Personal Responsibility Education Program

1. Personal Responsibility Education Program PREP Henry Lustig, MA, MSW, LISW-S PREP Project Manager Ohio Department of Health Susan Williams, Ohio Department of Job and Family Services Jeff Spears, Ohio Department of Youth Services

2. What is PREP? Part of the Patient Protection and Affordable Care Act.  Educates young people on both abstinence and contraception  prevent unplanned pregnancy and sexually transmitted infections. Targets high risk populations, including pregnant youth and mothers under 21. The Administration on Children, Youth & Families and Family &Youth Services Bureau oversee the program.

3. Why? • US has the highest teen pregnancy rate in the entire industrialized world • Teens account for about 50% of all new STD’s in the United States.

4. What is PREP? Projects use effective, evidence-based program models that have been proven to delay sexual activity, increase condom or contraceptive use for sexually active youth, or reduce pregnancy among youth. PREP is in 49 States.

5. Information of Value Legal Issues: Minors can self-consent for diagnosis and treatment of STIs & HIV testing Ohio law is silent on consent for pregnancy testing and contraception, including emergency contraception –Title X specifically states parental consent not needed for reproductive healthcare Minors in foster care and juvenile justice can consent to confidential reproductive health care

6. What Makes Ohio PREP Unique? Target Populations: Youth 14-19 years of age who are in: • Foster Care • Juvenile Justice

7. Why Foster Care? • Less likely to use contraception • Almost ½ of females in foster care pregnant by age 19 • 2.5 times higher pregnancy rate than non-foster care peers • One-half of 21 year-old males aging out of foster care have impregnated someone vs. 19% of peers not in foster care

8. Why Juvenile Justice? • Higher rates of sexual activity • Lower rates of condom and contraceptive use • More lifetime sexual partners • Among highest rate of STDs • Higher pregnancy rates

9. Why Juvenile Justice? • 94% of males and 87% of females had had sexual intercourse • vs. 54% of HS students • 32% males, 25% females used a condom during last sexual intercourse • vs. 49.4% of males and 40.0% females in the general population • 54% males, 47% females used contraception during last sexual intercourse vs. 78% of high school students • Vast majority had > 4 sexual partners (many had more than 20)

10. Why Juvenile Justice? • 14% of incarcerated youth have children (15% M, 9% F) • vs. general population: 2% of males, 6% females • 12% of incarcerated youth expecting a child • More than 1/5 were a parent or expecting a child • More than 1/3 of incarcerated females ever been pregnant

11. Why Juvenile Justice? DYS Facilities and Regional Offices- FY 2012 Admissions 633 Youth

12. Statewide Implementation Partners: • Ohio Department of Health • Ohio Department of Job and Family Services • Ohio Department of Youth Services

13. Statewide Implementation Ohio Department of Job and Family Services Ohio Department of Youth Services PCSAO-Public Children Services Association of Ohio OACCA-Ohio Association of Child Caring Agencies Planned Parenthood of Ohio Advisory Council

14. Statewide Implementation Regional Coalition Development Two Tier Training: • Curriculum Development • Train the Trainer Models • Direct links to youth and caregivers • Train 90% of the staff who work directly with youth • Provide the curriculum to 90% of the youth in out-of-home placement and court-involved (JJ).

15. Role of Regional PREP Programs? • Establish coalitions & coordinate efforts • Train the providers & provide initial materials • Provide incentives to providers & youth • Provide ongoing Technical Assistance

16. Role of Regional PREP Programs? • Participate in evaluation • Promote regional and state-wide PREP efforts • Provide information to the public and to interested stakeholders • Generate systemic changes to support effective prevention programs • Generate systemic changes to support successful transitions to adulthood for foster children and those involved with the juvenile justice system

17. Role of coalition members? • Promote PREP • Assist with organizing and training providers on the curriculum • Help expand the PREP program to the required number of targeted providers and youth • Offer feedback and resources to the regional organization • Assist with sustainability

18. Healthy Sexuality • Knowing oneself & treating others with respect. • Youth with the attitudes and skills to achieve healthy sexuality can: • Understand family values about sexuality • Recognize personal values • Make healthy decisions for the future • Engage in healthy behaviors • Communicate clearly with others about their expectations regarding sexuality and relationships • Understand benefits of abstinence and postponing sexual activity

19. Goals of Sexuality Education Promote health & safety Support abstinence Assist sexually active students in acquiring skills needed to remain healthy Help students protect their futures Set a foundation for healthy sexuality throughout life

20. Statewide PREP Implementation • Reducing the Risk • 3 Lifeskill Development Topics: • Healthy Relationships • Financial Literacy • Career Planning

21. Reducing the Risk Students will: Evaluate risks &consequences of becoming an adolescent parent or infected with an STI Recognize that abstinence & use of contraception are the only ways to avoid pregnancy & STIs Demonstrate effective communication skills for avoiding unprotected sexual intercourse

22. Healthy Relationships Students will: Discuss characteristics of healthy relationships Demonstrate active listening Identify 3 forms of verbal communication Discuss characteristics of unhealthy relationships Recognize warning signs of an abusive relationship Identify ways to remain safe

23. Financial Literacy Students will: Discuss how personal values & beliefs about money influence spending Explain the difference between financial “needs” and “wants” Discuss how they spend money on “needs” and “wants” Define what a budget is and why it is important Know the difference between net and gross pay Create a sample budget

24. Career Building Skills Students will: Identify personal interests, abilities & traits related to employment Match interests & skills with specific occupations Discuss the information needed to research job opportunities Create a resume Complete a job application with a cover letter Describe components of a successful job interview Demonstrate the ability to successfully interview for a job video

25. Who is Providing PREP? Rescue Services Center for Adolescent Services Family Center Family Resource Center of NW Ohio Northwest Ohio JDC SAFY-Safe Harbor Lucas County CSB Allen County Juvenile Court The 12 Inc. Clear Creek Farms-Homes for Children Choices, Inc. West Central Juvenile Facility Clark County Juvenile Court David L. Brown Youth Center Greene County CSB Maryhaven Youth Center- Lebanon Oesterlen Services for Youth Butler County JDC Champaign County DJFS Warren County JDC Nicholas Residential Treatment Ctr. Pressley Ridge Wilson Children’s Home Oasis Therapeutic Foster Care

26. Who is Providing PREP? Transitions for Youth Alpha SARGUS Guernsey County CSB McCollough Children’s Home Perry Behavioral Health Choices Girls’ Gender Specific Cambridge Counseling Center for Child and Family Development SAFY Portage County Co. JFS Wayne County CSB Multi-County Juvenile Attention System Indian River Juvenile Attention System The Village Network Applewood Centers Lake County JFS Summit County CSB Summit County Juvenile Court National Youth Advocate Program (NYAP) Foundations for Living ABRAXAS Seneca County Youth Center Seneca County Juvenile Court Marion County Family Court Marion County Children Services North Central Ohio Rehabilitation Center Pomegranate Health Systems A New Leaf The Bair Foundation Family Resource Center of NW Ohio Allen County Juvenile Center

27. Who is Providing PREP? Coshocton County Board of DD First Step Coshocton County Family and Children First Coshocton Behavioral Health Muskingum County Children Services Avondale Youth Center Guernsey County Juvenile Court Multi-County JDC, Lancaster The Buckeye Ranch Starr - Hannah Neil Kids Count Too Youth Advocate Program Student Achievement Program Ottawa County Probation Ottawa County JFS Lucas County Juvenile Court Ottawa County Probation Foster Care Connection Fairfield Independent Living UMCH Family Services

28. EVALUATION RESULTS What does the data show so far? • Number of Agencies Involved – 76 • Number of Regional Staff Trained – 57 • Number of Provider Agency Staff Trained – 241 • Number of Youth Provided Curriculum - 486

29. EVALUATION RESULTS Some Comments from Youth who participated: What did you like most about the program? • “…that they actually could talk to us about condoms, the risk of pregnancy, etc.” • “It is good to talk to people about sex and risks. It opens your eyes about things and shows other people have the same questions you do.” • “How they took the time to explain everything and make sure we know.” • “I like learning about how to say no.” • “It opened my eyes about a lot of things and showed me how to protect myself.”

30. How can PREP benefit your organization? • Diminish harmful sexual activity – protect kids, foster parents &staff, stabilize placements, decrease negative publicity • Increase successful youth outcomes • Increase competency and knowledge of staff and foster parents • Provide material for ongoing training of foster parents in both Independent Living Skills and support for healthy relationships

31. How can PREP benefit your organization? • Material for billable groups • CEUs for staff • Enhanced program value through use of evidence-based programming • Increased grant and RFP possibilities • Free materials and training • Technical Assistance • Part of a larger, State-Wide Effort supported by ODJFS, ODYS, OACCA, PCSAO, FCFC, ODH, County Public Health Departments and Planned Parenthood.

32. What is the role of the Provider? • Choose qualified staff members to be trained in Ohio PREP curriculum • Provide the curriculum to the youth in the program with consistency and fidelity • Assist with the collection of data and evaluation material • Train other staff and foster parents in the agency • Offer feedback on the program

33. PREP QUESTIONS?QUESTIONS? QUESTIONS? QUESTIONS?