Correa-Fernández Virmarie, Wilson William T, Shedrick Deborah A, Kyburz Bryce, L Samaha Hannah, Stacey Timothy, Williams Teresa, Lam Cho Y, Reitzel Lorraine R
Department of Psychological, Health, and Learning Sciences, University of Houston, 491 Farish Hall, Houston, TX, 77204-5029, USA.
Austin Travis County Integral Care, 1430 Collier Street, Austin, TX, 78704, USA.
Transl Behav Med. 2017 Jun;7(2):204-211. doi: 10.1007/s13142-017-0476-2.
Tobacco-free workplace policies that incorporate evidence-based practices can increase the reach and effectiveness of tobacco dependence treatment among underserved populations but may be underutilized due to limited knowledge about implementation processes. This paper describes the implementation of a comprehensive tobacco-free workplace program at a behavioral healthcare community center in Texas. The center participated in a tobacco-free workplace program implementation project that provided guidance and resources and allowed center autonomy in implementation. Six employee-based subcommittees guided implementation of program components including consumer and staff surveys, policy development, signage, tobacco use assessments, communication, and nicotine replacement distribution. Timeline development, successes, challenges, lessons learned, and sustainability initiatives are delineated. Concerns about the tobacco-free workplace policy from the center's staff and consumers were gradually replaced by strong support for the initiative. Program success was enabled by consistent support from the center's leadership, publicity of program efforts, and educational campaigns. The center surpassed the program expectations when it adopted a tobacco-free hiring policy, which was not an initial program goal. This center's path to a tobacco-free workplace provides an implementation and sustainability model for other behavioral health community centers and other organizations to become tobacco free.
纳入循证实践的无烟工作场所政策可扩大服务不足人群中烟草依赖治疗的范围并提高其有效性，但由于对实施过程的了解有限，这些政策可能未得到充分利用。本文描述了得克萨斯州一家行为健康社区中心全面无烟工作场所计划的实施情况。该中心参与了一个无烟工作场所计划实施项目，该项目提供指导和资源，并允许中心在实施过程中有自主权。六个基于员工的小组委员会指导了项目组成部分的实施，包括消费者和员工调查、政策制定、标识、烟草使用评估、沟通以及尼古丁替代产品分发。阐述了时间表制定、成功经验、挑战、经验教训以及可持续性举措。该中心员工和消费者对无烟工作场所政策的担忧逐渐被对该倡议的大力支持所取代。该项目的成功得益于中心领导层的持续支持、项目工作的宣传以及教育活动。该中心在采用无烟招聘政策时超出了项目预期，而这并非最初的项目目标。该中心实现无烟工作场所的道路为其他行为健康社区中心和其他组织实现无烟提供了一个实施和可持续性模式。
