The document discusses adolescent sexual behavior and intervention programs. It provides data showing rates of sexual intercourse and high-risk sexual behaviors among adolescents in Bismarck/Mandan and the United States. Influences on sexual behavior include peer norms, substance use, and lack of education. Successful intervention programs aim to improve knowledge, decision-making abilities, and reduce risky behaviors. The document recommends selecting programs supported by research that are developmentally appropriate and have proven effective.

1. ADOLESCENT
SEXUAL BEHAVIOR
Courtney Kallis
University of Mary

2. GATHERING DATA

3. RATES OF SEXUAL INTERCOURSE
Bismarck/Mandan
41.9%
United States
46.8%
North Dakota
44.9%

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. 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. HIGH-RISK SEXUAL BEHAVIOR: DANGERS
Unintended pregnancy
STD/STI
Dating violence
Negative peer reactions
Legal consequences

7. INFLUENCES ON SEXUAL BEHAVIOR
 Use of alcohol or other drugs
that impair judgment
Peer norms
Media
Lack of sex education
Brain development

8. INTERVENTION STRATEGIES
Preventative role
Prevention/education program
Responsive role
Crisis intervention services
Small group counseling
Referral

9. OUTCOMES OF SUCCESSFUL
INTERVENTION PROGRAMS
Improve knowledge of sexual issues
Improve ability to make decisions about sex
Increase contraceptive use

10. OUTCOMES OF SUCCESSFUL
INTERVENTION PROGRAMS
Improve personal values about sexuality
Reduce number of sexual partners
Delay first sexual intercourse

11. SELECTING AN INTERVENTION PROGRAM
1. Examine the data.
What are the needs of the students?
Which students are most at-risk?

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. 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. COMPONENTS OF SUCCESSFUL
INTERVENTION PROGRAMS
Supported by research
Developmentally appropriate
Widely implemented with success

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. 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. RESPONSIVE SERVICES
Support and listening
Skill building
Health education
Crisis intervention
Referral

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. COMMUNITY RESOURCES
Catholic Family Services
 Adoption services
 Counseling
 Resource referral
Lutheran Social Services
 Child Care Aware program
 Adoption services
 Counseling
 Healthy Families program

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.