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

2. 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.

3. 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

4. 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)

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

6. 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

7. Trends in Sexual Activity Among US/NC Teens, YRBS, 1991-2015*
These are results from the National Youth Risk Behavior Surveys, This slide shows percentages from 1991 through 2015 for high school students who ever had sexual intercourse.
The percentage for 1991 is The percentage for 1993 is The percentage for 1995 is The percentage for 1997 is The percentage for 1999 is The percentage for 2001 is The percentage for 2003 is The percentage for 2005 is The percentage for 2007 is The percentage for 2009 is The percentage for 2011 is The percentage for 2013 is 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, & NC YRBS,

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

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

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

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

12. 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).

13. 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).

14. 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).

15. Resources
NC Resources
National Resources

16. Governor Cooper

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

18. Successfully Teaching Health
Nov 8th Gaston Co Schools

19. 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 )?

20. Updated Wiki
Coming Soon!
Curricula
Training
Resources
Local Examples

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

22. 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

23. CDC Healthy Schools https://www.cdc.gov/healthyschools/index.htm

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

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

26. 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.

27. 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

28. 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

29. Collaborative Position
Ariana Goswick
Supportive Schools Coordinator

30. Ally Trainers

31. Ally Video Update

32. @DPIWellness
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33. Discussion
WHY?
HOW?
WH0?
WHAT?
WHERE?
WHEN?

34. Susanne Schmal, MPH NC Healthy Schools Susanne. Schmal@dpi. nc
Susanne Schmal, MPH NC Healthy Schools
Contact Information