BTFF Application FDOH Manatee

410 6th Avenue East
Bradenton, FL 34208
410 6th Avenue East
Bradenton, FL 34208

Attachment II: Application Template
Lead Agency: FL Dept. of Health in Manatee County Applicant Name: Maxine Lang County: Manatee
REQUIRED CONTENT OF THE APPLICATION
All applicants must complete Sections 5.1, 5.2, 5.3, 5.4 and 5.5 of this application. To
successfully complete this application, each applicant must refer to the County Policy
Assignment, contained in Appendix II, to determine their required, assigned policy types.
Each applicant is required to complete application questions only for the policy types
assigned. All applicants must complete application questions for both required Outcomes in
Goal 4.
Application contains the official forms of this RFA. Any alteration to the application
template will result in disqualification of the application.
5.1 Project Summary
Applicants shall provide a concise one-page summary of the proposed project in 500
words or less. The proposed project should identify the main purpose of the project,
Partnership activities, population to be served and expected outcomes. If a grant is
awarded, the summary may be used by the Department in publications and on public
websites to describe this project. The Project Summary may also be used to brief state
officials and others about the proposed project.
Worldwide tobacco is the leading cause of preventable mortality and morbidity, responsible for
an estimated 6 million deaths annually.1
In the U.S. over 480,000 yearly deaths are attributable
to tobacco use, including 41,000 from secondhand smoke exposure.2
Tobacco is also the
leading cause of preventable mortality in Florida, killing an estimated 32,300 persons annually.
Current projections are that 270,200 Floridians aged 0-17 will die as a result of smoking.3
In view of the devastating burden of death and disease from tobacco use, it is vital that
state and local authorities coordinate in adopting comprehensive initiatives for tobacco
prevention and control.3
In this Community-Based Tobacco Prevention Interventions Project, the
Florida Department of Health in Manatee County’s (DOH-M) Tobacco Prevention Program (TPP
or TP Program) will collaborate with the Tobacco Free Manatee (TFM) Partnership of concerned
citizens, organizational and community representatives, and youth leaders. The TPP will
facilitate this Partnership in delivering evidence-based and innovative interventions to reduce
tobacco use and eliminate secondhand smoke exposure in Manatee County, by promoting
changes in tobacco-related policies, systems, and social norms.
Located on the southwest Florida coast, Manatee County has a population of 342,106
residents, who are somewhat older (median age 46.3 years) and less racially diverse (85.5%
White) than Florida residents as a whole (median age 41.5 years; 76.2% White).4
Tobacco use
among Manatee adults is somewhat more prevalent (17.4%) than statewide (17.1%).5
Among
county youth aged 11-17 cigarette smoking is reported by 7.0% versus 6.1% statewide.6
The
county shows disparities, as adult smoking is most prevalent at the lowest income level (33.6%
vs. 26.3% at middle and 4.7% at highest incomes), and more prevalent than statewide at the
lowest income level (25.0%).5
The Project’s purpose is to realize outcomes in order to progress policy towards four
goals: (1) Prevent initiation of tobacco use among youth and young adults by reducing
BTFF Community-Based Tobacco Prevention Interventions Page 1

smokeless tobacco use through activities aimed at (a) organizational policy changes to establish
smokeless tobacco screening and interventions as routine components of dental care;
(b) development of a county or city policy to limit smokeless tobacco use on county property
including parks and beaches. Youth tobacco initiation will also be addressed with activities to
promote policies counteracting tobacco marketing through retail point of sale restrictions.
(2) Eliminate exposure to secondhand smoke through activities to develop smoke-free policies
at multiunit housing properties. (3) Promote quitting among adults and youth through activities to
develop tobacco free worksite policies and employee access to proven cessation services.
(4) Sustain the infrastructure for Tobacco Free Florida (TFF) through activities to maintain TFM
as Manatee County’s Stand-Alone Community Tobacco Free Partnership, as well as Manatee’s
Students Working Against Tobacco (SWAT) Chapter. These policy areas will also be addressed
with mass-reach education and outreach to reduce disparities in tobacco use. To achieve its
goals the Program will mobilize and expand the TFM Partnership, building on its considerable
past successes in contributing to policy and systems change, as well as social norm shifts
towards a de-normalization of tobacco use.
5.2 Statement of Need (2 page limit)
BTFF is seeking qualified applicants to:
• Maintain a Stand-Alone Community Tobacco Free Partnership
• Maintain one county chapter of the Students Working Against Tobacco
organization.
• Continue policy advocacy. Policy advocacy activities will be directed toward the
following policy types unless otherwise directed by BTFF:
o reduce smokeless tobacco use,
o counteract tobacco product marketing at the retail point of sale,
o prevent and reduce tobacco use among young adults,
o create smoke-free multiunit housing,
o create smoke-free environments other than housing, and
o create tobacco free worksites.
The Statement of Need shall be used to describe the need for the proposed
project specific to each county where funds are being sought. The Statement of
Need is not to exceed two pages. Applicants shall identify in narrative form the
following information
1. Target county demographics: Describe the target county, including the
number of cities and towns and characteristics of the population, education,
income, health status, demographics, number, and percent of smokers.
2. Describe the need for funding to address tobacco prevention in the
target county including strengths and challenges of tobacco prevention
and control, the prevalence of tobacco free environments and the attitudes
and behaviors related to tobacco use.

Demographic Data4
: As of 2013, Manatee County’s population was 342,106, an
increase of 6.0% since 2010 (versus 3.8% statewide). The county is comprised of
unincorporated areas and six cities: Anna Maria, Bradenton, Bradenton Beach, Holmes Beach,
Long Boat Key (partial), and Palmetto. The median age is 46.3 years, compared to 41.5 years
statewide. Youth aged 10 to 24 years make up 17.1% of the population, compared to 18.7%
statewide. Manatee County has a higher percentage of White residents (85.5%) than Florida as
a whole (76.2%). The county includes citizens from other racial and ethnic groups as follows:
0.1% American Indian or Alaska Native, 1.8% Asian, 9.6% Black; and 2.9% other racial groups.
15.3% of residents identify as Hispanic. Median household income is $48,309, versus $46,036
statewide; 10.1% of families and 16.1% of individuals live below the federal poverty line (versus
12.4% of families and 17.0% of individuals statewide); and unemployment among the civilian
labor force was 8.5% (versus 9.7% statewide). Among Manatee residents 30.1% are high
school graduates without higher education (versus 29.5% statewide); 19.1% have some college
but no degree (versus 20.7% statewide); 8.9% have an associate’s degree (versus 9.5%
statewide); and 28.8% have a bachelor’s or higher degree (versus 27.3% statewide).
Health Status7
: Leading health concerns in Manatee County include obesity and
overweight, tobacco use, and rates of teen birth and premature death. In 2012 the five leading
causes of death in the county were heart disease, cancer, chronic lower respiratory disease
(CLRD), stroke, and unintentional injuries; there were 1,390 hospitalizations due to CLRD,
1,548 due to coronary heart disease, and 1,263 due to stroke. In 2011, there were 289 new
cases of lung cancer. Age-adjusted rates of major smoking-related causes of county deaths per
100,000 include: 192.5 due to major cardiovascular diseases; 42.1 due to lung cancer; 34.0 due
to CLRD; 30.5 due to stroke; 23.9 due to heart attack; 13.8 due to prostate cancer.
Number of Smokers5,7
: Smoking in Manatee County is somewhat more prevalent than
in Florida as a whole. Among adults 17.4% (44,090 in 2010) are current smokers, compared to
17.1% statewide and 17.3% nationally; and annual cigarette consumption by adults, namely 943
per capita, exceeds the statewide rate of 929. More Manatee County high school students
report smoking cigarettes (11.2%) and cigars (11.9%) than do their peers statewide
(respectively 10.1% and 11.4%); and more Manatee middle school students report smoking
cigarettes (3.9%) and cigars (4.3%) than do middle school students statewide (respectively
3.3% and 3.9%). Considering trends over time, the picture is more encouraging: In 2012
tobacco use of any kind in the past 30 days was reported by 6.3% of Manatee middle school
students (versus 9.1% in 2010 and 9.7% in 2008) and by 19.2% of Manatee high school
students (versus 26.2% in 2010 and 28.2% in 2008).
Need for Funding: As indicated above, smoking-related diseases and conditions are
well represented among the leading causes of death in Manatee County; moreover, smoking is
somewhat more prevalent among adults and youth in Manatee County versus Florida as a
whole. As such, there is a need for evidence-based community programs and policy change
advocacy to reduce the burden of smoking-related disease and county-state disparities.
Moreover, the favorable recent trends in tobacco use by Manatee County youth suggest that
Partnership activities and interventions facilitated by DOH-M’s TP Program may have
contributed to reductions in youth tobacco use and justify continued support. Another source of
need for tobacco prevention and control funding lies in socio-economic disparities in tobacco
use: Manatee County smokers are overrepresented at the lowest educational levels (i.e., with
no high school degree, at 34.2% versus 28.3% statewide), as well as at the lowest income
levels (i.e., annual income below $25,000, at 33.6% versus 25.0% statewide).5
These disparities
mean that tobacco prevention and control interventions in Manatee County will require outreach
to underserved areas but also have the potential to alleviate the disproportionate health and
economic burden of tobacco use experienced by some socio-economic groups.

Attention to policy areas related to prevention of youth tobacco initiation is justified
considering the relatively high rates (reported above) of smoking among Manatee youth
versus youth statewide, together with the fact that 90% of adult smokers begin by age 18.3
This Project’s selection of initiation of smokeless tobacco as a policy area is further justified
by the relatively high prevalence of smokeless tobacco use among Manatee high school
students, namely 6.2% (versus 5.6% of high school students statewide, 4.9% of Manatee
adults, and 2.4% of adults statewide) 6
, and a lack of direct policy attention to initiation and
use of smokeless tobacco among youth. (Conversely, young adult interventions were not
selected because significant policy progress in this area has been made since 2010, namely
implementation of comprehensive tobacco free campuses at two major Manatee County
college systems.) Attention to the policy to prevent youth tobacco initiation by counteracting
retail point-of-sale marketing is justified given that exposure to tobacco advertisements is
reported by almost all Manatee middle school (97.3%) and high school students (98.0%); and
information to counteract retail marketing may be unavailable to many youth, as only 56.4% of
Manatee middle school students and 37.6% of high school students have exposure to
tobacco prevention education.5
Policy to eliminate secondhand smoke exposure by
expanding smoke-free multiunit housing is needed in view of the substantial burden of
tobacco-related disease among nonsmokers, together with the fact that recent secondhand
smoke exposure is reported by 39.5% of Manatee middle school students, 49.8% of high
school students, and 13.6% of nonsmoking adults.5
Policy to promote quitting by expanding
access to proven cessation services is needed in view of evidence that per capita cigarette
consumption (reported above) is relatively high in Manatee County; moreover, Manatee
smokers may lack access to effective services – which increase their odds of quitting3
– as
58.6% report recent unsuccessful cessation attempts.
Strengths & Challenges: A strength of tobacco prevention and control in Manatee
County is the powerful community presence of the TP Program at DOH-M. Since 2008 the
Program has fostered and facilitated the TFM Partnership and the Manatee SWAT Chapter in
achieving many significant policy successes, which are detailed below in the Management Plan.
These successes include the establishment of tobacco-free policies in Manatee County schools,
hospitals, businesses, and multiunit housing facilities. Since 2010 these policies have
increasingly taken the form of comprehensive tobacco-free campus or tobacco-free environment
policies, which impose strict bans rather than just limits on tobacco use. Challenges include
adverse social norms, as roadblocks have been encountered due to concerns that tobacco
policies are an infringement of personal rights and have no legal basis. The Partnership will
continue to work against these unfavorable norms with carefully designed media and community
outreach, and positive policy examples. Another challenge lies in the fact that some local policy
areas are preempted by state rules.
Attitudes & Behaviors: Manatee County youth show solid support for tobacco
prevention and control in their attitudes and behavior. According to the 2012 Florida Youth
Tobacco Survey, most county youth aged 11-17 (74.1%, vs. 72.9% statewide) definitely do not
think smoking helps them “look cool”.6
Moreover, SWAT team participation among youth aged
11-17 is relatively high at 4.5% (versus 3.9% statewide).6
In contrast, consistent with the
aforementioned roadblocks, surveys of Manatee adults show unfavorable attitudes on tobacco
control: Only 15.7% express the view that adults “definitely shouldn’t smoke,” compared to
50.7% statewide.5
Nevertheless, the favorable youth attitudes, together with recent policy
successes in Manatee County that would have been unthinkable only a few years ago, indicate
that the Partnership’s advocacy efforts have been successful in creating favorable shifts in
tobacco-related social norms and a promising basis for continued progress.

Applicants shall cite source(s) of all data and statistics used to validate the
need. State surveillance data is available to all applicants at: BTFF
Community-Based Tobacco Prevention Interventions RFA. Click the
following link and then click the Cancel button to cancel the user name and
password requirement to access the data.
http://fl.btpp.myhostedsolution.net/BTFF_Shared/Community-
Based_Tobacco_Prevention_Interventions/Shared%20Documents/Forms/AllItems
.aspx
Data Sources:
1
World Health Organization (2013). WHO report on the global tobacco epidemic, 2013:
enforcing bans on tobacco advertising, promotion and sponsorship. Available from:
http://www.who.int/tobacco/global_report/2013/en/ Accessed on October 24, 2014.
2
U.S. Department of Health & Human Services (2014).The Health Consequences of Smoking—
50 Years of Progress: A Report of the Surgeon General. Available from:
http://www.surgeongeneral.gov/library/reports/50-years-of-progress/
Accessed on October 17, 2014.
3
Centers for Disease Control (2014). Best Practices for Comprehensive Tobacco Control
Programs—2014. Available from:
http://www.cdc.gov/tobacco/stateandcommunity/best_practices/
4
U.S. Census Bureau, 2013. American Community Survey, 2013 1-year estimates. Available
from: http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml C
5
Bureau of Tobacco Free Florida (June, 2013). County Data Profile: Manatee. Data for adults
from Behavioral Risk Factor Surveillance System (BRFSS) 2007 & 2010. Data for youth
from Florida Youth Tobacco Survey (FYTS) 2010 & 2012. Per capita cigarette
consumption from Department of Business and Professional Regulation 2011.
Available from: http://fl.btpp.myhostedsolution.net/BTFF_Shared/Community-
Based_Tobacco_Prevention_Interventions/Shared%20Documents/Forms/AllItems.aspx
6
Florida Department of Health. Manatee County: 2012 At a Glance. Data from the 2012 Florida
Youth Tobacco Survey. Available from: http://www.floridahealth.gov/statistics-and-
data/survey-data/fl-youth-tobacco-survey/reports/2012-county/index.html Accessed on
October 21, 2014.
7
Florida Department of Health. Florida CHARTS: County Profile Reports. Available from:.
http://www.floridacharts.com/charts/QASpecial.aspx Accessed on October 24, 2014.
5.3 Objectives
The program SMART objectives are included as part of the response in section 5.4.
5.4 Program Plan (12 page limit)

The Program Plan shall be used to describe proposed strategies and activities to achieve
local policy change in all targeted areas as requested below. This program plan should
outline activities that will occur during the initial three fiscal year grant term, 2015-
2018. Refer to Appendix II to identify Assigned Policy Types by County, in order to
ensure responses are only provided for to the policy types assigned to the county for
which you are applying.
Goal 1: Prevent initiation of tobacco use among Florida’s youth and young
adults.
Required Policy: Policy to reduce smokeless tobacco use (Smokeless)
A. Provide current status of smokeless tobacco policies in the county.
Since 2008, the TFM Partnership has focused on smokeless tobacco prevention policies in
Manatee County by developing tobacco-free campus policies that include the prohibition of
smokeless tobacco. In 2013, through the work of TFM, the Manatee County School District
passed and implemented a comprehensive tobacco-free K-12 policy, which includes the
prohibition of smokeless tobacco and reinforces educational messages on its dangers. In 2012,
TFM and SWAT members worked with Manatee County Parks and Recreation to implement
tobacco-free zones around youth facilities in county parks. Additionally, since 2012 the
Partnership has worked to educate elected officials on the dangers of flavored tobacco. (Many
smokeless tobacco products are flavored to attract youth.) As a result of this work, led by
SWAT, resolutions to restrict the sale of flavored tobacco have been passed in Manatee County
and its municipalities. (For a complete list of policy successes, see Management Plan.)
Currently, Gulfcoast South Area Health Education Centers (GS AHEC), which serves
Manatee County, uses BTFF tobacco intervention tools for health care providers (e.g., 5A’s;
Quit Smoking Today Brochure; Three Ways to Quit Palm Card; Quit Kits; Team Up to Quit Map
and Banner; Fax Referral Forms) to provide regular smokeless tobacco intervention training to
dental students at Lake Erie College of Osteopathic Medicine, dental assistant students at State
College of Florida, and dental hygiene students at Manatee Technical Institute.
B. Identify specific smokeless policy or policies that will be pursued. Include
organization(s) targeted and reasons for selecting the policy and targets.
According to the 2014 CDC Best Practices for Comprehensive Tobacco Control Programs and
the CDC Guide to Community Preventive Services, successful smokeless tobacco prevention
strategies include: systems that increase smokeless tobacco interventions by dental providers
and integrate screening and interventions into routine care; policies that restrict the use of
smokeless tobacco; mass-reach health education; policies to reduce pro-smokeless tobacco
influences (addressed in the Point of Sale policy area); and policies to reduce financial barriers
to cessation treatment (addressed in the Tobacco Free Worksite policy area). According to the
Surgeon General’s 2012 report, Preventing Tobacco Use Among Youth and Young Adults,
comprehensive community-based efforts including schools, media, family, advocacy and public
policy are likely to be effective (though few well-designed studies have specifically addressed
prevention of youth smokeless tobacco initiation).
Dental visits present many opportunities for smokeless tobacco screening, interventions
and professional guidance. As such, DOH-M will work with dental practices throughout Manatee
County – especially practices serving youth and ethnic or socioeconomic subgroups associated

with high smokeless tobacco use – to integrate smokeless tobacco screening, interventions and
professional guidance into routine care, incorporating existing and future BTFF tools and
educational materials. Twice a year, DOH-M will partner with GS AHEC to provide continuing
education (CE) credits to dental associations and dental practices employing 5 or more dentists.
Additionally, mass-reach health education strategies (media) will be used to educate the
public (especially youth, parents, and participants in sports or other activities associated with
high use) on dangers of smokeless tobacco. Education is needed to debunk prevalent yet
mistaken beliefs that smokeless tobacco is less deadly than smoking, or a viable cessation tool.
C. List intended three year outcomes or specific changes expected as a result of
program activities. Objectives must be written to be Specific, Measurable,
Achievable, Realistic, and Timely (SMART). Applicants can provide more than
one SMART Objective for a three year period.
(i) By 06/30/2018, work with fifteen dental practices throughout Manatee County to implement
the adoption of a voluntary organization policy to use BTFF smokeless tobacco cessation tools
and educational materials for healthcare providers. (ii) By 06/30/2018, develop and deploy one
comprehensive mass-reach campaign to educate the public on the dangers of smokeless
tobacco use. (iii) By 06/30/2018, pending modification of Florida pre-emption law, develop one
county or city policy to limit or prohibit the use of tobacco and smokeless tobacco on all county
property, including all parks and beaches. (If pre-emption law is not modified, a resolution will be
sought in lieu of an ordinance.)
D. Identify the target decision maker(s) for each SMART Objective.
For SMART Objective (i): Dental practice owners or managers.
For SMART Objective (ii): Manatee County residents.
For SMART Objective (iii): Manatee Board of County Commissioners (BOCC).
E. Describe the strategies and activities necessary in achieving and implementing the
policy for each SMART Objective.
Strategies and Activities for SMART Objectives (i) and (ii)
Strategy Activity & Frequency Details
Community
Outreach &
Mobilization
Develop Strategy Plan.
(1x every Quarter [Q]1
in Fiscal Years [FY]1-3.)
Program staff will work with TFM members to identify
an innovative strategy plan for progressing
smokeless tobacco policies in Manatee County.
Community
Outreach &
Mobilization
Conduct Issue Specific
Training (1x every Q1 in
FY1-3.)
Program staff will educate TFM members on
smokeless tobacco policy areas, Best Practices, and
BTFF strategies.
Advocate
with
Decision
Makers
Meet with Decision
Makers to Educate on
Benefits of Policy
Change and Encourage
Adoption. (3x every Q1-
4 in FY1-3.)
Program staff will meet with three dental providers
each quarter. Staff will educate decision makers on
BTFF cessation tools and educational materials for
healthcare providers, and GS AHEC CE
opportunities. Focus will be on promoting smokeless
tobacco prevention and cessation, in offices serving
pediatrics, families, rural or low-income patients.
Community
Outreach &
Present Tobacco Issues
to Target Audiences.
TFM members will give educational presentations to
agencies invested in pediatric and/or rural healthcare

Mobilization (1x every Q1-4 in
FY1-3.)
(e.g. Manatee Healthcare Alliance, Parent Teacher
Organizations.)
Earned/Paid
Media
Air Paid Local Mass
Media Advertisements.
(1x every Q1-4 in
FY1-3.)
Program staff will pay to place TFF’s smokeless
media online. TFM will ensure that media output is
innovative and relevant to youth and/or subgroups
associated with high use.
Earned/Paid
Media
Solicit Issue-Focused
Earned Media. (1x
every Q2 in FY1-3.)
Program staff will partner with TFM members to
develop and distribute a press release describing the
dangers of smokeless tobacco prevention. At least
one press release will focus on the Program’s
outreach to dentists.
Monitoring/
Assessment
Assess Current
Tobacco Policies. (1x
every Qtr 2&4 in FY1-3.)
Program staff will conduct interviews with previously
engaged dental providers to monitor use of BTFF
materials and participation in the CE course. Staff
will provide TA and resources, and use motivational
interviewing to encourage policy change.
Advocating
with
Decision
Makers
Educate on Benefits of
Policy Change via Other
Communication
Methods. (1x every
Q1&3 in FY1-3.)
TFM members will email smokeless tobacco
information (e.g. BTFF educational PDFs for
healthcare providers; invites to CE trainings) to
dental offices. If BTFF materials are not available,
TFM members will send emails or letters.
Community
Outreach &
Mobilization
Meet with GS AHEC on
Collaboration. (1x every
Q2&4 in FY1-3.)
Opportunities for collaboration will be discussed.
DOH-M will recommend GS AHEC contact all dental
offices on aforementioned assessment to offer
prevention and cessation services; GS AHEC will
recommend DOH-M contact all CE participants.
Community
Outreach &
Mobilization
Training. (1x every
Q1&3 in FY1-3.)
Program staff will partner with GS AHEC to conduct
semi-annual CE training for dental providers.
Training will cover BTFF cessation tools and
educational resources, and provide an overview of
research-based smokeless tobacco interventions.
Strategies and Activities for SMART Objective (iii)
Community
Outreach &
Mobilization
to Target Audiences.
(1x every Q1-4 in
FY2-3.)
TFM members including SWAT will give educational
presentations to community businesses and
agencies invested in clean parks and/or good health
(e.g. Keep Manatee County Beautiful, Realize
Bradenton, American Cancer Society).
Earned/Paid
Media
Solicit Issue-Focused
Earned Media. (1x
every Q in FY2-3.)
Program staff and TFM members will develop and
distribute a press release describing the importance
of limiting the use of tobacco and smokeless tobacco
at parks and beaches. Different media sources will
be targeted each quarter.
Monitoring/
Assessment
Conduct local
surveillance. (1x every
Q in FY2-3.)
SWAT youth will conduct community clean-ups of
parks and beaches. Cigarette butts collected will be
made into innovative displays to be used when
advocating with decision makers.

Advocate
with
Decision
Makers
Meet with Decision
Benefits of Policy
Adoption. (1x every
Q2&4 in FY2-3.)
TFM members and SWAT youth will meet one-on-
one with elected officials or other decision makers to
educate on the importance of policy which limits the
use of tobacco and smokeless tobacco on county
property, parks and beaches.
Advocate
with
Decision
Makers
Participate in a public
hearing in which
systems or public
change is on agenda.
(2x in Q1 in FY3.)
During Manatee County public hearings or
workshops, TFM members and SWAT youth will
provide presentations or commentary on the
importance of limiting use of tobacco and smokeless
tobacco on county property, parks, and beaches.
Advocate
with
Decision
Makers
Participate in a public
hearing in which
systems or public
change is voted upon.
(1x in Q3 in FY3.)
During Manatee County public hearings or
workshops, TFM members and SWAT youth will
provide presentations or commentary on the
importance of limiting use of tobacco and smokeless
tobacco on county property, parks, and beaches.
F. Describe how population groups disparately affected by tobacco use will be
impacted by implementing required policy changes.
In Manatee County, high school youth are disproportionately affected by smokeless tobacco
use; and lower income groups are disproportionately affected by tobacco use. By creating
partnerships with dental care providers with a wide reach in these populations, resources and
interventions will be maximized. Educational and intervention material will be attractive to youth
and culturally relevant, and will be provided in English and Spanish to address the needs
Manatee County’s Hispanic population.
G. List each collaborative partner, including youth and/or youth organizations.
Explain how relationships will be developed and maintained and the expected
roles and responsibilities of each partner.
The TFM Partnership has a long-standing history of collaboration with GS AHEC (see Letter of
Support) and this partnership will be strengthened through work on the smokeless tobacco
policy. TFM will work in cooperation with GS AHEC to increase cessation referrals by dentists
to BTFF’s three ways to quit (Classes, Phone, On-line). Additionally, Partnership members
including Turning Points will assist in recruitment of dentists for GS AHEC’s CE courses.
Turning Points is a one-stop service center for homeless populations. Free dental care is
provided and Turning Points has committed to incorporating BTFF smokeless tobacco cessation
interventions into client visits (see Letter of Support). TFM and its SWAT Chapter will also assist
in planning and evaluation of activities and recruitment of other partners for activities such as
providing speakers for training and educational community outreach to youth and subgroups
disproportionately affected by smokeless tobacco use (e.g., participants in sports activities,
underserved groups, parent-teacher organizations). For this and all Project outreach activities,
TFM member Project Light (see Letter of Support) will assist with assuring strategies are
culturally competent, as well as sensitive to reading levels of target audiences.
Required Policy: Policy to Counteract Tobacco Product Marketing at the Retail
Point of Sale (POS)

A. List intended three year outcomes or specific changes expected as a result of
Achievable, Realistic, and Timely (SMART).
(i) By 06/30/2018, develop and deploy one comprehensive mass- reach campaign to educate
the public about the impact of tobacco industry marketing in the retail environment on youth
tobacco initiation rates. (ii) By 06/30/2018, pending BTFF guidance, develop one city/county-
level policy to restrict tobacco marketing at the retail point of sale. (If an ordinance is not legally
feasible, a resolution will be sought.)
B. Describe the strategies and activities necessary in educating local communities.
Community
Outreach &
Mobilization
Develop Strategy Plan. (1x
every Q1-4 in FY1-3.)
Program staff will work with SWAT youth to
identify an innovative strategy plan for
progressing POS Mass-Reach Campaign.
Community
Outreach &
Mobilization
FY1-3.)
Staff will educate TFM members on POS policy
areas, Best Practices, and BTFF strategies.
Earned/Paid
Media
Solicit Issue Focused Earned
Media. (1x every Q2&4 in
FY1-3.)
Program staff and SWAT youth will develop
and distribute a press release describing the
impact of tobacco industry marketing on youth
tobacco initiation rates.
Community
Outreach &
Mobilization
Present Tobacco Issues to
Target Audiences. (3x every
Q1-4 in FY1-3.)
SWAT youth will give presentations to
community leaders and agencies invested in
youth health, (e.g. Elected Officials, Parent
Teacher Organizations.)
Earned/Paid
Media
Air Paid Local Mass Media
Advertisements. (1x every
Q1-4 in FY1-3.)
Program staff will pay to place culturally
relevant TFF POS print ads in newspapers or
magazines, as appropriate.
Monitoring/
Assessment
Conduct local surveillance.
(1x every Q2&4 in FY1-3.)
SWAT youth will conduct POS surveys at local
tobacco retailers. Youth will document
advertisement strategies, and take pictures for
use in educational POS presentations.
Community
Outreach &
Mobilization
Participate in National
Tobacco Control
Observances. (1x every Q3 in
FY1-3.)
SWAT youth will partner with community
organizations (e.g. Realize Bradenton,
Manatee County Substance Abuse Coalition) to
host events in celebration of Kick Butts Day.
Events will focus on innovative POS education
(e.g. counter-marketing activities, flash mobs).
Advocating
with
Decision
Makers
Educate on Benefits of Policy
Change via Other
Communication Methods.
(1x every Q1&Q3 in FY2&3.)
SWAT will email BTFF-produced educational
documents targeting policy change to elected
officials. If not available, documents will be
developed by SWAT and approved by TFF.
Community
Outreach &
Mobilization
Meet with
Partners/Stakeholders.
(1x every Q1&Q3 in FY1-3.)
SWAT youth will meet with partners and
stakeholders not represented in the TFM
(Kiwanis, NAACP) to provide an update or
educational overview of POS issues.
Advocate Meet with Decision Makers to Pending direction from BTFF, Manatee SWAT

with
Decision
Makers
Adoption. (2x in Q1-4 in FY3.)
youth will meet with local retailers or elected
officials to inform and educate on benefits of
policy change and to assess readiness.
C. Describe how population groups disparately affected by tobacco use will be
targeted in your efforts.
According to the June 2013 Florida Youth Tobacco Survey, almost all Manatee youth – 97.3%
of middle school students and 98% of high school students – reported seeing tobacco
advertisements in their last visit to a retail store. Tobacco companies have a history of
marketing to youth, as evidenced by the prevalence of brightly-colored packaging, cartoon-like
characters, and candy-flavored tobacco products. Work in the point of sale policy area will
reduce youth exposure to the tobacco industry’s advertising and promotion of harmful tobacco
products. All media products will be reviewed for cultural relevance and, when available, will be
provided in English and Spanish to address the needs of Manatee County’s Hispanic
population. Community outreach and mobilization activities will target subgroups (e.g., those
with lower income or educational level) disproportionately affected by tobacco use.
D. List each collaborative partner including youth and/or youth organizations.
Explain how relationships will be developed and maintained and the expected
roles and responsibilities of each partner.
The Manatee County SWAT Chapter will be an integral collaborative partner in this policy area,
as the members work to develop media and train younger peers. Training provided by the TFM
Partnership will help maintain message delivery and keep the tobacco issue at the forefront of
the community’s consciousness.
Goal 2: Eliminate Floridian’s exposure to secondhand smoke
Required Policy: Policy to Create Smoke-Free Multi–Unit Housing (SFMUH)
A. Provide current status of multiunit housing policies in the county.
Seven Manatee County apartment complexes and two dormitory developments have smoke-
free policies (see Management Plan). Six of the apartment complexes are market-price; one
complex offers subsidized housing. In January 2014, after two years of extensive SFMUH
education by DOH-M staff and TFM Partnership members, the Bradenton Housing Authority
(BHA) Director invited TFM to a public hearing at which SFMUH policy would be voted upon;
however, prior to the vote, the Director was removed from his position. In October 2014, a new
Director was hired. DOH-M staff and TFM members look forward to continuing SFMUH work
with the BHA. In 2012, DOH-M launched a very successful SFMUH media campaign. Two
PSAs were developed: one PSA targeted multiunit housing (MUH) managers and owners and
focused on the legality, ease, and financial benefits of SFMUH policies; the other PSA targeted
residents and focused on the dangers of second-hand smoke exposure. Both PSAs described
the technical assistance resources available from DOH-M’s TP program and both were
advertised on network television. The tenant-focused second-hand smoke campaign also
includes a print ad published in newspapers and magazines, as well as an internet-based ad.
Due to the success of this campaign, the ads have been re-used by counties across Florida. As
a result of DOH-M’s SFMUH ad campaign, there is high tenant demand for SFMUH options in
Manatee County. DOH-M is documenting and leveraging this tenant demand to educate MUH
managers and owners, shifting them toward implementing SFMUH policies.

B. List intended three year outcomes or specific changes expected as a result of
the public about the health and safety benefits of SFMUH. (ii) By 06/30/2018, develop 10
SFMUH policies at market-rate MUH properties. (iii) By 06/30/2018, develop 5 SFMUH policies
at public and subsidized MUH properties.
C. Identify the multiunit housing sectors to be targeted in this county.
Market-rate (apartments, condos), subsidized, and public MUH properties will be targeted.
D. Identify key messages to use in targeting decision makers in each housing sector.
Key messages for market-rate MUH property decision makers:
(1) Smoke-free policies substantially reduce cost and time of turning a unit. (2) Smoke-free
policies improve resident retention. (3) Smoke-free policies have no negative issues with
enforcement. (4) Smoke-free policies generate a tremendous outpouring of prospective
residents interested in living in a smoke-free community.
Key messages for subsidized and public MUH property decision makers:
(1) Going smoke-free is the right policy for health, safety, and cost reasons – for ALL residents.
(2) Smoke-free policies promote a healthier lifestyle. (3) Smoke-free policies create a healthier
living environment. (4) Smoke-free policies cut costs associated with smoking damage to units.
E. Describe the strategies and activities necessary in achieving and implementing
the policy for each SMART objective.
Community
Outreach &
Mobilization
Develop Strategy Plan.
(1x every Q1 in FY1-3.)
Program staff will work with TFM members to
identify an innovative strategy plan for progressing
SFMUH policies in Manatee County.
Community
Outreach &
Mobilization
FY1-3.)
SFMUH policy areas, Best Practices, and BTFF
strategies.
Monitoring/
Assessment
Conduct Local
Surveillance. (1x every
Q1 in FY1-3.)
Program staff will maintain a comprehensive list of
SFMUH policy status at MUH properties in
Manatee County. While conducting assessments,
Staff will offer decision makers technical assistance
(TA) and resources, and use motivational
interviewing to encourage policy change.
Advocate
with Decision
Makers
Meet with Decision
Benefits of Policy
Adoption. (3x every Q1-4
in FY1-3.)
Program staff will meet with decision makers from
three new MUH properties each quarter and use
BTFF interview surveys, toolkits, and brochures to
assess decision makers readiness for change and
educate them on TFW policies and resources.
MUH sectors will include market-rate and
subsidized public housing. Diverse MUH
properties will be targeted (e.g. with migrant

populations, seniors, families with young children).
Community
Outreach &
Mobilization
to Target Audiences. (1x
every Q2&4 in FY1-3.)
TFM members will give presentations to
organizations invested in MUH or second-hand
smoke reduction (e.g. Condominium Boards of
Directors; Healthy Start Coalition).
Community
Outreach &
Mobilization
to Target Audiences. (1x
TFM members will present “Tobacco-Free
Champion” Awards to property managers or
owners who develop model SFMUH policies.
Earned/Paid
Media
Air Paid Local Mass
Media Advertisements.
(1x every Q1- 4 in
FY1-3.)
Program staff will pay to air BTFF’s SFMUH media
products on network television. TFM members will
help ensure chosen media outlets are culturally
relevant.
Earned/Paid
Media
Solicit Issue Focused
Earned Media. (1x every
Q3 in FY1-3.)
Program staff and TFM members will develop and
distribute a press release highlighting MUH
tenants’ experiences with SHS and/or SFMUH
policies and detailing policy progress.
Monitoring/
Assessment
Assess Current Tobacco
Policies. (1x every Q2&4
in FY1-3.)
Program staff will conduct interviews with
previously engaged MUH decision makers to
monitor SFMUH status. Staff will provide TA and
resources, and use motivational interviewing to
encourage policy change.
Community
Outreach &
Mobilization
Participate in National
Tobacco Control
Observances. (1x every
Q4 in FY1-3.)
TFM members will identify a MUH complex with
whom to partner on observances (World No
Tobacco Day).
Advocating
with Decision
Makers
Educate on Benefits of
Policy Change via Other
Communication
Methods. (1x every
Q2&4 in FY1-3.)
TFM members will mail BTFF outreach materials
(e.g. educational postcards) to MUH complexes. If
BTFF materials are not available, TFM members
will draft emails or letters.
Monitoring/
Assessment
Interview stakeholders.
(1x every Q1-4 in FY1-3.)
Program staff will maintain and collect surveys to
monitor MUH tenants’ interest in MUH policies.
Community
Outreach &
Mobilization
Meet with Partners/
Stakeholders. (1x every
Q1&3 in FY1-3.)
TFM members will meet with interested MUH
tenants to identify strategies for engaging decision
makers to develop SFMUH policies.
F. Describe how population groups disparately affected by tobacco use are to be
Manatee County youth and adults exposed to second-hand smoke will be positively impacted by
smoke-free multiunit housing policies. Culturally appropriate outreach is important in Manatee
County, with a 15.3% Hispanic population. Project activities will serve to present accurate
information about smoke-free multiunit housing policies and gauge the needs of this population
as it relates to SFMUH policies. All resources and information will be offered, when available, in
Spanish and English.
G. List each collaborative partner. Explain how relationships will be developed and
maintained and the expected roles and responsibilities of each partner.

TFM Partnership members including Healthy Start (see Letter of Support) will play a key role in
helping to maintain and establish existing and new collaborative relationships with the housing
community. The Partnership will maintain and strengthen their relationship with the Hispanic
community by inviting community health workers and decision makers in the migrant farmworker
housing community to join the Partnership and contribute to work in this policy area.
Goal 3: Promote quitting among Florida’s adults and youth
Required Policy: Policy to create Tobacco Free Worksites (TFW).
A. Provide current status of tobacco free worksite policies in the county.
Since 2008, DOH-M’s TP Program has focused on the development of comprehensive TFW
policies. Its strategy of mass media outreach, education, and consistent technical assistance
has been critical in engaging worksite interest and policy development. A cross-referral system
established between DOH-M and GS AHEC’s cessation providers has contributed to expansion
of TFW policies. DOH-M has also partnered with the Manatee County Chamber of Commerce,
Blake Medical Center, and Florida Blue Insurance Company on a county-wide worksite wellness
recognition program. The program encourages businesses to create TFW policies under the
guidance of DOH-M and to report these successes in an application to the Chamber of
Commerce for recognition as a Worksite Wellness Champion.
TFW policies prohibit use of any tobacco products (including smokeless tobacco and
electronic nicotine delivery devices) on company property, and increase cessation support
provided by employers. Employers offering insurance expand cessation benefits; employers
who do not offer insurance link employees to Tobacco Free Florida’s 3 Free and Easy Ways to
Quit. To date, DOH-M has worked successfully with employers to implement TFW policies at
many businesses, including 7 of the 15 largest employers in Manatee County (Manatee
Economic Development Council, 2011). (For a complete list of successes, see below in
Management Plan.) Other businesses, including Turning Points, are actively working with
DOH-M toward implementing TFW policies, and DOH-M continues to target additional
businesses.
B. List intended three year outcomes or specific changes expected as a result of
the public about the benefits of TFW policies. (ii) By 06/30/2018, develop comprehensive TFW
policies at 15 worksites.
C. Identify the chosen worksites in this county.
DOH-M’s TP Program staff will continue working with existing TFW sites, providing ongoing
technical assistance for enforcement or initiation of comprehensive insurance policies and for
linkage to TFF cessation sources. The following worksites are currently in progress toward
implementing TFW policies with DOH-M’s assistance: Turning Points Homeless Resource
Center (see Letter of Support), SRQ Airport, Southeastern Guide Dogs, Manatee County
Chamber of Commerce, Manatee County YMCA, Mosaic in Manatee, Just for Girls
Incorporated, Three-in-One Yoga, Chulock Law, and Manatee Mosquito Management.

Other worksites to be targeted by Program staff include Tropicana Products, Suncoast
Hydraulics, Suncoast Behavioral Resource Center, Densply Dental Supply, Feld Entertainment,
and private and charter K-12 schools. DOH-M will provide technical assistance and guidance to
other employers who express interest as a result of community outreach and mobilization
activities outlined below. Program staff will continue to partner with GS AHEC and the Manatee
Chamber of Commerce, and will utilize BTFF’s TFW guidance materials in all outreach to
employers. Program staff will also forge partnerships with insurance providers and independent
insurance sales representatives, for additional outreach and connection to employers.
D. Describe the strategies and activities necessary in achieving and implementing the
policy for each SMART Objective.
Community
Outreach &
Mobilization
Develop Strategy Plan. (1x
every Q1 in FY1-3.)
Program staff will work with TFM members to
identify an innovative strategy plan for
progressing TFW policies in Manatee County.
Community
Outreach &
Mobilization
Conduct Issue Specific Training
(1x every Q4 in FY1-3.)
TFW policy areas, Best Practices, and BTFF
strategies.
Advocate
with
Decision
Makers
Meet with Decision Makers to
Adoption. (3x every Q1-4 in
FY1-3.)
Program staff will meet with three new
businesses each quarter, using BTFF toolkits,
interview surveys, and brochures to educate
decision makers on TFW resources and
policies and assess readiness for change.
Community
Outreach &
Mobilization
Q1-4 in FY1-3.)
TFM members will give presentations to
community businesses and agencies
invested in tobacco cessation or employers
(e.g., Chambers of Commerce; Insurance
companies). BTFF materials (e.g.,
brochures, toolkits) will be distributed.
Community
Outreach &
Mobilization
Q2&4 in FY1-3.)
TFM members will present “Tobacco-Free
Champion” Awards to employers who
develop model TFW policies.
Earned/Paid
Media
Air Paid Local Mass Media
Advertisements. (1x every Q1-4
in FY1-3.)
Program staff will pay to place BTFF’s TFW
media products in print, (newspaper,
magazines), working with TFM to ensure that
media products are culturally relevant.
Earned/Paid
Media
Solicit Issue Focused Earned
Media. (1x every Q1 in FY1-3.)
Program staff and TFM members will develop
and distribute a press release detailing
importance and successes of TFW policies,
targeting culturally diverse media outlets.
Monitoring/
Assessment
Assess Current Tobacco
Policies. (1x every Q2&4 in
FY1-3.)
Program staff will conduct interviews with
previously engaged employers to monitor
TFW status. Staff will provide TA and
resources, and use motivational interviewing
to encourage policy change.
Community
Outreach &
Mobilization
Participate in National Tobacco
Control Observances. (1x every
Q2 in FY1-3.)
TFM members partner with a TFW business
to promote the Great American Smoke-Out.
BTFF’s TFW banners will be used.

Community
Outreach &
Mobilization
Participate in Community-Wide
Activities. (1x every Q in FY1-
3.)
Coalition members will participate as a
vendor in community-wide activities that
target employers (e.g., Chamber of
Commerce Business Expo; Multi-Cultural
Festival). Coalition members and staff will
distribute BTFF materials (e.g. toolkits,
brochures) and assess employer readiness
for policy change. Materials will be available
in English and Spanish.
Advocating
with
Decision
Makers
Change via Other
Communication Methods. (1x
TFM members will email BTFF outreach
materials (e.g., educational PDFs detailing
the importance of TFW policies) to at least
50 employers. If BTFF materials are not
available, they will send emails or letters.
Community
Outreach &
Mobilization
Meet with GS AHEC on
Collaboration. (1x every Q2&4
in FY1-3.)
Opportunities for innovative collaboration will
be discussed. DOH-M will recommend GS
AHEC contact all employers on above-
mentioned assessment to offer cessation
services; GS AHEC will recommend DOH-M
contact recipients of their cessation classes.
Community
Outreach &
Mobilization
Meet with
Partners/Stakeholders. (1x
Program staff will meet with Manatee County
Worksite Wellness Recognition Task Force to
review business applications for recognition
as Worksite Wellness Champions. TFW are
encouraged in this recognition program.
E. Describe how population groups disparately affected by tobacco use are to be
TFW policy changes will affect several population groups in Manatee County. TFW policies are
specifically tailored to needs of the population and business, which will help increase cessation
attempts and quit rates. TFW policies that expand cessation insurance coverage have the
potential to reduce disparities associated with tobacco use.3
The Florida Quitline, a free DOH
phone-based cessation service that will be heavily promoted in all TP Program activities,
removes time and transportation barriers that may disproportionately affect low socioeconomic
populations. Additionally, the Quitline has options in English, Spanish, and other languages,
and there are TTY options for deaf and hard of hearing populations. All community outreach
materials and supportive services will be culturally relevant and offered in English and Spanish.
F. List each collaborative partner. Explain how relationships will be developed and
maintained and the expected roles and responsibilities of each partner.
GS AHEC will remain an integral partner in this policy work as they provide supportive and
educational services to area businesses and clients. DOH-M will continue to partner with Blake
Medical Center, the Manatee County Chamber of Commerce, and Florida Blue as primary
members of the Manatee County Worksite Wellness Recognition Task Force. Additionally, the
TFM Partnership will assist with policy and systems change by keeping the community engaged
and keeping tobacco issues in front of decision makers and stakeholders. Partnership member

Project Literacy (see Letter of Support) will ensure strategies and materials deployed for this
and other activities are culturally relevant.
Goal 4: Sustain the Infrastructure for Tobacco Free Florida
Required Outcome: Maintain a Stand-Alone Community Tobacco Free
Partnership
Since 2008, a stand-alone community tobacco free partnership has operated
in each county. Maintenance of this stand-alone community tobacco free
partnership is a requirement of this grant. This section shall be used by the
applicant to describe the agency's efforts to partner with other
organizations within the local community to deliver the proposed project
as described in the Program Plan. Collaboration may also be considered
as a means of ensuring program sustainability once grant funding ends.
Applicants shall identify in narrative form the following information:
Stand-Alone Community Tobacco Free Partnership Details:
• Describe the current Stand-Alone Community Tobacco Free partnership
including but not limited to date established, structure of the
partnership, members represented (youth and adult organizations),
frequency of meetings, activities of the partnership, and successes.
The TFM Partnership was established by DOH-M in 2008. Members include SWAT youth and
Advisors, Manatee County Boys and Girls Club, Healthy Start Manatee, Manatee County Youth
Commission, Manatee County Chamber of Commerce, Bradenton Fire Department, the
American Cancer Society, GS AHEC, Manatee County administrative staff, area medical and
mental health hospitals, Project Light, Turning Points, On a Shoestring LLC, and concerned
citizens including tenants of MUH complexes without SFMUH policies. The Partnership meets
the fourth Wednesday of each month, and as needed for community education and policy
activities. Meetings are open to the public and advertised in the newspaper. Meetings are
facilitated by Chairman Wade Assha (non-DOH-M staff), ensuring that TFM is community led.
Policy-based sub-committees are maintained; and by-laws are reviewed annually and revised
as needed.
As government employees, DOH-M TP Program staff cannot legally advocate; therefore,
Partnership members are responsible for leading education and advocacy efforts and have
facilitated many successes (see list in Management Plan). Partnership members are critical in
the development of the Program’s annual work plan and budget. DOH-M provides TFM with
resources and technical assistance, along with public speaking and policy-area training. DOH-M
also hosts an annual off-site Training and Planning Retreat for TFM and SWAT members, and
serves as a conduit between BTFF and the Partnership.
• Highlight known policy successes and challenges within the county.
TFM Partnership members are instrumental in all TP program policy successes; they educate
the public, decision makers, and elected officials on targeted tobacco policy efforts by
conducting one-on-one meetings, providing presentations, testifying during public hearings, and
providing input on media campaigns. TFM’s challenges for policy success are primarily legal;
members feel impaired by the limitations of pre-emption law, which forbids Florida counties from

developing tobacco prevention ordinances stricter than those outlined in the Florida Clean
Indoor Air Act. To this end, TFM follows BTFF’s CDC-based policy guidance in the hope that
legislative changes will open doors for policy progress at the local level. Also, TFM members
have expressed interest in more internal communication and networking between meetings.
• Identify changes that will be made to the existing partnership if any to
enhance the opportunity for success in achieving required outcomes and
policy changes.
DOH-M TP Program staff will work with TFM Partnership members to recruit new members
from areas not currently represented. Specifically, representatives from the faith-based
community, local college students/administrators, minority organizations, elected officials,
and tobacco retailers will be targeted. Staff will conduct an annual assessment with
partners to identify new members needed to accommodate target policy changes. The
Partnership will ensure sub-committees continue to address emerging policy areas. Sub-
committee chairs are included in the organizational chart (see Management Plan). Sub-
committee members will focus efforts on education and policy change activities. To
accommodate the Partnership’s interest in an increased ability to communicate and
network internally between meetings, DOH-M will facilitate an interactive online program
management tool. This will allow members to track initiatives, network, and actively
contribute to policy progress between meetings. Additionally, as policy change strategies
and/or target areas shift, Program staff will provide updated training.
• Describe your organization’s anticipated role with the Stand-Alone
Tobacco Free Partnership
DOH-M TP Program staff rely on TFM Partnership members to serve as Ambassadors for
tobacco prevention efforts. Moving forward, Program staff will continue to empower TFM
members to take primary roles in targeted policy education and advocacy efforts. To accomplish
this, Program staff will provide strong background facilitation for TFM via the provision of
resources; technical assistance; grant management; and training in target policy areas, public
speaking, media, teamwork, and leadership. By engendering a sense of leadership and
capability in TFM members, the TP Program helps ensure the partnership’s sustainability.
Program staff will also serve as the conduit between the Partnership and BTFF, providing
members with BTFF’s ongoing resources, and reporting to BTFF on TFM successes. DOH-M
staff will continue to rely on TFM members – youth and adults – as important voices in tobacco
prevention efforts in Manatee County; their opinions will continue to be integrated into annual
work plans, budgets, and strategic planning initiatives.
• Describe how your partnership will collaborate within the community for social
norm change to de-normalize tobacco use.
Social norm change is achieved when tobacco prevention efforts become more common and
acceptable than tobacco promotion efforts. Policy development and visibility increase the
likeliness of this shift. An often overlooked component of policy development is enforcement;
policies that are passed, but not enforced, degrade the credibility of tobacco prevention
efforts. As such, Partnership members will provide ongoing policy enforcement support to
community agencies and organizations who have initiated change.
To increase visibility, Partnership members will continue to provide free signage to
agencies developing policies (e.g., Tobacco-Free Grounds signage for employers

developing TFW policies). The Partnership will also expand education activities to include
presentations to community leadership groups (e.g. Kiwanis Club, Rotary Club, NAACP.)
The Partnership will also develop a “Tobacco Free Champion” Award series for
agencies or individuals leading policy and prevention efforts. In recent years, the Bradenton
Herald has published several positive articles highlighting the Partnership’s efforts. The
Partnership has a strong history of earned and paid media outreach, and will work with
news outlets to maintain relationships and ensure coverage of these awards and other
successes. By publicly acknowledging tobacco champions in the community, the
Partnership will shift social norms by placing tobacco prevention in a positive light.
Required Outcome: Maintain a Students Working Against Tobacco (SWAT)
Chapter
Florida’s Students Working Against Tobacco organization was formed in
1998. Currently, one SWAT Chapter operates in each of Florida’s 67
counties. Maintenance of the county Students Working Against Tobacco
Chapter is a requirement of this grant. This section shall be used by the
applicant to describe the agency's efforts to engage youth partners within
the SWAT organization in policy advocacy while delivering the proposed
project as described in the Program Plan. Applicants shall identify in
narrative form the following information:
• Describe the county SWAT Chapter including but not limited to
structure of the organization, members represented, frequency of
meetings, activities of the organization, and successes and challenges.
The Manatee County SWAT Chapter has seven active clubs, with 75 students representing
five high schools, one middle school, and one community club. Each SWAT club meets at
least twice monthly and is facilitated by a designated SWAT advisor (e.g., a teacher, school
nurse, or coach). The DOH-M TP Program employs a SWAT Coordinator who oversees the
entire Manatee SWAT Chapter and manages SWAT advisors. The SWAT Chapter
maintains an elected youth chairperson who guides strategy planning for SWAT initiatives.
Annually, SWAT advisors enter into legally-binding Memorandums of Understanding
(MOU) with DOH-M. These MOUs mandate that advisors attend Partnership meetings with
SWAT youth, provide transportation to youth for SWAT activities, facilitate specified
activities with youth, attend tobacco prevention activities and trainings, maintain timely
communication with the SWAT Coordinator, and provide reports of meetings and activities.
The Program provides SWAT advisors with an annual financial stipend. The MOU ensures
that SWAT youth are supported by Advisors and empowered in their tobacco prevention
efforts. The SWAT coordinator regularly attends SWAT meetings and provides guidance as
needed. Additionally, Program staff host an annual Planning and Training retreat for SWAT
and Partnership members, including engaging training sessions. Policy and public speaking
training feature mock public hearings; and media training features faux TV interviews.
Perhaps most importantly, the retreat provides an opportunity to network, bringing all seven
SWAT teams together to share best practices and strategize on policy development efforts.
One of the Manatee SWAT Chapter’s primary challenges is that the annual Planning
and Training retreat is the only time the entire SWAT chapter meets together. SWAT youth
express feeling invigorated after networking with other teams; without this meeting, their
individual teams can feel isolated. SWAT successes include the students’ leadership in

major policy initiatives. In the last three years, SWAT youth focused on developing a
tobacco-free schools policy, working with school district elected officials to implement and
enforce a comprehensive policy banning tobacco in and on all Manatee County School
District property. SWAT members also led a robust flavored tobacco initiative, partnering
with elected officials in Manatee County, Bradenton, Palmetto, Longboat Key, and Anna
Maria Island to pass resolutions restricting the sale of flavored tobacco. Besides policy
change, SWAT efforts focus on guiding students to an understanding of advertising tactics
used by the tobacco industry to target youth. In this way, they are taught that tobacco users
are not the adversary but rather the tobacco industry. This method, developed in Florida in
the 1990s and used internationally, is a CDC best practice for tobacco prevention. Youth
are empowered to share the media tactics message with other students via peer education.
SWAT youth have also partnered with Program staff to develop educational media
campaigns. Most recently, SWAT youth from across the county created a flavored tobacco
PSA which highlighted the tobacco industry’s efforts to target kids using brightly colored,
candy-flavored tobacco products. The two-minute version of this PSA was shown to elected
officials to educate on the need for resolutions to restrict the sale of flavored tobacco
products. The 30-second version was played on network television for two years to
increase the community’s awareness of the tobacco industry’s marketing strategies.
• Describe how youth will be mobilized to address policy change in the
county.
SWAT youth will continue to receive training and education in tobacco prevention, public
speaking, media skills, and policy. Additionally, the SWAT coordinator will continue to
regularly attend SWAT meetings and provide youth with targeted training for upcoming
advocacy events. A previous challenge to youth mobilization was transportation; youth who
did not drive were unable to attend community and policy activities. Since 2011, the SWAT
Advisor MOU has included youth transportation, resulting in a significant increase in SWAT
participation. SWAT has and will continue to be integral to tobacco prevention policy
success in Manatee County.
During the proposed Project, Manatee SWAT youth will champion the POS policy,
and will be integral in smokeless tobacco policy work. SWAT youth will also continue with
peer education, community outreach, and activities to promote National Tobacco
Prevention Control Observances (e.g., Kick Butts Day). The youth will continue to educate
publicly elected officials on targeted policy areas, both one-on-one and during public
hearings. SWAT youth will continue to be members of the TFM Partnership and contribute
to strategic planning efforts. Additionally, SWAT youth will continue to gain earned media,
bringing awareness to tobacco prevention policy change in Manatee County.
• Describe how SWAT members will be integrated into the Stand-Alone
Community Tobacco Free Partnership and its activities.
SWAT youth are active members of the TFM Partnership. Program staff will continue to
provide training to Partnership members and SWAT Advisors on youth empowerment
theory, which teaches that the youth voice is a necessary component of a comprehensive
tobacco prevention model. As such, SWAT youths’ opinions will continue to be respected
as equally valid as those of adult Partnership members. The Advisor MOUs include a
mandate to attend all Partnership meetings, and provide transportation to youth. SWAT
youth will be involved in strategic planning for all policies, champion the Partnership’s POS

efforts, and play an integral role in advancing the Partnership’s SFMUH activities. SWAT
members will also be leaders in ongoing member recruitment for the Partnership.
• Identify changes that will be made to the existing SWAT structure if
any to enhance the opportunity for success in achieving required
outcomes and policy changes.
Currently, all seven teams of the Manatee County SWAT Chapter meet at the annual
Planning and Training retreat. In the future, the DOH-M SWAT coordinator will host
quarterly Chapter meetings where youth can discuss tobacco trends in county schools,
upcoming events, and successful club activities, and brainstorm innovative ideas for
ongoing policy interventions. Increasing collaboration within the SWAT Chapter and
between clubs will enhance the opportunity for successful policy changes in Manatee
County. The Manatee County SWAT Chapter will also conduct community outreach to
organizations such as the YMCA, SHARE (a homeschool support group), and Scout
groups, in order to increase youth support for tobacco prevention policy change.
• Describe how SWAT will collaborate within the community for social
norm change to de-normalize tobacco use.
To shift social norms, SWAT youth will continue to advance policies which de-normalize
tobacco use in Manatee County. SWAT youth work with DOH-M TP program staff to
leverage earned media, shedding a positive light on tobacco prevention control efforts.
SWAT youth will be instrumental in guiding development of paid media campaigns, insuring
age and cultural competency. SWAT youth will expand their outreach by continuing
membership recruiting, increasing peer-to-peer education, and providing presentations to
organizations so as to increase exposure of tobacco prevention strategies and progress.
Additionally, Manatee County SWAT will begin hosting an annual SWAT-sponsored
community event aimed at de-normalizing tobacco use among youth and community
members. DOH-M TP program staff will work with SWAT youth and advisors to plan an
age-appropriate event which highlights the tobacco industry’s media and marketing
strategies used to recruit young tobacco customers.
5.5 Management Plan (10 page limit)
This section shall be used to describe the applicant’s approach to managing the project
including proposed staffing for the project and plans to sustain the program once grant
funding ends.
Applicants shall identify in narrative form the following information:
1. Background information about the organization and previous grant related
experience, if any, including a brief description of projects similar to the one
proposed in response to the RFA. Describe the administrative structure of the
organization, its overall mission and how it relates to the statement of purpose for
this RFA.
The mission of the Florida Department of Health in Manatee County (DOH-M) is “to protect,
promote and improve the health of all people in Florida through integrated state, county, and
community efforts.” This mission aligns unambiguously with the Statement of Purpose of this

RFA in that reducing tobacco use and exposure to secondhand smoke addresses the single
most preventable cause of death in the state of Florida and nationally. DOH-M has focused on
tobacco prevention since 1998, and since BTFF’s 2008 directive, with an emphasis on coalition-
led policy and systems change strategies. In recent years, DOH-M has been the recipient of
BTFF’s 2009-2012 and 2012-2015 tobacco prevention and control grants, adhering to all grant
deliverables and working with Partnership members to successfully de-normalize tobacco use
and shift social norms in Manatee County. Through this work, DOH-M and the TFM Partnership
have become the face of tobacco prevention efforts in Manatee County.
This Project will enable DOH-M’s TP Program to continue to integrate community,
county, and state efforts to reduce tobacco use and secondhand smoke exposure by leveraging
and expanding strategic community partnerships in activities consistent with best practices and
recommendations from national and state agencies (e.g., CDC, BTFF). The Project will promote
the health of Manatee County residents by facilitating collaborative local interventions and policy
activities aimed at promoting policy and system change to impact tobacco-related social norms.
DOH-M is a well-respected agency, in large part due to strong working relationships it
has forged over the past 20 years with key organizations and partners at all levels of the
community. DOH-M has demonstrated immense fiscal responsibility with a long history of
exceptional management. Under the leadership of Dr. Jennifer Bencie, DOH-M Administrator,
and Edward Rodriguez, Assistant Administrator responsible for fiscal oversight, DOH-M has
demonstrated foresight in effectively managing its programs and funds. With responsibility for
an annual budget in excess of $8.5 million dollars, Mr. Rodriguez has fastidiously adhered to the
rules and guidelines of the current BTFF grant, and will continue to oversee funds in this
Project. General project oversight and technical supervision will be provided by Community
Health Division Director Luz Corcuera, an experienced community health leader with a proven
track record in successful project management. DOH-M’s extensive grant-related experience is
detailed in Attachment V.
2. To demonstrate prior work experience, the successful Grantee shall submit for its
organization’s Current and Prior Funded Projects in Attachment V.
a. A list of currently funded projects by subject, project dates, project
location such as county, city, or region, amount awarded, funding entity
including contact information, and anticipated project outcome.
b. A list of previously grant funded projects from the year 2004 to 2014 by
subject, project dates, project location such as county, city, region, amount
awarded, funding entity including contact information, and project
outcome.
c. A list of all previously submitted and not awarded grant funded projects
from the year 2004 through 2014 by subject, project dates, project location
such as county, city, region, amount requested, funding entity including
contact information, and proposed project outcome.
d. A list of all revoked grants.
3. Demonstrable evidence of the organization’s experience related to policy change
activities. Also describe applicable experience of other member organizations of
the current or proposed tobacco prevention community partnership.

With a 16-year history of establishing and mobilizing community partnerships for tobacco
prevention and control, the TP Program at DOH-M has been highly effective in facilitating
community-based initiatives to decrease tobacco use by implementing tobacco prevention
interventions and shifting social norms. In 1998 funding from the state’s tobacco settlement
enabled DOH-M to establish a tobacco pilot program. Its primary purpose was to raise
community awareness of the dangers of tobacco and decrease use of tobacco products among
youth. Tobacco prevention activities then fell under five broad goals: (1) change attitudes about
tobacco among youth and adults; (2) increase youth empowerment through community
involvement; (3) reduce accessibility and availability of tobacco products to youth; (4) reduce
youth exposure to second-hand smoke; and (5) reduce tobacco prevalence among high-risk
youth. Through this initiative, TP Program staff established effective partnerships and
spearheaded grassroots efforts to address the five goals. Notable policy change successes in
this incarnation of DOH-M’s tobacco program include: the 1998 passage of the Tobacco
Product Placement Ordinance 01-51 by the Board of County Commissioners, requiring that
retailers maintain tobacco products behind the counter and out of reach of children; and
integration of tobacco screening and education into all DOH-M programs.
In 2008 TP Program staff were instrumental in establishing and recruiting members for
Manatee County’s Tobacco Free Florida Partnership (TFM) under a directive of BTTF. Since
then, Program staff have mobilized, supported, and facilitated the Partnership, with a focus on
policy change driven by CDC best practices. The TFM Partnership is comprised of an ethnically
diverse group of community members including concerned citizens, health care providers,
county commission staff, youth leaders, and representatives from non-profits, hospitals, locally-
owned businesses and other organizations (as listed under Goal 4, Project Plan). Partners are
mobilized for project activities by participating in sub-committees that best match their interests
and expertise. Sub-committees then lead the charge on their chosen policy goals, harnessing
the power of the entire Partnership when necessary. TFM thrives on community involvement
and leadership, which are also strengths and key values of DOH-M. In just six years, the
Partnership has achieved an impressive array of policy successes (as detailed below).
TP Program staff facilitate the TFM Partnership’s ongoing activities by ensuring that the
Partnership and its sub-committees maintain a sufficient number of trained members, adhere to
its prescribed monthly meeting schedule, and follow BTFF guidance for policy development.
TPP staff have also implemented a variety of educational activities including: partnering with
GS AHEC to promote cessation and training of dental students on health consequences of
tobacco use; and partnering with the Manatee County Substance Abuse Coalition and Manatee
Sheriff’s Office to provide tobacco law training to retailers. They have also worked effectively to
maintain the strong, seven-team SWAT Chapter in Manatee County, conducting regular training
sessions (sometimes multi-county) for SWAT youth and advisors.
In 2010 DOH-M was awarded a three-year ACHIEVE (Action Communities for Health,
Innovation, and EnVironmental changE) technical assistance grant from the National
Association of County and City Health Officials (NACCHO). With this grant DOH-M has
successfully mobilized and facilitated a community coalition focused on transitioning DOH-M’s
community health activities from a primarily programmatic approach to one guided by
community coalition-driven policy, systems and environmental changes (PSE), in line with CDC
best practices. DOH-M’s successes to date with PSE-based initiatives include breastfeeding-
friendly workplace policies, tobacco prevention policies, a worksite wellness recognition
program, EBT-enabled farm stands, and a complete streets policy. These initiatives have been
formally recognized by the Robert Wood Johnson Foundation, the American Public Health
Association, the Society of Public Health Educators, and NACCHO.

DOH-M’s community coalition-based PSE initiatives are ongoing. Partners in these
projects (including the Healthy Start Coalition of Manatee County, On a Shoestring, staff of
locally elected officials, Boys and Girls Club Representatives, YMCA staff and medical
representatives) have received extensive NACCHO and CDC training on policy change. Many
of these partners also participate in the TFM Partnership and will continue to do so in the future.
These community health coalition partners create work plans and policy goals by utilizing local
and national research to achieve consensus. After collecting and reviewing data, and
considering CDC best practices, the coalition partners choose PSE goals that align with
research, community needs, and partners’ strengths. DOH-M has found this to be a very
successful approach to coalition facilitation and policy change in the community.
In the future DOH-M will continue to mobilize and facilitate the TFM Partnership as
Manatee County’s Stand-Alone Community Tobacco Free Partnership for tobacco prevention
and control advocacy. This Partnership will work to reduce tobacco initiation, decrease
secondhand smoke exposure, and increase cessation rates through initiatives aimed at
education, social norm change, and research-based PSE changes in alignment with directives
of BTFF and CDC best practices.
4. Demonstrable evidence of the organization’s experience related to developing and
implementing county based tobacco prevention and control initiatives including
activities, dates, scope and results.
DOH-M has a long history of successful experience in community mobilization, facilitating
community partnerships for anti-tobacco policy advocacy, and effectively using media to raise
awareness and educate on tobacco-related issues. Partners involved in the TFM Partnership’s
policy change successes – including hospitals, staff of elected officials, school district and
college representatives (see Goal 4, Program Plan) – will continue to participate in the future.
The Partnership has been so effective in shifting social norms within the community that some
businesses are now initiating tobacco-free policies autonomously, with no direct motivation from
the Partnership. Since the Partnership’s establishment in 2008, major policy change successes
include the following:
• Tobacco Free Worksites, wherein use of all tobacco, smokeless tobacco, and
tobacco-like products are prohibited in and on company property and tobacco
cessation is actively supported by employers: In 2009: Blake Medical Center*
,
Manatee Memorial Hospital*
, HoverRound Corp.*
, Lakewood Ranch Medical Center. In
2010: State College of Florida*
, Manatee Technical Institute, Westminster Towers and
Shores Assisted Living Center. In 2011: Coastal Orthopedics, IMG Academies.*
In 2012:
Manatee County Boys and Girls Clubs, Manatee Glens Mental Health Hospital*
,
Bradenton Fire Department, Pittsburgh Pirates. In 2013: Manatee County School
District*
, Air and Energy Inc., Myakka City Fire District, and Goodwill Manasota.
*
Denotes companies among Manatee County’s 15 Largest Employers (MEDC, 2011).
• Resolutions to Restrict the Sale of Flavored Tobacco (in which elected officials
urged retailers who serve clients under 18 to discontinue carrying flavored
tobacco products which target youth): In 2011: Manatee County. In 2012: Bradenton,
Palmetto. In 2013: Anna Maria Island, Longboat Key.
• The following tobacco prevention policy and systems changes:
o Manatee County Runners’ Association adopted a policy for tobacco-free races
and marathons, applying to all participants and spectators (2010).

o Manatee County Sheriff’s Office partnered with DOH-M to incorporate point-of-
sale tobacco training into the current alcohol retailer training program. This
affects all retailers applying for or renewing licenses (2011).
o Manatee County Sheriff’s Office implemented regular underage tobacco sale
stings in officer operations, decreasing sales to customers under 18 (2011).
o Manatee County Parks and Recreation Department adopted a voluntary no
smoking policy at all youth facilities at Manatee County Parks, affecting over
100,000 residents of the county (2011).
o The Pittsburgh Pirates / Bradenton Marauders minor league baseball stadium
implemented a 100% tobacco-free policy for all staff, players, and visitors (2013).
o BTFF’s “Fax-to-Quit” cessation referral system was implemented in medical
providers’ offices throughout the county, including at DOH-M clinics, increasing
linkage between tobacco users and BTFF’s free cessation services (2010).
o Manatee County School District added BTFF tobacco training for K-12 teachers
to staff members’ annual mandatory continuing education curriculum, increasing
awareness of tobacco prevention techniques (2013).
o Smoke-free multiunit housing policies were established at seven apartment
complexes (2011-2014); Westminster Tower and Shores assisted living facility
(2009); and dormitories at IMG Academies (2011) and Pittsburgh Pirates /
Bradenton Marauders’ training complex (2012), decreasing secondhand smoke
exposure for residents, staff, and visitors.
The TFM Partnership’s success in advocating for tobacco policy changes would not have been
possible without resources afforded by the current Community-Based Tobacco Interventions
Project grant. BTFF staff have provided invaluable guidance, training, outreach and media
materials, state- and county-level strategic planning, and expertise on CDC best practices, as
well as programmatic evaluation throughout the state of Florida.
DOH-M TCP Program staff’s skilled use of media resources (see Attachment VI) has
been an important factor in the TFM’s success in raising awareness and understanding of local
tobacco-related policy issues. Both earned and paid local mass media advertisements have
been used effectively to target specific policy advocacy issues. Where possible, existing
advertising materials made available by Tobacco Free Florida’s (TFF) Media team were utilized.
In some cases, however, DOH-M staff and other Partnership members determined, in
consultation with TFF media staff, that newly commissioned video and print advertisements
were needed in connection with specific local policy change initiatives. For example, a local
videographer was hired to produce 2-minute and 30-second versions of a public service
announcement (PSA) to educate on the tobacco industry’s use of flavored tobacco products to
target youth and attract young customers. The PSA featured Manatee County SWAT youth
describing tobacco industry marketing tactics, quoting tobacco industry internal documents,
expressing concern for their peers’ health, and displaying tobacco products with bright
packaging and candy flavors. These video materials were used effectively both in paid local
media activities targeting the public at large (30-second version), and during public hearings to
educate elected officials. Whereas several Commissioners raised initial objections to the
proposed resolution to restrict the sale of flavored tobacco, all officials voted unanimously in
support of the resolution after viewing the PSA.
Another locally-tailored PSA targets multiunit housing residents, detailing the dangers of
second-hand smoke exposure in multiunit housing complexes, and the resources DOH-M’s TP
Program staff can provide to assist in the development of SFMUH policies. Versions of the ad
were developed for network television, newspaper, magazine, and internet marketing. Over two

years, the ad triggered hundreds of multiunit housing residents to contact DOH-M TPP staff. It
has been reused by counties throughout Florida.
Separately, in a popular locally tailored print ad, the Bradenton City Fire Chief was
featured in support of Tobacco Free worksite organizational policies and employer cessation
coverage. Where appropriate, both Spanish and English versions of advertisements have been
produced and disseminated. Besides paid ads, earned media has also been successfully
utilized. For instance, DOH-M Program staff skillfully produced a press release on the
importance of smoke-free multiunit housing housing options, giving rise to extensive coverage in
commercial media. DOH-M Program staff also maintain strong relationships with local media
contacts, and work with media to help educate the community and shift tobacco-related norms.
The success of these media initiatives speaks to the ability of DOH-M’s TP Program staff
to fully comprehend tobacco prevention issues and to develop messaging that resonates with
target audiences. This skillset is transferable to strategies throughout the work plan, augmenting
the likeliness of this Project’s success.
Organizational Chart:
Provide an organizational chart that includes the project staff, subcontractors and
local partner organizations and indicate how each member relates to each other.
The chart should label key staff, partner organizations and core partner contacts
necessary to achieve the program objectives. Labels should also include the
functional role of contributors.

Staffing Plan:
Describe how the program will be staffed (eg, paid staff and/or volunteers)
Identify the number and type of positions needed, which will be full-time and
which will bepart-time, and qualifications proposed for each position including
type of experience and training required. Identify the key staff that will be
involved with the project operations and include staff qualifications, duties and
experience delivering the proposed activities for this project. (Note: Staff
Qualification Surveys and resumes are required for all staff who will work on the
project. Completed surveys are not to exceed three pages per staff member).
All staff receiving payment through this grant must be tobacco free and must not use
electronic nicotine delivery systems. A letter on agency letterhead certifying staff
for this grant will be tobacco free is required with submission of application.
The Project will be staffed with two full-time key staff: a full-time Tobacco Prevention
Specialist (TPS), Maxine Lang, and a full-time Youth Tobacco Prevention / SWAT
Coordinator, Tiffany Donley. Both Ms. Lang and Ms. Donley’s salaries will be paid 100%
through the Project grant (see Attachments III and IV).
The TPS, Maxine Lang, will oversee management of the tobacco program. Ms.
Lang’s experience includes prior grant management work as well as extensive public
speaking experience and skills in building collaborative community partnerships. Ms. Lang
has several years of experience in marketing new programs and in developing and
presenting educational workshops and classes (see Attachment VI).
The TPS is a highly responsible position tasked with facilitating tobacco prevention
and control activities at the county level that focus on: (1) preventing initiation among youth;
(2) increasing access to cessation programs for youth and adults; (3) reducing exposure to
secondhand smoke; and (4) developing community partnerships. Ms. Lang will oversee
SFMUH and TFW policy efforts. Additional responsibilities include serving as liaison with
the BTTF. This position requires the ability to work independently; the ability to work with
youth and adults; and strong skills in public speaking, grant management, policy
development, coalition building, marketing, and public relations.
The Youth Tobacco Prevention / SWAT Coordinator, Ms. Donley, will oversee the
Manatee County SWAT chapter, as well as POS and smokeless tobacco policy efforts. Ms.
Donley’s ability to integrate her knowledge of tobacco issues with her skill in building
relationships with youth and adults is vital to the success of the Manatee County SWAT
chapter. Ms. Donley’s background includes successfully developing and maintaining
community partnerships, as well as serving as liaison with community-based agencies. Ms.
Donley has coordinated a variety of media advertisements for tobacco-related school
campaigns. Ms. Donley is currently completing the course requirements for a Doctorate in
Health Science (see Attachment VI).
The Youth Tobacco Prevention / SWAT Coordinator is responsible for overseeing
the Manatee County SWAT clubs, including the recruitment and training of SWAT advisors
and SWAT youth. Other duties include: working with SWAT and the TFM Partnership to
advance policy development; and collaborating with a wide variety of community members
and stakeholders, including elected officials, youth, teachers, tobacco retailers, tobacco
users, and concerned citizens.

There are four additional staff members who will be involved in the Project
operations: (1) Luz Corcuera, DOH-M’s Community Health Director, will be responsible for
overseeing the program and for developing collaborative public-private partnerships to evaluate
health policies, reduce health disparities, prevent tobacco use, and promote tobacco cessation.
Ms. Corcuera brings extensive project management, grant management, and partnership
building skills to the program. Twenty percent of Ms. Corcuera’s salary will be paid from the
Project grant. (2) Megan Jourdan works as Community Health Specialist and Marketing and
Media Liaison for DOH-M. Ms. Jourdan served as DOH-M’s Tobacco Prevention Program
Manager from 2009-2014, playing an instrumental role in all policy successes and media
campaigns aforementioned in this application. Ms. Jourdan will provide guidance on tobacco
prevention strategies and oversee all media activities for DOH-M’s TP Program. Twenty-five
percent of Ms. Jourdan’s salary will be paid from the Project grant. (3) Laura Ter Doest works as
a part-time Community Health Specialist for DOH-M. She holds a doctorate degree in
Psychology and brings skills in data collection, education, research, assessment, and evaluation
to the Program team. Dr. Ter Doest will assist with ongoing assessment of progress toward
planned outcomes. Twenty percent of Dr. Ter Doest's salary will be paid from the Project grant.
(4) Bryan Greene serves as Budget Analyst for DOH-M. Mr. Greene will contribute fiscal
management skills to the TP Program, overseeing purchases, monitoring spending, and
ensuring that budgetary decisions align with contract requirements. Twenty percent of Mr.
Greene’s salary will be paid from the Project grant. (For information on staff qualifications, see
Attachment VI; for information on salary, see Attachments III and IV.)
Full time key staff will be required to attend all mandatory and optional tobacco
prevention trainings as set forth by BTFF, to include but not be limited to in-person meetings,
webinars, conference calls, and trainings. Part-time staff will be directed to attend trainings that
align with their contributions to the Project, and/or at the request of BTFF.
Subcontractor Use and Experience:
Describe any agencies or individuals that would be subcontracted along with their
roleinimplementation of the project andtheir experience withsimilarfunded
initiatives.
All staff receiving payment through this grant must be tobacco-free and must not use
electronic nicotine delivery systems.
SWAT Advisors will be subcontracted for this project in order to maintain the Manatee
SWAT chapter. Each SWAT Advisor is a leader of their school or agency (e.g. teacher,
nurse, coach.) Each of the current SWAT Chapter’s seven advisors is also a member of the
TFM Partnership with an average of five years of experience with the Partnership. SWAT
Advisors have contributed to the development of policy change to prevent the initiation of
tobacco use among Manatee County’s youth, counteract tobacco product marketing at the
retail point of sale, decrease the use of smokeless tobacco, and create SFMUH and TFW
policies. SWAT Advisors have been trained in youth empowerment theories, and, as such,
understand and deploy techniques that encourage SWAT youth to be leaders in the
Partnership and community. Current advisors will continue with SWAT, bringing their
experience and knowledge to the policy areas targeted in this grant cycle.
Training Plan:

BTFF Application FDOH Manatee

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