Recognizing and Managing
    Risky Behaviors
Agenda
 8:30   WELCOME
 9:00   ―Don’t Pass it Along‖
 9:30   Effective Curricula
10:15   BREAK
10:30   Quiz: Knowledge of Risk Behaviors
11:30   Sexual Possibilities
12:00   WORTH & SODAS
12:30   LUNCH
 1:30   Video Clip
 1:40   Abstinence
 2:15   Pop Culture
 2:45   BREAK
 3:00   Negotiation and Refusal Skills Development
 3:45   SWAT
 4:00   Reflection and Evaluation
 4:15   ADJOURN
Welcome

INTRODUCTIONS AND
OVERVIEW
Workshop Goals
• Learn how alcohol and drug use influences HIV
  and STD risks
• Increase knowledge of adolescent risk behaviors
• Examine attitudes and beliefs about adolescent
  drug use and HIV/AIDS
• Increase knowledge of effective programs that
  reduce adolescent sexual risks
• Identify important messages about sexuality
• Identify strategies for teaching negotiation and
  refusal skills
Workshop Objectives
• Describe how widespread HIV and other STIs are
  and consequences
• Describe the modes of transmission of HIV and
  other STIs and some prevention strategies
• Identify populations of youth at high risk of
  becoming infected with HIV and other STIs
• Discuss the implementation of health education
  strategies using prevention messages that are likely
  to be effective in reaching adolescents
• Demonstrate essential skills for health behavior
  change related to prevention and guide student
  practice of these skills
Workshop Objectives
• Describe strategies for involving parents, families
  and others in student learning of prevention
  education
• Implement standards-based prevention education
  curricula and student assessment
• Address community concerns and challenges
  related to HIV prevention education
• Teach HIV/STI prevention to students of various
  cultural backgrounds, abilities, and language
  skills, using interactive teaching methods for
  prevention education, such as role-plays or
  cooperative groups
Introductions

• Facilitator(s)
• Staff
• Participants
   – Name
   – Grade/Level
   – School Affiliation
Working Agreement
• Maintain confidentiality          • Avoid making assumptions
• Respect each other’s point of       about other members of the
  view; recognize that we all         group
  have some biases                  • Share responsibility for what
• Speak for yourself—use ―I‖          gets learned today
  language; take some risks to be   • Ask any questions--there are no
  honest                              dumb questions
• Be nonjudgmental; no put-         • Share the time; participate as
  downs; be constructive while        much as possible
  giving each other feedback        • ELMO (Enough, lets move on)
• Listen with an open mind          • Use discretion with self-
• Recognize that some conflict        disclosure
  can be helpful and that we        • Have fun
  should not always avoid it        • The Vegas Rule (What happens
• Pass if you feel uncomfortable      in Vegas . . .)
Activity

DON’T PASS IT ALONG
Round Discussion Topics
1. Any experience you have
   had dealing with
   substance abuse and/or
   HIV
2. Messages your parents
   gave you about using
   alcohol and drugs
3. The incidence of alcohol
   and drug use among teens
   in your school and
   community when you
   were in middle/high
   school
Lecturette

RISK REDUCTION: WHAT’S
WORKING
Good News

In recent years there
has been much more
 rigorous evaluation
    of pregnancy
prevention and HIV
prevention programs.
Outcome

  Those
evaluations
 have had
  mixed
  results.
Effective Risk Reduction Programs
• Are Curriculum-Based Sex and STD/HIV
  Education Programs with proven positive
  results (see handout for specific programs).
• Other programs (mother-adolescent
  programs, clinic protocols and one on one
  programs, community programs with
  multiple components, service learning, and
  multi-component programs) were also
  found to be effective.
Program Efficacy
• These programs are effective in:
   – Delaying the onset of sexual intercourse
   – Helping sexually active teens to be more aware


• Note:
   – Youth who had initiated intercourse did not then
     choose abstinence.
   – Thus, strong abstinence messages are best
     directed to those who have not yet initiated sexual
     intercourse.
Qualities of Effective Programs
1.    Focused on at least one of three   5.   Included multiple instructionally
      health goals: the prevention of         sound activities to change each of
      HIV, the prevention of other            the targeted risk and protective
      STDs, the prevention of                 factors.
      unintended pregnancy.              6.   Employed instructionally sound
2.    Focused narrowly on the                 teaching methods that actively
      specific types of behavior that         involved the participants, that
      cause or prevent HIV, other             helped participants personalize
      STDs, or pregnancy and gave             the information, and that were
      clear messages about them.              designed to change specific risk
3.    Focused on specific sexual              and protective factors.
      psychosocial factors that affect   7.   Employed activities, instructional
      the specified types of behavior         methods, and behavioral
      and changed some of those               messages that were appropriate to
      factors.                                the adolescents’
4.    Created a safe environment.             culture, developmental age, and
                                              sexual experience.
                                         8.   Covered topics in a logical
                                              sequence.
Activity

ADOLESCENT SUBSTANCE
USE AND SEXUAL BEHAVIOR
Adolescent Behavioral Quiz
Activity

SEXUAL POSSIBILITIES
Yellow Alerts
• I feel attracted to the person.
• I imagine touching or kissing
  the person.
• I have daydreams or fantasies
  about sexual activity with the
  person.
• I dress in special clothes to
  look attractive to the person.
• I think about or plan ways to
  be alone with the person.
• I feel like I’m in love.
• I feel really good and tingly
  when we hug, touch or kiss.
• My partner touches me a lot.
• My partner talks about or asks
  to be alone with me.
•   My partner and I are alone
    together in a private place.
•   We’re drinking or doing drugs
    together.
•   We’re playing sexually suggestive
    music and dancing a lot together
    to slow songs.
•   My partner tells me he or she
    wants to have sexual intercourse
    with me.
•   We’re touching and kissing a lot.
•   We’re touching each other more
    and more in different ways.
•   We’re kissing and touching; things
    are going fast and I get
    uncomfortable but don’t know
    how to stop it.
WORTH AND SODAS
SODAS

• S – Stop and Define
  the Problem
• O – Options and
  Outcomes
• D - Decide
• A - Action
• S – Self-praise
Worth
• I am ___ and I will
  stay healthy.
• I am ___ and I will
  protect myself.
• I am ___ and I will
  find support for my
  decision.
• I am ___ and I am
  WORTH it!
Video

“TEENS TALK
SEX, DRUGS, AND ALCOHOL
―Teens Talk Sex, Drugs,
    and Alcohol‖
Discussion Questions
• What did you think of the video clip?
   – What were your general reactions?
• What thoughts or feelings did you have as you
  watched?
   – What message(s) do you most remember?
   – What came through as most important?
• What are the lessons to be learned from the video
  and our discussion of the video?
   – How do you plan those lessons or insights in your
     own teaching?
   – Would you feel comfortable showing this video at
     your school?
Activity

ABSTINENCE
Understanding Abstinence
•   Can they have a beer?
•   Can they hug?
•   Can they French kiss?
•   Can they get sexually aroused?
•   Can they rub against their
    partner’s body with clothes on?
•   Can they masturbate?
•   Can they experience pleasurable
    feelings, and perhaps, reach
    orgasm? (For example: through
    fantasy or masturbation)
•   Can they touch a partner in sexual
    ways that both people agree on as
    long as it excludes sexual
    intercourse of any kind
    (oral, anal, or vaginal)?
Discussion Questions
• What are characteristics of students who maintain
  abstinence?
• How do you think teens, in general, feel about
  abstinence as an option?
• Why do you think abstinence gets such a bad rap from
  some teens?
• How do you define ―virginity‖? How is virginity
  different from abstinence?
• What messages do teenagers need to receive if we want
  to encourage them to make the thoughtful decision to
  abstain from sexual intercourse?
• How does substance abuse affect abstinence behaviors
  and beliefs?
Abstinence Messages for Youth
•   Teenagers are usually not mature     •   People need to respect the limits set
    enough for a sexual relationship         by their partners.
    that includes intercourse.           •   There are many ways to show love
•   Abstinence from sexual                   and romantic feelings in a
    intercourse is the best method to        relationship and not have
    prevent pregnancy and STI/HIV.           intercourse.
•   Abstinence is a thoughtful choice    •   Many families and religions believe
    reflecting personal values.              that sexual intercourse should only
•   Abstinence from sexual                   occur in marriage.
    intercourse is a behavior that       •   Abstinence is not virginity.
    people can practice at any age.      •   Youth who wish to remain
•   Following through on the choice          abstinent can receive support from
    to abstain requires skills.              associating with like-minded
•   Teenagers and adults who date            peers, parents, and other trusted
    need to discuss sexual limits with       adults.
    their dating partner
Activity

POP CULTURE
Discussion Questions
• What role does the
  media play?
• How does it influence
  teens’ perceptions of
  risky behaviors?
• Do you know what
  they are watching?
• What social networks
  are they on?
Activity

NEGOTIATION AND REFUSAL
SKILLS DEVELOPMENT
Procedures
• The following procedures will help effective
  teaching of negotiation and refusal skills in
  the classroom:
   – Describe the skill and provide examples of its use.
   – Demonstrate the skill for students to observe.
   – Provide structured practice with feedback.
   –  Encourage application of the skill outside the
     classroom to promote mastery and transfer.
   – Follow-up with opportunities for review and
     practice.
Nonverbal Refusals

Hands Off:           Use hands in “get off of me”

Soldier:             Sit or stand stiffly

Firm Voice:          Strong, business-like

Serious Expression   I mean it

Gestures:            Hand and arm movements

Fight Back:          Use strength to push away
Verbal Refusals

• Use the word ―NO‖
• Back up ―NO‖ with strong nonverbal
  ―NO‖
• Repeat message as often as necessary
• Suggest an alternative action or
  compromise
• There is no good substitute
Role Play
Activity

SWAT
SWAT Technique

•   S= Say ―NO‖ to Unsafe Behaviors
•   W= Explain Why You Want to be Safe
•   A= Provide Alternatives
•   T= Talk it Out
Questions and Evaluations

Family Life Education - Risk

  • 1.
  • 2.
    Agenda 8:30 WELCOME 9:00 ―Don’t Pass it Along‖ 9:30 Effective Curricula 10:15 BREAK 10:30 Quiz: Knowledge of Risk Behaviors 11:30 Sexual Possibilities 12:00 WORTH & SODAS 12:30 LUNCH 1:30 Video Clip 1:40 Abstinence 2:15 Pop Culture 2:45 BREAK 3:00 Negotiation and Refusal Skills Development 3:45 SWAT 4:00 Reflection and Evaluation 4:15 ADJOURN
  • 3.
  • 4.
    Workshop Goals • Learnhow alcohol and drug use influences HIV and STD risks • Increase knowledge of adolescent risk behaviors • Examine attitudes and beliefs about adolescent drug use and HIV/AIDS • Increase knowledge of effective programs that reduce adolescent sexual risks • Identify important messages about sexuality • Identify strategies for teaching negotiation and refusal skills
  • 5.
    Workshop Objectives • Describehow widespread HIV and other STIs are and consequences • Describe the modes of transmission of HIV and other STIs and some prevention strategies • Identify populations of youth at high risk of becoming infected with HIV and other STIs • Discuss the implementation of health education strategies using prevention messages that are likely to be effective in reaching adolescents • Demonstrate essential skills for health behavior change related to prevention and guide student practice of these skills
  • 6.
    Workshop Objectives • Describestrategies for involving parents, families and others in student learning of prevention education • Implement standards-based prevention education curricula and student assessment • Address community concerns and challenges related to HIV prevention education • Teach HIV/STI prevention to students of various cultural backgrounds, abilities, and language skills, using interactive teaching methods for prevention education, such as role-plays or cooperative groups
  • 7.
    Introductions • Facilitator(s) • Staff •Participants – Name – Grade/Level – School Affiliation
  • 8.
    Working Agreement • Maintainconfidentiality • Avoid making assumptions • Respect each other’s point of about other members of the view; recognize that we all group have some biases • Share responsibility for what • Speak for yourself—use ―I‖ gets learned today language; take some risks to be • Ask any questions--there are no honest dumb questions • Be nonjudgmental; no put- • Share the time; participate as downs; be constructive while much as possible giving each other feedback • ELMO (Enough, lets move on) • Listen with an open mind • Use discretion with self- • Recognize that some conflict disclosure can be helpful and that we • Have fun should not always avoid it • The Vegas Rule (What happens • Pass if you feel uncomfortable in Vegas . . .)
  • 9.
  • 10.
    Round Discussion Topics 1.Any experience you have had dealing with substance abuse and/or HIV 2. Messages your parents gave you about using alcohol and drugs 3. The incidence of alcohol and drug use among teens in your school and community when you were in middle/high school
  • 11.
  • 12.
    Good News In recentyears there has been much more rigorous evaluation of pregnancy prevention and HIV prevention programs.
  • 13.
    Outcome Those evaluations have had mixed results.
  • 14.
    Effective Risk ReductionPrograms • Are Curriculum-Based Sex and STD/HIV Education Programs with proven positive results (see handout for specific programs). • Other programs (mother-adolescent programs, clinic protocols and one on one programs, community programs with multiple components, service learning, and multi-component programs) were also found to be effective.
  • 15.
    Program Efficacy • Theseprograms are effective in: – Delaying the onset of sexual intercourse – Helping sexually active teens to be more aware • Note: – Youth who had initiated intercourse did not then choose abstinence. – Thus, strong abstinence messages are best directed to those who have not yet initiated sexual intercourse.
  • 16.
    Qualities of EffectivePrograms 1. Focused on at least one of three 5. Included multiple instructionally health goals: the prevention of sound activities to change each of HIV, the prevention of other the targeted risk and protective STDs, the prevention of factors. unintended pregnancy. 6. Employed instructionally sound 2. Focused narrowly on the teaching methods that actively specific types of behavior that involved the participants, that cause or prevent HIV, other helped participants personalize STDs, or pregnancy and gave the information, and that were clear messages about them. designed to change specific risk 3. Focused on specific sexual and protective factors. psychosocial factors that affect 7. Employed activities, instructional the specified types of behavior methods, and behavioral and changed some of those messages that were appropriate to factors. the adolescents’ 4. Created a safe environment. culture, developmental age, and sexual experience. 8. Covered topics in a logical sequence.
  • 17.
  • 18.
  • 19.
  • 20.
    Yellow Alerts • Ifeel attracted to the person. • I imagine touching or kissing the person. • I have daydreams or fantasies about sexual activity with the person. • I dress in special clothes to look attractive to the person. • I think about or plan ways to be alone with the person. • I feel like I’m in love. • I feel really good and tingly when we hug, touch or kiss. • My partner touches me a lot. • My partner talks about or asks to be alone with me.
  • 21.
    My partner and I are alone together in a private place. • We’re drinking or doing drugs together. • We’re playing sexually suggestive music and dancing a lot together to slow songs. • My partner tells me he or she wants to have sexual intercourse with me. • We’re touching and kissing a lot. • We’re touching each other more and more in different ways. • We’re kissing and touching; things are going fast and I get uncomfortable but don’t know how to stop it.
  • 22.
  • 23.
    SODAS • S –Stop and Define the Problem • O – Options and Outcomes • D - Decide • A - Action • S – Self-praise
  • 24.
    Worth • I am___ and I will stay healthy. • I am ___ and I will protect myself. • I am ___ and I will find support for my decision. • I am ___ and I am WORTH it!
  • 25.
  • 26.
    ―Teens Talk Sex,Drugs, and Alcohol‖
  • 27.
    Discussion Questions • Whatdid you think of the video clip? – What were your general reactions? • What thoughts or feelings did you have as you watched? – What message(s) do you most remember? – What came through as most important? • What are the lessons to be learned from the video and our discussion of the video? – How do you plan those lessons or insights in your own teaching? – Would you feel comfortable showing this video at your school?
  • 28.
  • 29.
    Understanding Abstinence • Can they have a beer? • Can they hug? • Can they French kiss? • Can they get sexually aroused? • Can they rub against their partner’s body with clothes on? • Can they masturbate? • Can they experience pleasurable feelings, and perhaps, reach orgasm? (For example: through fantasy or masturbation) • Can they touch a partner in sexual ways that both people agree on as long as it excludes sexual intercourse of any kind (oral, anal, or vaginal)?
  • 30.
    Discussion Questions • Whatare characteristics of students who maintain abstinence? • How do you think teens, in general, feel about abstinence as an option? • Why do you think abstinence gets such a bad rap from some teens? • How do you define ―virginity‖? How is virginity different from abstinence? • What messages do teenagers need to receive if we want to encourage them to make the thoughtful decision to abstain from sexual intercourse? • How does substance abuse affect abstinence behaviors and beliefs?
  • 31.
    Abstinence Messages forYouth • Teenagers are usually not mature • People need to respect the limits set enough for a sexual relationship by their partners. that includes intercourse. • There are many ways to show love • Abstinence from sexual and romantic feelings in a intercourse is the best method to relationship and not have prevent pregnancy and STI/HIV. intercourse. • Abstinence is a thoughtful choice • Many families and religions believe reflecting personal values. that sexual intercourse should only • Abstinence from sexual occur in marriage. intercourse is a behavior that • Abstinence is not virginity. people can practice at any age. • Youth who wish to remain • Following through on the choice abstinent can receive support from to abstain requires skills. associating with like-minded • Teenagers and adults who date peers, parents, and other trusted need to discuss sexual limits with adults. their dating partner
  • 32.
  • 33.
    Discussion Questions • Whatrole does the media play? • How does it influence teens’ perceptions of risky behaviors? • Do you know what they are watching? • What social networks are they on?
  • 34.
  • 35.
    Procedures • The followingprocedures will help effective teaching of negotiation and refusal skills in the classroom: – Describe the skill and provide examples of its use. – Demonstrate the skill for students to observe. – Provide structured practice with feedback. – Encourage application of the skill outside the classroom to promote mastery and transfer. – Follow-up with opportunities for review and practice.
  • 36.
    Nonverbal Refusals Hands Off: Use hands in “get off of me” Soldier: Sit or stand stiffly Firm Voice: Strong, business-like Serious Expression I mean it Gestures: Hand and arm movements Fight Back: Use strength to push away
  • 37.
    Verbal Refusals • Usethe word ―NO‖ • Back up ―NO‖ with strong nonverbal ―NO‖ • Repeat message as often as necessary • Suggest an alternative action or compromise • There is no good substitute
  • 38.
  • 39.
  • 40.
    SWAT Technique • S= Say ―NO‖ to Unsafe Behaviors • W= Explain Why You Want to be Safe • A= Provide Alternatives • T= Talk it Out
  • 41.