Policy, Systems, and Environmental Change – Crafting Sustainable Policies

What is your specific policy goal?

Elements of a Strong Policy

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Key Questions

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Resources

Assessing the existing policy landscape- conducting an environmental scan

/ What policies already exist at the federal, state, and local levels that regulate the issue you want to address? / National Cancer Institute (NCI) - State Cancer Legislative Database Program - http://www.scld-nci.net/
CDC’s Office of Smoking and Health’s State Tobacco Activities Tracking and Evaluation (STATE) System - http://apps.nccd.cdc.gov/statesystem/Default/Default.aspx
Americans for Non Smokers’ Rights (ANR) – Smokefree lists, maps - http://www.no-smoke.org/goingsmokefree.php?id=519
CDC ‘s School Health Policies and Practices Study (SHPPS) - http://www.cdc.gov/healthyyouth/shpps/2006/report- cards/index.htm
CDC’s Communities Putting Prevention to Work (CPPW) Community Profiles - http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/co mmunities/profiles.htm

Is this a policy rather than a program?

/ Does it complement programmatic work and allow programs to flourish as a result of this policy?
Does it include accountability and enforcement? / Example for a program
ChangeLab Solutions “Health on the Shelf: A Guide to Healthy Small Food Retailer Certification”
Health on the Shelf
Examples for policies
ChangeLab Solutions “California Tobacco Retailer Licensing”
Tobacco Retailer Licensing
Public Health Law Center “Drafting Effective Policies”
Drafting Effective Policies

Convening stakeholders to collaborate on the policy

/ What community-based and government partners should be involved? / Mobilizing for Action through Planning and Partnership (MAPP) - http://www.naccho.org/topics/infrastructure/MAPP/index.cfm
Convergence Partnership - Successful Partnerships: Strategies for Multi-Field and Cross-Sector Collaborations - http://www.convergencepartnership.org/site/c.fhLOK6PELmF/b.6216 573/k.225F/Healthy_People_Healthy_Places_Webinar_Series.htm
Prevention Institute - Developing Effective Coalitions: An Eight Step Guide - http://www.preventioninstitute.org/component/jlibrary/article/id- 104/127.html

Is this policy legally feasible?

/ Does it meet constitutional standards?
How do you know?
How might you find out? / Concerning the 1st Amendment
ChangeLab Solutions “Marketing Matters: A White Paper on Strategies to Reduce Unhealthy Food Marketing to Young Children”
Marketing Matters
ChangeLab Solutions “First Amendment Implications of Restricting Food and Beverage Marketing in Schools
First Amendment Implications of Restricting Food and Beverage Marketing in Schools
ChangeLab Solutions “First Amendment FAQ”
First Amendment FAQs
Concerning Preemption
ChangeLab Solutions “The Consequences of Preemption for Public Health Advocacy”
The consequences of Preemption for Public Advocacy
ChangeLab Solutions “Preemption: What It Is, How It Works, and Why It Matters for Public Health”
Preemption Memo
ChangeLab Solutions “Fundamentals of Preemption”
Fundamentals of Preemption

Is there data or evidence to support the policy?

/ Is there a connection between the policy and the problem?
What data or research makes the case?

Can you create local data, too?

/ ChangeLab Solutions “Tobacco Minimum Pricing Laws
A webinar on how policy can improve health”
Tobacco Minimum Pricing Laws
ChangeLab Solutions Model Legislation Requiring Safety Warnings on Sugar-Sweetened Beverages
Model SSB Warning Legislation
Public Health Law Center “Sickly Sweet-Why the Focus on Sugary Drinks”
Sickly Sweet-Why the Focus on Sugary Drinks
Healthy Eating Research “Pricing and Economics”
Pricing and Economics

Is the implementation clear and feasible?

/ What are barriers to implementation?
Is the implementation process clear?

Are there stakeholders who could help?

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ChangeLab Solutions “Effective Implementation and Enforcement Clauses in Ordinances”

Effective Implementation and Enforcement Clauses

ChangeLab Solutions “Implementation Checklist for Tobacco Retailer Licensing”
Implementation Checklist TRL
ChangeLab Solutions “How to Partner with Government to Enforce Laws in Your Community”
How to Partner with Government to Enforce Laws
ChangeLab Solutions “Making a New Smokefree Housing Law Work “
Making a New Smokefree Housing Law Work

Does the policy account for disparities?

/ If yes, can you strengthen this impact?

If no, how can you improve it?

/ Seattle King County “Equity Impact Review Tool”
Equity Impact Review Tool
The Greenlining Institute “Racial Equity Toolkit: Implementing Greenlining’s Racial Equity Framework”
Racial Equity Toolkit

Health Affairs Health Policy Briefs “Achieving Equity in Health”

Equity in Health
Prevention Institute “Healthy Eating & Physical Activity: Addressing Inequities in Urban Environments”
Addressing Inequities in Urban Environments
Racial Equity Tools
Racial Equity tools

Is this policy financially sustainable?

/ Is there existing money?
Could the policy generate revenue?
Is it low-cost or no-cost?
Is it self-implementing? /

ChangeLab Solutions “Tools to Fund and Support Healthier Stores”

Tools to Fund and Support Healthier Stores
ChangeLab Solutions Interactive Tobacco Retailer Licensing Fee Calculator
ChangeLab Solutions Model Sugar-Sweetened Beverage Tax Legislation
ChangeLab Solutions “Budgeting for a Local Tobacco Retailer License Fee in California A checklist for cities and counties”
Budgeting for a Local Tobacco Retailer License Fee in California

Does the policy “change the conversation”?

/ Does the policy change the conversation?

If no, how could it?

/ Berkeley Media Studies Group “Framing 101”
Framing 101
FrameWorks Institute “Framing Checklist”
Framing Public Issues
Berkeley Media Studies Group “Media Advocacy 101”
Media Advocacy 101

Is the policy part of a bigger plan?

/ What is the bigger plan?

How does this policy fit in?

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ChangeLab Solutions “10 ways to limit SSBs in your community”

SSB Strategy poster
ChangeLab Solutions “Sugar-Sweetened Beverages Playbook”
Sugar-Sweetened Beverages Playbook

General resource: Samantha K. Graff, Manel Kappagoda, Heather M. Wooten, Angela K. McGowan, and Marice Ashe, Policies for Healthier Communities: Historical, Legal, and Practical Elements of the Obesity Prevention Movement, Annual Review of Public Health, Vol. 33: 307-324 (Volume publication date April 2012)

First published online as a Review in Advance on January 3, 2012

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