Enforcement Roundtables: an Innovative State-Local Partnership to Reduce Illegal Sales

1. Enforcement Roundtables:an Innovative State-Local Partnership to Reduce Illegal Sales National Conference on Tobacco or Health June 12, 2009 Phoenix, AZ Mary Strode, MS California Department of Public Health, California Tobacco Control Program Monty Messex, MPH Los Angeles County Public Health, Tobacco Control and Prevention Program

2. Presentation Outline I. Introduction (Mary Strode) A. Project origin B. Assessment C. Rationale D. Long-range plan II. Project Launch (Mary Strode) A. Location and dates of first two Roundtables B. Target audience and level of participation C. Considerations for Roundtable agenda III. Key Outcomes (Monty Messex) A. Basic structure of Roundtable agenda B. Examples of best practices and challenges C. Unexpected findings IV. Lessons Learned (Monty Messex) A. Planning process B. Conducting the event C. Debrief V. Recommendations (Mary Strode) VI. Questions

3. Introduction Project Origin • Illegal sales enforcement challenges were well known and sufficiently documented. • Belief that a tobacco control policy is only meaningful if it is enforced. • Idea to convene enforcement roundtables emerged and took shape through discussions with external/internal stakeholders.

4. Introduction Assessment Process • Gathered various enforcement-specific data from multiple sources. • Examined enforcement of local tobacco retailer licensing ordinances as well as local enforcement of state laws prohibiting illegal sales. • Identified primary needs of enforcement agencies. • Mapped out areas where enforcement was taking place.

5. Introduction Assessment Process • Identified funding source to support a multi-year project. • Established committee to guide project.

6. Introduction Rationale • Developed strong, evidence-based rationale for implementation of the project. • Empowerment model made sense.

7. Introduction Long-Range Plan • Convene 3-4 regional illegal sales-focused enforcement roundtables in diverse areas of the state over 2-year period. • Disseminate outcomes reports, planning toolkit, and provide training to promote continuation of effort. • Conduct statewide enforcement event to culminate regional roundtables project and/or provide forum for sharing.

8. Project Launch Successful Implementation of Regional Roundtables #1 & #2 • Los Angeles County • September 2008 • Glendale Police Department • 42 attendees • 2. Bay Area • May 2009 • Walnut Creek Police Department • 48 attendees

9. Project Launch Target Audience and Participation • Goal is to obtain representation from multiple agencies within multiple jurisdictions at three levels: • Direct enforcement • Administration • Adjudication • Primarily target city staff and those with enforcement experience

10. Project Launch Home Page of Registration Website

11. Project Launch Invitees

12. Project Launch Considerations for Roundtable Agenda • Length of event • Credibility • - Involvement of state enforcement agencies and host agency • Appropriate mix of presentations and discussion • Relevant discussion topics • Ample time for small group discussion • Large group debrief to synthesize best practices and challenges • Working lunch • Networking

13. Key Outcomes Basic Structure of the Roundtable Agenda • Registration • Networking breakfast • Overview and welcome • Local and state • Remarks and presentations • State enforcement agencies • Local perspectives

14. Key Outcomes to Date Administrative Best Practices

15. Key Outcomes to Date Administrative Challenges

16. Key Outcomes to Date Unexpected Findings

17. Key Outcomes to Date Unexpected Findings

18. Key Outcomes to Date Unexpected Findings

19. Key Outcomes Basic Structure of Roundtable Agenda • Small group discussions • ~10 participants per group • Mixed backgrounds and levels of experience • A facilitator and note taker • Best practices and challenges • Administrative, enforcement and information sharing

20. Lessons Learned From Planning and Implementation

21. Lessons Learned From Planning and Implementation Planning Process

22. Key Outcomes Basic Structure of Roundtable Agenda • Large group debrief • Facilitator and note taker • Small group report back • Best practices and challenges • Administrative, enforcement and information sharing • Common themes synthesized by facilitator

23. Lessons Learned From Planning and Implementation Conducting the Events

24. Lessons Learned From Planning and Implementation Conducting the Events

25. Key Outcomes Best Practices • Administrative • Educate retailers prior to enforcement • Enforcement • Use 15 and 16 year old youth decoys • Information sharing • Share resources and information with administrative, enforcement and adjudicators

26. Key Outcomes Challenges • Administrative • Tracking and educating retailers • Enforcement • Retailer phone trees • Lack of funding • Information sharing • Lack of infrastructure

27. Key Outcomes Unexpected Findings • Positive response from participants • Community advocates can be a strong source of support • Utilize a team approach • Both internally and between agencies • Incorporate what has worked in other jurisdictions

28. Lessons Learned Planning Process • Engage local stakeholders early on • Identify focus, then target audience • Be flexible, patient and persistent Conducting the Event • Think, think, think • Train facilitators and note takers • Get plenty of rest the night before

29. Lessons Learned Post-event Debrief

30. Lessons Learned From Planning and Implementation Conducting the Events

31. Recommendations Guiding Principles • 1. Obtain consensus from stakeholders on mission, goals, long-range plan, target audience. • 2. Establish an infrastructure to ensure continuation of effort. • 3. Work in partnership with local tobacco control projects and enforcement agencies. • 4. Maintain small yet diverse planning committee with representation from target audience.

32. Recommendations Guiding Principles • 5. Selectively recruit experienced participants from multiple levels within targeted jurisdictions. • 6. Incorporate highly relevant discussion topics into agenda. • 7. Limit Roundtable participation to a size that will maximize interaction and exploration of what works and what doesn’t. • 8. Really “sell” the Roundtable! Consider credibility, personalized follow-up with invitees during registration phase.

33. Recommendations Guiding Principles • 9. Evaluate the success of individual Roundtables as well as overall Project effectiveness. • 10. Share Roundtable outcomes widely. • 11. Develop and disseminate Roundtable planning tools to promote continuation of effort. • 12. Create a programmatic infrastructure that supports continuation of effort. • 13. Provide frequent updates to stakeholders.

34. Contact Information • Mary Strode, MS (916) 449-5496 mary.strode@cdph.ca.gov • Monty Messex, MPH (213) 351-7314 mmessex@ph.lacounty.gov

35. Questions?