Tribal Tobacco Policy

American Indian and Alaska Natives experience a disproportionate burden of commercial tobacco use and commercial tobacco-related diseases. Commercial tobacco-free policies, systemic screening and cessation referral and treatment services can counter commercial tobacco marketing that targets tribal communities.

Tribal Housing

"The Benefits of No-Smoking Policies in Tribal Housing" - with quotes and information from tribal housing leaders in the Pacific Northwest.
Tribal Smoke-free Housing Webinar - featuring stories from three tribal housing authorities in the Pacific Northwest who have successfully implemented no-smoking policies.
NWIHA Member Survey - Summary of Northwest Indian Housing Association member survey on smoking policies.

Multi-unit Housing

Tribal Tobacco Cessation

Oregon’s AI/AN Commercial Tobacco Quit Line Program Webinar – This webinar provides an overview of the Oregon AI/AN Commercial Tobacco Quit Line Program, which began in March 2019. Specifically, this webinar shares information on the participant experience when they call the AI/AN quit line program, and discusses how the intake and intervention differs from the general Oregon Tobacco Quit Line program.
o Webinar Questions and Answers – this document provides a list of questions and answers that were asked during Oregon’s AI/AN Commercial Tobacco Quit Line Program Webinar.

Oregon Tobacco Quit Line Resources –

o American Indian Booklet Life Matters – This is a printed resource provided to AI/AN commercial tobacco users to help them quit commercial tobacco.
o Oregon Tobacco Quit Line Quit Guide – This is a printed resource provided to anyone who calls the Oregon Tobacco Quit Line to help tobacco users quit and stay quit.
o Quitting Smokeless Tobacco Guide – This is a printed resource provided to anyone who calls the Oregon Tobacco Quit Line that is currently using smokeless tobacco and provides a guide to help them quit and stay quit.

Electronic referrals to the Oregon Tobacco Quit Line – Referring patients to the Quit Line is easy and confidential. It can be done through fax referral or e-referral using your electronic health/medical record system. The Quit Line will call your patient to enroll them in phone or web-based counseling. If you are a HIPAA-covered provider, you will receive a progress report back from the Quit Line.

Fax Referral Forms
• Fax Referral FAQs
• Fax Referral Form - English
• Fax Referral Form - Spanish
• Fax Referral Form - Verbal Consent

Automatic or E-Referrals
• How to set up electronic referrals to the Oregon Tobacco Quit Line
• Electronic Referral FAQs

Toolkits/Policy

Tribal Tobacco Policy Workbook -- created by the Northwest Portland Area Indian Health Board, this workbook has served as a resource for tribes throughout North America to write, pass and enforce tobacco-related policies.
Smokefree Events Toolkit -- The Smokefree Events Toolkit, developed by the Native American Rehabilitation Association of the Northwest (NARA), is a great resource for anyone planning, hosting, or advocating for a smokefree powwow or other event. The toolkit includes advocacy, publicity, and enforcement materials.

Resources

Keep It Sacred - The mission of the National Native Network is to enhance the quality and performance of public health systems to reduce commercial tobacco-related illnesses and cancer disparities among American Indian and Alaska Native populations.
Walking Toward the Sacred: Our Great Lakes Tobacco Story - This document contains some of the traditional tobacco stories and teachings, information on traditional (ceremonial) tobacco, differences between traditional tobacco and commercial tobacco, instructions on how to grow traditional tobacco, and information about commercial tobacco harms.

American Indian Health- Smoking and Commercial Tobacco Use - An information portal to issues affecting the health and well-being of American Indians, specifically health topics such as smoking and commercial tobacco use.
Basic Tobacco Intervention Skills for Native Communities - This site contains commercial tobacco dependence treatment tools created by the Indian Health Service Tobacco Control Task Force, including 2As&R and 5As adapted for tribal communities.
Second Wind - Second Wind is a Stop Smoking Curriculum designed specifically to help support American Indians and Alaska Natives to stop smoking and chewing and remain tobacco free. Contact NPAIHB for more information.
Second Wind First Breath - This facilitator guide contains an adaptation of Second Wind for pregnant women.
Attitudes Toward Smoke-Free Casino Policies Among US Adults, 2017 This study found that three-quarters of US adults favored smoke-free casino policies, including three quarters of adults who visited casinos regularly and nearly half of cigarette smokers.