Implementing a Tobacco-Free Campus Initiative in Your Workplace
- Introduction
- Assessing Need and Interest
- Planning a TFC Initiative
- Promoting the Initiative
- Implementing the Initiative
- Evaluating Success
Planning a Tobacco-Free Campus Initiative
The input you receive from management, union representatives, and employees in the needs assessment will influence many of the decisions you will need to make during the planning phase of your tobacco-free campus (TFC) initiative. The first step in the planning phase is to convene a formal planning committee. This committee will be charged with formulating plans for:
Convening a Planning Committee
You can use the committee formed during the needs assessment phase or expand this committee to include broader representation. In addition to employees, consider recruiting representatives from the following departments:
- Communications
- Employee benefits
- Facilities and operations
- Health and safety
- Human resources
- Labor unions
- Management
- Occupational health and safety
- Policy/Legal
- Security/Enforcement
The committee’s first steps should include selecting a group chairperson, clearly defining the mission and goals of the group, developing an estimated budget, and creating a tentative timeline for implementation that includes appropriate lead time. Assume a timeline of 12 to 18 months. Consider forming subcommittees or workgroups to address different components of the TFC initiative (e.g., policy development, policy implementation, cessation services, evaluation) that will need to be planned simultaneously. Alternatively, the planning committee may decide to implement the expanded cessation services component of the initiative while the TFC policy is being finalized.
Developing a TFC Policy
While various types of workplace smoking restrictions are possible, a tobacco-free campus policy is the most comprehensive and provides the best health and safety benefits for employees. Before drafting the TFC policy provisions, clearly spell out the desired policy objectives and then determine the policy provisions that are required to achieve them. The policy will be clearer, more consistent, easier to enforce, and more effective in achieving its objectives if it is applied in the most comprehensive manner possible, with no or minimal exceptions.
Drafting a TFC Policy • Spell out the rationale • Keep the policy as strong and simple as possible • Minimize policy exceptions • Be very specific about: -Who the policy applies to -When it is in effect -Where it is in effect -How it will be enforced -The consequences of violating the policy |
The policy provisions should address such questions as:
- Does the policy apply to only smoking or to the use of any tobacco product?
- Are employees prohibited from bringing tobacco products or just using these products on campus?
- What tobacco use cessation services will the organization offer to employees and through what channels?
- Does the policy apply to contractors, fellows, clients, patients, visitors, and other nonemployees, or only to employees?
- Does the policy apply to all campus areas (e.g., owned property, leased facilities, parking lots, parking decks, construction areas)?
- Does the policy apply only during normal working hours, during hours when the campus is open to the public, or 24 hours a day/seven days a week?
- What provisions exist for employees to take smoking breaks?
- Are employees allowed to leave the campus to smoke during the workday?
- Does the policy apply to the use of tobacco products in private vehicles while these vehicles are on campus (e.g., in parking lots)?
- Does the policy apply to the use of tobacco products in company vehicles when these vehicles are on campus? When these vehicles are off campus?
- Who is responsible for informing staff? Visitors?
- Who is responsible for spotting and reporting violations? Fielding complaints regarding possible violations? Initiating disciplinary measures for noncompliance?
- What will the disciplinary measures be?
See CDC’s policy (PDF-229k)
for an example of a tobacco-free campus policy.
TFC policies are effective only when they are accompanied by adequate,
carefully planned education, implementation, and enforcement. Develop clear
procedures for enforcing the policy. Care should be taken to enforce the
policy in an equitable manner that does not single out or exempt any
particular groups of employees. It is important to involve security
management in the policy development process at an early stage to
obtain their buy-in and input and to ensure that the policy
realistically reflects the role security can play in enforcing it.
Consider drawing on disciplinary procedures, measures, and sanctions that
are already in place for other behavioral infractions. For example, the
procedures could apply a series of progressively more severe sanctions for
repeated violations, beginning with a simple warning. Enforcement procedures
should make clear that supervisors are responsible for ensuring that
employees under their charge are aware of the policy and in compliance and
for taking appropriate action to correct noncompliance.
Once the planning committee has finalized the policy provisions, present the
proposed policy to top management and labor
union leadership or other employee representatives to obtain their approval
and buy-in. Reach a final
agreement on the TFC policy provisions and set a date for implementation
(estimate four to six months out). Do not publicize the policy until this
has occurred.
Offering Comprehensive Tobacco Use Cessation Services
Fact or Fiction? Offering tobacco use cessation services is costly. Fiction. Actually, it makes good business sense. Health insurance coverage for comprehensive tobacco cessation benefits costs between $1.20 and $4.80 per member annually.1 In comparison, the annual cost (in lost productivity and increased medical costs) of tobacco use for employers is $3,400 per smoker.1 |
While TFC policies do not require employees to quit using tobacco
products, the environmental and cultural change may encourage them to try to
quit. Tobacco use cessation support services can maximize this effect by
improving employees’ chances of quitting. Therefore these
services are an important complement to the TFC policy and a key component
of the overall TFC initiative.
The benefits of offering tobacco use cessation support for employees in
conjunction with a TFC policy may include:
- Reassuring tobacco users that the company is not trying to stigmatize them but is concerned about their health
- Demonstrating the company’s commitment to supporting employees who use tobacco products in their efforts to quit
- Improving employee health
- Reducing tobacco-related health care costs
Cessation services also provide incentives for employees who are
contemplating a quit attempt to make such an attempt,
especially if the services are free and convenient (e.g., offered on-site,
offered on company time).
The Guide to
Community Preventive Services found that reducing out-of-pocket costs
for cessation services increases the number of people who attempt to quit,
the use of proven cessation therapies, and the number of people who
successfully quit.
Work site tobacco use cessation support should ideally encompass a variety
of types of assistance in order to meet the diverse needs of employees who
use tobacco products and not all assistance has to be offered at the work site. For example, consider talking with your state about promoting your
state’s telephone quitline as one available resource for tobacco use
cessation support. For more information on other work site tobacco use
cessation support options, see
Chapter 4 (PDF-91k) of CDC’s
Making Your Workplace Smokefree: A Decision Maker’s Guide.
Telephone Quitlines: An Effective Avenue for Cessation Support Telephone quitlines are a common component of tobacco use cessation
services for a number of reasons. |
Below are some sample questions that will help you determine the
eligibility requirements for your tobacco use cessation services program:
- Should cessation services be made available to only regular (e.g., non-contractor, full-time) employees or should we include other types of employees (e.g., contractors or fellows)?
- For federal agencies: Federal appropriations laws restrict the use of appropriated funds for nonfederal employees. What local services are available to address the needs of these employees?
- Should the tobacco use cessation services program incorporate employees’ support systems (family members) and retirees? If this is not possible, what services can your organization promote or provide to other tobacco users in the household? People are less likely to quit and remain tobacco-free if a spouse or significant other continues to smoke cigarettes.2
- Can you engage the companies that provide contract staff in the provision of cessation services?
Next Steps
Periodically brief top management on the planning committee’s progress and make sure that the TFC initiative remains on their radar screen. You can begin developing a communication plan for promoting the launch of your TFC initiative.
TFC Example Tools
- CDC’s Tobacco-Free Campus Policy (PDF-229k)
Other Helpful Information
- A Purchaser's Guide to Clinical Preventive Services: Moving Science into Coverage*
- American Cancer Society’s Model Policy for a Smoke-free Workplace*
- CEO Cancer Gold Standard*
- Coverage for Tobacco-Use Cessation Treatments
- Effectiveness of Reducing Patient Out-of-Pocket Costs for Effective Therapies to Stop Using Tobacco* (PDF-66k)
- Guide to Community Preventive Services*
- The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General
- Make It Your Business: Insure a Tobacco-free Workforce* (PDF-1675k)
- Making Your Workplace Smokefree: A Decision Maker’s Guide
- Save Lives, Save Money: Make Your Business Smoke-Free (PDF-3317k)
- Smoke-free Employee Surveys (Available at http://www.workingsmokefree.com.* Click on “Make It Happen.”)
- State Smoking Restrictions for Private-Sector Worksites, Restaurants, and Bars — United States, 1998 and 2004
- Telephone Quitlines: A Resource for Development, Implementation, and Evaluation
- Treating Tobacco Use and Dependence
- University of Michigan Smoke-Free Hospitals*
- Your State or Local Health Department
References
1Centers for Disease Control and Prevention. Coverage for Tobacco Use Cessation Treatments. Available at http://www.cdc.gov/tobacco/quit_smoking/cessation/coverage/index.htm.
2Mermelstein R, Cohen S, Lichtenstein E, Baer JS, Kamarck T.
Social support
and smoking cessation and maintenance. Journal of Consulting and Clinical
Psychology 1986;54:447–453.
Please note: Some of these publications are available for download only as *.pdf files. These files require Adobe Acrobat Reader in order to be viewed. Please review the information on downloading and using Acrobat Reader software.
* Links to non-Federal organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization Web pages found at these links.
Page last updated: May 22, 2007
Content Source: Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion