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Tru club advisor_toolkit_cg_edits_sept101

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Tru club advisor_toolkit_cg_edits_sept101

  1. 1. TRU Club Advisor Resource Toolkit
  2. 2. About Tobacco. Reality. Unfiltered. (TRU) About the North Carolina Health and Wellness Trust Fund The NC Health and Wellness Trust Fund makes North Carolina stronger, both physically and economically, by funding programs that promote preventive health. Created by the General Assembly in 2000 to allocate a portion of North Carolina's share of the national tobacco settlement, HWTF has invested $199 million to support preventive health initiatives and $116 million to fund prescription drug assistance programs. For more information, please visit Tobacco. Reality. Unfiltered., known as TRU, is the NC Health and Wellness Trust Fund’s initiative that includes both the state’s youth movement and the powerful TRU media campaigns working to dissuade youth from using tobacco. TRU is supported by HWTF-funded grant programs to organizations working in all 100 counties to reduce teen tobacco use. To find out more about TRU, please visit
  3. 3. TRU TALKING POINTS • TRU (Tobacco.Reality.Unfiltered) is a movement started by young people to stomp out teen tobacco use. TRU is about taking a stand and making a difference. It's about living life and fighting the good fight; not puffing it away. A tobacco-free environment is tremendously important for helping young people grow into healthy, vibrant adults. • The TRU movement is highlighted by a well-received mass media campaign. Research shows that confirmed awareness of the TRU campaign among 11-17 year olds is better than 85 percent statewide and that teen recognition of the campaign continues to increase annually. • Why TRU? Because the first tobacco-free generation starts with us. Our generation could be known for doing the impossible; becoming 100 percent tobacco-free. The movement is growing (currently, more than 9,000 teens have signed the online pledge), but we’re not going to stop until we’ve reached every teen in the state. • When you pledge to be TRU, you’ll join other teens across North Carolina in taking a stand against tobacco. And you’ll help our message get even louder. So take the pledge and find the TRU team near you. Get involved today.
  4. 4. Purpose The purpose of this TRU Club Advisor Resource Toolkit is to provide assistance and direction to any adult in North Carolina who wants to create or maintain a youth group focused on tobacco prevention efforts through peer education and youth advocacy. Contents I. TRU Empowerment II. Teen Tobacco Use – Facts & Stats III. Working With Youth – TRU Recruiting IV. Working With Youth—TRU Youth Culture V. TRU Resources Thank You! Question Why would like to thank our statewide partners and local coordinators for providing feedback and information in developing this manual. We would especially like to thank Pam Diggs in Orange County, as well as Firestarter Advocates for Youth.
  5. 5. TRU Empowerment
  6. 6. Why Youth? What do TRU youth do? • TRU youth empower themselves and other teens to stay tobacco-free • TRU youth become agents of change in the community • TRU youth serve as a role model for other teens and younger children • TRU youth advocate for a tobacco-free community Teen vs. Adult Credibility • Teens often find peer educators more credible than adult educators • Trained peer educators are a more credible source of information for some youth than are adult educators because they communicate in ways that are easier to understand and serve as positive role models while dispelling myths that most youth are smoking • Peers influence each others’ health behaviors in deciding whether or not to use drugs • Research suggests that people are more likely to hear and personalize health messages if they believe the messenger is similar to them and faces the same concerns and pressures • Peer education uses the power of role modeling • Peer education provides flexibility in meeting the diverse needs of today’s youth Benefits of Being a TRU Youth • Receiving special training in making decisions, clarifying values, and upholding those values • Being recognized as leaders by your peers and your community • Having direct involvement and a voice in the program’s design and operations • Learning important skills such as public speaking, presenting, planning, developing earned media, and communication • Increase in self-esteem, self-discipline, career choices, gain positive stature in the community and a better understanding of diversity • Can qualify to become a Certified TRU Youth Leader Some information adapted from Advocates for Youth, Hillary Mason, September 2003
  7. 7. TRU Empowerment The opportunity for youth to participate in meaningful roles—with the ability to bond with adults in the environment and receive positive reinforcement and recognition. (Chinman & Linney, 1998) TRU Advocacy Acting in support of a particular issue or cause—standing up for what you believe in and influencing others to change the way they think and act about an issue Components of TRU Empowerment: TRU Skill Development (Learning)  Learning How to Make Change o Practicing how to speak in front of policy makers and the media o Learning about effective teaching techniques for peers and youth o Learning about how companies market to youth o Discovering how to run a group and create action plans TRU Critical Awareness (Analyzing & Strategizing)  Asking Why and How Questions o Why is tobacco still a legal product when it causes so many health problems? o Why is the tobacco tax so low in North Carolina? o How can we get more teens in our county to remain tobacco-free? TRU Opportunities (Taking Action)  Taking action to create change o Collect petition signatures and conduct surveys o Meet with local merchants o Develop school and community events o Write letters to the editor Adapted from the Question Why Model of Youth Empowerment, Guide on Youth Empowerment for Tobacco Control, 2002.
  8. 8. TRU Empowerment Theory to Practice: Activities to Empower Youth & Adults Skill Development • Increase youth knowledge of tobacco, for example: o Attend trainings o Watch videos o Read articles/brochures o Listen to speakers Critical Awareness • Group discussions/debates to explore the politics of tobacco, e.g., o Why is tobacco legal and accepted despite its health consequences o Why do tobacco companies spend so much on advertising • One-on-One o Help youth assess and improve personal skills o Provide individual feedback on strengths and suggest ways to improve • With Your Team o Debrief after events to discuss what went well & what could be improved o Reflection meetings or "Data Parties" once or twice a year to evaluate progress towards objectives • Community Assessments o Compile information obtained by doing surveys and petitions in order to share the results with a media outlet or community leader • Media literacy activities Opportunities • Youth organize school informational booths and collect petitions • Youth meet with school administrators (principals, superintendent) and discuss the need for 100% Tobacco-Free Schools compliance • Youth conduct surveys with their peers in school, malls, and other hangouts, analyze the results, and share them with key decision makers (school administrators, mayor and commissioners, state representatives, etc.) • Coordinate a community event for youth to announce TFS complianceresults with key political officials • Youth place radio/TV counter-marketing commercials on local media stations • Youth write letters to the editor of local newspapers
  9. 9. TRU Empowerment Self-Reflection For each category, please take a moment to think about your group (youth and adults), and then check beside the box that best reflects where you're at right now. Need lots of work Ok, but could improve Got this down cold Skill Development Is your team knowledgeable on key facts and statistics about tobacco issues in North Carolina? Does your team have skills in public speaking and doing presentations? Is your team ready to speak with politicians, school officials, community leaders, and business owners? Does your team have the knowledge of what is expected in running a meeting and being a member of an advocacy group? Critical Awareness Are team members involved in data collection and evaluation (including doing surveys, petitions, and interviews)? Do team members have a good grasp on the politics of tobacco and tobacco prevention advocacy in your community? Does your team have knowledge of who to approach to ask for support and policy change? Has your team developed goals and objectives and/or an action plan? Opportunities Is your team actively planning events and activities? Has your team approached the local and regional media outlets to share information on activities? Have team members talked with key leaders and decision-makers in community and school settings? Are team members involved in doing a variety of actions to meet their action plan goals?
  10. 10. Teen Tobacco Use Facts and Stats
  11. 11. An Overview of Tobacco Use Prevention in North Carolina and the Nation Please note: The bold, indented items refer to National Milestones, while the other items refer to North Carolina Milestones. 1960s 1964 The first U.S. Surgeon General’s Report (SGR) linking smoking and lung cancer is released. 1965 The first warning label “Caution: Cigarette smoking may be hazardous to your health” appears on all cigarette packs. 1969 North Carolina is the last state to add a cigarette excise tax (nearly 48 years after Iowa initiated the first 2 cents tax in 1921). The highest tax in 1969 was Florida’s 15 cents, however 20 other states also had double digit cigarette taxes. 1970s 1971 Ban on cigarette advertising on radio and television takes effect. 1980s 1988 Smoking is banned on all flights in the USA. 1990s 1990 Chapel Hill-Carrboro adopts first 100% Tobacco Free School Policy. 1993 Environmental Protection Agency (EPA) publishes a landmark report on secondhand smoke (SHS)-designating secondhand smoke as a Class A carcinogen which causes cancer in humans. 1994 CEOs of Tobacco Companies testify at Senate Hearing that nicotine is not addictive.
  12. 12. 1998 The Tobacco Prevention and Control Branch (TPCB) becomes a permanent part of North Carolina Division of Public Health. 1998 The Master Settlement Agreement (MSA) is created, closing down the Tobacco Institute, restricting marketing to youth, and providing monies to states. 1999 The North Carolina Youth Tobacco Survey (YTS) finds that 18.4% of North Carolina middle school students and 38.3% of high school students are current users of a tobacco product (cigarettes, spit tobacco, cigars, or pipes). 1999-2000 The North Carolina General Assembly places the NC MSA monies into 3 funds: the Golden LEAF Foundation (50% for assistance to tobacco-dependent communities), the Tobacco Trust Fund (25%, for direct aid to tobacco-related workers and businesses), and the Health and Wellness Trust Fund (HWTF) (25%, for health-related issues). 2000s 2000 The first North Carolina Governor’s Conference on youth tobacco use prevention: “A Vision for the Future: North Carolina’s Initiative to Prevent Tobacco Use.” 2000 Only 5 school districts in North Carolina have a 100% tobacco-free schools policy. 2000 The Supreme Court rules that the FDA has no authority to regulate tobacco. 2000 The truth Anti-Smoking Campaign sponsored by the American Legacy Foundation begins. 2000-2001 The Tobacco Prevention and Control Branch (TPCB) receives a 3-year $2.0 million grant from Robert Wood Johnson Foundation (RWJ) to create Question Why (?Y) centers and a youth empowerment approach to tobacco use prevention. 2003 City-wide smoking bans start to take effect, beginning with New York City and Boston. 2003 The Health and Wellness Trust Fund (HWTF) began funding programs to prevent and reduce teen tobacco use—Teen Tobacco Use Prevention and Cessation Initiative funded at $6.2 million annually. 2003 The North Carolina Youth Tobacco Survey indicates that 33.7% of high school students and 14.3% of middle school students are using a tobacco product. 2004 The Republic of Ireland became the first country to have a nationwide ban on indoor smoking in all public spaces, including restaurants and pubs. 2005 The NC YTS shows that North Carolina youth tobacco use rates continue to decline: 28.5% for high school students, 10.5% in middle school students.
  13. 13. 2005 North Carolina launches its QuitNow cessation service: 1-800-QUIT-NOW 2006 An additional 5-cent increase in the North Carolina state cigarette excise tax raises it to 35 cents per pack (44th out of 50). (July 2006) 2006 The US Surgeon General releases report on “The Health Consequences of Involuntary Exposure to Tobacco Smoke,”stating that there is no safe level of exposure to tobacco smoke. 2007 84 school districts in North Carolina have a 100% tobacco-free school policy (April 2007). 2008 North Carolina HB 24 “Resource for Local Government” becomes law on January 1, 2008, banning smoking inside all state government building. 2008 North Carolina SB1086 “Tobacco Free Schools” becomes law, requiring all school districts to be 100% tobacco-free by August 1, 2008 2009 The “Family Smoking Prevention and Control Act” is signed by President Obama, granting the Food and Drug Administration (FDA) the power to regulate tobacco products 2010 North Carolina HB 2 “Prohibit Smoking in Certain Public Places…” prohibits smoking in restaurants, bars, and designated worksites as of January 2, 2010 Created by Question Why and the North Carolina Tobacco Prevention and Control Branch
  14. 14. Tobacco Facts - References Cited Youth • Each day, more than 3,500 kids try their first cigarette. Each day, more than 1,000 kids under 18 become new regular, daily smokers. (“Smoking and Kids,” Campaign for Tobacco Free Kids, 2010) • Almost 90% of all adult smokers begin at or before the age of 18. Two thirds become regular, daily smokers before the age of 19. (“Smoking and Kids,” Campaign for Tobacco-Free Kids, 2008) • Over 6.3 million of today’s children can be expected to die early from a smoking related disease, unless current rates are reversed. (“Tobacco Use Among Youth 2008,” Campaign for Tobacco-Free Kids, 2008) • The average age when someone tries tobacco for the first time is 13 years. (“The Path to Smoking Addiction Starts at Very Young Ages,” Campaign for Tobacco-Free Kids, 2008) North Carolina • Current cigarette smoking (past 30 days) among both middle and high school students dropped significantly since 2005: high school, from 20.3 percent in 2005 to 16.7 percent in 2009; middle school from 5.8 percent in 2005 to 4.3 percent in 2009. (NC YTS, 2009) • 21.1% of adults (over 1.4 million) in North Carolina smoke.(“Current Smoking: 2007 N.C. Behavioral Risk Factor Surveillance System,” Tobacco Prevention and Control Branch, 2007) • Smoking costs North Carolina $5.96 billion annually in health care costs and lost productivity. (“The Toll of Tobacco in North Carolina,” Campaign for Tobacco Free Kids, 2009) • Each year, 12,200 adults in North Carolina die from their own smoking (smoking-related causes). (“The Toll of Tobacco in North Carolina,” Campaign for Tobacco-Free Kids, 2009) • Once charging the lowest amount of cigarette tax in the nation, North Carolina is now the 45th in the nation at $.45 per pack. (“State Cigarette Excise Tax Rates and Rankings,” Campaign for Tobacco-Free Kids, 2010) • The tax on non-cigarette tobacco products (or “other tobacco products” ,“OTP) increased from 10% to 28% of the wholesale price. (Paul Turner, NC STEP, 2010) • The number one & two exports for North Carolina are machinery and electrical machinery, followed by number three: Tobacco. (, 2008) Effects of Tobacco • Tobacco is the leading preventable cause of death. (Tobacco Use: Targeting the Nation’s Leading Killer,” CDC, 2009) • Smoking kills more people than alcohol, AIDS, car accidents, illegal drugs, murders, and suicides combined, with thousands more dying from spit tobacco use. (“Toll of Tobacco in the United States of America, Campaign for Tobacco-Free Kids 2009) • 1,200 Americans lose their life every day to tobacco use. (Morbidity and Mortality Weekly Report, 2008; 57(45) 1226-1228) • Tobacco contains over 4,000 chemicals; over 60 are known to cause cancer. Arsenic, ammonia, formaldehyde, methane, lead, tar, and polonium are some of the chemicals found in tobacco products. (“Health Harms from Smoking and Other Tobacco Use,” Campaign for Tobacco-Free Kids, 2009…also found at • About 8.6 million Americans have chronic illnesses related to smoking. For every person who dies from smoking, 20 more people suffer from at least one serious tobacco-related illness. (“Tobacco Use: Targeting the Nation’s Leading Killer, At A Glance 2009, CDC, 2009) • Smoking is the primary cause of death among women in the U.S. About 170,000 American women will die from tobacco- related disease this year. (“Morbidity and Mortality Weekly Report,” CDC, 2008, 57(45)) • In the United Sates, 400,000 people die each year from their own cigarette smoking; about 50,000 people die from others’ smoking (secondhand smoke)—this equals 450,000 people who die each year in the United States from smoking-related causes. (“Toll of Tobacco in the United States of America,” Campaign for Tobacco-Free Kids, 2009) • By the year 2030, 10 million people will die each year from tobacco use. (“Tobacco Facts,” Framework Convention Alliance for Tobacco Control, 2005) • In the United States, tobacco use causes $96 billion in medical costs. (“Toll of Tobacco in the United States of America,” Campaign for Tobacco-Free Kids, 2009)
  15. 15. Addiction and Quitting • The addiction rate for smoking is higher than the addiction rates for marijuana, alcohol, or cocaine. (“Smoking and Kids, Campaign for Tobacco-Free Kids, 2008) • Almost 75% of regular smokers in high school try to quit and fail. (“The Path to Smoking Addiction Starts at Very Young Ages,” Campaign for Tobacco-Free Kids, 2008) • Quitting smoking reduces the risk of heart disease, stroke and cancer. (“Cigarette Smoking and Cancer,” National Cancer Institute, 2004) • Pharmacotherapy options for tobacco cessation include nicotine replacement therapy (or NRT) involving the nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, and nicotine lozenge; or Bupropion (examples include Zyban and Wellbutrin). These pharmacotherapy options, however, are not FDA approved for children and adolescents and must be prescribed by a doctor. (Notes taken from presentation from Dr. Jana Johnson, 2005) • North Carolina now maintains a tobacco quit line found at or 1-800-QUIT-NOW which provides tobacco cessation specialist that address teen and adult tobacco use, spit tobacco use, Spanish language speakers, and pregnant women. • Secondhand Smoke or Environmental Tobacco Smoke (ETS) • Secondhand smoke is a Group A carcinogen, containing cancer-causing agents such as benzene, asbestos, arsenic, and vinyl chloride. (“Indoor Air Pollution: An Introduction for Health Professionals,” EPA, 2009) • Secondhand smoke is the third leading preventable cause of death; for every eight smokers that die from tobacco, one nonsmoker will also die from exposure to ETS.(“Secondhand Smoke: The Science,” Americans for Nonsmokers’ Rights, 2006) • “Separating smokers from nonsmokers, cleaning the air, and ventilating buildings cannot eliminate exposures of nonsmokers to secondhand smoke.” ("The Health Consequences of Involuntary Exposure to Secondhand Smoke," US Surgeon General’s Report, 2006) • Exposure to secondhand smoke as a child increases the child’s chance of suffering from smoke-caused coughs and wheezing, bronchitis, asthma, pneumonia, lower respiratory tract infections, eye and ear problems, and injury/death from cigarette-caused fires. (“The Health Consequences of Involuntary Exposure to Tobacco Smoke,” US Surgeon General’s Report, 2006) • According to the Centers For Disease Control and Prevention (CDC), nearly 50,000 Americans die each year from lung cancer and heart disease attributable to secondhand smoke exposure (CDC, "Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses -- United States 2000-2004," MMWR 57(45), November 14, 2008 See also, California EPA, Proposed Identification of Environmental Tobacco Smoke as a Toxic Air Contaminant, June 24, 2005.) Spit and Smokeless Tobacco • In NC, the 2009 Youth Tobacco Survey (YTS) found that 3.0% of middle school students and 8.5% of high school students report using smokeless tobacco. (NC Youth Tobacco Survey, 2009) • The two main types of smokeless tobacco in the United States are chewing tobacco and snuff. Chewing tobacco comes in the form of loose leaf, plug, or twist. Snuff is finely ground tobacco that can be dry, moist, or in sachets. (Office on Smoking and Health Fact Sheet “Smokeless Tobacco”, 2007) • The amount of nicotine in one dip, or chew, of spit tobacco can deliver up to 5 times the amount found in one cigarette. (“What You Need to Know,”, 2009) • Spit tobacco contains 28 cancer-causing agents (carcinogens). The high concentrations of N-nitrosamines and the high levels of tobacco specific nitrosamines are of great concern. (“Smokeless Tobacco and Cancer: Questions and Answers,” National Cancer Institute, 2009) • Nicotine, carcinogens (such as formaldehyde and nickel), sodium, and sugar are all ingredients found in spit tobacco. (“Smokeless Tobacco and Cancer: Questions and Answers,” National Cancer Institute, 2009) • Spit tobacco causes leukoplakia, a disease of the mouth characterized by white patches and oral lesions on the cheeks, gums, and/or tongue. 60-78% of spit tobacco users have oral lesions. (“Is Smokeless Tobacco Really That Bad?,” TRU website, 2009) • A 2008 study from the WHO International Agency for Research on Cancer concluded that smokeless tobacco users have an 80 percent higher risk of developing oral cancer and a 60 percent higher risk of developing pancreatic and esophageal cancer. (“Health Harms from Smokeless Tobacco Use,” Campaign for Tobacco-Free Kids, 2008) • After a careful examination of the relevant epidemiologic, experimental, and clinical data, the committee concludes that the oral use of smokeless tobacco represents a significant health risk. It is not a safe substitute for smoking cigarettes. It can cause cancer and a number of non-cancerous oral conditions and can lead to nicotine addiction and dependence. (U.S. Surgeon General, “the Health Consequences of Using Smokeless Tobacco, 1986) Other Forms of Tobacco • Regular cigar smoking is associated with an increased risk for cancers of the lung, oral cavity, larynx, and esophagus. The two leading brands preferred by cigar smokers aged 12 years or older are Black & Mild (25.5%) and Swisher Sweets (16.2%). (Office on Smoking and Health Fact Sheet “Cigars”, 2009)
  16. 16. • “Bidis” are small, thin, hand-rolled cigarettes imported to the United States primarily from Indian and other Southeast Asian countries. They have higher concentrations of nicotine, tar, and carbon monoxide than conventional cigarettes sold in the United States. (Office on Smoking and Health Fact Sheet “Bidis and Kreteks”, 2007) • “Kreteks” are sometimes referred to as clove cigarettes. Kreteks deliver more nicotine, carbon monoxide, and tar than conventional cigarettes. (Office on Smoking and Health Fact Sheet “Bidis and Kreteks”, 2007) Disparities • African Americans have higher lung cancer incidence and mortality rates than whites. (“Smoking and African Americans Fact Sheet,” American Lung Association, 2008) • 40% of American Indian adults use commercial tobacco products. (Morbidity and Mortality Weekly Report, 2005, CDC, Campaign for Tobacco-Free Kids) • Coronary heart disease is the leading cause of death for Latinos living in the US. (“Hispanics and Tobacco Use,” Campaign for Tobacco-Free Kids, 2008) • Smoking is the cause of 87% of lung cancer deaths in the US. Overall, lung cancer is the leading cause of cancer deaths among Latinos and American Indians. (“Hispanics and Tobacco Use,” Campaign for Tobacco-Free Kids, 2008, “Native Americans and Tobacco Use,” Campaign for Tobacco-Free Kids, 2008) • On average, African Americans tend to smoke brands with higher nicotine and tar levels. African Americans are also more likely to smoke mentholated cigarettes (67% of African American smokers compared with 30% of White smokers) • Menthol is a local anesthetic and helps relieve itching, and because it imparts a tingling sensation to the skin, it is used in after shave lotions and skin fresheners. It is also used in throat lozenges, inhalers, and as a flavoring. • The effects of mentholated cigarettes on the respiratory tract occur because of the stimulation of cold receptors, producing a "cool sensation." • People who smoke menthol cigarettes can inhale more deeply or hold the smoke inside longer than smokers of non-menthol cigarettes. (Sources: American Cancer Society; American Lung Association) • Menthol is unique in that it is the only cigarette additive that is actively marketed to consumers (“Smoking and African Americans Fact Sheet, American Lung Association, 2008) A TRU Factsheet created by Question Why With funding from the Health & Wellness Trust Fund, Updated August 2010
  17. 17. Working with Youth TRU Recruitment
  18. 18. Projected Timeline for TRU Youth Recruitment Month 1: Recruitment of New Youth 1 school or community resource a week Continue attending trainings and/or advocacy work Plan training schedule for the new fiscal year Month 2: Recruitment of New Youth 1 school or community resource a week Continue attending trainings and/or advocacy work Month 3: Orientation Plan an event to kick off the summer and boost moral Continue attending trainings and/or Advocacy Work Have weekly meetings with Youth: Education, brainstorming community action plans, planning out the fall goals Month 4: Weekly or Bi-weekly youth meetings, attend trainings and/or advocacy work Month 5: With Activated Youth Board begin movement in schools Month 6: Determine active school groups Teen liaison for all groups sit on the board Adult Contacts, attend trainings Month 7: Attend Trainings and/or Advocacy Work Plan an event to keep youth excited and engaged Month 8: Advocacy and Policy Change work Review Spring Action Plan Month 9: Review spring action plan weekly meetings Month 10: Continue on Advocacy work/trainings/meeting/collaborations/special events Month 11: Advocacy work/trainings/meetings/special events Month 12: Advocacy work/start planning for recruitment of new youth
  19. 19. Adult Leader To-Do’s (Before You Get Youth or ASAP)
  20. 20. Get a copy of the following calendars: ___school calendar for each school your youth attend (make note of teacher workdays/vac) ___school sports ___school board meetings ___town/city council meetings ___county commissioner meetings ___meetings for any department of government you may work with ___major events listed by the visitor’s bureau Get the contact information for the following: ___chamber of commerce or local restaurant association ___all the guidance counselors in your school district ___mayor, town council members, county commissioners ___school board members ___public health department (health promotions, teen tobacco) ___parks and recreation department ___NC State Senators and Representatives ___And of course, ?Y Training Calendar
  21. 21. Recruiting TRU Youth Plan Ahead: • Work with schools – guidance counselors, career centers, health centers, as well as non- traditional partners outside of the schools • Put up flyers, make school announcements, and present to classes to get the youth’s attention • Target the ages that you would like (for example, seniors may not be around too much) • Target the characteristics you would like if possible • *Always* recruit more than you need!! Connect with Youth: • Get the word out through volunteer and other organizations (civic groups, Chamber of Commerce, Boy/Girl scouts, churches, etc) • Network through community leaders – get their referrals and recommendations • Have a fun booth at lunch, sports games, or other social events in order to get attention – you can play tobacco trivia or a similar game with incentives to pull in students • If you have a booth don’t hand out applications! Instead, get emails and phone numbers and contact youth directly. • Put promotional info in local media that youth AND parents read – local and school newspapers, neighborhood publications, church newsletters/bulletins, etc. • Hold a kick-off event to peak the youth’s interest and desire to become involve Recruitment Table Needs: • White tablecloth for a table • Extension cord • Boom box • Mix CD/iPod (updated diverse music) • General brochure about the group • Contact info for the group • Poster board with catch phrases • Clip boards • Pictures/visuals of youth activated in your community (or similar one)
  22. 22. • Sign up sheets with fields for the info you need • Candy • Pens • Laminated quizzes with fun facts (see next page for example) • Dry erase markers/board • Banner & markers to sign as a tobacco-free or TRU pledge • Ingredients from secondhand smoke • TRU incentives as prizes for quizzes Fun Facts for Recruitment TRU QUIZ 1)When you inhale smoke from a cigarette, you are also inhaling several household products. Circle One: TRU or False 2)You can get hooked on smoking in less than two weeks. Circle One: TRU or False 3)Tobacco is bad, but not as addictive as heroin. Circle One: TRU or False
  23. 23. 4)Smoking can reduce your life expectancy by up to 5 years. Circle One: TRU or False 5)Only 20% of teens prefer to date a smoker. Circle One: TRU or False TRU QUIZ ANSWER KEY and TALKING GUIDE 1) When you inhale smoke from a cigarette, you are also inhaling several household products. Answer: TRU - Several ingredients in cigarette smoke are also found in common household products like ammonia, moth balls and rat poison. 2) You can get hooked on smoking in less than two weeks.
  24. 24. Answer: TRU – Nicotine is highly addictive and cigarettes are designed to not take long before you form a vicious habit. 3) Tobacco is bad, but not as addictive as heroin. Answer: False – Tobacco is as addictive as heroin. Nicotine is a drug. 4) Smoking can reduce your life expectancy by up to 5 years. Answer: False – Using tobacco actually can reduce life expectancy by up to 25 years! 5) Only 20% of teens prefer to date a smoker. Answer: False – Only 1% of teens prefer to date a smoker. Sign up to be a part of the TRU movement NOW!!! NAME PHONE EMAIL
  25. 25. Working with Youth TRU Culture
  26. 26. Recruiting and Retaining Young Males Why is it Important to Include Young Males? In the US, high school males are more likely to be tobacco users. The CDC says that 21% of high school males are smokers compared to only 19% of high school females. That being the case, if we are to follow the advice of Wendy Lesko in her book The 26% Youth! Solution, we need to include people in the solution that we see as sharing in the burdens of the problem. TRU groups need to reflect the demographics of the community they are in so as to be effective at change their environment for the better. When Recruiting Guys…
  27. 27. • Provide smaller opportunities/activities to get involved with. Presenting one opportunity at a time may help boys stay engaged without the pressure of a long-term commitment • Show examples of other males that are doing this type of work. • Highlight how he will benefit by joining (meeting new people, college application material, extra credit, etc) • Focus on what the group is meant to accomplish; be outcome oriented • Use gender-neutral language or language that does not alienate males • Use such language like action, change, and advocacy • Describe how he will be given training so that he can do tasks well To Retain Guys… • Conduct meetings that are interactive, not lecture style • Make the group more about action • Provide opportunities for recognition • Make the group the adventure he is looking for • Emphasize the challenge within the work • Ask them about their talents and come up with projects that fit/utilize their talents • Vary the locations you meet in every once in a while.
  28. 28. Starting from Scratch -Strongly brand your group (consistent title, logo and mission). -Start the year off with a fun and exciting interest meeting. -Clearly communicate what the program can do for the youth! Sell the benefits of membership with the group (i.e. public speaking and media training, leadership opportunities, networking, resume building, etc.) -Touch base with principals of local schools. Ask if youth can meet during breakfast or lunch. -Hang posters at the school, have morning announcements aired, and attend Club Days. -Recruit at lunch time. Have a table inside the lunch room since the door is too busy. Have bright posters, candy and other catchy giveaways to attract attention. Go to them...don’t wait for students to come to you! -Have brochures and literature ready to give out to youth and important points of contact. -Have a letter ready for PARENTS of youth so that they can feel good about supporting their children’s participation in a TRU group. Explain in this letter what you might want parents to do for your TRU group (i.e. carpool kids home after meetings). Working With Existing Groups -Allow current TRU youth recruit their peers. -Do orientation with existing youth to refresh their memory of TRU stats and facts. Build them up to be your TRU champions! -Have a presence at sporting events. Everyone should wear TRU t-shirts. -Get a teacher sponsor to let you use their classroom for meetings. Treat that staff person like gold! They can help out a lot in your absence. Special Issues Transportation -Meet at the school during convenient hours for student (breakfast, lunch or directly after school). -Get youth or parents to buddy up and car pool TRU group members for off site events or advocacy efforts. -Secure permission slips and transportation waivers when youth first join the group. Technology -Everyone may not have internet access, but TEXTING is huge in rural communities. Get permission to access youth through this medium or send a message to a few youth and allow them to send messages with a phone tree method. Incentives -Have giveaways for youth to earn through continued participation. A booklet with ideas of what they can earn, how many points each incentive item is worth and what you do to earn it, really boosts interest in the TRU group. Creating Buzz -Have info tables and sign up sheets at EVERY event you can possibly attend. Get youth cell phone numbers for texting purposes. -Host regular meeting times and be consistent. Once a month is not enough. If you can do it, meetings once a week are good. When events are coming up, meeting more often may be necessary. -Look at PE and health teachers as good contacts to encourage more activity related to the group during the school day. Recruiting TRU Youth in Rural Areas
  29. 29. MILLENNIALS A label that generally refers to youth born between 1980-2000 Characteristics of the Millennial Generation: • Optimistic • Creative and expressive • Civic-minded • Goal-oriented • Tech-savvy, huge consumers of media • Collaborative and team-oriented • Immediate gratification, sense of control • Multicultural • Multi-taskers • Used to structure from adults • Have strong parent advocates • Confident (can border on feelings of entitlement) • Sense of global connection/big picture Defining Moments for the Millennial Generation: • The September 11, 2001 terrorist attacks – post 9/11 world • Virginia Tech Massacre • Afghanistan and the Iraq War, as well as the War on Terror • Hurricane Katrina • Personal computers, cell phones, and the internet • Harry Potter, Twilight, Facebook, MySpace… • The election of Obama • Environmentalism • The presidency of George W. Bush Managing TRU “Millennial” Youth
  30. 30. Eleven Management Tips Adapted from a Susan Heathfield article • Provide structure. Reports have monthly due dates. Jobs have fairly regular hours. Certain activities are scheduled every day. Meetings have agendas and minutes. Goals are clearly stated and progress is assessed. Define assignments and success factors. • Provide leadership and guidance. Millennials want to look up to you, learn from you, and receive daily feedback from you. They want “in” on the whole picture and to know the scoop. • Encourage the millennial's self-assuredness, "can- do" attitude, and positive personal self-image. Millennials are ready to take on the world. Their parents told them they can do it - they can. • Take advantage of the millennial's comfort level with teams. Encourage them to join. They are used to working in groups and teams. • Listen to the millennial employee. Your millennial employees are used to loving parents who have scheduled their lives around their children. These young adults have ideas and opinions, and don't like having their thoughts ignored. • Millennial employees are up for a challenge and change. Boring is bad. They seek ever-changing tasks within their work.
  31. 31. • Millennial employees are multi-taskers on a scale you’ve never seen before. Multiple tasks don’t phase them. Talk on the phone while doing email and answering multiple instant messages – yes! This is a way of life. In fact, without many different tasks and goals to pursue, the millennials will likely get bored. • Take advantage of your millennial employee’s computer, cell phone, and electronic literacy • Capitalize on the millennial’s affinity for networking. Not just comfortable with teams and group activities, your millennial employee likes to network around the world electronically. • Provide a life-work balanced workplace. Your millennial employees are used to cramming their lives with multiple activities. They may play on sports teams, walk for multiple causes, spend time as fans at company sports leagues, and spend lots of time with family and friends. Ignore this to your peril! • Provide a fun, employee-centered workplace. Millennials want to enjoy their work and workplace—including making friends in their workplace.
  32. 32. Being on the TRU Millennial Team Adapted from a Susan Heathfield article STRUCTURED LEARNING TEAM GROUP ROLES When putting together groups, you may want to consider assigning (or having students select) their roles for the group. Students may also rotate group roles depending on the activity. Potential group roles and their functions include: • Leader - The leader is responsible for keeping the group on the assigned task at hand. S/he also makes sure that all members of the group have an opportunity to participate, learn and have the respect of their team members. The leader may also want to check to make sure that all of the group members have mastered the learning points of a group exercise. • Recorder - The recorder picks and maintains the group files and folders on a daily basis and keeps records of
  33. 33. all group activities including the material contributed by each group member. The recorder writes out the solutions to problems for the group to use as notes or to submit to the instructor. The recorder may also prepare presentation materials when the group makes oral presentations to the class. • Reporter - The reporter gives oral responses to the class about the group's activities or conclusions. • Monitor - The monitor is responsible for making sure that the group's work area is left the way it was found and acts as a timekeeper for timed activities. • Wildcard (in groups of five) - The wildcard acts as an assistant to the group leader and assumes the role of any member that may be missing. TEAM EXPECTATIONS Some of the common fears about working with groups include student fears that each member will not pull their weight as a part of the group. Students are scared that their grade will be lower as a result of the group learning vs. learning they do individually. One way to address this issue is to use a group activity to allow the group to outline acceptable group behavior. Put together a form and ask groups to first list behaviors (expectations) they expect from each individual, each pair and as a group as a whole. Groups then can use this as a way to monitor individual contributions to the group and as a way to evaluate group participation.
  34. 34. 1. Allow the youth to run the meetings as often as possible. 2. Have everything you’ll need to be effective in the meeting done beforehand. Print out agendas, gather updates and have materials ready. 3. State the concrete goal of your meeting in the beginning. 4. Take 5 minutes at the beginning of the meeting to let youth share what’s going on in their life. They will appreciate the interest you show in them as a person. 5. Always switch it up. Mix in field trips, business meetings, trainings days, hands-on projects, and fun team building. 6. Have some snacks or food. If you want to do fruits & veggies, cut them up and arrange them on a plate with a dipping sauce. 7. Keep meetings to one and a half hours. 8. Have something for youth to do that arrive to meetings early. 9. Having an opening routine helps youth to focus. (i.e. call to order, sign-in) 10. Spontaneous quizzes on info that has been taught keeps youth on their toes. Give prizes for those that do well. 11. Encourage youth to be in charge of certain tasks or chair committees. 12. Switch meeting locations every now and then. 13. Try less traditional meeting times like before class starts or during lunch. 14. Repeat (like crazy) deadlines for work or meeting times and locations. 15. Use visuals. 16. Invite guest speakers to meetings, Paul Turner, SAVE, etc. Meeting 3-Spend this meeting working on the assigned tasks. (Attend training, gather resources, practice speeches, etc.) Meeting 4-Updates and more work on assigned tasks. Meeting 5– Debrief about the activity after the event. **Set up whatever you will need beforehand so that each meeting achieves its goal. Have equipment and other materials or research ready to go. This preparation also means gaining approval from any adminis- trators/grants managers before your next meeting. Getting a Handle on Meetings Practical Application to Enhance Your Meetings… Focus on Action. If the meeting never goes beyond brainstorming, youth will be bored. Meeting 1-Brainstorm the idea. Meeting 2-Define the tasks and timeline of the idea and who will be responsible.
  35. 35. Ideas to Retain Youth Members • Incentives, pens, refreshments, and other goodies are a great way to make youth feel rewarded • It is ok to ask the students what will keep them motivated and interested • FUN activities are vital for team-building and motivation • Focus on pride and accomplishments for the youth • Allow the students to brainstorm a timeline of activities that can be done throughout the school year, have the youth to create a calendar/chart to track their progress • Youth need to sense that you care about them and what they are doing – take the time to know what activities they are involved in, how school is going, what is important to them, etc. • Provide constant opportunities for youth to be actively involved in all aspects of the group – planning, doing, brainstorming, giving feedback, etc. • Provide trainings from TA providers throughout the year • Allow youth from different counties to work together or plan trainings/activities to encourage a sense of a statewide movement • Make sure that each meeting has a purpose and that this purpose is explained to the group • Place tobacco prevention and advocacy in the context of current events, celebrities, sports, TV shows, etc
  36. 36. • Continue to assess the youth’s knowledge and understanding of tobacco prevention advocacy as well as to offer training and skill development • Realize that there may be cultural, religious, language, socioeconomic status, etc differences that you need to incorporate into the way that you work with the youth • you will need to EARN the trust and respect of the youth group – If you say you are going to do something you need to follow through or explain why not • you will need to provide some guidance – not all youth understand how to run a group or plan for an event…ground rules can help • youth experiences need to be interactive and not didactic • plan in-the-field advocacy activities and awareness events – students like to get out of their school setting • youth are very busy – realize that you are competing with school, church, sports, part-time jobs, family, etc • be yourself – don’t try to talk or act like a youth if it’s not natural for you • if you spend quality time planning & recruiting, you will spend less time on retaining youth or recruiting more TRU Resources
  37. 37. Activities Calendar September Football Friday Nights! Put up promotional tables providing information and promotions regarding Smoke-Free Schools. TFS policy awareness survey during various sporting events. TRU pledge drive – Through youth can join a statewide movement and make the pledge to be TRU, live TRU, stay TRU. NO SPIT ALLSTARS— Campaign in which athletes who sign a No Spit pledge can be nominated and then voted for the weekly winner on October Tackle Smoking – During football games youth can do surveys to see how well the smoking regulations are enforced, and therefore what type of education about the policy needs to happen. Red Ribbon Week is usually the last full week in October. It draws attention to drug prevention and education--in particular, the personal commitment to live drug-free (tobacco-free!) The website is (key word: activities).
  38. 38. November Great American Smoke-Out (3rd Thursday) Make announcements, put up a table, encourage quitting, and create your own event to support this day! Cigarette Butt Clean-Up around a local youth-friendly hang out and Letter to the Editor about results December Gift of Life! Put together packets that students can give to friends and family on the importance of tobacco cessation. New You for a New Year. Have students sign pledges to be tobacco free. Promote QuitLine Materials to assist students who currently use tobacco products and help them get a head start on the New Year! January New Year’s Day! Have a Tobacco-Free Resolution Party! Pass out brochures, QuitLine Information, and resources for how to quite smoking . Enjoy hanging out tobacco free. Tobacco-Free Awareness Week is in January too! TRU Pledge Drive - Through youth can join a statewide movement and make the pledge to be TRU, live TRU, stay TRU. February Through With Chew Week is usually the third full week in February… For more information, you can check out And don’t forget about the Great American Spit Out! Valentine’s Day—Pass out TRU promotional items to celebrate as well as information about tobacco cessation… valentine's day can highlight loving tobacco-free-health. DON’T FORGET ABOUT TRU WEEK! Activities Calendar Continued March Kick Butts Day! This is an annual event sponsored by Campaign for Tobacco Free Kids. Visit for ideas. Tackle Smoking - During baseball or soccer games youth can do surveys to see how well the smoking regulations are enforced, and therefore what type of education about the policy needs to happen. TFS policy awareness survey during various sporting events April Celebrate April Fool’s Day with a Media Literacy Event! Set-up a booth, or presentation about tobacco media messages directed towards youth! Easter Egg Hunt/Clean-up! Set up an Easter Egg Hunt for small children while older youth “hunt” for cigarette butts and clean up. Earth Day is April 22. The website is Partner this day with a tobacco litter pick-up day at your school or local park!
  39. 39. May World No Tobacco Day is May 31 Visit for more info! SUMMER Now’s the time to get in the community and really do some advocacy work! Contact local camps and youth centers about doing special presentations. Have fun and get creative! Some ideas include: TRU car wash, cigarette butt clean up, fall planning, merchant education, practicing TRU skills, peer education at places of worship, Photo Voice project followed by meeting with school board officials to present findings and/or survey findings. ….possibilities are endless! Anytime Activities • Turn Your Back on Tobacco (everybody wears their clothes backwards). This can be correlated with one of the days listed or with any other time to raise awareness. • Hold a Tobacco-Free Walkathon to promote TRU & raise awareness • Chalk-Attack! Take it to the streets and use chalk to write tobacco facts and messages on public sidewalks. • Create anti-smoking greeting cards that you can send to other students, parents, or to an elementary or middle school • Encourage the TRU groups to educate their peers or middle students in their community with short presentations or activities • Letters to the Editor are good any time of year! • Organize a Mail Campaign! Letters to actors and producers to movies explaining the negative influence you think they have on young people • Anti-Smoking Scavenger Hunt: Make a list of things to find: cigarette ads, tally of cigarette butts littered, info on sports and smoking, ect. Form teams, set a time limit, and go! Then discuss what youth found.
  40. 40. State Resources for TRU and the Teen Tobacco Use Prevention Movement HWTF = Health and Wellness Trust Fund Created by the General Assembly as one of three entities to invest North Carolina's portion of the Tobacco Master Settlement Agreement in programs and partnerships to address access, prevention, education and research that help all North Carolinians achieve better health. The primary funder of the TRU Movement. TRU = Tobacco Reality Unfiltered The statewide youth tobacco use prevention movement—created, promoted, and funded by the Health and Wellness Trust Fund. TPCB = Tobacco Prevention & Control Branch A division of the Department of Health and Human Services that works to improve the health of North Carolina residents by promoting smoke-free environments and tobacco-free lifestyles. ?Y = Question Why A regionally-based program that provides TRU adult and youth leader trainings and technical assistance with a focus on youth empowerment and youth advocacy. ?Y activities are conducted by two independent organizations; Wilmington Health Access for Teens (WHAT), which covers the Eastern region of the state and Youth Empowered Solutions (YES!), which covers the West and Central regions of North Carolina. ? Y is funded by the Health and Wellness Trust Fund. (contact info on next page) ALE = Alcohol and Tobacco Law Enforcement A division of the North Carolina Department of Crime Control and Public Safety that is responsible for enforcing the alcohol, tobacco, controlled substance and gambling laws of the state. (Divisions, ALE, Underage Smoking) NC STEP = North Carolina Spit Tobacco Education Program
  41. 41. A Health & Wellness Trust Fund-sponsored program that provides technical assistance and training on spit and smokeless tobacco. This program is based in Haywood County but covers the entire state SAVE = Survivors and Victims of Tobacco Empowerment SAVE identifies and trains survivors of tobacco-related illnesses to speak with students in school and community settings about the dangers of tobacco. Programs/Events QuitlineNC – The North Carolina Tobacco QuitLine This free evidence-based comprehensive service is available at 1-800- QUIT-NOW and provides effective cessation support for all North Carolinians who want to quit using tobacco. Cessation specialists at QuitlineNC are trained to work with youth and adults, and can arrange to call the participant back at agreed upon times to check on quitting progress and to answer questions. Special protocols are also available for pregnant women and for spit tobacco users. GASO = Great American Smokeout Each year during the Great American Smokeout, the American Cancer Society promotes local and nationwide activities that focus in a light- hearted way on the benefits of not smoking. It traditionally takes place on the third Thursday in November. KBD = Kick Butts Day Kick Butts Day is a national day of activism that empowers youth to speak up and take action against tobacco use at more than 2,000 events from coast to coast.
  42. 42. Question Why Contact Information The Question Why program serves North Carolina by REGIONS… Western and Central Region: Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Buncombe, Burke, Cabarrus, Caldwell, Caswell, Catawba, Chatham, Cherokee, Clay, Cleveland, Cumberland, Davidson, Davie, Durham, Forsyth, Franklin, Gaston, Graham, Granville, Guilford, Hamlet, Haywood, Henderson, Hoke, Iredell, Lee, Lincoln, Jackson, Macon, Madison, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Orange, Person, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Scotland, Stanly, Stokes, Surry, Swain, Transylvania, Union, Vance, Wake, Watauga, Wilkes, Yadkin, Yancey Eastern Region: Bertie, Bladen, Beaufort, Brunswick, Camden, Carteret, Chowan, Columbus, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Halifax, Hertford, Hyde, Johnston, Jones, Lenoir, Martin, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Sampson, Tyrell, Warren, Washington, Wayne, and Wilson. Western & Central Region Jeanne Dairaghi, Director 50 South French Broad Suite 245 Asheville, NC 28801 828-232-5801 office jeanne@youthempoweredsolutio
  43. 43. Eastern Region Steve Johnson, Director Wilmington Health Access For Teens 4005 Oleander Drive Wilmington, NC 28403 Direct Mail To: 3063 Lovette Road Lumberton, NC 28358 910-739-0999 office


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