This counseling tool has been developed by the American Academy of Nurse PractitionersROADMAP TOTEEN HEALTH               ...
Table of Contents andKey Takeaways        Healthcare Provider: Please use this table of contents to determine             ...
the Leading risks to teen Health           Unhealthy diet         physical inactivity       accidents and injuries        ...
tips to Help you Stay Healthy•   Eat a healthy diet•   Maintain a healthy body weight•   Be active 30 to 60 minutes each d...
Healthy Body Weight A healthy body weight is based your: • Age                               • Weight • Height            ...
What is a Healthy diet?                         the eatwell plate                   Use the eatwell plate to help you get ...
the Benefits of Healthy EatingHealthy eating helps you…• Stay at your best body weight• Think more clearly• Feel good abou...
tips to Help you Eat a      Healthy diet• Eat regular meals, starting with breakfast• Eat healthy snacks in between meals•...
How to read Food Nutrition Labels               7
tips for Healthy Weight Loss• Set a weight loss goal with        • Make healthy choices when  your health care provider   ...
the Benefits of regularphysical activityBeing active helps you:• Reach and stay at your       • Improve the way you look  ...
planning for regular physical activity • Stretch and warm-up first • Cross-train to develop different parts of your body: ...
tips to Help you Start and      Stay physically active• Set specific, realistic goals• Make a contract with yourself or an...
tips to Stay Safe during      physical activity• Use the right kind of safety equipment for your sport  such as:  4 The ri...
tips for year-round      Skin protection• Try to stay out of the sun from 10 AM to 4 PM• Wear long sleeves and long pants•...
Health Benefits of Sleep for teensgetting enough sleep helps you…• Improve your performance  in school• Listen, learn, thi...
Why teens Need immunizations• Shots are not just for little kids• Teens need vaccines or immunizations to “boost” the ones...
recommended immunizationsfor teens 11 to 18 years                                                        agE        vaCCiN...
Why are immunizationsimportant to your Health?tetanus: A bacterial infection that causes stiffness of the jaw and other mu...
Why are immunizationsimportant to your Health?pneumonia (high risk teens only): Inflammation of the lungs caused by a viru...
tips to Help you Stay Safe• Always wear a seat belt when driving or riding in a car• Always wear a helmet when you ride yo...
tips to Keep you from        Being Hurt by others• If you feel that you someone is trying to hurt you,  try to get to a sa...
What to Consider if you’rethinking about Having SexHaving sex can…• Lead to pregnancy• Cause feelings or emotional reactio...
tips to Safer Sex if        you Choose to Have Sexremember:  4 Not having sex is always a choice  4 You can still show car...
tobacco Health Effects• Causes addiction                                              • Hurts your lungs and can• Makes yo...
Smokeless tobacco• Smokeless tobacco (also called spit tobacco,  chewing tobacco, chew, and dip) has 2 forms  4 Snuff  4 C...
tips to Help you       Quit Using tobacco• Get a check-up and set a         • Remember the withdrawal  date with your heal...
What is Second-Hand Smoke?• Second-hand smoke is:  4 Smoke that is exhaled by a smoker  4 Smoke that comes from the end of...
Short- and Long-term Effectsof drugs and alcohol• Confused thinking and             • Alcohol poisoning,  memory loss     ...
tips to avoid Using      drugs and alcohol• Say no with or without an explanation or reason• Say no and ‘blame’ an adult f...
tips to Stop Using      alcohol and drugs• Learn more about the         • Stay away from people,  harmful effects of alcoh...
Eating disordersEating disorders can cause:• Heart disease including an abnormal heart rate and heart failure• Low red blo...
Signs of mental orEmotional problemsFeelings . . .• Sad or hopeless for no reason• Irritable or angry• Crying a lot• Anxio...
getting Help for a mental orEmotional problem• Talk with your parents(s)/guardian, or another trusted    adult•   See your...
Signs of an Unsafe relationshipyou may be in an unsafe relationship if:• You feel afraid of your       • Your partner phys...
tips to Have       Safe relationships• Get to know a person first        • Make sure you can get    before becoming close ...
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Roadmap To Teen Health Flipchart

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Roadmap To Teen Health Flipchart

  1. 1. This counseling tool has been developed by the American Academy of Nurse PractitionersROADMAP TOTEEN HEALTH Supported by an educational grant from Merck
  2. 2. Table of Contents andKey Takeaways Healthcare Provider: Please use this table of contents to determine which sections of this educational tool to share with your patient and their parent(s)/guardian. THE LEADING RISKS TO TEEN HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 HEALTHY BODY WEIGHT AND HEALTHY EATING . . . . . . . . . . . . . . . . . . . . . 2 PHYSICAL ACTIVITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 PROTECTION FOR YOUR SKIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 SLEEP AND TEENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 IMMUNIZATIONS FOR TEENS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 TEEN SAFETY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 SEXUAL HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 TOBACCO USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 ALCOHOL AND DRUG USE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 MENTAL AND EMOTIONAL HEALTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
  3. 3. the Leading risks to teen Health Unhealthy diet physical inactivity accidents and injuries injury from others tobacco product use alcohol or drug use 1
  4. 4. tips to Help you Stay Healthy• Eat a healthy diet• Maintain a healthy body weight• Be active 30 to 60 minutes each day• Don’t use any kind of tobacco products• Avoid secondhand smoke• Don’t drive if you have been drinking or using drugs• Don’t text or use a cell phone when driving• Don’t use drugs or alcohol• Don’t ride with drivers who are distracted, have been drinking, or using drugs• Always wear your seatbelt• Use the right safety equipment for activities• Remember: the “safest” sex is no sex• If you choose to have sex, practice safe sex• Avoid people and places where you might be hurt• Talk with a trusted adult if you feel sad, upset, or depressed• Stay up to date on your immunizations 2
  5. 5. Healthy Body Weight A healthy body weight is based your: • Age • Weight • Height • Sex Your body mass index (BMI) is a number based on your height and weight that indicates your amount of body fat and helps screen for weight categories that may lead to health problems. 100 95 oBESE 90 ovErWEigHt 85 80 75 70 p E r C E N t i L E 65 60 55 50 45 BESt Body WEigHt 40 35 30 25 20 15 10 5 0 UNdErWEigHt 3
  6. 6. What is a Healthy diet? the eatwell plate Use the eatwell plate to help you get the balance right. It shows how much of what you eat should come from each food group. Vegetables Grains & Fruits Protein Dairy Food & Drinks high in fat and/or sugarA healthy diet is balanced with all kinds of foods in the following groups: Food groUp SErviNgS pEr day Grains (whole grain breads, cereals, rice, pasta) 6 to 11 Vegetables and fruits 5 to 9 Protein (meat, tofu, beans) 2 to 3 Dairy (milk, yogurt, cheese) 2 to 3 Fat—daily fat intake 25% to 35% total calories per day • Less than 10% from saturated fat and no trans fats 4
  7. 7. the Benefits of Healthy EatingHealthy eating helps you…• Stay at your best body weight• Think more clearly• Feel good about yourself• Have healthier hair, nails, and skin• Have more energy and feel stronger• Improve your sleep• Lower your chance of illnesses such as: 4 Cancer 4 Diabetes 4 Heart disease 4 High blood pressure 4 Stroke 5
  8. 8. tips to Help you Eat a Healthy diet• Eat regular meals, starting with breakfast• Eat healthy snacks in between meals• Eat at least 5 fruits and vegetables each day• Watch the size of food portions• Eat only when you feel hungry• Stop eating when you feel full• Drink at least 8 glasses (8 ounces each) of water each day• Read and understand food nutrition labels• Make healthy choices when eating out• Limit amount of fast foods, soda, desserts, and junk foods Ca L o riC iN taKE CH art ACTIVITY LEVEL* FEMALES MALES Low 1800 calories 2200 calories Medium 2000 calories 2400 to 2800 calories High 2400 calories 3000 calories 6
  9. 9. How to read Food Nutrition Labels 7
  10. 10. tips for Healthy Weight Loss• Set a weight loss goal with • Make healthy choices when your health care provider eating out• Try for slow weight loss, • Don’t deprive yourself of about 1 to 2 pounds your favorite foods per week • Limit amount of fast foods,• Choose healthy foods soda, desserts, and• Eat meals on a smaller plate junk foods• Don’t skip meals or wait • Keep a food diary and too long between meals write down what, how much, and when you eat• Eat more salads, veggies, and fruit • Be active 30 to 60 minutes each day• Eat slowly and chew well • Limit the time you spend on• Drink at least 8 glasses the computer of water each day • Limit your time spent on• Watch the size of food video games, the phone, portions and watching TV• Read and understand food nutrition labels 8
  11. 11. the Benefits of regularphysical activityBeing active helps you:• Reach and stay at your • Improve the way you look best body weight • Lower your chance of• Help you think clearly illnesses such as:• Improve your strength, 4 Cancer endurance, and energy 4 Diabetes• Help you feel positive 4 Heart disease• Improve your sleep 4 High blood pressure• Lower your chances 4 Stroke of injuries 9
  12. 12. planning for regular physical activity • Stretch and warm-up first • Cross-train to develop different parts of your body: 4 Strength-train 3 times per week with 1 day of rest in between • Focus on major muscle groups in your upper body, core, and legs 4 Stay flexible by doing yoga, Pilates, or T’ai chi 4 Increase your heart rate by doing aerobic activities (dancing, walking, running, cycling, swimming, basketball, soccer, etc.) • Stretch and cool down • Find activities you can do at home that are on TV, videos or the Internet • Pick activities you enjoy doing by yourself • Pick activities that you can do with your family and friends tEam SportS iNdividUaL aCtivitiESSuch as baseball, football, Such as bicycling, running,basketball, hockey, soccer, or swimming, and walking may:cheerleading may: • Make you feel independent• Help you make new friends and • Be easier to fit into your spend time with them schedule• Help you feel part of a group with • Allow you to set your own goals a shared goal • Give you some fun time on your• Have fun playing with others for a own shared goal 10
  13. 13. tips to Help you Start and Stay physically active• Set specific, realistic goals• Make a contract with yourself or another person• Start with small steps and take it slow• Keep an activity log and write down each activity you do and how long• Give yourself time for being active to become a habit• Mix-it-up by doing strength, aerobic, stretching, and flexibility activities• If you stop for a while, remember you can start again• Write down your progress as you become stronger, work out longer, more often, and feel more healthy• Ask for support from family and friends 11
  14. 14. tips to Stay Safe during physical activity• Use the right kind of safety equipment for your sport such as: 4 The right kind of helmet for cycling, skating, skateboarding, or contact sports 4 Eye protection for soccer, basketball, racquetball, and snow sports 4 A face guard for football, hockey, and baseball 4 A mouth guard for contact sports 4 Wrist, knee, elbow, and shin guards for inline skating, scooters, and skateboarding 4 Wear sunscreen and sunglasses when outside 4 Males should wear a protective cup to protect their testicles• Wear the right kind of shoes, fitted correctly, and tied• Take 10 to 15 minutes to warm up• Drink plenty of water before, during, and after being active• Know and follow the rules of the game in team sports• Stick to a regular practice schedule• Rest between workouts• Don’t work out when sick or injured 12
  15. 15. tips for year-round Skin protection• Try to stay out of the sun from 10 AM to 4 PM• Wear long sleeves and long pants• Wear a hat with a wide brim• Use sunscreens with SFP 30 or higher• Put on 2 coats of sunscreen, 20 minutes apart, at least 30 minutes before going outside• Re-apply sunscreen every 1 to 2 hours• Wear sunglasses with UVA and UVB light-absorbing lenses• Never use tanning beds 13
  16. 16. Health Benefits of Sleep for teensgetting enough sleep helps you…• Improve your performance in school• Listen, learn, think, and solve problems• Have healthier skin• Stick to a healthy diet• Feel better physically and mentally• Lowers your chances of getting sick tipS For HEaLtHy SLEEp dos do N’ ts• Go to bed around the same time • Drink or eat any foods with caffeine each night late in the day• Get up at the same time each • Eat, drink, or exercise just before morning you go to bed• Avoid bright light in the late evening • Use tobacco or drink alcohol• Turn off your computer, TV, and • Start stimulating activities phone before bedtime (study, texting,• Make sure your bedroom is quiet, conversations) dark, and relaxing • Change your sleep pattern more• Pick relaxing activities (reading or than 2 to 3 hours on weekends warm shower) before bedtime 14
  17. 17. Why teens Need immunizations• Shots are not just for little kids• Teens need vaccines or immunizations to “boost” the ones they received as children• Teens also need vaccines to avoid infections that are problems that occur in the teen years• If you missed your pre-teen immunizations, you need to “catch-up”• There are many serious diseases that are prevented by vaccines• Vaccines are safe• Teens should keep a copy of their immunization record and know when their next shots are due. 15
  18. 18. recommended immunizationsfor teens 11 to 18 years agE vaCCiNE 11 to 12 13 to 18Tetanus,diphtheria, 1 dose for catch-up 1 dosepertussis if needed 3 doses for catch-upHPV 3 doses if neededMeningitis 1 dose for catch-up 1 doseMeningococcal if neededInfluenza 1 dose each year 1 dose each yearPneumonia Certain high-risk groups Certain high risk groupsPneumococcal 2 doses 2 dosesHepatitis A for high-risk groups for catch-up if needed 3 doses for catch-up regardless 3 doses for catch-upHepatitis B of risk (or 2 doses of adult regardless of risk (or 2 doses vaccine ages 11-15) of adult vaccine ages 11-15) 2 doses for catch-upMeasles, mumps, rubella Catch-up if needed if needed Series for catch-upChickenpox (varicella) 2 doses if needed 16
  19. 19. Why are immunizationsimportant to your Health?tetanus: A bacterial infection that causes stiffness of the jaw and other musclesthat can cause:• Painful muscle spasms• DeathHpv (Human papilloma virus): A virus that causes genital warts, the most commonsexually transmitted infection (STI) that can cause:• Cervical cancer• Genital warts in males and females• Other kinds of cancermeningitis: A viral or bacterial infection that causes inflammation and swelling in thebrain and spinal cord that can cause:• Seizures• Brain or kidney damage• Loss of eyesight or speech• Learning disabilities• Paralysisinfluenza or the flu: A virus that causes a respiratory illness that can cause:• Death, especially in people with other health problems that weaken their immune system 17
  20. 20. Why are immunizationsimportant to your Health?pneumonia (high risk teens only): Inflammation of the lungs caused by a virus,fungus, or bacteria that can cause:• Fluid in the lungs• Serious respiratory problems• Infection that spreads in the bloodstream throughout the bodyHepatitis: A viral infection that can cause 3 types of the infection (A, B, or C)that can cause:• Liver damage• Liver cancer• Deathmeasles: A virus that lives in the nose and throat that can cause:• Ear infections• Bronchitis or laryngitis• Pneumonia• Brain inflammationmumps: A virus that causes painful swelling in the glands below and in front of the earsthat can cause:• Swelling of the testicles that may cause infertility• Inflammation of the ovaries• Brain inflammation, meningitis, or loss of hearingChickenpox or varicella: an infection caused by the varicella zoster virus that causesfever and an itchy rash that can cause:• Skin infections• Brain swelling• Pneumonia 18
  21. 21. tips to Help you Stay Safe• Always wear a seat belt when driving or riding in a car• Always wear a helmet when you ride your bicycle, a motorcycle, or as needed for sports• Don’t drive if you have been drinking or using drugs• Don’t text or use a cell phone when driving• Don’t ride with drivers who are distracted, have been drinking, or using drugs• Stay away from places and people where you may be hurt• Stay away from persons who are quick to get angry• Learn how to control your own anger 19
  22. 22. tips to Keep you from Being Hurt by others• If you feel that you someone is trying to hurt you, try to get to a safer place or safer people• Stay in areas where there are other people• Stay away from people carrying guns, knives, or other weaponsWHat to do iF yoU or otHErS arE HUrt• If you are hurt or attacked, call 911 and get help from your parent(s)/guardian or a trusted adult• Ask for medical care if you need it• If someone else has been hurt or attacked, call 911 or get help from a trusted adult 20
  23. 23. What to Consider if you’rethinking about Having SexHaving sex can…• Lead to pregnancy• Cause feelings or emotional reactions you did not expect• Put you at risk for dating violence• Increase your chance of getting a sexually transmitted infection (STI) 4 Chlamydia 4 Hepatitis 4 Genital herpes 4 HIV 4 HPV 4 Syphilis 4 Gonorrhea 4 Trichomonas HoW CaN yoU prEvENt a SExUaLLy traNSmittEd iNFECtioN (Sti)?• Use latex condoms when having all types of sexual intercourse, including oral and anal sex• Know the right way to use condoms• Use a new condom with each new sexual act• Talk with your partner about safe sex and their exposure to STIs 21
  24. 24. tips to Safer Sex if you Choose to Have Sexremember: 4 Not having sex is always a choice 4 You can still show caring by hugging, holding hands, and giving your partner loving massages• Talk with your partner about your needs, limits, and feelings• Choose to do sexual behaviors that feel comfortable to youplan ahead: 4 Make sure you have a latex condom 4 Make sure you know how to use a condom• Use latex condoms with all kinds of sexual intercourse, including oral and anal sex• Use a new condom each time• Remember when you have sex with your partner, you are exposed to everyone your partner may have had sex with• If you have unprotected intercourse, see your health care provider (women should see their provider within 3 days)• See your healthcare provider if you think you have a STI, are pregnant, have questions about sex, or feel that you are not safe 22
  25. 25. tobacco Health Effects• Causes addiction • Hurts your lungs and can• Makes you feel anxious, lead to more frequent asthma nervous, moody, and attacks, coughing, and depressed respiratory infections• Causes headaches and • Causes your skin to be dry, dizziness yellow, and wrinkled at an earlier age• Stains your teeth and bad breath • Limits amount of oxygen that reaches your muscles,• Makes your clothes and hair making it harder to be smell physically active• Changes the taste of foods • Causes long-term effects• Makes your heart work such as cancer, emphysema, harder when you are heart disease and infertility physically active Cadmium (Batteries) Butane (Lighter Stearic acid Fluid) (Candle Wax) Hexamine Nicotine (Barbecue toluene (Insecticide) Lighter) (Industrial Solvent) ammonia (Toilet Cleaner) acetic acid (Vinegar) methane (Sewer Gas) arsenic Carbon (Poison) Monoxide methanol (Rocket Fuel)• Tobacco product smoke contains more than 4000 chemicals with nicotine the most common and addictive “ingredient”. 23
  26. 26. Smokeless tobacco• Smokeless tobacco (also called spit tobacco, chewing tobacco, chew, and dip) has 2 forms 4 Snuff 4 Chewing tobacco• Snus is a moist, smoke-free, spit-free form of smokeless tobacco• Smokeless tobacco has 28 substances in it that can cause cancer• Use of smokeless tobacco can lead to nicotine addiction and make it more likely you will smoke cigarettes• Smokeless tobacco can cause: 4 Low or abnormal sperm count that can lead to infertility 4 Gum disease 4 Pre-cancerous lesions in the mouth that look like white patches 4 Cavities 24
  27. 27. tips to Help you Quit Using tobacco• Get a check-up and set a • Remember the withdrawal date with your health care symptoms last for only a provider to quit short time and the benefits• Find a friend who will quit of quitting start right away with you • Keep busy and distracted• Get support from friends • Some quit best cold-turkey and family members 4 Throw away all of the• Wash all your clothing to tobacco products you get rid of the tobacco smell use• Avoid triggers that make • Others quit best if they you want to smoke slowly lower the amount of• Switch to gum, carrot tobacco they use sticks, or sunflower seeds instead of using tobacco• Be ready for the physical and emotional effects of quitting such as: 4 Headache, fatigue, dry mouth, sore throat, urge to eat more, feeling crabby, jumpy or depressed 25
  28. 28. What is Second-Hand Smoke?• Second-hand smoke is: 4 Smoke that is exhaled by a smoker 4 Smoke that comes from the end of a lighted cigarette, pipe, or cigar tips to avoid Second-Hand Smoke• Stay away from second-hand smoke at school and work• Ask family members you live with to smoke outside or quit smoking• Don’t ride in the car with someone who is smoking• Stay away from public places that do not ban smoking 26
  29. 29. Short- and Long-term Effectsof drugs and alcohol• Confused thinking and • Alcohol poisoning, memory loss accidental overdose,• Slower reaction times and death• Loss of balance • Increased risk of sexual assault or high-risk sexual• Slurred speech behaviors• Distorted or blurry vision • Addiction and the and hearing development of tolerance• Bad breath so you need more to have the same effect• Poor performance at school • Unhealthy diet and serious• Difficulty having an vitamin deficiencies erection• Accidental injury to yourself or others 27
  30. 30. tips to avoid Using drugs and alcohol• Say no with or without an explanation or reason• Say no and ‘blame’ an adult for your refusal• Have a plan to leave if you are someplace where others are using alcohol or drugs• Be the ‘designated driver’ 28
  31. 31. tips to Stop Using alcohol and drugs• Learn more about the • Stay away from people, harmful effects of alcohol situations, and places that and drugs make you want to drink or• Get a check-up and set a use drugs date with your health care • Keep yourself busy and provider to quit distracted• Find a friend who will quit • Reward yourself each time with you you do not use alcohol or• Get support from friends drugs when you have a and family members craving• Throw away all of the alcohol or drugs you use• Eat healthy foods, drink plenty of juice and water, and get enough sleep• Prepare for the physical and emotional effects caused by quitting• Join a support group such as Alcoholics Anonymous or Narcotics Anonymous 29
  32. 32. Eating disordersEating disorders can cause:• Heart disease including an abnormal heart rate and heart failure• Low red blood cell count (anemia) that causes fatigue• Weak immune system that increases your chances of getting infections• Kidney problems• Stopping your regular menstrual periods• Thinner, weaker bones that increase your chances of breaking a bone• Stomach problemsSigns of Eating disorders• Eating when you are • A negative body image not hungry • Exercising too much• Eating large amounts of food • Strictly limiting the amount• Eating alone or in secret of food you eat• Hiding what you have eaten • Weighing the foods you eat,• Using diet pills, diuretics, counting calories, and strictly or laxatives, especially after monitoring portion sizes eating large amounts of food • Being very concerned with• Making yourself vomit how much you weigh• Feelings of disgust, embarrassment, shame, or guilt about food and eating 30
  33. 33. Signs of mental orEmotional problemsFeelings . . .• Sad or hopeless for no reason• Irritable or angry• Crying a lot• Anxious, restless, fearful, or worried a lot• Feeling guilty, worthless, or embarrassedChanges in usual behaviors . . .• Wanting to be alone and not • Physical symptoms such as spend time with friends and blushing, sweating, trembling, family and feeling sick to your• Loss of interest in your usual stomach activities • Feeling tired or loss of energy• Changes in your eating and • Having trouble concentrating sleeping habits • Not completing tasks • Poor performance in schoolStart of new behaviors . . .• Use of alcohol or drugs• Dieting or over-exercising• Hurting yourself or doing risky behaviors• Acting violently toward others• Thinking about suicide 31
  34. 34. getting Help for a mental orEmotional problem• Talk with your parents(s)/guardian, or another trusted adult• See your health care provider• If your are given medication, make sure you take it as prescribed and don’t stop taking it suddenly• Join a support group• Stay active• Stay in touch with your friends and family even if you feel like being alone• Eat a healthy diet, get regular activity, and the right amount of sleep• Try to stick to your usual routine 32
  35. 35. Signs of an Unsafe relationshipyou may be in an unsafe relationship if:• You feel afraid of your • Your partner physically partner or afraid of what hurts you your partner will do to you • Your partner is really if you break up nice sometimes and then• Your partner calls you changes and becomes names, makes you feel really mean stupid, criticizes you, or • Your partner promises not puts you down to hurt you any more but• Your partner is very jealous then repeats his or her• Your partner tries to behavior control where you go or who you talk to• Your partner tries to cut you off from your friends and family• You feel afraid of your partner if you say “no” to touching or sex• Your partner blames you for his or her violent behaviors 33
  36. 36. tips to Have Safe relationships• Get to know a person first • Make sure you can get before becoming close home or to a safe place or intimate on your own by driving• ‘Hang out’ in groups first yourself or having enough money to take the bus or• Find out if you share taxi similar interests • Know the address and• Have relationships based on phone numbers of people respect and honesty you trust and can call if you• Make sure your parent(s)/ need help guardian(s) know your • If you don’t feel safe, friends talk with your parent(s)/• Let your parent(s)/ guardian(s), or other guardian(s) know where trusted adults such as a you are going, who you are teacher, minister, or your going with, and when you health care provider will be home 34

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