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Implementing HUD’s SMOKE-FREE POLICY

Department of Housing and Urban Development | Office of Public and Indian Housing Implementing HUD's SMOKE-FREE POLICY . in Public Housing HUD GUIDEBOOK. HUD GUIDEBOOK Implementing HUD's SMOKE-FREE POLICY in Public Housing Table Of Contents Table of Contents .. ii Acknowledgments .. iv Introduction .. 1. Department of Housing and Urban Development (HUD) Support .. 1. SMOKE-FREE Policies Are Legal .. 2. Reasons to Adopt a SMOKE-FREE POLICY .. 3. Cost Savings.. 3. Protect the Health and Safety of Residents and Staff .. 4. POLICY Dates and Deadlines .. 5. How to Implement the SMOKE-FREE POLICY .. 6. Communicating with Residents and Staff about the SMOKE-FREE POLICY .. 6. Who Should You Talk to about Your SMOKE-FREE POLICY ? Everyone! .. 6. Present a Clear Message about Your SMOKE-FREE POLICY .. 7. Recommended 18-Month Timeline .. 8. Lay the Groundwork: February 2017 April 2017.

HUD GUIDEBOOK Implementing HUD’s SMOKE-FREE POLICY in Public Housing Smoke-Free Policies Are Legal Smoke-free policies are legal. The policies do not violate

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1 Department of Housing and Urban Development | Office of Public and Indian Housing Implementing HUD's SMOKE-FREE POLICY . in Public Housing HUD GUIDEBOOK. HUD GUIDEBOOK Implementing HUD's SMOKE-FREE POLICY in Public Housing Table Of Contents Table of Contents .. ii Acknowledgments .. iv Introduction .. 1. Department of Housing and Urban Development (HUD) Support .. 1. SMOKE-FREE Policies Are Legal .. 2. Reasons to Adopt a SMOKE-FREE POLICY .. 3. Cost Savings.. 3. Protect the Health and Safety of Residents and Staff .. 4. POLICY Dates and Deadlines .. 5. How to Implement the SMOKE-FREE POLICY .. 6. Communicating with Residents and Staff about the SMOKE-FREE POLICY .. 6. Who Should You Talk to about Your SMOKE-FREE POLICY ? Everyone! .. 6. Present a Clear Message about Your SMOKE-FREE POLICY .. 7. Recommended 18-Month Timeline .. 8. Lay the Groundwork: February 2017 April 2017.

2 10. Review HUD's SMOKE-FREE Public Housing Rule .. 10. Learn from Other PHAs .. 10. Review Examples of SMOKE-FREE Policies and Enforcement Plans.. 10. Prepare Your Staff: May 2017 July 2017 .. 12. Inform Housing Staff, Advisory Board, and Residents of HUD's SMOKE-FREE Rule .. 12. Begin Resident Engagement: May 2017 July 2017 .. 12. Communicate with Residents.. 13. Formalize Your PHA's POLICY : August 2017 October 2017 .. 14. Draft Your POLICY .. 14. An Effective SMOKE-FREE Housing POLICY Typically Includes the Following Elements .. 17. Introduce the POLICY and Set an Implementation Timeline .. 17. Present Your SMOKE-FREE POLICY to the PHA Board of Directors .. 17. Notify Residents and Begin Comment Period .. 18. Obtain Board Approval .. 19. ii | TABLE OF CONTENTS. HUD GUIDEBOOK Implementing HUD's SMOKE-FREE POLICY in Public Housing Table Of Contents continued Prepare to Implement: November 2017 January 2018.

3 19. Engage Residents to Communicate the Final POLICY .. 19. Schedule Lease Signings.. 19. Focus on Vulnerable Tenants.. 20. Final Preparations for Implementation: February 2018 July 2018 .. 20. Train Staff .. 20. Let Everyone Know .. 21. Ensure 100 Percent of Residents Have Signed a Lease or Lease Addendum with the SMOKE-FREE POLICY Language Included .. 21. Launch Your POLICY : July 30, 2018 .. 22. Host a Kickoff Celebration to Mark the Implementation of the New POLICY .. 22. Respond to All Requests for Accommodation .. 22. Host a Cessation Class .. 22. Maintaining Your SMOKE-FREE POLICY .. 23. Collect Data to Track POLICY Effectiveness.. 24. Assess Implementation .. 24. Experiences from the Field .. 25. Appendix A: Frequently Asked Questions .. 33. Appendix B: Sample Lease Language .. 40. Appendix C: Partnerships .. 43. iii | TABLE OF CONTENTS continued HUD GUIDEBOOK Implementing HUD's SMOKE-FREE POLICY in Public Housing Acknowledgments We are grateful to the following people for the time they provided for interviews and their insightful review of this Guidebook.

4 Public Housing Agency Interviews Leanne Trappen, Executive Director, Twin Falls Housing Authority, Twin Falls, ID. John Kane, Senior Program Coordinator, Boston Housing Authority, Boston, MA. Ned Fowler, Executive Director, Northwestern Regional Housing Authority, Boone, NC. Sylvia Estrada, Community Services Manager, Housing and Community Development, City of Tucson, Tucson, AZ. Pauline Nunez, Resident Coordinator, Housing Community and Development, City of Tucson, Tucson, AZ. Expert Interviews Deborah Thrope, Staff Attorney, National Housing Law Project Sarah Mayberry, Program Manager, Center for Tobacco Independence, The Breathe Easy Coalition of Maine Sara Bartel, Staff Attorney, ChangeLab Solutions Sarah Saucedo, Property Manager, Midtowne Manor I & II, Housing & Redevelopment Authority of Duluth, MN. Mary Kurth, Program Director, SMOKE-FREE Living Collaborative, Arizona SMOKE-FREE Living Karen Blumenfeld, Executive Director, Global Advisors on Smokefree POLICY and Director of the POLICY and Legal Resource Center Darlene Huang, Staff Attorney, Public Health Law Center Michael Freiberg, Staff Attorney, Tobacco Control Legal Consortium, Public Health Law Center Maggie Mahoney, Executive Director, Tobacco Control Legal Consortium, Public Health Law Center Liz Williams, Project Manager, Americans for Nonsmokers' Rights Vaughan Rees, , Director, Department of Social and Behavioral Sciences, Harvard Chan School of Public Health, Center for Global Tobacco Control U.

5 S . Department of Housing and Urban Development (Review and Collaboration). Marquita Sanders, Office of Public and Indian Housing*. Harry Hudson, Office of Public and Indian Housing*. Eric Christensen, Office of Public and Indian Housing*. Peter Ashley, Office of Lead Hazard Control and Healthy Homes Rachel Riley, Office of Lead Hazard Control and Healthy Homes *Sponsoring Office Other Contributors The HUD Office of Lead Hazard Control and Healthy Homes through a contract to: The Cadmus Group & Penngood, LLC, authors of Change is in the Air, 2014. Econometrica, Inc., authors of this volume. iv | ACKNOWLEDGMENTS. HUD GUIDEBOOK Implementing HUD's SMOKE-FREE POLICY in Public Housing Introduction encouraging PHAs and property owners/agents of subsidized It is a new era in public housing agency (PHA) homes. Over the or market-rate multifamily housing to implement SMOKE-FREE next 18 months, PHA homes will become safer and healthier policies because the movement of secondhand smoke with the implementation of SMOKE-FREE policies.

6 Units will also between units cannot be controlled in multifamily buildings . be easier to maintain and turn over. HUD also supports implementation of SMOKE-FREE policies Typically, what happens inside one's home does not affect because they are fiscally responsible. SMOKE-FREE policies one's neighbors. However, a tenant's actions can sometimes reduce property maintenance costs, unit turnover time, and the negatively affect others, including neighbors. Sometimes the risk of , 6. nuisance is minor: loud music or strong cooking odors. At other Research has shown that ventilation and other air filtration times, the offense is major: secondhand smoke. technologies cannot eliminate the health risks caused by Secondhand smoke hurts everyone. There is no safe amount secondhand smoke exposure. SMOKE-FREE policies are also of secondhand smoke. It contains hundreds of toxic chemicals, good for the health of residents, staff, and guests.

7 Approximately 70 of which can cause Even breathing HUD has requested feedback from the public on how to secondhand smoke for a short amount of time can be hazardous best continue to support the implementation of SMOKE-FREE to one's health, as exposure also increases the risk of disease policies for multifamily housing. This information helps HUD. and lung cancer. Children exposed to secondhand smoke are in developing and disseminating additional guidance and at an increased risk for Sudden Infant Death Syndrome (SIDS), resources to support PHAs, owners and management agents acute respiratory infections, ear problems, and more frequent who wish to implement SMOKE-FREE policies. and severe asthma Pregnant women exposed to One quarter of residents approximately 79 million secondhand smoke are more likely to have babies with serious people live in multifamily properties.

8 This includes houses health , 4. attached to 1 or more other houses and buildings with 2 to 50. or more apartments. Even though the majority of people do not U .S . Department of Housing and Urban allow smoking in their homes, 36 percent are regularly exposed Development (HUD) Support to secondhand On December 5, 2016, In the past 15 years, 678 The purpose of this guide is to provide a roadmap to PHAs for HUD finalized a rule PHAs throughout the adopting a SMOKE-FREE POLICY . The guide also includes insights that requires all PHAs nation have adopted and from PHA representatives who have already implemented a to implement a smoke- implemented SMOKE-FREE SMOKE-FREE POLICY . These insights address common questions free POLICY by July 30, policies. and concerns you may have about SMOKE-FREE policies. 2018 . HUD's rule is a continuation of its formal encouragement of the adoption of The guide includes support for PHAs Implementing a smoke- SMOKE-FREE policies in public housing, multifamily housing, and free POLICY for the first time and for PHAs that currently have mixed-income housing.

9 Beginning in 2009, HUD committed to a POLICY . 1 Department of Health & Human Services (HHS). (2006). The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2 HHS. (2014). The health consequences of smoking 50 years of progress: A report of the Surgeon General. Retrieved from http://www. 3 HHS. (2006). The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta, GA: CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 4 HHS. (2010). How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease: A report of the Surgeon General.

10 Atlanta, GA: CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Retrieved from 5 Department of Housing and Urban Development (HUD). (2012). SMOKE-FREE policies in public housing (NOTICE: PIH-2012-25). 6 HUD. (2012). Further encouragement for O/As to adopt optional SMOKE-FREE housing policies (NOTICE H 2012 22). 7 King, B., Babb, S., Tynan, M., & Gerzoff, R. (2012, December 17). National and state estimates of secondhand smoke infiltration among multiunit housing residents. Nicotine & Tobacco Research, 15(7), 1316 1321. DOI: Personal communication with Marty Nee, HUD Office of Lead Hazard Control and Healthy Housing. Washington, DC, 2014. 1 | INTRODUCTION. HUD GUIDEBOOK Implementing HUD's SMOKE-FREE POLICY in Public Housing SMOKE-FREE Policies Are Legal The SMOKE-FREE rule requires PHAs to implement a SMOKE-FREE policies are legal.


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