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<p class="MsoNormal">HPCDP is pleased to announce the release of the 2014 Tobacco Freedom Policy Survey Report. Please share the report broadly with your contacts, particularly health systems, behavioral health and health equity partners. 
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:10.0pt;line-height:115%"><b>The full report is attached and available online:
<a href="https://public.health.oregon.gov/PreventionWellness/TobaccoPrevention/Pages/pubs.aspx">
https://public.health.oregon.gov/PreventionWellness/TobaccoPrevention/Pages/pubs.aspx</a><o:p></o:p></b></p>
<p class="MsoNormal">The HPCDP Connection Tobacco Page is in the process of being updated to offer a complete list of resources related to tobacco-free behavioral health settings (located here:
<a href="https://partners.health.oregon.gov/Partners/HPCDPConnection/Tobacco/Documents/tobacco-cessation-resources_behavioral-health-systems.pdf">
https://partners.health.oregon.gov/Partners/HPCDPConnection/Tobacco/Documents/tobacco-cessation-resources_behavioral-health-systems.pdf</a>).   <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">In the coming months, next steps will be identified for debriefing the report as part of HPCDP’s grantee Technical Assistance/Training Plan.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Please connect with your liaison if you have any questions. <o:p>
</o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thanks, Beth<o:p></o:p></p>
<p class="MsoNormal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="text-autospace:none"><b>Background: A Public Health and Social Justice Issue
<o:p></o:p></b></p>
<p class="MsoNormal" style="text-autospace:none"><o:p> </o:p></p>
<p class="MsoNormal" style="text-autospace:none">People living with chronic mental illnesses die 25 years younger than the general population. This striking disparity is due to health issues caused by tobacco addiction and poor nutrition. Those with mental
 illness or addictions disorders smoke at much higher rates than the general population – with some diagnoses reaching upwards of 90 percent.<i>
</i>Tobacco industry targeting to those living with mental illness or addictions is well documented.<i><o:p></o:p></i></p>
<p class="MsoNormal" style="text-autospace:none"><o:p> </o:p></p>
<p class="MsoNormal" style="text-autospace:none">In 2009, consumer advocates, government leaders, health care providers and community partners joined together to address this considerable social justice issue. Implemented in 2013, the Tobacco Freedom Policy:<o:p></o:p></p>
<p class="MsoNormal" style="text-autospace:none"><o:p> </o:p></p>
<p class="MsoListParagraphCxSpFirst" style="margin-left:.25in;mso-add-space:auto;text-indent:-.25in;mso-list:l0 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">        
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Requires all licensed residential providers to maintain tobacco-free properties;<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left:.25in;mso-add-space:auto;text-indent:-.25in;mso-list:l0 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">        
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Includes guidelines to help residents and staff quit;<o:p></o:p></span></p>
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<![if !supportLists]><span style="font-size:11.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">        
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Has strategies to make stopping tobacco use part of mental health and addictions treatment planning; and<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-left:.25in;mso-add-space:auto;text-indent:-.25in;mso-list:l0 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">        
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Promotes insurance-based benefits to help employees stop using tobacco.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="color:black">2014 Survey with Residential Treatment Facilities
<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
<p class="MsoNormal">In 2014, as part of the <a href="http://public.health.oregon.gov/PreventionWellness/HealthyCommunities/CAHIP/Pages/index.aspx">
Cross Agency Health Improvement Project</a>, the OHA Health Systems and Public Health divisions partnered to
<span style="color:#0D0D0D;background:white">conduct a survey with residential treatment facility administrators
</span>to: 1) collect feedback on the successes and lessons learned around implementing the policy; and 2) identify supports to help reinforce tobacco-free living with consumers and staff.
<b>The survey results demonstrate that the Tobacco Freedom Policy is successfully being implemented in the majority of residential treatment facilities. 
</b><span style="color:#0D0D0D;background:white"><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left:0in;mso-add-space:auto"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b>Key findings from the survey: <o:p></o:p></b></p>
<p class="MsoNormal"><b> </b><o:p></o:p></p>
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</span></span></span><![endif]><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Tobacco use is not occurring on most properties.<o:p></o:p></span></b></p>
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</span></span></span><![endif]><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Significant progress has been made in practices to support consumers interested in quitting.
<u><o:p></o:p></u></span></b></p>
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<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">        
</span></span></span><![endif]><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Consumers are quitting at the same rate as the general population; and
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</span></span></span><![endif]><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Providers recognize the policy helps create an environment that supports health.<o:p></o:p></span></b></p>
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<p class="MsoNormal" style="margin-bottom:10.0pt;line-height:115%">The survey also demonstrates that there are some challenges to be addressed.
<a href="http://public.health.oregon.gov/PreventionWellness/TobaccoPrevention/Documents/Tobacco%20Freedom%20Policy%20Survey%20Report_FINAL.pdf">
Read the full report</a> for more details on the findings and recommendations.  <span style="font-family:"Arial",sans-serif">
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<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif">Beth Sanders<o:p></o:p></span></b></p>
<p class="MsoNormal"><i><span style="font-size:3.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:14.0pt;font-family:"Arial",sans-serif">Health Equity Systems Coordinator
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<p class="MsoNormal"><span style="font-size:3.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Arial",sans-serif">Public Health Division<o:p></o:p></span></p>
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<p class="MsoNormal"><a href="mailto:elizabeth.c.sanders@state.or.us"><span style="font-size:14.0pt;font-family:"Arial",sans-serif">elizabeth.c.sanders@state.or.us</span></a><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:3.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Arial",sans-serif">971-673-0563<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">CONFIDENTIALITY NOTICE<o:p></o:p></span></p>
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