New Health Curriculum Compliance

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)

Youth and Sexual Risk Taking: The Data

NC Youth Risk Behavior Survey 2011

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

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

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

HIV/AIDS and YMSM 54% of new cases of HIV in 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

YMSM of Color 70% of HIV/AIDS diagnosis among youth 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%.

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.

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

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

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

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

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

Abstinence Until Marriage Education rewritten as Reproductive Health and Safety Education

Grades Covered: 7, 8, and 9

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

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

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

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

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

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

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.

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

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

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

Download from First ever!

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 -

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:

SHPPS DATA 2006: THREE SEXUALITY TOPICS HIVSTDSPREGNANCYTOTAL ELEMENTARY MIDDLE SCHOOL HIGH SCHOOL TOTAL Source:

17.2 hours total!

Focus on minimum, essential

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.

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

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

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

GRADE LEVEL CLUSTERS K

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

Key to Indicators

We mapped the NSES to the NC Essential Standards!

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

Contact Information Ellen Essick, Ph.D. Department of Public Instruction, NC Healthy Schools Jenny Palmer, MA Adolescent Pregnancy Prevention Campaign of North Carolina