Building Partnerships for Tobacco Prevention and Control— Cross Cultural Leadership Institute

1. Building Partnerships forTobacco Prevention and Control—Cross Cultural Leadership Institute Shelley Cooper-Ashford, Center for MultiCultural Health Wendy Nakatsukasa-Ono, Center for Health Training

2. Issues to Be Addressed • Overview of cross cultural efforts in WA State • Small group activity—cross cultural efforts in your communities • Overview of Cross Cultural Leadership Institute • Discussion re: lessons learned • Small group activity—application in your communities

3. Cross Cultural Efforts in Washington State Convened Cross Cultural Workgroup on Tobacco (CCWT) in 5/01 Purpose = To identify innovative ways of eliminating tobacco use and exposure in high-risk populations Included representatives from 6 priority populations, DOH-TPC community contractors and other interested parties

4. Cross Cultural Efforts in Washington State • Priority populations • African Americans • American Indians/Alaska Natives • Asians/Pacific Islanders • Latinos • Sexual minorities • Rural populations

5. CCWT Activities • Conducted community assessments and identified 6 critical issues • Lack of sustained funding • Lack of outreach and access to programs/services • Low priority of the issue in high-risk communities • Institutional racism • Lack of focused resources • Targeting of high-risk communities

6. CCWT Activities • Developed 3 to 5-year goals that established structure for strategic plan • Sustain commitment • Increase community involvement, outreach and access • Increase community awareness • Improve cultural sensitivity • Provide culturally appropriate materials/services • Reduce tobacco company influence

7. CCWT Activities • Developed 3 to 5-year goals for strategic plan • Sustain commitment • Increase community involvement, outreach and access • Increase community awareness

8. CCWT Activities • Developed 3 to 5-year goals for strategic plan • Improve cultural sensitivity • Provide culturally appropriate materials/ services • Reduce tobacco industry influence

9. Strategies to EliminateTobacco-Related Disparities • Contracted with cross cultural community contractors (CCCs) in 5 priority populations • African American—Ctr. for MultiCultural Health • Asian/Pacific Islander—WA Asian Pacific Islander Families Against Substance Abuse • Hispanic/Latino—WA Association of Community and Migrant Health Centers • LGBT—Verbena • Urban Indian—Seattle Indian Health Board

10. Strategies to EliminateTobacco-Related Disparities • Improved surveillance and assessment • Included question re: sexual orientation on BRFSS • Oversampled African Americans and Hispanics/Latinos on BRFSS • Conducted BRFSS in English and Spanish • Contracted with NW Portland Area Indian Health Board to conduct tribal assessment • Funded Ctr. for Health Training to develop and implement Cross Cultural Leadership Institute

11. Small Group Activity—Cross Cultural Efforts inYour Communities • Share your experience with cross cultural efforts in your communities • Challenges? • Strategies used? • Lessons learned?

12. Cross CulturalLeadership Institute • Developed in partnership with DOH-TPC, Center for MultiCultural Health and training team from Asian Pacific Partners for Empowerment and Leadership (APPEAL) • Modeled after APPEAL Tobacco Control Leadership Program • Tailored for cross cultural communities

13. Cross CulturalLeadership Institute • Purpose = To build capacity to develop and implement effective TPC programs and policies • Worked with CCCs and supported community-driven processes for recruiting Team Leaders (TLs) and Fellows • Supported up to 2 TLs and 5 Fellows from each community to participate in CCLI

14. Objectives—Cross CulturalLeadership Institute • Increase TLs and Fellows’ competencies in five core areas • Expanding TPC capacities • Fostering collaboration • Developing cultural and community competence • Refining facilitation and communication skills • Building advocacy skills

15. Objectives—Cross CulturalLeadership Institute • Build relationships between TLs and Fellows and community team identity • Build relationships between cross cultural teams • Increase community teams’ capacity to work with the CCCs to develop and implement Community Work Plans

16. Components—Cross CulturalLeadership Institute • Two-day residential TL Training • Orientation session for TLs and Fellows • Four-day residential Leadership Summit for TLs and Fellows • Implementation of Community Work Plans in partnership with CCCs

17. 2003 – 2004 Cross CulturalLeadership Institute • Recruited and trained 10 TLs in 11/03 • Developed and implemented orientation session for TLs and Fellows in 5/04 • Developed and implemented Leadership Summit with 9 TLs and 35 Fellows in 6/04 • Held reunion for TLs and Fellows in 1/05

18. 2004 – 2005 Cross CulturalLeadership Institute • Recruited and trained 12 TLs in 2/05 • Developed and implemented orientation session for TLs and Fellows in 4/05 • Will develop and implement Leadership Summit with 12 TLs and 33 Fellows in 5/05

19. Lessons Learned • The APPEAL Tobacco Control Leadership Program model is effective in building capacity in cross cultural communities. • Decentralizing the recruitment of TLs and Fellows supports differences in community processes, but can be challenging to manage. • Mainstream organizations may not understand how this model builds capacity in cross cultural communities.

20. Small Group Activity—Application in Your Communities • Think about how this model can influence cross cultural efforts in your communities • Aspects of the model that could be applied in your communities? • Ways that this model could be used to address some of the challenges that you identified earlier?

21. Shelley Cooper-Ashford Center for MultiCultural Health 206/461-6910, ext. 219 shelleyc@cschc.org http://www.multicultural-health.org Wendy Nakatsukasa-Ono Center for Health Training 206/447-9538 wono@jba-cht.com http://www.centerforhealthtraining.org