1. Talking to your teens…about sex and relationships February 2012

2. Aims of session To raise awareness and understanding of school policy and practice and who parents / carers can talk to in school To develop parent / carer knowledge related to sexual health To explore key messages we can give to our teens to help to keep them safe and healthy

3. Guess the statistic! Safe and Well School Survey, 2015, B&H City wide, KS4 students 1.87% Heterosexual 2.88% 1 or more good friends in school 3.76% Happy with my life 4.81% Never taken non-prescription drugs 5.60% Think they will go to university / higher education 6.80% Have not had sex 7.85% Confident in using a condom now or in the future

4. National concerns…teen relationships National research shows that up to 40% of the school population will have experienced domestic violence; in family households where domestic violence is occurring, children are in the same or the next room 90% of the time. A third of girls experience daily sexist/sexual bullying at school, which influences attendance and attainment. CSE remains a very real issue. In a 14 month period from August 2010 to October 2011 2,409 children were known to be victims of child sexual exploitation, with 16,500 children and young people at risk (OCC)

5. 12% of LGBT young people had experienced sexual assault (The School Report, Stonewall 2008) One in three teenage girls who had been in a relationship had experienced (NSPCC 2009 cited in Women against violence where are we now report) sexual violence from a partner (NSPCC 2009) Young people aged 12 to 15 are more than twice as likely to say they had viewed harmful content online, compared to children aged 8 to 11. (NSPCC report 2015) National concerns…teen relationships

6. Talking to your teens… Young people who have good relationship and sex education at home and at school, start sex later and are less likely to have an unplanned pregnancy or to get a sexually transmitted infection. Department of Health, December 2000

7. Conception rates (national data) The Brighton & Hove Picture The 2013 under 18 conception rate was 25.0 per 1,000 women aged 15-17 years in the city. There were 99 conceptions of which 67% led to an abortion. This is slightly different to the England and South East pictures - where there are 24.3 conceptions per 1,000 of which 51% end in an abortion across England and a South East rate of 20.5 per 1,000 of which 53% end in abortion.

8. 48% of 11-14 year olds reported that their sex and relationships education was useful which increases to 61% amongst 14-16 year olds. The majority of students aged 14-16 years in Brighton & Hove have not had sex (82%); This proportion of under 16s who have had sex (18%) is lower than England (28%). 49% of all students and 75% of sexually active students know where to get free condoms. 87% of students feel confident about using condoms correctly. Safe and Well at School data - 2014

9. The Safe and Well at School Survey shows that Boys (83%) and girls (82%) are equally statistically likely not to have had sex. There is no difference between ethnic groups. Having had sex is related to age: 89% of 14-15 year olds had not had sex compared to 75% of 15-16 year olds. LGB pupils are more likely to have had sex Safe and Well at School data - 2014

10. C-Card

11. Chlamydia (and gonorrhoea) screening Males provide a urine test - the first part of urine goes into a urine pot and females place a small cotton swab into the vagina for 5 seconds. The swab or urine sample is sent off for testing. One of the nurses will follow up a positive test and will do contact tracing.

12. Long-acting reversible contraception (LARC) Methods that are administered less than once per cycle or month –IUDs (copper non-hormonal –IUS (Progestogen-only - Mirena) –Injectables (Progestogen-only) –Implants (Progestogen-only)

13. Emergency Contraception 1Emergency Hormonal Contraception Levonelle®1.5mg tablet, 72 hours (three days) after unprotected sex, available free to U16s in some pharmacies EllaOne® Licenced for up to 5 days (120 hours) after unprotected sex, Morley Street, there are some restrictions for use on medical grounds Both are more effective the quicker taken and work by delaying or preventing ovulation.

14. 2IUD A copper IUD can be inserted within 5 days (120 hours) of unprotected sex. It works by preventing a fertilised egg from implanting into the uterus. Emergency Contraception

15. Sexually transmitted infections – key points: In 2014, there were approximately 440,000 diagnoses of sexually transmitted infections (STIs) made in England The impact of STIs remains greatest in young heterosexuals under the age of 25 years and in men who have sex with men (MSM) The most commonly diagnosed STI was chlamydia, with 206,774 diagnoses made in 2014 The largest proportional increase in diagnoses between 2013 and 2014 were reported for syphilis (33%) and gonorrhoea (19%) There was a 4% decrease in diagnoses of genital warts (first episode) between 2013 and 2014 During the year, over 1.6 million chlamydia tests were carried out and almost 138,000 chlamydia diagnoses were made in England among young people aged 15 to 24 years old, the target population for the National Chlamydia Screening Programme (NCSP).

16. Let’s talk about sex… Don’t expect to be able to sit down at the kitchen table and say ‘Right let’s talk about the facts of life’. It won’t work. Do be prepared to wait for the right time. Teenagers are more likely to want to talk at midnight than at midday Don’t try to cover all the issues at the same time. Take it slowly. Do ask them what they already know, think and believe Don’t try to set the agenda yourself Do be prepared to share some of your experiences. Don’t go too far with this sort of disclosure. Do be prepared to help with setting the boundaries of acceptable behaviour. Be honest and tell them what you think the limits are. This may come as a great relief to them. Finally Do show your teenager some respect. Good communication is based on the belief that the other person is genuinely interested in who your are, and in what you have to say.

17. Services School Nurses Morley Street CASH Service Young People’s Centre Claude Nicol Centre (GUM) Allsorts www.swish.org.uk/ www.NHS.uk www.nspcc.org.uk www.childline.org.uk