1. New Health Curriculum Compliance

2. Objectives Objectives By the end of this workshop, participants will be able to: – Explain the basic situation of Adolescent Sexual Health in North Carolina – List the topics to be covered by law in North Carolina Reproductive Health and Safety Education – List the seven topics covered by the National Sexuality Education Standards (NSES)

3. Youth and Sexual Risk Taking: The Data

4. NC Youth Risk Behavior Survey 2011

5. Overview of the HIV/AIDS Epidemic in North Carolina Communicable Disease Surveillance Unit N.C. Department of Health and Human Services

6. Age Distribution of HIV Disease in N.C., 2006

7. Age Distribution of HIV Disease in N.C., 2010

8. HIV/AIDS and YMSM 54% of new cases of HIV in 13-24 yr. olds were among MSM. More than twice as many black YMSMs were diagnosed with HIV than white YMSMs. Of all age groups of MSM HIV/AIDS increased most among YMSM 13-24.

9. YMSM of Color 70% of HIV/AIDS diagnosis among youth 13-24 were among black youth, yet they only represented 17% of the age group population. Among YMSM black MSM had the most dramatic increase in diagnoses---from 938 in 2001 to 1,811 in 2006 an increase of 93%.

10. Possible reason for disparities Alarming number of YMSM do not know they are infected. Failure to reach MSM with prevention education interventions. Unintended consequences of successful treatment. Use of alcohol and drugs Mental health consequences of stigma and discrimination.

11. Other STDs in North Carolina Youth Other STDs in North Carolina Youth (2010) Chlamydia  ages 10 -19: 16,168 (38% of all infections)  ages 20 -24: 16,619 (38% of all infections) Gonorrhea  ages 10 -19: 4288 (29%)  ages 20 -24: 5286 (36%) Early Syphilis  ages 10 -19: 65 (7%)  ages 20 -24: 210 (22%)

12. Why are Teens Disproportionately Impacted by STDs? More likely to have multiple sexual partners Less likely to use condoms consistently and correctly

13. EVERY DAY IN NORTH CAROLINA: 38 TEENAGERS BECOME PREGNANT A total of 13,909 girls ages 15-19 became pregnant in 2011. More than one- quarter (3,614) of the pregnancies to girls 19 and under were repeat pregnancies.

14. North Carolina Rates Going Down... Teen pregnancy in North Carolina down 11% in 2010 and 12 % in 2011. 6 fewer teens became pregnant every day in 2011. Trends are in our favor! – 1990: 105.4 per 1000 – 2011: 43.8

15. Healthy Youth Act 2009 Passed by the House and Senate and signed by the Governor June 2009

16. Abstinence Until Marriage Education rewritten as Reproductive Health and Safety Education

17. Grades Covered: 7, 8, and 9

18. Teaching Abstinence from Sexual Activity Positive choice for young people: o expected standard o reasons, skills, strategies o certain means of prevention o mutually faithful, monogamous, heterosexual relationship o positive benefits

19. Teaching Abstinence from Sexual Activity Requires  Opportunities for parent-student interaction  Factually accurate biological information

20. New Amendment Includes o Sexually Transmitted Diseases  Transmission  FDA-approved methods of prevention  Local resources for testing and medical care  Infection among teens and pre-teens  Effects of STDs  Specific effects of HPV

21. New Amendment Includes o FDA-approved contraceptive methods in preventing pregnancy  Safety  Effectiveness

22. Sexual Assault, Sexual Abuse, & Risk Reduction o Focus on healthy relationships o What is sexual assault, sexual abuse o Causes of those behaviors o Risk reduction o Resources and reporting o Misconceptions and stereotypes

23. Materials and Information Age-appropriate Objective Based on peer-reviewed scientific research Accepted by professionals and credentialed experts in field of sexual health education

24. Option to Opt Out Each BOE shall adopt a policy and provide a mechanism for parent or guardian to withdraw his or her child from instruction required under this subdivision.

25. State Board of Education o Will make available to LEAs  State-developed objectives  Approved textbooks  List of reviewed materials

26. Local Boards of Education o Will provide parents/guardians opportunity to review objectives and materials o Parents will be given opportunity to withhold students’ participation

27. Schools Cannot Opt Out Each local school system shall provide comprehensive school health education to meet all the requirements of this subsection and all objectives established by the State Board. Each local board may expand on the subject areas to be included in the program. Must be implemented in 2010-2011.

28. Download from www.futureofsexeducation.orgwww.futureofsexeducation.org First ever!

29. School Health Policies and Program Survey 2006 data from 459 school districts Examined instruction about 14 health topics including HIV Prevention, Pregnancy Prevention and STD Prevention. Gives us a snapshot of time spent on instruction for these three topic areas. For more info - http://www.cdc.gov/HealthyYouth/shpps/index.htm

30. GRADECLASS LENGTH DAYS PER WEEK TOTAL 2 nd Grade 28min229hours 5 th Grade 38min332hours 8 th Grade 45min325hours 12 th Grade 51min551hours SHPPS DATA 2006: HEALTH EDUCATION OVERALL Source: http://www.cdc.gov/HealthyYouth/shpps/index.htm

31. SHPPS DATA 2006: THREE SEXUALITY TOPICS HIVSTDSPREGNANCYTOTAL ELEMENTARY1.1.71.33.1 MIDDLE SCHOOL 1.51.82.76 HIGH SCHOOL2.22.43.58.1 TOTAL4.84.97.517.2 Source: http://www.cdc.gov/HealthyYouth/shpps/index.htm

32. 17.2 hours total!

33. Focus on minimum, essential

34. GOAL OF STANDARDS To provide clear, consistent and straightforward guidance on the essential, minimum core content for sexuality education that is developmentally and age-appropriate for students in grade K-12.

35. A few quick notes about standards What students should know and be able to do Are about what to teach, not how to teach Voluntary Not a curriculum

36. Informing this work… National Health Education Standards Health Education Curriculum Analysis Tool (HECAT) Existing state education standards Common Core State Standards for English Language Arts and Mathematics recently adopted by most states

37. SEVEN TOPICS 1. Anatomy and Physiology 2. Puberty and Adolescent Development 3. Identity 4. Pregnancy and Reproduction 5. Sexually Transmitted Diseases and HIV 6. Healthy Relationships 7. Personal Safety

38. GRADE LEVEL CLUSTERS K-2 3-5 6-8 9-12

39. 50 + National Experts Seven Topics NHES Standards National Sexuality Education Standards GRADE LEVELS: K-2, 3-5, 6-8, 9-12

41. Key to Indicators

44. We mapped the NSES to the NC Essential Standards!

45. What can you do as a…. Teacher Parent School Nurse Administrator Counselor Community Member

46. Contact Information Ellen Essick, Ph.D. Department of Public Instruction, NC Healthy Schools eessick@dpi.nc.gov eessick@dpi.nc.gov Jenny Palmer, MA Adolescent Pregnancy Prevention Campaign of North Carolina jpalmer@appcnc.org jpalmer@appcnc.org