1. Project Overview In the 2013-2014 school year (SY), the School District of Philadelphia (SDP) was awarded a grant from the Centers for Disease Control and Prevention (CDC) for Cooperative Agreement Program 1308: Promoting Adolescent Health through School-Based HIV/STD Prevention and School-Based Surveillance. It is a five-year program that provides funding for state and local education agencies to help districts and schools implement four approaches to reduce adolescent sexual risk behaviors and adverse health outcomes including HIV, STDs, and teen pregnancy. The four approaches are: Through this initiative, Project ARREST is working to improve sexual health in SDP by focusing on 25 priority schools using a “cadre” of dedicated staff, which includes four part-time AIDS Community Educators (ACEs). Contributors/Stakeholders Implementation/Activities Project ARREST is currently in the second year of its grant cycle. Evaluation measures are collected throughout the year and submitted to the CDC biannually. During the first data collection period (August 2014 – January 2015), ORE staff and the project coordinator conducted a document analysis to assess SDP alignment with measures related to ESHE, SHS, and SSE. The ACEs were each assigned eight of the priority schools and their responsibilities include, but are not limited to: regularly communicating with relevant staff, assessing school needs, developing action plans, and providing assistance in all four approaches. They also collect data for ORE by maintaining binders that contain evaluation logs, surveys, and checklists, which are completed over the course of each data collection period. Outcomes The first data collection period’s document analysis revealed that SDP does not have a written curriculum framework for sexual health education. Resolving this issue will be a primary objective moving forward, along with updating the District’s Health Year at a Glance and Scope & Sequence, which both Outcomes, continued provide an overview of concepts to be covered, for middle and high schools. The ACEs have experienced both successes and barriers in program planning and implementation during their first months at priority schools. They aim to have an action plan completed for each of their schools by the end of the school year. The ACEs have also aided the project coordinator and ORE staff in creating a logic model for ARREST. Figure 1 outlines the short- term, intermediate, and long-term outcomes included in Program 1308’s logic model, developed by the CDC. These outcomes have helped to shape the ARREST logic model, which will not only be conducive to program planning, but will also be useful in guiding evaluation activities. Project ARREST: AIDS Risk Reduction Through Education and Staff Training Contact Information Danielle Raucheisen, Research Assistant Office of Research and Evaluation (p): 215-400-5356 (e): draucheisen@philasd.org Figure 1. Program 1308 Logic Model: Promoting Adolescent Health through School-Based HIV/STD Prevention and School-Based Surveillance ▪ CDC: National Center for HIV, Viral Hepatitis, STD, and TB Prevention – Division of Adolescent and School Health (DASH) ▪ SDP’s Office of Academic Enrichment and Support: Health, Safety, and Physical Education ▪ SDP’s Office of Research and Evaluation (ORE) ▪ AIDS Community Educators ▪ Non-governmental organizations and community partners: Healthy Teen Network, CAI, Gay-Straight Alliance Network, Access Matters, OIC of America, ANSWER, American Red Cross, Mazzoni Center, Rapping About Prevention ▪ Project ARREST priority schools: students and staff 1) Provide exemplary sexual health education (ESHE)2) Increase access to key sexual health services (SHS) 3) Establish safe and supportive environments for students and staff (SSE) 4) Educate decision-makers on policy and implement and track policies related to school-based HIV/STD prevention Short-Term Outcomes ESHE ▪ Increased number of schools that implement ESHE ▪ Increased number of students in grades 7-12 who receive education to prevent HIV and other STD SHS – Increased number of schools that: ▪ Establish linkages with organizations that have an expertise in adolescent SHS ▪ Establish a system to refer students to youth-friendly providers for key SHS ▪ Provide on-site key SHS ▪ Receive reimbursement for eligible services provided on- site SSE – Increased number of schools that: ▪ Prohibit bullying and sexual harassment ▪ Improve parent engagement ▪ Promote school connectedness Policy ▪ Increased number of states and districts that track policy implementation and educate decision makers on policy solutions ▪ Increased number of schools using the School Health Index Short-Term Outcomes ESHE ▪ Increased number of schools that implement ESHE ▪ Increased number of students in grades 7-12 who receive education to prevent HIV and other STD SHS – Increased number of schools that: ▪ Establish linkages with organizations that have an expertise in adolescent SHS ▪ Establish a system to refer students to youth-friendly providers for key SHS ▪ Provide on-site key SHS ▪ Receive reimbursement for eligible services provided on- site SSE – Increased number of schools that: ▪ Prohibit bullying and sexual harassment ▪ Improve parent engagement ▪ Promote school connectedness Policy ▪ Increased number of states and districts that track policy implementation and educate decision makers on policy solutions ▪ Increased number of schools using the School Health Index Intermediate Outcomes ▪ Increased student knowledge and skills to prevent HIV/STD and pregnancy ▪ Improved student attitudes and norms in support of HIV/STD and pregnancy prevention ▪ Improved student access to youth- friendly key SHS delivered ▪ Improved student safety at school ▪ Improved student connectedness to school and supportive adults ▪ Improved student attendance at school ▪ Improved student academic achievement Intermediate Outcomes ▪ Increased student knowledge and skills to prevent HIV/STD and pregnancy ▪ Improved student attitudes and norms in support of HIV/STD and pregnancy prevention ▪ Improved student access to youth- friendly key SHS delivered ▪ Improved student safety at school ▪ Improved student connectedness to school and supportive adults ▪ Improved student attendance at school ▪ Improved student academic achievement 5-Year Outcomes Decreased % of adolescents who: ▪ Have ever had sexual intercourse ▪ Are currently sexually active ▪ Have had sexual intercourse with four or more persons in their lifetime Increased % of sexually active adolescents who: ▪ Use condoms ▪ Use both condoms and hormonal contraception methods ▪ Have been tested for HIV/STD and received treatment after testing positive ▪ Have been tested for pregnancy Increased % of adolescents who are fully immunized for HPV 5-Year Outcomes Decreased % of adolescents who: ▪ Have ever had sexual intercourse ▪ Are currently sexually active ▪ Have had sexual intercourse with four or more persons in their lifetime Increased % of sexually active adolescents who: ▪ Use condoms ▪ Use both condoms and hormonal contraception methods ▪ Have been tested for HIV/STD and received treatment after testing positive ▪ Have been tested for pregnancy Increased % of adolescents who are fully immunized for HPV Adapted from “Funding Opportunity Announcement PS-13-1308: Promoting Adolescent Health Through School-Based HIV/ATD Prevention and School-Based Surveillance,” by the Centers for Disease Control and Prevention, pp. 7-8. Adapted with permission.