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PREP:
Personal
Responsibility
Education
Program

Kulkiran K. Nakai, M.A.
The Adler School of Professional Psychology
The Illinois Caucus for Adolescent Health (ICAH)
A total of 409,840 infants were born to
15-19 year olds in 2009.
(Hamilton et al, 2010)

“THE PROBLEM”

Lack of
Comprehensive
Sexual Health
Education
(PREP)

60% of mothers nationwide who have a
child before they turn 18-years-old do not
graduate from high school. (Hoffman, 2006)
$9.1 billion is spent annually for cost
of teen childbearing at the
federal, state, and local levels. (Hoffman, 2006)
Approximately ¼ of teenage mothers go
on welfare within the first three years of
the child’s birth.
(Hoffman, 2006)

In 2006, an estimated 5,259 young people aged 1324 were diagnosed with HIV/AIDS.
(CDC, 2008)

A total of 1,244,180 chlamydial infections were reported to
CDC in 2009. The highest age-specific rates of reported
chlamydia in 2009 were among those aged 15–19 years.
(CDC, 2010)
Preventing “The Problem” with PREP
 PREP

requires replication of medicallyaccurate, evidenced-based, and age-appropriate
curricula for grades 6-12

 PREP

designates an agenda intended to prepare
adolescents on both abstinence and contraception

 PREP

includes pre-adulthood preparation topics:

healthy life skills, educational and career success, financial
literacy, adolescent development, and healthy relationships
 PREP

is awarded to high-risk, vulnerable, and
culturally under-represented youth populations:
youth in foster care and youth with HIV/AIDS, homeless
youth, mothers and pregnant women under the age of 21 and
their partners, as well as youth who dwell in communities with
higher teen birth rates
(SIECUS, 2010)
ICAH Supports PREP
 Increase access to sexual health care and access to
sexuality education for youth

 Advocate with the Illinois Youth Policy Council (IYPC) to
gain community and legislative support for comprehensive
sexual health education

 Support state and federal legislation for PREP
 Encourage state school boards to change local sexuality
education policies for PREP

 Fund for PREP in local schools and communities
 Provide free professional development trainings on how to
establish and implement PREP curricula to educators and
youth service providers throughout Illinois
(ICAH, 2011)
PREP & Professional Development
 The Administration on Children, Youth, and Families
allocated PREP funds through the Patient Protection and
Affordable Care Act totaling $75 million each year during
the period of 2010-20141

 Illinois applied for PREP in Fiscal Year (FY) 2010-20111
• IL counties with higher rates of teen pregnancy and STI’s2:
•

Springfield, Macomb, Edwardsville, Joliet, and Loves Park
Participants included teachers from elementary
schools, middle schools and high schools, administrative
staff, principals, superintendants, school nurses, members
from the Health Department, and a member from the
Department of Child and Family Services
(1SIECUS, 2010; 2IDPH; 2010 )
Post-Training Evaluations
 Participants

•
•
•
•
•

appreciated:

Current laws and legislation on sexual health education (PREP)
Updated statistical information on STDs/HIV/Teen pregnancy for their
local communities
Access to the Adolescent Sexual Health Toolkit and a thorough review of
available PREP curricula
Participating in hands-on, interactive activities related to sexual health
Discussing and exchanging ideas with other professionals

 75%

of participants went from “not very skilled” prior to the
trainings on PREP subject material to “very skilled”

 95%

realize that PREP is fundamental for educators to teach
youth the skills needed to develop healthy relationships and how
to prevent unintended pregnancy and the acquisition of STDs/HIV
+

PREP Works!
 Delay

of initial sexual activity, reduction in frequency of
sexual activity, and reduction in quantity of sexual
partners1,2,3

 Increased

condom use and contraceptive use1,2,3

 Decreased

unprotected sex and the acquisition of
HIV/STDs and pregnancy rates1,2,3

 Raising

interest and demand for PREP in school, community-, and clinic-based settings1,3

 Increased

health awareness and education, and
enhanced overall wellbeing1
(1Kirby, 2007; 2Science and Success, 2008; & 3Suellentrop, 2010)
ICAH Recommends
 Advocate

for PREP funding at local, state, and national

levels
 Promote

PREP in schools and communities

 Expand

to school districts with increased health
risks, and to Spanish-speaking communities

 Provide

free contraceptives in community-based and
school-based settings

 Utilize

social media and public forums for parental
involvement to encourage communication with youth
References
Centers for Disease Control and Prevention. (2010). Sexually transmitted disease surveillance, 2009. Retrieved May 2011, from
http://www.cdc.gov/std/stats09/surv2009-Complete.pdf.
Centers for Disease Control and Prevention. (2008). HIV/AIDS surveillance report, 2006. Atlanta: US Department of Health and Human
Services, 18:11.
Illinois Caucus for Adolescent Health. (2011). Retrieved on March 2011, from http://www.icah.org.
Hamilton, B. E., Martin, J. A., and Ventura, S. J. (2010). Births: Preliminary data for 2009. National Vital Statistics Reports, 59(3).
Hoffman, S. D. (2006, October). By the numbers: The public costs of teen childbearing. The National Campaign to Prevent Teen Pregnancy.
Retrieved March 2011, from http://www.thenationalcampaign.org/costs/pdf/report/BTN_Executive_Summrypf.
Illinois Department of Public Health. (2010, December). HIV/AIDS/STD Sections. Retrieved March 2011, from
http://www.idph.state.il.us/aids/Surv_Report_1210.pdf.
Kirby, D. (2007). Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted disease.
Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy. http://www.thenationalcampaign.org/ea2007/
Science and success: Sex education and other programs that work to prevent teen pregnancy, HIV & sexually transmitted infections in the
United States. (2008). Washington DC: Advocates for Youth. Retrieved March 2011, from
http://www.advocatesforyouth.org/storage/advfy/documents/sciencesuccess.pdf
SIECUS. (2010, October). State by state decisions: The personal responsibility program and title V abstinence-only program. SIECUS.
Retrieved March 2011, from
http://SIECUS.org/index.cfm?fuseaction=feature.showFeature&FeatureID=13&aruniqueuserid=91568805714.
Suellentrop, K. (2010). What works 2010: Curriculum-based programs that help prevent teen pregnancy. The National Campaign to Prevent
Teen and Unplanned Pregnancy: Washington, DC.

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Community Service Practicum Poster Presentation 06.20.11

  • 1. + Support PREP: Personal Responsibility Education Program Kulkiran K. Nakai, M.A. The Adler School of Professional Psychology The Illinois Caucus for Adolescent Health (ICAH)
  • 2. A total of 409,840 infants were born to 15-19 year olds in 2009. (Hamilton et al, 2010) “THE PROBLEM” Lack of Comprehensive Sexual Health Education (PREP) 60% of mothers nationwide who have a child before they turn 18-years-old do not graduate from high school. (Hoffman, 2006) $9.1 billion is spent annually for cost of teen childbearing at the federal, state, and local levels. (Hoffman, 2006) Approximately ¼ of teenage mothers go on welfare within the first three years of the child’s birth. (Hoffman, 2006) In 2006, an estimated 5,259 young people aged 1324 were diagnosed with HIV/AIDS. (CDC, 2008) A total of 1,244,180 chlamydial infections were reported to CDC in 2009. The highest age-specific rates of reported chlamydia in 2009 were among those aged 15–19 years. (CDC, 2010)
  • 3. Preventing “The Problem” with PREP  PREP requires replication of medicallyaccurate, evidenced-based, and age-appropriate curricula for grades 6-12  PREP designates an agenda intended to prepare adolescents on both abstinence and contraception  PREP includes pre-adulthood preparation topics: healthy life skills, educational and career success, financial literacy, adolescent development, and healthy relationships  PREP is awarded to high-risk, vulnerable, and culturally under-represented youth populations: youth in foster care and youth with HIV/AIDS, homeless youth, mothers and pregnant women under the age of 21 and their partners, as well as youth who dwell in communities with higher teen birth rates (SIECUS, 2010)
  • 4. ICAH Supports PREP  Increase access to sexual health care and access to sexuality education for youth  Advocate with the Illinois Youth Policy Council (IYPC) to gain community and legislative support for comprehensive sexual health education  Support state and federal legislation for PREP  Encourage state school boards to change local sexuality education policies for PREP  Fund for PREP in local schools and communities  Provide free professional development trainings on how to establish and implement PREP curricula to educators and youth service providers throughout Illinois (ICAH, 2011)
  • 5. PREP & Professional Development  The Administration on Children, Youth, and Families allocated PREP funds through the Patient Protection and Affordable Care Act totaling $75 million each year during the period of 2010-20141  Illinois applied for PREP in Fiscal Year (FY) 2010-20111 • IL counties with higher rates of teen pregnancy and STI’s2: • Springfield, Macomb, Edwardsville, Joliet, and Loves Park Participants included teachers from elementary schools, middle schools and high schools, administrative staff, principals, superintendants, school nurses, members from the Health Department, and a member from the Department of Child and Family Services (1SIECUS, 2010; 2IDPH; 2010 )
  • 6. Post-Training Evaluations  Participants • • • • • appreciated: Current laws and legislation on sexual health education (PREP) Updated statistical information on STDs/HIV/Teen pregnancy for their local communities Access to the Adolescent Sexual Health Toolkit and a thorough review of available PREP curricula Participating in hands-on, interactive activities related to sexual health Discussing and exchanging ideas with other professionals  75% of participants went from “not very skilled” prior to the trainings on PREP subject material to “very skilled”  95% realize that PREP is fundamental for educators to teach youth the skills needed to develop healthy relationships and how to prevent unintended pregnancy and the acquisition of STDs/HIV
  • 7. + PREP Works!  Delay of initial sexual activity, reduction in frequency of sexual activity, and reduction in quantity of sexual partners1,2,3  Increased condom use and contraceptive use1,2,3  Decreased unprotected sex and the acquisition of HIV/STDs and pregnancy rates1,2,3  Raising interest and demand for PREP in school, community-, and clinic-based settings1,3  Increased health awareness and education, and enhanced overall wellbeing1 (1Kirby, 2007; 2Science and Success, 2008; & 3Suellentrop, 2010)
  • 8. ICAH Recommends  Advocate for PREP funding at local, state, and national levels  Promote PREP in schools and communities  Expand to school districts with increased health risks, and to Spanish-speaking communities  Provide free contraceptives in community-based and school-based settings  Utilize social media and public forums for parental involvement to encourage communication with youth
  • 9. References Centers for Disease Control and Prevention. (2010). Sexually transmitted disease surveillance, 2009. Retrieved May 2011, from http://www.cdc.gov/std/stats09/surv2009-Complete.pdf. Centers for Disease Control and Prevention. (2008). HIV/AIDS surveillance report, 2006. Atlanta: US Department of Health and Human Services, 18:11. Illinois Caucus for Adolescent Health. (2011). Retrieved on March 2011, from http://www.icah.org. Hamilton, B. E., Martin, J. A., and Ventura, S. J. (2010). Births: Preliminary data for 2009. National Vital Statistics Reports, 59(3). Hoffman, S. D. (2006, October). By the numbers: The public costs of teen childbearing. The National Campaign to Prevent Teen Pregnancy. Retrieved March 2011, from http://www.thenationalcampaign.org/costs/pdf/report/BTN_Executive_Summrypf. Illinois Department of Public Health. (2010, December). HIV/AIDS/STD Sections. Retrieved March 2011, from http://www.idph.state.il.us/aids/Surv_Report_1210.pdf. Kirby, D. (2007). Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted disease. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy. http://www.thenationalcampaign.org/ea2007/ Science and success: Sex education and other programs that work to prevent teen pregnancy, HIV & sexually transmitted infections in the United States. (2008). Washington DC: Advocates for Youth. Retrieved March 2011, from http://www.advocatesforyouth.org/storage/advfy/documents/sciencesuccess.pdf SIECUS. (2010, October). State by state decisions: The personal responsibility program and title V abstinence-only program. SIECUS. Retrieved March 2011, from http://SIECUS.org/index.cfm?fuseaction=feature.showFeature&FeatureID=13&aruniqueuserid=91568805714. Suellentrop, K. (2010). What works 2010: Curriculum-based programs that help prevent teen pregnancy. The National Campaign to Prevent Teen and Unplanned Pregnancy: Washington, DC.

Editor's Notes

  1. ICAH found92% of Illinois teachers believe students deserve accurate information on safe sex and birth control66% of Illinois classrooms do not provide comprehensive sexuality education