People do not make behavior choices in isolation, but rather in a larger, complex context that includes the family, community, and culture; the economy and physical environment; formal and informal government policy; and the prevailing legal atmosphere. Effective programs must address all the components that may influence the individual’s behavior choices.
TSET-funded prevention programs help fulfill the objectives of the Oklahoma Health Improvement Plan.
Communities of Excellence in Tobacco Control
Thirty-four community coalitions serve 51 counties and one tribal nation, or about 85 percent of the state’s population. Community grantees work with schools, businesses, health care providers, community leaders, and other partners to promote effective policies and programs to reduce tobacco use at the local level. FY12 budget: $6.06 million.
Communities of Excellence in Nutrition and Fitness
Fifteen community coalitions serve 21 counties or about 55 percent of the state’s population. In this newly launched grant program, community grantees are conducting community assessments and working with schools, businesses, community leaders and other partners to create environments that increase healthy eating and physical activity, and decrease obesity. FY 12 budget: $1.05 million.
Healthy Communities Incentive Grants
Communities that achieve the basic, merit, or excellence levels of certification under the OSDH Certified Healthy Communities program are eligible to apply for incentive grants from TSET. If awarded, grant funds may be applied to a variety of criteria to promote health in local communities. Grants will be awarded in FY 12. Funds will be dispersed to communities in FY13. FY 12 budget: $1 million.
Oklahoma Tobacco Helpline (1-800-QUIT-NOW)
The Helpline provides free telephone-based cessation “coaching” and free nicotine patches or gum. The Helpline is funded by TSET, the Oklahoma State Department of Health (OSDH), Oklahoma State and Education Employees Group Insurance Board (OSEEGIB) and the Centers for Disease Control and Prevention. FY12 budget: $5 million.
Youth Access to Tobacco
Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) works with the ABLE Commission to check tobacco retailers for compliance with the Youth Access to Tobacco Act. This multi-year grant increased compliance checks in preparation for a grant between the U.S. Food and Drug Administration and ABLE Commission. Because of TSET’s investment, the FDA began paying for these enforcement efforts in October 2011. If the rate of compliance among Oklahoma retailers does not remain above 80 percent the DMHSAS could lose federal funding. After approximately two years of increased enforcement, the compliance rate was 93 percent.
FY12 budget: $67,000.
Tobacco Cessation Systems
The Oklahoma Hospital Association, Department of Mental Health and Substance Abuse Services, Health Care Authority, and Insurance Department integrate tobacco dependence treatment in hospitals and health systems, including mental health and substance abuse, and promote insurance coverage for tobacco cessation treatment. FY12 budget: $770,000.
When combined with other programs, mass media campaigns are proven to be one of the most effective strategies to promote healthy behaviors. TSET and OSDH partner to educate Oklahomans and promote health through the Tobacco Stops With Me and Shape Your Future campaigns, which encourage eating better, moving more, and being tobacco-free. The budget was increased in November 2011 to support the Shape Your Future campaign. FY 12 budget: $7 million.
Technical Assistance and Training
To leverage federal and state resources, avoid duplication, and promote progress toward objectives, TSET works with the OSDH Center for the Advancement of Wellness, and the Turning Point Initiative to coordinate technical assistance and training for TSET grantees. TA and training are provided by experts from within OSDH and a variety of other organizations. FY12 budget: $935,000.
TSET-funded tobacco control and nutrition and fitness programs are externally evaluated by the University of Oklahoma College of Public Health, Department of Biostatistics and Epidemiology, and the Oklahoma State University, Department of Nutritional Sciences, respectively. FY12 budget: $636,000.
Stephenson Cancer Center is home to two TSET-funded research initiatives: TSET Cancer Research Program (TCRP) and the Oklahoma Tobacco Research Center (OTRC). Created in January 2012 with TSET funding of $30.2 million over five years, the TCRP supports a Phase I Clinical Trials Program, recruits scientists to Oklahoma, awards research grants to Oklahoma scientists in a variety of institutions, and leverages funds to advance cancer research in Oklahoma. The OTRC was created in FY08 with TSET funding of $5 million over six years. The OTRC funds researchers from institutions and organizations throughout Oklahoma to conduct behavioral and biomedical research in cancer and tobacco-related diseases. These investments move the Cancer Center closer to earning a “comprehensive cancer center” designation from the National Cancer Institute and opening the door to significant external resources to support cancer research. FY 12 budget: $3.9 million.
Oklahoma Center for Adult Stem Cell Research (OCASCR). Established in FY10 with TSET funding of $9.5 million over the five-and-a-half-years, OCASCR promotes research in the emerging field of adult stem cell research by awarding research grants to Oklahoma scientists, recruiting scientists to the state, and conducting public education. Funding was increased in November 2011 to $2 million per year for the remainder of the 5 year grant. OCASCR is collaboratively governed by the Oklahoma Medical Research Foundation, University of Oklahoma and Oklahoma State University. FY12 budget: $2.4 million.
Unsolicited Proposals. To address emerging opportunities to promote health in Oklahoma, unsolicited proposals are accepted for a limited time each year. Proposals may be related to any of the TSET purposes identified in the Constitutional amendment. To leverage additional resources, TSET funds up to 50 percent of the project. FY12 budget: $500,000.
Conference Sponsorships. Conference sponsorships are available for statewide training events to educate and build capacity among Oklahomans for the purpose of improving the health of every Oklahoman. FY12 budget: $50,000.
For more information, contact Julie Bisbee, Public Information and Outreach Officer, or Tracey Strader, Executive Director, Oklahoma Tobacco Settlement Endowment Trust, (405) 521-3888, toll-free (866) 530-TSET, www.tset.ok.gov.