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Practitioners network Healthy Respect update 21 st April 2016

Practitioners network Healthy Respect update 21 st April 2016. Healthy Respect team. Healthy Respect update. Education SHARE 2-day course 18-19 May (3 a year) SHARE Special 13 and 20 May (2 a year) Are You Ready for Sex? 1-day course 30 th May (Health Opportunities Team)

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Practitioners network Healthy Respect update 21 st April 2016

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  1. Practitioners networkHealthy Respect update21st April 2016 Healthy Respect team

  2. Healthy Respect update Education • SHARE 2-day course 18-19 May (3 a year) • SHARE Special 13 and 20 May (2 a year) • Are You Ready for Sex? 1-day course 30th May (Health Opportunities Team) • Young people’s views on their RSHP education report

  3. Healthy Respect update Information • We now have nearly 400 followers on twitter. Please follow us at @srhlothian • Working on an animated film to address the process of an abortion, especially for a young person audience • Reminder about ‘Good Sex Is....’ guide on anal sex, safety and pleasure – reference copies and cover letter available today • Update to sexting poster

  4. Healthy Respect update Services • Services Coordinator post • Challenging times • Partnership working/funding • Planning • Healthy Respect address book for drop-ins and other services for young people (being updated) Address Book - Healthy Respect

  5. Healthy Respect update Team news • Maria Stavraka – new Administrative Secretary • Services Coordinator • Education Support Worker posts

  6. Young People’s Views and Knowledge about Abortion Jeni Harden Carrie Purcell and Neneh Rowa-Dewar University of Edinburgh

  7. The Project • Background • Aim: to gain insight into the views of young people from contrasting socioeconomic backgrounds about abortion and access to abortion services. • 50 Participants • 27 SIMD 4-5; 23 SIMD 1-2 • 36 female; 14 male • 27 -14-16years; 23 -17-19 years • Religious affiliation: None (35); Roman Catholic (10); Muslim (1); Christian (4) • Methods • Qualitative study • Group interviews using a range of tools to facilitate discussion* • Thematic analysis *Brooks resource ‘Abortion: decisions and dilemmas’

  8. Word association activity (writing on large sheet paper) • What comes to mind when you hear the word ‘abortion’? • Reasons for abortion (cards) • She’s too young • She is too ill to go ahead with the pregnancy • She’s concerned about taking time out of her career • Her boyfriend says he will dump her if she doesn’t have an abortion • Because she’s too old and already has grown up children • Her parents will kill her if they find out she’s pregnant • Because of a diagnosis of fetalabnormality • The pregnancy is a result of rape • Because she doesn’t see her relationship as long term • She’s got two young kids already Ella is 15 and James is her boyfriend. She's just found out she's pregnant and thinks she might want to have an abortion

  9. What is abortion?

  10. So that's like between, like, 15 and 20 weeks; can you have it before 15? Maybe, maybe 11, I feel like 11 I've heard that before (AF 14-16) WHO/WHEN? You might find it easier to do it then and there because it doesn't seem, like, as real …but finding out, like, three months later or something and then knowing that there is an actual baby with a heartbeat and everything inside you, then that would feel like killing (DF 14-16) It's still growing so it's not, like, fully done yet, so really the whole point of it being like murder of... it sort of is but it … like the baby's not a person yet and so they won't ever know what they've missed out on or anything. I feel really bad saying that (AF 14-16)

  11. HOW? Pills Chemicals Cutting your tummy open Clamps Pliers I think like when you go to the toilet the bairn just comes out, but it's like not a full bairn... It's just like blood and that I think (DF 14-16) Is it like the soluble mints....and it kind of dissolves? (AM 14-16)

  12. Sources of Knowledge • SCHOOL • I think a lot of the time as well, you’re told that you’ve got two options, like you’re pro-life or you’re pro-choice. You can’t really…you have to choose and you don’t really know the facts on both sides (AF 17-19) • Like, even in PSE they don't even say 'oh yeah...' like, when they're talking about, like, say sex and that, they don't say 'oh and you can just go to hospital and ask for an abortion' they don't even mention it (AF 14-16) • In Catholic schools they won't talk about it cause they don't see it as an option DF 17-19) • PARENTS • I think if you're looking at people our age a lot of the time their views on, like, a sort of religious and moral level, it's not necessarily entirely their own, it's usually like parents (AM 17-19) • MEDIA • I see my nana watching her programmes like EastEnders and, there's the young “slutty” girl - she's labelled in the show - who's considering the abortion, and I think it is just a label that's associated [with abortion] at times and it's not always the case (DM 17-19 ) • I think Google's quite dangerous as well, as in like you do just get opinions on Google (AM 17-19)

  13. Reasons for abortion

  14. Decision-making around abortion • Woman’s choice: “her body” and “she’s the one that’s got to live with it” • Rights/influence of sexual partner • Family influence • I think if your family just don't believe in it [abortion] then they're not going to believe in it no matter what the reasons are(AF 17-19) • Concern about parental reaction to pregnancy • Anticipated peer response to pregnancy and abortion • YP2: You'd get so much hate….Like people would just be calling you... like, if you walked past people they be like 'oh yeah that's the person that got pregnant'. • YP1: Slut shaming(AF, 14-16) • Yeah it's always the girl…most of the time you don't even know who it was, like, who the guy was, it's just you know about the girl (AF 17-19) • She'd probably think the way people look at her would change, like… everyone knows her as ‘she had an abortion’ kinda thing. Her reputation (AF 17-19)

  15. Access to services • Who young people would talk to about abortion: based on trust • Limited knowledge about abortion services • It's not something that's talked about, like, if I was wanting an abortion I wouldn’t have a clue what I was doing. I wouldn’t know how to go about it. (DF17-19) • Concerns about access • Like, clinics for teenagers are a lot easier to get to, like, cause if you're going to the doctors, like, if you're under 16 then your parents find out about it, but like in clinics, like, they don't tell your parents (DF 14-16) • It’s not necessarily that they would be denied the service because it’s like “well you didn’t even try”[contraception]…I guess it would be frowned upon…you’d probably be judged a little bit by it (AM 17-19) • Improving awareness needed….but some concerns • YP 2: You do also risk making it seem kind of trivial, that it's not as big an issue as it actually is. • YP 3: It would definitely be... I feel like it would maybe reduce the stigma of it but it would induce other, like, opinions about it. • YP 1: Cause instead of buying the contraception or whatever, you would then say 'well I'm going to go and get that procedure' and I guess that's when it becomes more, like, it's not a last resort thing which it kinda should be at the moment….it changes the whole sort of idea of it and the reason behind having one (AF 17-19)

  16. Key messages • Significance of SIMD in shaping young people’s views on abortion was not clear cut. • There were significant gaps in young people’s knowledge about abortion relating to basic information on the where, when and how abortions are provided in Scotland. • The attitude towards abortion of most of the young people was contingent on the circumstances of the pregnancy and the perceived consequences of terminating or continuing the pregnancy. • In discussing abortion, young people drew on moral debates around responsibilities and choice, and on gender stereotypes relating to norms of sexual behaviour. • Gaps in young people’s knowledge and the way they frame abortion using moral and gender debates act as barriers to them making informed choices and accessing services in the context of pregnancy decision-making and outcomes. • What can be done? • How can we improve young people’s factual knowledge of abortion? What is the role of schools and specialist services? • Perhaps more challenging – how can we address the gender equality issues reflected in young people’s accounts?

  17. Find out more • Full copy of the report is available • http://www.crfr.ac.uk/projects/current-projects/young-peoples-views-on-abortion/ Or email • jeni.harden@ed.ac.uk

  18. Positive Steps for Young People (PS4YP)

  19. What we deliver • Housing Support and Care At Home Service • HMO licensed; Care Inspectorate registered • 6-bedroom house with on-site support (including sleep over)

  20. Who we are for • Young people aged 16-25 • Mental health and wellbeing issues • Benefit from living in a shared living environment to build skills and confidence

  21. What do we do? • Build relationships and support young people in their recovery • Multi-disciplinary – close work with partners in Health, 3rd Sector, Emergency Services • Work with young people and their families, where appropriate

  22. How we work • Holistically – mental health not seen on its own • IndividualisedPersonal Plan, Staying Safe and Well Plan • Outcome focussed • ‘Stickability’ – we stick with people often who are challenging to work with

  23. Contact Details To make any inquiries, to arrange an information visit, or make a referral: Contact us at 0131 229 9363 or email lavina.rodger@edinburgh.gov.uk

  24. YOUNG PEOPLE’S VIEWS ON RELATIONSHIPS, SEXUAL HEALTH AND PARENTING (RSHP) EDUCATION AT SCHOOL

  25. YOUNG PEOPLE’S VIEWS ON RSHP EDUCATION AT SCHOOL The consultation asked young people from S1 through to S6 about their views on the learning they do at school on the topics of growing up and puberty, relationships and being a parent. Young people in S2 to S6 also talked about learning about sexual health. 19 secondary schools across the Lothians took part; 18 non-denominational and 1 denominational schools. There were three ways to get involved. • 71 young people took part in small group discussions with the researcher. • 152 young people took part whole class workshops and they ran their own small group discussions and took notes on flipcharts. • 731 young people completed a survey.

  26. YOUNG PEOPLE’S VIEWS ON RSHP EDUCATION AT SCHOOL • Young people were asked what they remember learning. ‘Remembering’ what they have learned allowed the consultation to identify what topics are being covered in RSHP education. There was strong recognition of the RSHP topics. • Young people report that teachers use a range of approaches to facilitate learning and participation, with a mix of interactive and group/discussion based approaches as well as opportunities to ask questions. In a majority of classes teachers use materials to talk about ‘real-life’ situations, and this can be extended into thinking about situations or scenarios and what the young person would do.

  27. YOUNG PEOPLE’S VIEWS ON RSHP EDUCATION AT SCHOOL When it comes to the impact of RSHP education at school there is strong evidence from young people about impact in terms of: • Empathy and growing up as a shared experience. • Basic awareness of contraception and avoidance of STIs. • Finding support and services. • Online behaviours and media literacy. • Learning about parenting. • Consent, pressure and safety. • Awareness of rights, values and aspirations.

  28. YOUNG PEOPLE’S VIEWS ON RSHP EDUCATION AT SCHOOL Most young people like the learning they do on these topics. When it comes to young people’s views on their RSHP education, from the survey we learned that: • 8% said it is excellent. • 29% said it is very good. • 37% said it is good. • 22% said it is just ok. • Only 2% said it is not good and only 2% said it is bad.

  29. YOUNG PEOPLE’S VIEWS ON RSHP EDUCATION AT SCHOOL Young people were asked whether they think that it is important that they learn about RSHP topics and about the importance of school as the setting for this learning. • 90.4% of young people agree or strongly agree that learning about growing up and puberty is important; 90.3% that learning about sexual health is important; 86.4% that learning about relationships is important; 83% that learning about parenting is important. • Around 2 in 3 young people agree that school is the place where they learn most about RSHP topics. • Around 2 in 3 young people indicated an interest in doing more RSHP learning.

  30. YOUNG PEOPLE’S VIEWS ON RSHP EDUCATION AT SCHOOL How could RSHP Education be better? • Assert and confirm that RSHP education is important. • Maintain a focus on learner/teacher relationships and support for excellent teaching. • Build opportunities for interactive and discussion-based approaches and ‘real life’ learning. • Ensure progression and choice. • Improve learning about LGBT identities and sexuality. • Support learning about sexual intercourse. • Extend learning about being a parent. • Enhance learning about relationships. • Help improve conversations at home. • Improve engagement for all learners across RSHP education.

  31. SUPPORTING TRANSGENDER, GAY, LESBIAN, BISEXUAL and INTERSEX YOUNG PEOPLE (In City of Edinburgh Council Communities and Families Services) Diana Dodd, Principal Officer Equalities, Children and Families, 1.3 Waverley Court Diana.dodd@edinburgh.gov.uk

  32. Evidence Edinburgh Schools 2015 • 20% of all bullying in secondary schools is described by young people as homophobic (16% described as racist) Both are increasing • No previous guidance about transgender sent to schools Life in Scotland for LGBT young people 2012 (LGBT Youth Scotland) • 76.8% thought homophobia was a problem in their local area • Over 50% of young people who identified as transgender do not feel safe in using public transport or reporting a hate crime • Bisexual young people were less likely (46.6%) than their LGBT peers (56.5%) to feel safe and supported by the NHS in regards to their sexual orientation or gender identity.

  33. Guidance covers • diversity of gender identities • practical advice • pronouns – get it right! • toilets (if in doubt ask and then assess risk to trans person) • confidentiality and information sharing (Never disclose without permission unless child protection issue) • bullying – all PSE and SRE to be inclusive and tackle homophobia

  34. + Intersex Trans* Transgender Transsexual Gender-fluid Drag Queen Androgyne

  35. FURTHER INFORMATION, RESOURCES and CONTACTS • www.lgbtyouth.org.uk • www.stonewallscotland.org.uk/scotland/ • http://www.respectme.org.uk/ • Just Like a Child – gender equality: www.zerotolerance.org.uk • http://www.equalityhumanrights.com • Edinburgh Council Framework for Equality and Rights: http://bit.ly/1R2OUrl • Children and Families Policy on Bullying and Prejudice: http://www.edinburgh.gov.uk/info/20014/schools_and_learning/229/bullying_and_harassment • Contacts • Diana.dodd@edinburgh.gov.uk and Julia.sproul@edinburgh.gov.uk (job share) • Principal Officer Equalities, City of Edinburgh Council, Communities and Families • Tel 469 3370

  36. Pregnancy and Parenthood in Young PeopleNational strategy - 2016-2026 Yvonne Kerr

  37. Who is at risk of early pregnancy? Young people… • living in poverty and/or areas of deprivation • who are looked after and accommodated and or care leavers • who are, or at risk of, homelessness • who have poor attendance at school • who perform poorly at school • who are in contact with the justice system • whose parents had children under 20

  38. Scotland overview

  39. What about differences in Scotland?

  40. New teenage pregnancy and young parents strategy for Scotland • Scottish Parliament Health and Sport Committee inquiry Feb 2013 “a new national strategy for teenage pregnancy to be developed” • Scottish Government agreed and published on 4 March 2016 Pregnancy and Parenthood in Young People Strategy 2016-2026 http://www.gov.scot/Resource/0049/00495068.pdf

  41. Pregnancy and Parenthood in Young People Strategy 2016-2026 4 Key strands: • Strand 1: Leadership and accountability • Strand 2: Giving young people morecontrol • Strand 3: Pregnancy in young people • Strand 4: Parenthood in young people

  42. Governance • Cross ministerial engagement • National Coordinator • Community Planning Partnerships • Independent Advisory Group • National Evaluation and Monitoring Group

  43. Feedback and thanks Healthy Respect team

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