Healthy Learners: Building a Legacy in NC Susanne Schmal November 1, 2017

Division of Adolescent and School Health Mission: To promote environments where teens can gain fundamental health knowledge and skills, establish healthy behaviors for a lifetime, connect to health services, and avoid HIV, STD, and pregnancy.

CDC DASH Funding RFA-1308: Promoting Adolescent Health Through School-Based HIV/STD Prevention and School-Based Surveillance Funding for 18 States Funding Period: August 2013 – July 2018

Approaches Exemplary Sexual Health Education (Curricula) Access to Sexual Health Services (e.g., referral system with community partners with expertise in adolescent SHS) Safe and Supportive Environments (e.g., bullying prevention programs and GSAs) Education Decision-Makers/Policy (e.g., maintaining SHACs)

Surveillance School Health Profiles (even years) Youth Risk Behavior Survey (YRBS) (odd years)

NC Healthy Schools Districts Alleghany * Ashe Rockingham Vance * Northampton Gates Currituck * Surry Camden Stokes Caswell Granville Warren Person Halifax Hertford Pasquotank Watauga Wilkes * Perquimans Yadkin Alamance Chowan Mitchell Avery Forsyth Guilford Orange Franklin Bertie Caldwell * Alexander * Nash Yancey Davie Durham Madison Edgecombe Tyrrell Iredell Davidson * Burke Wake Martin *Washington Dare Randolph Wilson Buncombe McDowell Catawba Rowan Chatham Pitt Beaufort Swain Haywood Lincoln Johnston Hyde Rutherford Cabarrus Lee Greene Montgomery Graham Henderson Harnett Wayne Jackson Polk Gaston Transylvania Cleveland Stanly Moore Mecklenburg Lenoir Craven Cherokee Macon * * Cumberland Pamlico Clay Anson *Richmond * Hoke Sampson Jones Union Duplin * Onslow Scotland Carteret Title V Abstinence Education Grant Program (AEGP) Funding (20 LEAs) Robeson Bladen Pender Columbus 1308 / DASH HIV Priority Districts (7 LEAs) New Hanover Brunswick Title V and 1308 (8 LEAs) * WSCC Pilot Districts (11 LEAs) Note: Thomasville City is LEA for 1308 and WSCC, not all of Davidson Updated Sept 2017

Trends in Sexual Activity Among US/NC Teens, YRBS, 1991-2015* These are results from the National Youth Risk Behavior Surveys, 1991-2015. This slide shows percentages from 1991 through 2015 for high school students who ever had sexual intercourse. The percentage for 1991 is 54.1. The percentage for 1993 is 53.0. The percentage for 1995 is 53.1. The percentage for 1997 is 48.4. The percentage for 1999 is 49.9. The percentage for 2001 is 45.6. The percentage for 2003 is 46.7. The percentage for 2005 is 46.8. The percentage for 2007 is 47.8. The percentage for 2009 is 46.0. The percentage for 2011 is 47.4. The percentage for 2013 is 46.8. The percentage for 2015 is 41.2. Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). For this behavior, based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05), the prevalence decreased from 1991 to 2015. National YRBS, 1991-2015 & NC YRBS, 2003-2015

Chlamydia Cases by Gender North Carolina, 2007-2016 58,078 Data Source: North Carolina Electronic Disease Surveillance System (data as of May 1, 2017).

Age Distribution of Chlamydia Cases by Gender, 2016 Data Source: North Carolina Electronic Disease Surveillance System (data as of May 1, 2017)

Gonorrhea Cases by Gender North Carolina, 2007-2016 Data Source: North Carolina Electronic Disease Surveillance System (data as of May 1, 2017)

Age distribution of Gonorrhea Cases by Gender North Carolina, 2016 Data Source: North Carolina Electronic Disease Surveillance System (data as of May 1, 2017)

Age Distribution of Newly Diagnosed Adult/Adolescents (13 years and older) HIV by Gender in North Carolina, 2007 Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2017).

Age Distribution of Newly Diagnosed Adult/Adolescents (13 years and older) HIV by Gender in North Carolina, 2016 Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2017).

Age Distribution of Acute HBV Cases by Gender, North Carolina, 2016 Between 2010 and 2016, there was a four fold increase in the number of acute cases of hepatitis C reported in North Carolina. During this time frame, there is also a marked increase in acute hepatitis B cases reported in North Carolina. Drug use is the main factor cited in both acute HBV and HCV cases reported. CDC Vulnerability Study identified five counties at high risk for outbreak in North Carolina NC estimates that there are upwards of 150,000 HCV-infected persons living in North Carolina. Data Source: North Carolina Electronic Disease Surveillance System (NC EDSS) (data as of June 1, 2017).

Resources NC Resources National Resources

Governor Cooper

NC School Health Training Center www.ncshtc.ecu.edu

Successfully Teaching Health Nov 8th Gaston Co Schools

Exploring the Wiki: K – 12 Resources http://hlnces. ncdpi. wikispaces Elementary Health Strands Bullying Prevention Resources Puberty Lessons Human Trafficking And More! What are the 5 elementary Health strands? (MEH; PCH; ICR; NPA; ATOD) What book can you use to read aloud in 4th grade to teach about getting help for bullying as part of the Elementary Health Lesson Plans? (Say Something) What book can you use to read aloud in K grade to teach about bullying, teasing, aggressive behaviors and how to respond? (ONE) What ELA objective does it align with? (ELA RTL K3 With prompting and support, identify characters, settings, and major events in a story What is one of the 8 healthy and unhealthy practices during puberty (as outlined in a lesson plan for 5th grade ICR 2.2 )? https://drive.google.com/drive/folders/0B-xPaKLBg9rwfmVZSXQ0dnRENnpFLXlsczdobnlqV2R5OWhTWW5JVUE2Sk83MzhhbU03Y28

Updated Wiki Coming Soon! Curricula Training Resources Local Examples

Questions for You Group resources by grades? Cross-over resources? Other recommendations? Elementary, 4-5 Middle, 6-8 High School

CDC DASH https://www.cdc.gov/healthyyouth/index.htm Prorgam tools – Developing a Scope and Sequence SHI updated to align with WSCC Health and Academics

CDC Healthy Schools https://www.cdc.gov/healthyschools/index.htm https://www.cdc.gov/features/virtual-healthy-school/index.html

Advocates for Youth http://www.advocatesforyouth.org/

Supporting LGBTQ Students Welcoming Schools How to Be an Ally Supporting Transgender Students ally ally

School Violence Prevention SB 526 (passed 2009) Bullying or harassing behavior includes, but is not limited to, acts reasonably perceived as being motivated by any actual or perceived differentiating characteristic, such as race, color, religion, ancestry, national origin, gender, socioeconomic status, academic status, gender identity, physical appearance, sexual orientation, or mental, physical, developmental, or sensory disability, or by association with a person who has or is perceived to have one or more of these characteristics.

2x to 5x Higher for GLB Students in NC Been the victim of teasing or name calling because someone thought they were gay, lesbian, or bisexual during the past 12 months 5x Higher 3x Higher 2x Higher Bullied on school property during the past 12 months Electronically bullied during the past 12 months Source: 2015 NC YRBS

Suicidal Behaviors – 2015 NC High School Students Seriously considered attempting suicide during past 12 months Made a plan for suicide attempt during past 12 months Made a suicide attempt during the past 12 months that resulted in an injury needing treatment by a medical professional Source: 2015 NC YRBS

Collaborative Position Ariana Goswick Supportive Schools Coordinator

Ally Trainers

Ally Video Update

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Discussion WHY? HOW? WH0? WHAT? WHERE? WHEN?

Susanne Schmal, MPH NC Healthy Schools Susanne. Schmal@dpi. nc Susanne Schmal, MPH NC Healthy Schools Susanne.Schmal@dpi.nc.gov 919-807-3867 Contact Information