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Adolescent Sexual Behavior

A presentation on adolescent sexual behavior for COU 622 Secondary School Counseling.

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Adolescent Sexual Behavior

  1. 1. ADOLESCENT SEXUAL BEHAVIOR Courtney Kallis University of Mary
  2. 2. GATHERING DATA
  3. 3. RATES OF SEXUAL INTERCOURSE Bismarck/Mandan 41.9% United States 46.8% North Dakota 44.9%
  4. 4. HIGH-RISK SEXUAL BEHAVIOR:TYPES Sexual activity at an early age Multiple partners Unprotected sexual intercourse (vaginal, anal, oral) “Sexting” inappropriate messages or pictures/videos
  5. 5. HIGH-RISK SEXUAL BEHAVIOR: RATES Sexual Behavior Bismarck-Mandan Percentage of students who have had four or more sexual partners 12.3% Percentage of students who used alcohol or drugs prior to last sexual intercourse 21.4% Percentage of students who did not use a condom during last sexual intercourse 48.4% North DakotaYouth Risk Behavior Survey, 2013 results
  6. 6. HIGH-RISK SEXUAL BEHAVIOR: DANGERS Unintended pregnancy STD/STI Dating violence Negative peer reactions Legal consequences
  7. 7. INFLUENCES ON SEXUAL BEHAVIOR  Use of alcohol or other drugs that impair judgment Peer norms Media Lack of sex education Brain development
  8. 8. INTERVENTION STRATEGIES Preventative role Prevention/education program Responsive role Crisis intervention services Small group counseling Referral
  9. 9. OUTCOMES OF SUCCESSFUL INTERVENTION PROGRAMS Improve knowledge of sexual issues Improve ability to make decisions about sex Increase contraceptive use
  10. 10. OUTCOMES OF SUCCESSFUL INTERVENTION PROGRAMS Improve personal values about sexuality Reduce number of sexual partners Delay first sexual intercourse
  11. 11. SELECTING AN INTERVENTION PROGRAM 1. Examine the data. What are the needs of the students? Which students are most at-risk?
  12. 12. SELECTING AN INTERVENTION PROGRAM 2. Evaluate current intervention strategies. What are the strengths and deficiencies? What are some alternative interventions? What does the research support?
  13. 13. SELECTING AN INTERVENTION PROGRAM 3. Determine proper course of action. What is the best intervention for our school? How will we meet needs at each tier? How can we monitor and improve?
  14. 14. COMPONENTS OF SUCCESSFUL INTERVENTION PROGRAMS Supported by research Developmentally appropriate Widely implemented with success
  15. 15. EVIDENCE-BASED PREGNANCY PREVENTION PROGRAMS All4You! Be Proud! Be Responsible! Becoming a ResponsibleTeen (BART) Draw the Line/Respect the Line FamiliesTalkingTogether (FTT) FOCUS Heritage Keepers Abstinence Education HORIZONS It’sYour Game: Keep it Real (IYG) Making Proud Choices! Project IMAGE Reducing the Risk Rikers Health Advocacy Program (RHAP) Safer Choices Safer Sex SiHLE STRIVE Teen Health Project
  16. 16. EVIDENCE-BASED HIV BEHAVIORAL INTERVENTION PROGRAMS Brief Alcohol Intervention for Needle Exchangers (BRAINE) Brief Group Counseling Choosing Life: Empowerment, Actions, Results (CLEAR) Community Promise Familias Unidas Focus onYouth Healthy Living Project (HLP) Healthy Relationships Intensive AIDS Education LIFT Preventing AIDS through Live Movement and Sound (PALMS) REAL Men Safe on the Outs Safety Counts Sisters Saving Sisters Street Smart
  17. 17. RESPONSIVE SERVICES Support and listening Skill building Health education Crisis intervention Referral
  18. 18. COMMUNITY RESOURCES Abused Adult Resource Center  Domestic violence services  Sexual assault services  Safe housing First Choice Clinic in Bismarck  Pregnancy testing and information  STD testing and treatment  Prenatal/parenting classes  Community referrals
  19. 19. COMMUNITY RESOURCES Catholic Family Services  Adoption services  Counseling  Resource referral Lutheran Social Services  Child Care Aware program  Adoption services  Counseling  Healthy Families program
  20. 20. REFERENCES Besharov, D.,Gardiner, K. (1997).Trends in teen sexual behavior.American Enterprise Institute Children andYouthServices Review, 19, 341-367. Centers for Disease Control and Prevention. (n.d.) Adolescent and school health. Retrieved from http://www.cdc.gov/HealthyYouth/sexualbehaviors/ Centers for Disease Control and Prevention. (n.d.) Compendium of evidence-based HIV behavioral interventions. Retrieved from http://www.cdc.gov/hiv/prevention/research/compendium/rr/complete.html Division of Adolescent and School Health (2013). North Dakota 2013 high school youth risk behavior survey. Retrieved from http://www.dpi.state.nd.us/health/yrbs/2013/2013_ND_High_School_Statewide_YRBS_Report.pdf Knox, R. (2010).The teen brain: It’s just not grown up yet. National Public Radio. Retrieved from http://www.npr.org/templates/story/story.php?storyId=124119468 Martinez, G.,Abma, J., Copen, C. (2010). Educating teenagers about sex in the United States. NCHS Data Brief, 44. Retrieved from http://www.cdc.gov/nchs/data/databriefs/db44.pdf National Institutes of Health (2011).The teen brain: Still under construction. National Institute of Mental Health, 11-4929. Retrieved from http://www.nimh.nih.gov/health/publications/the-teen-brain-still-under-construction/index.shtml U.S. Department of Health & Human Services Office of Adolescent Health (n.d.). Evidence-Based Programs. Retrieved from http://www.hhs.gov/ash/oah/oah-initiatives/teen_pregnancy/db/#.U_YM2Lkg-2I Welti, K.,Wildsmith, E., & Manlove, J. (2011).Trends and recent estimates: Contraceptive use among U.S. teens and young adults. Trends Child Research Brief, 23, 1-7.

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