1. Planned Parenthood Columbia Willamette A Leader in Reproductive and Sexual Health Services in Oregon and Southwest Washington since 1963

2. Planned Parenthood Columbia Willamette To provide, promote, and protect access to sexual and reproductive health care. Three Arms of PPCW: Patient Services (Provide) Education and Training (Promote) Public Affairs (Protect)

3. Who are we? Almost 200 Staff and 300 Volunteers Serving two counties in Washington and thirty counties in Oregon Serving 60,000 patients a year 15,000 young people reached by our peer education programs last year

4. Who We Serve

5. PPCW Education Department Our Mission is to foster healthy sexual attitudes in youth through family and community education.

6. PPCW Education Department Provide training for youth, families, and service providers. Only use evaluated science-based sexuality education curriculums. Classroom based education programs are designed to be culturally sensitive, medically accurate, age-appropriate, and in alignment with Oregon’s Health Education Standards. All materials are available in English and Spanish.

7. Our Goals Reduce Sexually Transmitted Diseases –About 1 in 4 people contract an STD before the age of 21. –The largest proportion of AIDS cases in the United States occurs among people infected with HIV in their teens or 20’s. Reduce unintended teenage pregnancies –In 2003, 62% of teenagers had engaged in sexual intercourse by their senior year of high school. –The teenage pregnancy rate increased by 3% in 2005-2006. This is the first increase in 15 years.

8. education programs youth Teen Council Peer Education Program The SiHLe Portland Project Parent Child Communication

9. Reason Why Peer Education? Research has shown that people (particularly teens) are influenced by their peers and that information coming from peers is highly valued Young people become advocates within their own communities, are able to reach youth that are not reached by conventional education programs

10. …introducing The Teen Council Peer Education Program Goal To help our community’s youth establish lifelong, healthy attitudes and behaviors regarding reproductive and sexual health.

11. Teen Council Teen Council Program Growth 2004- 2005 2004- 2005 2005- 2006 2006- 2007 2007- 2008 2008- 2009 Teen Council Sites33534 Teen Council Peer Educators2432462641 Schools/Community Organizations Represented by Peer Educators 1314231413 Youth Reached by Peer Educators1,05310,80315,37510,06415,719

12. how to make teen council happen Recruit and select diverse groups of teens Teen and Parent Orientation Nights Summer Retreat Train and guide the TC members Deliver the MPC curriculum to groups of youth Implement Special Projects and Events Evaluate TC outcomes & process 1.3.5.7.2.4.6.

13. 2009-2010 Program Calendar Teen and Parent Orientation 2 day Retreat August 24 th & 25th September 14 th – December 18 th weekly 2 hour meetings January 4 th –June 7 th weekly 2 hour meetings

14. Program Training STD/HIV Prevention Healthy Relationships Ambassador Training Decision Making and Negotiation Skills Anatomy and Physiology Self-esteem Communication Skills Teen Pregnancy Prevention

15. Program Training Family & Community Connection Community and Diversity Values Leadership and Public Speaking

16. Making Proud Choices Curriculum MPC INTERVENTION 6 one hour sessions that address each risk and protective factors listed SEXUAL HEALTH RISK FACTORS Increase knowledge of HIV/STDs and contraception Increase the belief that using condoms can prevent pregnancy, STDs, and HIV Increase perceived risk of becoming infected with an STD if sexually active and not using a condom Increased self efficacy and skills to delay sexual activity or refuse unwanted sex Increased self efficacy and skills to use condoms and contraception Increase comfort talking with partner, peers and adults about sex, condoms or contraception HEALTH BEHAVIORS Delay initiation of sex Increase use of condoms Increase use of contraception HEALTH GOALS Reduce unplanned teen pregnancy and STDs/HIV rates among youth ages 14-18 in schools and community based programs in PPCW’s Service Area

17. Let’s Try it out… Transmission Game Condom Line Up © 2008 Planned Parenthood® Columbia Willamette, Inc.

18. outreach: world AIDS day

19. measuring success toolbox observation autobiography /journaling weekly reporting by TC outreach evaluation form focus groups/community forums document/art/ photo collection Quantitative & Qualitative surveys for MPC participants

20. What were the results? Did it Work? Objective FY 2005FY 2006FY 2007 To improve teens’ knowledge of: Condoms→↑↑ STD’s/HIV↑↑↓ Birth Control→↑↑ To improve teens’ likelihood of using a condom if they choose to be sexually active Perceived risk of STD if not using condom  →↑ Positive beliefs about abstinence→  → Positive beliefs about condoms↑  ↑ To improve teens’ comfort in talking with others about reproductive and sexual health: Talking with peers  →→ Talking with family and other adults↑↑↑ To increase teens’ likelihood and self-efficacy of talking with their partners about: Remaining abstinent↑↑→ Condom use→↑→ To improve teens’ likelihood of seeking services at Planned Parenthood Percentage of teens more likely to seek servicesn/a44%62%

21. Impact of Teen Council “Domino Effect”  36% of youth considered the information and materials received from Peer Educators (PE) to be “fairly new” or “totally new.”  88% of youth were “definitely more likely” or “most likely” to use a condom if sexually active, as a result of their interaction with PE  81% of youth were “more likely” or “somewhat likely” to talk with a boyfriend/girlfriend about safer sex  On average, youth talked about sex with 2.8 peers and 1.7 adults since their interaction with a PE.

22. Service Commitment Teen Council Members commit to: Attend retreat and all meetings and trainings. Arrive at each meeting or training on time and physically and mentally prepared. Serve as a resource for my peers and community. Fulfill obligations to school and family. Fulfill obligations for the projects we commit to. Complete all necessary paperwork related to our project Represent myself and other teens in order to develop and provide great health education. Treat myself and my peers with respect and honor everyone’s time and contribution. Value myself as an equal partner in program development.

23. Service Commitment In return for this, Teen Council Coordinator’s commits to: Lead the retreat and the meetings and trainings in ways that are creative, fun and real. Arrive at each meeting or training early and physically and mentally prepared to train you Answer questions as honestly as possible. Support you in prioritizing school, family and self-care commitments. Provide you with safe and challenging opportunities for growth. Treat you with respect and honor your time and contribution. Value you as an equal partner in program development.

24. © 2008 Planned Parenthood® Columbia Willamette, Inc. Lessons Learned When to start recruitment Youth Engagement Resources needed for youth development programming Building Community Capacity through referral

25. Questions? Comments? Thoughts? Concerns?

26. Teen Resources TakeCareDownThere.org TeenWire.com Sexetc.org