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Positive Youth Development Practices and Teen Pregnancy
Prevention Programs
April 7, 2015
Disclaimer
April 7, 2015
This webinar was developed by Child Trends
under contract #GS-10F-
0030R/HHSP23320130043G for the Office of
Adolescent Health; US Department of Health
and Human Services as a technical assistance
product for use with OAH grant programs.
Presenters
Kristin A. Moore, Ph.D.
Senior Scholar
Child Trends
3
Karen Pittman, M.A.
President and CEO
The Forum for Youth
Investment
Objectives
• After this webinar, attendees will be able to:
 Define positive youth development.
 Explain key positive youth development practices and
how they can enhance a high-quality TPP program.
 Begin to integrate the eight key PYD practices into
their TPP program while maintaining fidelity to the
pregnancy prevention curriculum.
4
Who’s in the audience?
• Poll: What area best describes the sector in
which you operate your teen pregnancy
prevention program?
 After-school or CBO
 School-based
 Clinic-based
 Specialized setting
 Other
5
A historical context on PYD
6
How did we get here?
• Siloed prevention
efforts focused on
single problems:
• Teen pregnancy
• Substance abuse
• Juvenile delinquency
A historical context on PYD
7
Researchers found that each silo has similar risk
and protective factors
Defining positive youth development
Positive youth development is an intentional, pro-social
approach that engages youth within their
communities, schools, organizations, peer groups, and
families in a manner that is productive and
constructive; recognizes, utilizes, and enhances youths'
strengths; and promotes positive outcomes for young
people by providing opportunities, fostering positive
relationships, and furnishing the support needed to
build on their leadership strengths.
 Source: Interagency Working Group on Youth Programs
8
Defining positive youth development
PYD is an intentional, pro-social approach
 Purposeful, deliberate
 Planful
 Thoughtful
 Involves training and monitoring
9
Defining positive youth development
PYD is an intentional, pro-social approach
 Benefits other people or society as a whole
10
Defining positive youth development
PYD is an intentional, pro-social approach
 Practices, activities, strategies
 Not a specific curriculum or program
 Can take on different forms and co-exist with
varied programs (after-school program, clinic-
based program, etc.)
11
Defining positive youth development
PYD is an intentional, pro-social approach that
engages youth within their communities, schools,
organizations, peer groups, and families in a
manner that is productive and constructive
 Get youth actively involved in meaningful ways
 Emotionally involved
 Cognitively involved
12
Defining positive youth development
Recognizes, utilizes, and enhances youths'
strengths
 Assumes that all youth have strengths and can
contribute positively and uniquely
 Puts youth’s strengths to good use
 Organizes meaningful projects or work in the
program or community
 Improves or amplifies the quality, value, or extent
of youth strengths
 Helps youth develop
13
Defining positive youth development
Recognizes, utilizes, and enhances youths' strengths
 Identifies stand-out areas (artistic, musical,
mathematical, interpersonal, etc.)
 Encourages positive behaviors
 Isn’t focused just on suppressing problems
14
Defining positive youth development
Promotes positive outcomes for young people by
providing opportunities, fostering positive
relationships, and furnishing the support needed to
build on their leadership strengths
 Jobs, job-training
 Volunteering, service-learning
 Youth advisory boards
 Referrals for assistance
 Activities: sports, mentoring
15
Defining positive youth development
Promotes positive outcomes for young people by
providing opportunities, fostering positive
relationships, and furnishing the support needed to
build on their leadership strengths
 Affirming, warm, trustworthy
 Consistent/predictable
16
Existing conceptual frameworks
17
The Developmental
Assets
Common practices to implement PYD
• The National Research Council published
Community Programs to Promote Youth
Development
• Identified common practices that can be used by
programs to implement the principles of PYD
18
Eight key PYD practices
1. Physical and psychological safety;
2. Appropriate structure;
3. Supportive relationships;
4. Opportunities to belong;
5. Positive social norms;
6. Opportunities to make a difference;
7. Opportunities for skill development; and
8. Integration of family, school, and
community efforts
19
1. Physical and psychological safety
• Safe facilities & health-promoting practices to:
 Increase safe peer group interaction and
 Decrease unsafe or confrontational/bullying
interactions.
20
1. Physical and psychological safety
• What does this look like in practice?
 Explicit policies and staff training indicate that
physical and sexual harassment, violence, and
bullying are not tolerated
 Provide a space that is physically and emotionally
safe
 Assure confidentiality (except where law requires
reporting)
21
2. Appropriate structure
• A TPP program provides clear and consistent
rules and expectations and age-appropriate
monitoring.
22
2. Appropriate structure
• What does this look like in practice?
 Clear age-appropriate expectations
 Provide a reason for all requests
 Fidelity to the EBP is maintained
23
3. Supportive relationships
• A PYD program fosters caring relationships,
social support, positive communication, and
provides supportive guidance.
24
3. Supportive relationships
• What does this look like in practice?
 Staff are comfortable and not judgmental when discussing
sex and answering questions
 Youth report that staff are trustworthy, reliable
 Staff are supportive, affirming, and engaging with quiet
and withdrawn youth as well as positively engaged youth
and acting-out youth
 Youth are encouraged to proactively communicate with
partners
 Youth are encouraged to respect peers’ decisions
25
4. Opportunities to belong
• Provide opportunities for:
 Meaningful inclusion of all youth,
 Positive identity formation, and
 Support for cultural and bicultural competence.
26
4. Opportunities to belong
• What does this look like in practice?
 Inclusive
 Opportunities for involvement
 Culturally competent staff
 Activities and materials are representative of the
population(s) served
27
How is your program incorporating PYD practices?
• What are some techniques you have used to
incorporate the following PYD practices into
your program?
1) Physical and psychological safety
2) Appropriate structure
3) Supportive relationships
4) Opportunities to belong
28
How is your program incorporating PYD practices?
• Ideas from webinar attendees:
• 1) Physical and psychological safety
 Lead staff training (s) on providing trauma-informed care; infusing
trauma informed concepts into evidence-based program trainings.
 Establish and adhere to "Group Guidelines" (developed by the group)
 Allow clients to choose the setting in which they are most comfortable
to meet
 Conduct an annual teen-friendly clinic assessment
• 2) Appropriate structure
 Let students know what to expect each day
 Break expectations into easy to accomplish steps.
 Allow youth to develop their own rules and consequences they will
face for breaking those rules
 Post and review session ground rules
29
How is your program incorporating PYD practices?
• Ideas from webinar attendees:
• 3) Supportive relationships
 Provide "care coordination" for students - support in making
reproductive health appointments, appointment reminders, and
transportation to appointments
 Employ approachable and friendly educators
• 4) Opportunities to belong
 Allow youth to self-identify their gender pronouns
 Involve young people in program development
 Create opportunities to build a group identity
 Establish a Teen Advisory Board to obtain program input
30
5. Positive social norms
• Behaviors and values that promote respect
• Communicate clear expectations
31
5. Positive social norms
• What does this look like in practice?
 Relationship violence is not acceptable
 Positive norms, behaviors, and decision-making
are promoted
 The respectful environment in our program should
flow into the community
32
6. Opportunities to make a difference
• Support for age-appropriate youth initiative
• Opportunities for youth to take on leadership
roles, and
• Encouragement for achieving meaningful
contributions in the community.
33
6. Opportunities to make a difference
• What does this look like in practice?
 Volunteering
 Opportunities for initiative and leadership
 Help youth see connections between sexual
decisions and achieving goals
34
7. Opportunities for skill development
Provide opportunities to develop:
• Skills that prepare them to make positive
decisions about their sexual and reproductive
health, and
• Educational and career opportunities.
35
7. Opportunities for skill development
• What does this look like in practice?
 An interactive curriculum
 Youth identify goals and milestones to goals
 Opportunities to learn and build skills
 Application of skills to life outside the program
36
8. Integration of family, school, & community efforts
• Coordination and collaboration with family,
school, and community partners.
37
8. Integration of family, school, & community efforts
• What does this integration look like in
practice?
 Refer adolescents to the services they need
 Engage parents or other kin
 Link teens with positive opportunities
 Staff are trained in community mobilization
38
How is your program incorporating PYD practices?
• What are some techniques you have used to
incorporate the following PYD practices into
your program?
5) Positive social norms
6) Opportunities to make a difference
7) Opportunities for skill development
8) Integration of family, school, and community
efforts
39
How is your program incorporating PYD practices?
• Ideas from webinar attendees:
• 5) Positive social norms
 Allow teens to write their own social norms using a 'please and thank
you' technique. This way the rules are less “rule-like”.
 Have the group establish a "full value commitment" together
• 6) Support for efficacy and mattering
 Give young people an opportunity to shape curriculum or program
development
 Have youth or a youth leadership team contribute to the
development of a for-youth, by-youth publication on adolescent
sexual health
 Use a Social Change Model of leadership development to structure
time with teens
40
How is your program incorporating PYD practices?
• Ideas from webinar attendees:
• 7) Opportunities for skill-building
 Provide leadership opportunities by having youth serve as
mentors/peer educators to younger students
 Have youth teach parents skills they have learned
 Professionally train and employ youth as peer educators
• 8) Integration of family, school, and community efforts
 Hold monthly meetings for the parents/guardians of the youth
participants
 Ask youth to create media around TPP
 Have TPP staff members sit on various committees throughout the
counties in which they serve to give voice to youth needs
 Have a parent advisory team that guides TPP program
implementation
41
Fidelity and quality
• Fidelity: The degree to which a program is
implemented with adherence to its core
components.
• Quality: Focuses on the development of
effective and supportive settings for learning
and engagement.
42
Fidelity
• PYD practices can be implemented while
maintaining fidelity to a TPP EBP
 Make sure you are maintaining the core components of
your EBP
 Use facilitator and observer fidelity monitoring logs,
observer quality rating and fidelity process form
oOAH guidance
o http://www.hhs.gov/ash/oah/oah-
initiatives/teen_pregnancy/training/implementation.html
o http://www.hhs.gov/ash/oah/news/assets/fidelity_monitoring_guidance.pdf
43
Quality
• Characteristics of PYD can help enhance
program quality
 Program quality assessment tools
 Self-report, questionnaires, observation, or a
combination of approaches
o Provided by staff, youth, parents, and community
members
44
Case study 1
Karen has recently visited a clinic-based teen
pregnancy prevention program.
PYD highlights:
Warm greeting
Peer educators
Staff are culturally competent and mindful of
confidentiality
Representative flyers and items on the wall
45
Case study 1
Karen has recently visited a clinic-based
teen pregnancy prevention program.
• Q&A: What positive youth development practices
are displayed in this program? What are some
areas in which they could incorporate more
elements of positive youth development?
46
Case study 2
Karen has recently visited an after-school
teen pregnancy prevention program.
Notable elements:
Lecture
Bored students
Students couldn’t relate to the
examples
47
Case study 2
Karen has recently visited an after-school teen
pregnancy prevention program.
• Q&A: Where do you think that facilitator could make
some changes to incorporate more PYD practices to
make her program more engaging and relevant for
her students?
48
How to assess your use of the key 8 PYD practices
• OAH is developing a checklist to help
organizations to assess how well they are
integrating PYD practices into their programs
49
Q&A
Questions?
50
Resources
• Make the Connection: How Positive Youth Development Offers Promise for Teen
Health & Teen Pregnancy Prevention (OAH Webcast):
http://www.hhs.gov/ash/oah/news/events.html#May2014-
MaketheConnectionWebcast
 (webcast resource list):
http://www.hhs.gov/ash/oah/news/assets/May%202014%20TPP%20Event/pyd
-resourcelist.pdf
• Positive Youth Development (OAH publications by topic):
http://www.hhs.gov/ash/oah/resources-and-
publications/publications/positive_youth_development.html
• Free Training in Positive Youth Development (Family and Youth Services Bureau):
http://ncfy.acf.hhs.gov/news/2015/02/free-training-positive-youth-development
• Positive Youth Development (FindYouthInfo.Gov):
http://www.findyouthinfo.gov/youth-topics/positive-youth-development
51
Other OAH News
• Download the TPP staffing tip sheet
 http://www.hhs.gov/ash/oah/oah-
initiatives/teen_pregnancy/training/Assests/staffr
etention-tipsheet.pdf
• Upcoming webinar: Using a trauma-informed
approach
 Date: April 30th, 2015
 Time: 2-3:15pm
52
53
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Positive Youth Development and Teen Pregnancy Prevention Programs

  • 1.
  • 2. Positive Youth Development Practices and Teen Pregnancy Prevention Programs April 7, 2015
  • 3. Disclaimer April 7, 2015 This webinar was developed by Child Trends under contract #GS-10F- 0030R/HHSP23320130043G for the Office of Adolescent Health; US Department of Health and Human Services as a technical assistance product for use with OAH grant programs.
  • 4. Presenters Kristin A. Moore, Ph.D. Senior Scholar Child Trends 3 Karen Pittman, M.A. President and CEO The Forum for Youth Investment
  • 5. Objectives • After this webinar, attendees will be able to:  Define positive youth development.  Explain key positive youth development practices and how they can enhance a high-quality TPP program.  Begin to integrate the eight key PYD practices into their TPP program while maintaining fidelity to the pregnancy prevention curriculum. 4
  • 6. Who’s in the audience? • Poll: What area best describes the sector in which you operate your teen pregnancy prevention program?  After-school or CBO  School-based  Clinic-based  Specialized setting  Other 5
  • 7. A historical context on PYD 6 How did we get here? • Siloed prevention efforts focused on single problems: • Teen pregnancy • Substance abuse • Juvenile delinquency
  • 8. A historical context on PYD 7 Researchers found that each silo has similar risk and protective factors
  • 9. Defining positive youth development Positive youth development is an intentional, pro-social approach that engages youth within their communities, schools, organizations, peer groups, and families in a manner that is productive and constructive; recognizes, utilizes, and enhances youths' strengths; and promotes positive outcomes for young people by providing opportunities, fostering positive relationships, and furnishing the support needed to build on their leadership strengths.  Source: Interagency Working Group on Youth Programs 8
  • 10. Defining positive youth development PYD is an intentional, pro-social approach  Purposeful, deliberate  Planful  Thoughtful  Involves training and monitoring 9
  • 11. Defining positive youth development PYD is an intentional, pro-social approach  Benefits other people or society as a whole 10
  • 12. Defining positive youth development PYD is an intentional, pro-social approach  Practices, activities, strategies  Not a specific curriculum or program  Can take on different forms and co-exist with varied programs (after-school program, clinic- based program, etc.) 11
  • 13. Defining positive youth development PYD is an intentional, pro-social approach that engages youth within their communities, schools, organizations, peer groups, and families in a manner that is productive and constructive  Get youth actively involved in meaningful ways  Emotionally involved  Cognitively involved 12
  • 14. Defining positive youth development Recognizes, utilizes, and enhances youths' strengths  Assumes that all youth have strengths and can contribute positively and uniquely  Puts youth’s strengths to good use  Organizes meaningful projects or work in the program or community  Improves or amplifies the quality, value, or extent of youth strengths  Helps youth develop 13
  • 15. Defining positive youth development Recognizes, utilizes, and enhances youths' strengths  Identifies stand-out areas (artistic, musical, mathematical, interpersonal, etc.)  Encourages positive behaviors  Isn’t focused just on suppressing problems 14
  • 16. Defining positive youth development Promotes positive outcomes for young people by providing opportunities, fostering positive relationships, and furnishing the support needed to build on their leadership strengths  Jobs, job-training  Volunteering, service-learning  Youth advisory boards  Referrals for assistance  Activities: sports, mentoring 15
  • 17. Defining positive youth development Promotes positive outcomes for young people by providing opportunities, fostering positive relationships, and furnishing the support needed to build on their leadership strengths  Affirming, warm, trustworthy  Consistent/predictable 16
  • 19. Common practices to implement PYD • The National Research Council published Community Programs to Promote Youth Development • Identified common practices that can be used by programs to implement the principles of PYD 18
  • 20. Eight key PYD practices 1. Physical and psychological safety; 2. Appropriate structure; 3. Supportive relationships; 4. Opportunities to belong; 5. Positive social norms; 6. Opportunities to make a difference; 7. Opportunities for skill development; and 8. Integration of family, school, and community efforts 19
  • 21. 1. Physical and psychological safety • Safe facilities & health-promoting practices to:  Increase safe peer group interaction and  Decrease unsafe or confrontational/bullying interactions. 20
  • 22. 1. Physical and psychological safety • What does this look like in practice?  Explicit policies and staff training indicate that physical and sexual harassment, violence, and bullying are not tolerated  Provide a space that is physically and emotionally safe  Assure confidentiality (except where law requires reporting) 21
  • 23. 2. Appropriate structure • A TPP program provides clear and consistent rules and expectations and age-appropriate monitoring. 22
  • 24. 2. Appropriate structure • What does this look like in practice?  Clear age-appropriate expectations  Provide a reason for all requests  Fidelity to the EBP is maintained 23
  • 25. 3. Supportive relationships • A PYD program fosters caring relationships, social support, positive communication, and provides supportive guidance. 24
  • 26. 3. Supportive relationships • What does this look like in practice?  Staff are comfortable and not judgmental when discussing sex and answering questions  Youth report that staff are trustworthy, reliable  Staff are supportive, affirming, and engaging with quiet and withdrawn youth as well as positively engaged youth and acting-out youth  Youth are encouraged to proactively communicate with partners  Youth are encouraged to respect peers’ decisions 25
  • 27. 4. Opportunities to belong • Provide opportunities for:  Meaningful inclusion of all youth,  Positive identity formation, and  Support for cultural and bicultural competence. 26
  • 28. 4. Opportunities to belong • What does this look like in practice?  Inclusive  Opportunities for involvement  Culturally competent staff  Activities and materials are representative of the population(s) served 27
  • 29. How is your program incorporating PYD practices? • What are some techniques you have used to incorporate the following PYD practices into your program? 1) Physical and psychological safety 2) Appropriate structure 3) Supportive relationships 4) Opportunities to belong 28
  • 30. How is your program incorporating PYD practices? • Ideas from webinar attendees: • 1) Physical and psychological safety  Lead staff training (s) on providing trauma-informed care; infusing trauma informed concepts into evidence-based program trainings.  Establish and adhere to "Group Guidelines" (developed by the group)  Allow clients to choose the setting in which they are most comfortable to meet  Conduct an annual teen-friendly clinic assessment • 2) Appropriate structure  Let students know what to expect each day  Break expectations into easy to accomplish steps.  Allow youth to develop their own rules and consequences they will face for breaking those rules  Post and review session ground rules 29
  • 31. How is your program incorporating PYD practices? • Ideas from webinar attendees: • 3) Supportive relationships  Provide "care coordination" for students - support in making reproductive health appointments, appointment reminders, and transportation to appointments  Employ approachable and friendly educators • 4) Opportunities to belong  Allow youth to self-identify their gender pronouns  Involve young people in program development  Create opportunities to build a group identity  Establish a Teen Advisory Board to obtain program input 30
  • 32. 5. Positive social norms • Behaviors and values that promote respect • Communicate clear expectations 31
  • 33. 5. Positive social norms • What does this look like in practice?  Relationship violence is not acceptable  Positive norms, behaviors, and decision-making are promoted  The respectful environment in our program should flow into the community 32
  • 34. 6. Opportunities to make a difference • Support for age-appropriate youth initiative • Opportunities for youth to take on leadership roles, and • Encouragement for achieving meaningful contributions in the community. 33
  • 35. 6. Opportunities to make a difference • What does this look like in practice?  Volunteering  Opportunities for initiative and leadership  Help youth see connections between sexual decisions and achieving goals 34
  • 36. 7. Opportunities for skill development Provide opportunities to develop: • Skills that prepare them to make positive decisions about their sexual and reproductive health, and • Educational and career opportunities. 35
  • 37. 7. Opportunities for skill development • What does this look like in practice?  An interactive curriculum  Youth identify goals and milestones to goals  Opportunities to learn and build skills  Application of skills to life outside the program 36
  • 38. 8. Integration of family, school, & community efforts • Coordination and collaboration with family, school, and community partners. 37
  • 39. 8. Integration of family, school, & community efforts • What does this integration look like in practice?  Refer adolescents to the services they need  Engage parents or other kin  Link teens with positive opportunities  Staff are trained in community mobilization 38
  • 40. How is your program incorporating PYD practices? • What are some techniques you have used to incorporate the following PYD practices into your program? 5) Positive social norms 6) Opportunities to make a difference 7) Opportunities for skill development 8) Integration of family, school, and community efforts 39
  • 41. How is your program incorporating PYD practices? • Ideas from webinar attendees: • 5) Positive social norms  Allow teens to write their own social norms using a 'please and thank you' technique. This way the rules are less “rule-like”.  Have the group establish a "full value commitment" together • 6) Support for efficacy and mattering  Give young people an opportunity to shape curriculum or program development  Have youth or a youth leadership team contribute to the development of a for-youth, by-youth publication on adolescent sexual health  Use a Social Change Model of leadership development to structure time with teens 40
  • 42. How is your program incorporating PYD practices? • Ideas from webinar attendees: • 7) Opportunities for skill-building  Provide leadership opportunities by having youth serve as mentors/peer educators to younger students  Have youth teach parents skills they have learned  Professionally train and employ youth as peer educators • 8) Integration of family, school, and community efforts  Hold monthly meetings for the parents/guardians of the youth participants  Ask youth to create media around TPP  Have TPP staff members sit on various committees throughout the counties in which they serve to give voice to youth needs  Have a parent advisory team that guides TPP program implementation 41
  • 43. Fidelity and quality • Fidelity: The degree to which a program is implemented with adherence to its core components. • Quality: Focuses on the development of effective and supportive settings for learning and engagement. 42
  • 44. Fidelity • PYD practices can be implemented while maintaining fidelity to a TPP EBP  Make sure you are maintaining the core components of your EBP  Use facilitator and observer fidelity monitoring logs, observer quality rating and fidelity process form oOAH guidance o http://www.hhs.gov/ash/oah/oah- initiatives/teen_pregnancy/training/implementation.html o http://www.hhs.gov/ash/oah/news/assets/fidelity_monitoring_guidance.pdf 43
  • 45. Quality • Characteristics of PYD can help enhance program quality  Program quality assessment tools  Self-report, questionnaires, observation, or a combination of approaches o Provided by staff, youth, parents, and community members 44
  • 46. Case study 1 Karen has recently visited a clinic-based teen pregnancy prevention program. PYD highlights: Warm greeting Peer educators Staff are culturally competent and mindful of confidentiality Representative flyers and items on the wall 45
  • 47. Case study 1 Karen has recently visited a clinic-based teen pregnancy prevention program. • Q&A: What positive youth development practices are displayed in this program? What are some areas in which they could incorporate more elements of positive youth development? 46
  • 48. Case study 2 Karen has recently visited an after-school teen pregnancy prevention program. Notable elements: Lecture Bored students Students couldn’t relate to the examples 47
  • 49. Case study 2 Karen has recently visited an after-school teen pregnancy prevention program. • Q&A: Where do you think that facilitator could make some changes to incorporate more PYD practices to make her program more engaging and relevant for her students? 48
  • 50. How to assess your use of the key 8 PYD practices • OAH is developing a checklist to help organizations to assess how well they are integrating PYD practices into their programs 49
  • 52. Resources • Make the Connection: How Positive Youth Development Offers Promise for Teen Health & Teen Pregnancy Prevention (OAH Webcast): http://www.hhs.gov/ash/oah/news/events.html#May2014- MaketheConnectionWebcast  (webcast resource list): http://www.hhs.gov/ash/oah/news/assets/May%202014%20TPP%20Event/pyd -resourcelist.pdf • Positive Youth Development (OAH publications by topic): http://www.hhs.gov/ash/oah/resources-and- publications/publications/positive_youth_development.html • Free Training in Positive Youth Development (Family and Youth Services Bureau): http://ncfy.acf.hhs.gov/news/2015/02/free-training-positive-youth-development • Positive Youth Development (FindYouthInfo.Gov): http://www.findyouthinfo.gov/youth-topics/positive-youth-development 51
  • 53. Other OAH News • Download the TPP staffing tip sheet  http://www.hhs.gov/ash/oah/oah- initiatives/teen_pregnancy/training/Assests/staffr etention-tipsheet.pdf • Upcoming webinar: Using a trauma-informed approach  Date: April 30th, 2015  Time: 2-3:15pm 52