs in the Greeley area and will continue to expand this effort into south county communities by offering trainings and technical assistance to interested organizations willing to start youth cessation programs. The United States Environmental Protection Agency has classified secondhand smoke (SHS) as a "class A" carcinogen, which means there is no safe level of exposure to the over 40 cancer causing chemicals. The TFWCP will use strategies such as: promoting smoke-free public places, promoting smoke-free workplaces and promoting smoke-free homes and autos. Each of these strategies are building upon efforts that are currently ongoing and are part of the five-year strategic plan. Proposed activities are written around developing policies that will create healthy smoke-free environments within the Greeley area where current groundwork has started. Smoke-free policies have proven effective in states like California and Oregon for reducing morbidity related to SHS exposure. Smoking rates have also decreased in many communities where smoke-free policies are in place. Educating key policy makers and community members through presentations, media campaigns including outdoor and indoor advertising and community advocacy efforts by adult and youth coalitions are proposed activities. Similar activities will be used to encourage parents to pledge to keep their home and cars smoke-free to protect themselves and their families. Increasing capacity for effective tobacco control is the key to overall program success. Proposed activities are around coalition building, recruiting, marketing, organizing and training community volunteers and staff members in cultural competency, media advocacy and comprehensive tobacco control Staff trainings will include attending statewide and regional meetings and one national training. Coalition training will occur in the Greeley area and as part of south county expansion. I8 SECTION 5: SCOPE OF WORK • See attached Annual Action Plan Report SECTION 6: BUDGET AND BUDGET NARRATIVE • See attached Excel Budget and Narrative 19 ATTACHMENT 1: Core Capacity Requirements Every community must have a core capacity to be effective. Therefore, applicants must agree to the following assurances: Infrastructure and Capacity • Provide staff with the education, training and experience to successfully implement the objectives submitted in the annual plan including staff that will lead the coalition and coordinate program activities. • Ensure,consistent supervision and performance appraisals of all program staff. • Attend STEPP sponsored technical assistance meetings, trainings, and conference calls as required by the state. • Have Internet access and ability to use electronic mail systems. • Provide access to computer software required for completing forms and reports. • Provide computer hardware necessary to fulfill the requirements of the scope of work. Coalition Activities • Maintain and/or build an active local community coalition that meets a minimum of ten times per year. • With input from the coalition, conduct an annual review of the program's strategic plan and revise the strategic plan as needed. • In collaboration with the state staff and using a standard tool, conduct an annual satisfaction survey among coalition members and implement strategies to improve the satisfaction and effectiveness of the coalition. • Maintain accurate records of coalition activities including,but not limited to, meeting minutes, attendance records, and activities undertaken and, completed. Coordination and Collaboration • Implement programs in collaboration with the state program that improve the education, training and skills of tobacco prevention and control staff. • Establish and maintain relationships with a broad-based set of partners including but not limited to law enforcement, alcohol and drug abuse 20 providers, schools, health care providers, and community-based organizations. • Follow current tobacco prevention and control guidelines as determined by the Colorado Department of Public Health and Environment. • Collaborate with local youth coalition(s) to support their activities and/or provide technical assistance that leads to the implementation of youth empowerment coalitions. • Support promotion of the statewide Quitline and QuitNet cessation services. • Support statewide media efforts at the local level. • Participate in evaluation activities as required by STEPP. • Submit monthly reports to STEPP. • Maintain accurate records regarding program implementation that documents the number of people served, materials developed and activities conducted. Other • In addition to the required objectives, complete opportunistic activities that enhance the comprehensive tobacco control program. • Contact assigned STEPP technical advisors if unforeseen problems arise which deter the accomplishment of program objectives. The agency hereby agrees to comply with all provisions and requirements contained in this attachment and in the Request for Applications. Signature of Agency oweeti445 Director: Date: 3-8-106 a • • 21 • ATTACHMENT 2: Statement of Disclosure By signing this statement, the grantee states that no affiliation or contractual relationships, direct or indirect, exists with tobacco companies or owners, affiliates, subsidiaries, holding companies or companies involved in any way in the production, distribution, promotion, sales or use of tobacco products. This should be signed-by the agency director. 6411A 0:11144445Signed: Date: S-8-;too Title: Q►ce :\-oC- Organization: Cpl (Loh/ (\Yr c,P ithlC, tb 4-k ronvv\Q 22 Project Title: Tobacco Free Weld County Applicant's Name: Weld County Department of Public Health and Environment Address: 1555 North 17 " Avenue Greeley, CO 80631 Phone: (970) 304-6410 Director: Mark E. Wallace, MD, MPH Contact Person: Gaye Akin, RD, MPH Amount Requested: $256,468.00 WELD COUNTY BOARD WELD COUNTY DEPARTMENT OF OF COMMISSIONERS PUBLIC HEALTH AND ENVIRONMENT ditA 0214"1>j Glenn Vaad, Chair (03/11/2002) Mark E. Wallace, MD, MPH, Director WELD COUNT/ CLERK TO THE BOARD •,186 B Deputy Clerk to t =r ,p Tobacco-Free Weld County Project Weld County Department of'Public Health and Environment • 1555 Al. 17th Avenue • Greeley,CO 80631 • (970)304-6420 Ext.2381 Colorado Department of Public Health and Environment March 15,2002 State Tobacco Education and Prevention Partnership Program Attention: Gloria Latimer,Director of State Projects 4300 Cherry Creek Drive South Denver,CO 80246 (303) 692-2513 Dear Gloria, Attached you will find the original signed copies that are required as part of the 2002-2003 FY Request for Applications. Additionally the required application, scope of work document and budget documents have been downloaded to the storage vault website(www.storagevault.net). The Tobacco-Free Weld County Program Would like to thank you and the members of the review team for your time in reviewing our application. Please feel free to contact me if there are. any.questions I can answer. Sincerel Ren Bedell,Program Coordinator Tobacco-Free Weld County Program Weld County Department of Public Health and Environment (970) 304-6420 ext. 2381 • Proud To Be Tobacco- Free!' N C u •may/ d C O a+ V C C C 0 O B a 'd o N e a e m r. 4 n Z L. g M 0 C • z L t C c m 0 e I C a $ p W e 2 5 8 m 5 o g o D . 5 c gC U a 59.2 aal Ea 5c 55 3 s Sato n.'� 5 0 g .I et I 1 U in 5t'I. U S §� Sa Sp $a 8 U C �qq ." 3 p � F r tu a O -Y a g r Cp 6L O Y g ii �o a a g 3riI58 a E ': 8 0 T... c � _ g . F� s 5 &$ 3= $ -q r O < 8.5 E 5 Ei All 9 E y$ 6. O .. w Sr C• ,5 E u `J g 8 G E € u q o k j pp� w I $ GO sc F. 2 -' p 3 u.. 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I ; ! k ; o! i- a ; i- . 0 x C • Attu eament 2 STATE TOBACCO EDUCATION AND PREVENTION PARTNERSHIP APPLICATION BUDGET AND/OR EXPENDITURE REPORT FORM FOR THE PERIOD: 7/01/02 to 6/30/03 AGENCY: Weld County Public Health Annual S of FTE/ Total SOURCE OF FUNDS Fringe/ Requested/ Salary months Ind Amount Received Rate Budget Pd Required OTHER* from CDPHE PERSONAL SERVICES: Program Supervisor/Specialist $42,163.89 12 100.00% $42,164.00 $42,164.00 Youth Program Specialist 337,24880 12 100.00% $37,249.00 $37,249.00 Cessation Program Specialist $37,563.90 12 100.00% $37,564.00 $37,564.00 Office Tedsician II $21,015.94 12 50.00% $10,508.00 $10,508.00 Fringe Benefits: $38,246.00 $38,246.00 Total Personal Services $165,731.00 $165,731.00 DIRECT OPERATING EXPENSES Prrt,WCopYkig $800.00 $800.00 Postage/SNpping $1,789.00 $1,769.00 Rent/Utilities Telephone,Fax,Internet Access Office Supplies $2,600.00 $2,600.00 Office Equipment Computer Equipment Meeting Expense $4,140.00 $4,140.00 Media Expense(Program Cost) $7,000.00 $7,000.00 Staff Development-Regabadpu $500.00 $500.00 Staff D Jvvrr.,nt-Memberships/Subscriptions $275.00 $275.00 Educational Materials(Program Con) 58,000.00 $8,000.00 Miscellaneous Expense(Incentives) Total Operating $23,084.00 $23,084.00 TRAVEL In-State 33,061.00 $3,061.00 Out-of-State $2,584.00 $2,584.00 Total Travel $5,645.00, $5645.00 CONTRACTUAL Consultant Costs(Evaluation) $2,000.00 $2.000.00 Contract Trainers/Speakers(Program Cost) $1,000.00 $1,000.00 Data Collection(Program Cost) $1,000.00 $1,000.00 Total Contractual $4.000.00 $4,000.00 Total Direct Costs(Personal Services•Operati g+TraveNContractuai) $198,460.00 $198,460.00 ADMINISTRATIVE INDIRECT COSTS Pct Indked Percentage 1 13.3% $26,396.00 $26,396.00 Total Indirect Costs $26,396.00 $26,396.00 TOTAL PROJECT COST $224,$56.00 $224,856.08 "Other Funding Sources(Matching Funds)Not required for grants TOTAL Signature of Authorized Representative Date rM-4tsrmer nSTSPPCarmnats ofE�o trips abate Main N Hello