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Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
Big decisions 2010 overview
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Big decisions 2010 overview

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  • Rates are cases per 1,000
  • Rates are cases per 100,000
  • Transcript

    • 1. BIG DECISIONS Created by Dr. Janet P. Realini Presented by Brazos Area Health Education Center
    • 2. WHAT IS BIG DECISIONS?
      • Big Decisions is a program developed by Dr. Janet P. Realini M.D., M.P.H., a doctor at University of Texas Health Science Center of San Antonio, who realized the importance of an effective abstinence plus program for today’s youth.
    • 3. PROGRAM OVERVIEW
      • Big Decisions is designed for adolescents grade 8-12 (and sometimes 7 th grade) and its purpose is “to help young people make healthy and informed decisions about sex” (Big Decisions)
    • 4. PROGRAMS KEY MESSAGES
      • Having Sex is a BIG DECISION
      • ABSTINECE is the healthiest choice
      • Teens who have sex must TAKE ACTION
        • Use CONDOMS correctly and EVERY TIME
        • GET TESTED for STD’S
    • 5. TEXAS REQUIREMENTS
      • Big Decisions meets the Texas Educational code requirements for sex education in public schools.
        • Presents abstinence as the preferred choice for unmarried persons of school age;
        • Emphasizes that abstinence is the only method that is 100% effective in preventing pregnancy, STDs and HIV/AIDS, and the emotional trauma associated with adolescent sexual activity
    • 6. WHY DO WE NEED BIG DECISIONS?
      • Almost half of US teens have sex
      • Over half have had oral sex
      • STD transmission rates are up
      • According to the CDC, Texas is ranked 3 rd for highest teen birth rates in the country with 63.1 per 1,000 teens.
    • 7. WHERE IS BIG DECISIONS USED?
      • San Antonio ISD
      • Northeast ISD ( San Antonio )
      • Hays Consolidated ISD
      • Brackett ISD
      • Edcouch Elsa ISD
      • Communities in Schools in various Houston and Austin ISDs.
      • Faith-Based organizations in McLennan County
      • McLennan County School
    • 8. CDC National Vital Statistics Report Births Final Data for 2006 Jan. 7, 2009 Figure 5. Percent change in birth rate for teenagers 15-19 2005 and 2006
    • 9. FIGURE 3. CHLAMYDIA — RATES BY STATE: UNITED STATES AND OUTLYING AREAS, 2008 Center for Disease Control and Prevention STD Surveillance Report 2008
    • 10. FIGURE 16. GONORRHEA — RATES BY STATE: UNITED STATES AND OUTLYING AREAS, 2008 Center for Disease Control and Prevention STD Surveillance Report 2008
    • 11. TEXAS IS RANKED 3RD IN TEEN BIRTH RATES WITH A RATE OF 63.1 Texas Department of State Health Services 2006 What about your county? County Total Births Birth rate Bell 733 84.1 Bosque 29 45.1 Brazos 298 30.8 Burleson 32 46.0 Coryell 130 50.7 Ellis 299 51.5 Falls 37 57.5 Hamilton 18 64.1 Hill 83 67.6 Hood 87 51.8 Johnson 325 53.3 Lampasas 40 51.2 Limestone 50 66.8 McLennan 585 62.3 Milam 50 53.8 Navarro 125 71.7 Robertson 41 65.9 Somervell 12 37.5
    • 12. RATES OF MOST COMMON SEXUALLY TRANSMITTED DISEASES Texas Department of State Health Services HIV/STD Surveillance Report 2008 What about your county? County Chlamydia Gonorrhea State of TX 408.2 130.6 Bell 1,201.5 455.4 Bosque 183.6 81.0 Brazos 455.0 211.6 Burleson 221.8 86.6 Coryell 300.8 87.8 Ellis 265.6 82.6 Falls 476.9 206.7 Hamilton 190.3 0.0 Hill 329.4 91.3 Hood 163.2 10.0 Johnson 166.3 37.7 Lampasas 153.3 35.0 Limestone 325.7 167.1 McLennan 578.6 250.2 Milam 372.8 125.5 Navarro 520.6 192.8 Robertson 337.3 159.8 Somervell 188.4 11.8
    • 13. PROCESS
      • Parent Preview
      • 1 st class has pretest of knowledge and attitudes along with setting ground rules
      • 1 hour class sessions
        • Includes worksheets
        • Role playing
        • Hands-on activities
      • Last class is wrap up and post test
    • 14. TOPICS:
      • Rules of the Game (Pre test and setting ground rules)
      • Anatomy and Reproduction
      • Relationship and Romance
      • Sexually Transmitted Diseases
      • Abstinence
      • Contraception
      • Influences
      • Goals and Dreams
      • Dealing with Pressure
      • Evaluation (Wrap up and Post Tests)
    • 15. RULES OF THE GAME: FORMING A RESPECTFUL GROUP
      • Fill out the PRE-TEST materials
      • Overview of the curriculum
      • Identify RESPECT as a key value of the group
      • Develop ground rules for the group
    • 16. ANATOMY AND REPRODUCTION: HOW IT WORKS
      • Identify the names and functions of the male and female body parts
      • Review how pregnancy happens
      • Evaluate statements about reproduction to determine if they are true or false
    • 17. RELATIONSHIPS AND ROMANCE: WHAT IS HEALTHY? WHAT IS I LOVE?
      • Identify characteristics of healthy and unhealthy relationships
      • Consider how having sex can cause problems in the teen relationships
      • Learn how physical attraction (lust) and crushes (infatuation) are different from mature love
    • 18. SEXUALLY TRANSMITTED DISEASES (INCLUDING HIV/AIDS)
      • Increase knowledge of the common STDs, their symptoms, and possible consequences
      • Identify ways to avoid getting and spreading STDs
      • Recognize that abstinence is the most effective way to avoid STDs
      • Learn that teens who have had sex should get tested for STDs
    • 19. ABSTINENCE: WHY SHOULD I WAIT?
      • Define what is meant by “”abstinence” and “sex”
      • List the advantages of abstinence for teens
      • Learn that teens who choose to wait deserve respect
      • State the most important reason (s) to wait
    • 20. CONTRACEPTION: PREVENTING PREGNANCY
      • Learn that babies and families are healthier when new parents are over age 20
      • Evaluate commonly used contraceptive methods (including ABSTINENCE) for effectiveness in preventing pregnancy (and STDs)
      • Recognize that abstinence is the healthiest choice
      • Understand that sexually active people must take action to avoid pregnancy (and STDs)
    • 21. INFLUENCE: FRIENDS, CULTURE, THE MEDIA, AND SEX
      • Define “”Influence and list things that influence young people about sex
      • Describe some positive influences of your culture
      • Identify examples of influence from the media, and classify them as positive or negative
      • Describe how to resist negative influences about sex
    • 22. GOALS AND DREAMS: MY DECISION
      • Visualize their GOALS and DREAMS from the future
      • Understand how a teen pregnancy or HIV/STD can affect achieving their GOALS and DREAMS
      • Personalize the risks of pregnancy and HIV/STD
      • Make their own personal DECISION to prevent pregnancy and STDs
    • 23. DEALING WITH SEXUAL PRESSURE: THE POWER TO SAY NO!
      • Learn that it is never OK to pressure someone for sex, and that everyone has the right to say “no”
      • Consider how to avoid getting into pressure situations
      • Consider effective ways to say “no” when pressured for sex
      • Practice saying no in pressure situations
    • 24. WRAP-UP AND EVALUATION: HOW DID WE DO?
      • Reinforce key messages and experiences of the sessions
      • Have an opportunity to ask questions
      • Give feedback about what you learned and liked, and how you would improve BIG DECISIONS ™
    • 25. PARENT SESSION
      • Describe what helps young people make healthy decisions about sex
      • View an overview of the BIG DECISIONS™ curriculum
      • Learn what parents can do to help their children make healthy
      • decisions about sex
      • Practice talking effectively with their children about sex
    • 26. BIG DECISIONS™
      • www.bigdecisions.org
    • 27. CONTACT INFORMATION
      • Maria Solano
      • Program Coordinator/CHW
      • P: 254-753-4392 Ext. 11
      • E: msolano@bahec.org
      • Jill Clements
      • Center Director
      • P: 254-753-4392 Ext. 13
      • E: jclements@bahec.org

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