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Sexual Health Education Workgroup

Sexual Health Education Workgroup. Meeting #1 August 15, 2019 9 am – 4 pm. Office of Superintendent of Public Instruction. Chris Reykdal, State Superintendent. Vision:. Values:. All students prepared for post-secondary pathways, careers, and civic engagement. Mission:.

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Sexual Health Education Workgroup

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  1. Sexual Health Education Workgroup Meeting #1 August 15, 2019 9 am – 4 pm Office of Superintendent of Public Instruction Chris Reykdal, State Superintendent

  2. Vision: Values: All students prepared for post-secondary pathways, careers, and civic engagement. Mission: Transform K–12 education to a system that is centered on closing opportunity gaps and is characterized by high expectations for all students and educators. We achieve this by developing equity-based policies and supports that empower educators, families, and communities. Ensuring Equity Collaboration and Service Achieving Excellence through Continuous Improvement Focus on the Whole Child

  3. Equity Statement: Each student, family, and community possesses strengths and cultural knowledge that benefit their peers, educators, and schools. Ensuring educational equity: Goes beyond equality; it requires education leaders to examine the ways current policies and practices result in disparate outcomes for our students of color, students living in poverty, students receiving special education and English Learner services, students who identify as LGBTQ+, and highly mobile student populations.

  4. Equity Statement: Each student, family, and community possesses strengths and cultural knowledge that benefit their peers, educators, and schools. Ensuring educational equity: Goes beyond equality; it requires education leaders to examine the ways current policies and practices result in disparate outcomes for our students of color, students living in poverty, students receiving special education and English Learner services, students who identify as LGBTQ+, and highly mobile student populations. Requires education leaders to develop an understanding of historical contexts; engage students, families, and community representatives as partners in decision-making; and actively dismantle systemic barriers, replacing them with policies and practices that ensure all students have access to the instruction and support they need to succeed in our schools.

  5. Welcome/Introductions Who’s in the Room? Name, Organization, 3 words describing your summer. • 3 School District Representatives (WSSDA) • 3 School Principals (AWSP) • 3 Public School Health Educators (WEA) • 3 Public Health Officials, 1 State & 2 Local (DOH) • 3 Parents • Superintendent of Public Instruction/Designee

  6. Group Agreements

  7. Agenda Highlights • Current Statutes • Data Reviews • Research Brief • Health Impact Review • Public Comments

  8. Welcome/Overview of Tasks - ESHB 1109, Sec. 501 (3)(h) • Review provisions related to sexual health education in the 2016 Health Education K-12 Learning Standards • Review existing sexual health education curricula in use in the state for the purpose of identifying gaps or potential inconsistencies with the learning standards • Review data

  9. Welcome/Overview of Tasks • Consider revisions to sexual health provisions in statute • Consider the merits and challenges associated with requiring all schools to offer comprehensive sexual health education to students in all grades by September 1, 2022 • Submit report to the Legislature, State Board of Education and DOH by Dec. 1, 2019

  10. Timeline Meeting #1 – Statutes, Data, Research Reviews Meeting #2 – Standards and Curricula Meeting #3 – Successes & Challenges, Youth Voice Meeting #4 – Gaps and Equity Issues, Merits and Challenges Summary, Recommendations Nov. 1 – Draft report complete Dec. 1 – Report to Legislature, DOH, State Board of Health

  11. Current SHE Statutes • AIDS Omnibus Act (RCW 28A.230.070,1988) • Common School Curriculum (RCW 28A.230.020,1988) • Healthy Youth Act (RCW 28A.300.475, 2007) • Sex Offenses/Offenders/Victims of Sexual Assault (RCW 28A.300.145, 2013)

  12. AIDS Omnibus Act (1988) • Beginning no later than Grade 5, students shall receive yearly instruction on: • The life-threatening dangers of HIV/AIDS, and its transmission and prevention • Focus on abstinence from sex and drugs

  13. AIDS Omnibus Act (1988) • Medically accurate • Parents may opt their children out of instruction

  14. Common School Curriculum (1988) All teachers shall stress the importance of: • The minimum requisites for good health including methods to prevent exposure to and transmission of STDs

  15. Healthy Youth Act (2007) • Decision to offer sexual health education (SHE) is up to local school boards • If SHE is offered, it must be: • medically and scientifically accurate • age appropriate • appropriate for students regardless of gender, race, sexual orientation, and disability status • consistent with the Guidelines for Sexual Health and Disease Prevention

  16. Healthy Youth Act (2007) • If SHE is offered, it must: • include information about abstinence and other methods of preventing unintended pregnancy and sexually transmitted diseases (abstinence-only instruction may not be provided) • Parents may opt their children out of SHE

  17. Sex Offenses/Offenders/Victims of Sexual Assault (2013) Every public school that offers sexual health education should include: • age-appropriate information about the legal elements of sexual [sex] offenses under chapter 9A.44 RCW where a minor is a victim and the consequences upon conviction

  18. Sex Offenses/Offenders/Victims of Sexual Assault (2013) • Sex offender registration, community notification, and the classification of sex offenders based on an assessment of the risk of reoffending • How to recognize behaviors characteristic of sex offenses and sex offenders • How to prevent victimization, particularly that of young children • How to take advantage of community resources for victims of sexual assault

  19. Small Group Work – Current Statutes • 3 small groups • Review statute language • On flip chart pages, list: • Challenges related to school implementation • Strengths of statute • Potential changes needed

  20. ESHB 1109, Sec. 501 (3)(h) Required WA State Data Survey • For each school district (inclusive of charter schools), for each of the previous 5 years for which data is available, the rate of: • teen pregnancy • STDs • Suicide • Depression • Adverse childhood experience • To the extent possible, the above data must be disaggregated by: • age, race, ethnicity, free and reduced lunch eligibility, sexual orientation, gender identity and expression, and geography, including school district population density

  21. ESHB 1109, Sec. 501 (3)(h) Required WA State Data Survey To be covered in Meeting #2 • The availability of sexual health education (SHE) in public schools • The curricula used in the district to teach SHE • A list of schools that offer SHE • Grade levels in which SHE is offered

  22. Healthy Youth Survey “The Healthy Youth Survey is important because it is a way for us to hear directly from students, without adults filtering their answers. It is up to us to provide programs and services that will help students succeed, and what better way to know what’s on their hearts and minds than by asking them?” - Supt. Chris Reykdal

  23. Statewide support for HYS + Schools, ESDs, Local Health & Community Partners! Funding for the 2018 survey is provided by the Dedicated Marijuana Account and the U.S. Center for Substance Abuse Prevention, Substance Abuse Block Grant. 23

  24. What is the Healthy Youth Survey? • Administered to students in 6th, 8th, 10th, 12th grade every 2 years. • Small Districts= 150 students or less in a grade, can administer to 7th, 9th,11th • Surveys are anonymous • Surveys are voluntary • Administered in the Fall • Results are released in March.

  25. 2018 HYS participation • In 228 school districts… • In 973 schools… • Over 235,000 students… • In all 39 counties… 25

  26. Survey Topics Abuse Activities and Clubs Alcohol Asthma Bullying/Harassment Children’s Hope Scale Demographics (age, gender, ethnicity) Disability Family Fighting Fitness Gangs HIV/STD/Pregnancy Prevention Healthy or Health Care Honesty Marijuana Mental Health Nutrition Other Drugs Quality of Life Safety-related Behaviors School Climate Sexual Behaviors Sexual Identity Sexual Orientation Substance Use Prevention Texting and Driving Tobacco and Electronic Cigarettes/Vaping Weapons Height and Weight

  27. CORE = 39 Demographics Substance Use Mental Health • Lifetime use: • Alcohol • Marijuana • Current use: • Alcohol • Marijuana • Cigarettes • Painkillers • Binge drinking • Use at school: • Tobacco • Vape • Alcohol • Marijuana • Age of first use: • Alcohol • Marijuana • Age • Gender • Race/Ethnicity • Language in the home • Mother’s education • Where they live • Who the live with • Lost their home • Had to cut meals • Depression • Consider suicide • Nervous/anxious • Uncontrolled worry Violence & Safety • Bullied at school • Weapons at school • Gangs at school • In a gang • Fighting • Texting while driving School • Usual grades • School enjoyment • School absences • After-school activities Optional Demographics • Gender identity • Sexual orientation 27 27

  28. Form B (Tear off) How old were you when you had sex for the first time? a. I have never had sex. b. 11 years old or younger c. 12 years old d. 13 years old e. 14 years old f. 15 years old g. 16 years old h. 17 years old or older With how many people have you ever had sex? a. I have never had sex. b. 1 person c. 2 people d. 3 people e. 4 people f. 5 people g. 6 or more people

  29. Form B (Tear off) The last time you had sex, what method(s) did you or your partner use to prevent pregnancy and/or sexually transmitted infections? Select all that you used. a. I have never had sex b. No method was used c. Birth control pills d. Condoms e. An IUD or implant (such as Mirena or ParaGard; Implanon or Nexplanon) f. A shot (such as Depo-Provera) g. Patch or birth control ring (such as Xulane; NuvaRing) h. Withdrawal or some other method i. Not sure During your life, with whom have you had sexual contact? Select all that apply. a. I have never had sexual contact b. Females c. Males d. Other

  30. Form B (Tear off) Have you ever seen someone about your age pressure someone else to kiss, touch, or have sex when they did not want to? a. Yes b. No • Have you ever been in a situation where someone made you engage in kissing, sexual touch or intercourse when you did not want to? a. Yes b. No

  31. Form A and B (tear off) Which of the following best describes you? a. Heterosexual (straight) b. Gay or lesbian c. Bisexual d. Questioning/not sure e. Something else fits better f. I do not know what this question is asking How do you currently identify yourself? Select all that apply. a. Male b. Female c. Transgender d. Questioning/not sure of my gender identity e. Something else fits better f. I do not know what this question is asking

  32. How do I access the data? www.askhys.net

  33. Questions? Contact: Emily Maughan Emily.Maughan@k12.wa.us 360-725-6030

  34. Data – STD Rates (Ages 15-19) Chlamydia • Rate for youth is 3.6 times the state average • Rate for youth has increased 25% over 5 years Gonorrhea • Rate for youth is 1.5 times the state average • Rate for youth has increased 45% over 5 years Syphilis • Rate for youth is half the state average • Rate for youth has increased 32% over 5 years

  35. Data – Teen Pregnancy Rates (Ages 15-17) • WA State rate has dropped from 14.64 to 9.24 over 5 years • County rates range from 0 to almost 4 times the state rate • 4 counties have rates more than twice the state rate

  36. Data – Teen Pregnancy Rates (Ages 18-19) • WA State rate has dropped from 53.15 to 40.53 over 5 years • County rates range from 0 to almost 3 times the state rate • 7 counties have rates more than twice the state rate

  37. Data – Teen Pregnancy (Ages 15-19) • 3,191 teen births in WA in 2017 • 75% of teen pregnancies are unplanned • Declines in teen pregnancy due to improved contraceptive use

  38. WA State Data SHE Workgroup Webpage: • Pregnancy and suicide rates for ages 15-19 • STD rates for ages 15-19 • HYS data for depression • HYS data for education on abstinence and other prevention methods

  39. LUNCH • Review Research Brief – Youth at Risk • Discuss with a neighbor • Jot down questions, conclusions on sticky notes

  40. Health Impact Review ESSB 5395, Concerning comprehensive sexual health education August 15, 2019

  41. Overview Health Impact Review (HIR) framework HIR of ESSB 5395 41 Washington State Board of Health

  42. Health Impact Review Framework, process, and strength-of-evidence criteria

  43. HIR overview A HIR is an objective, non-partisan, evidence-based analysis to determine how a legislative or budgetary change will likely impact health and health equity in Washington State. HIRs can be requested by any legislator or the governor. (RCW 43.20.285) HIRs can be requested for any bill topic. 43 Washington State Board of Health

  44. HIR Process Analysts conduct specific reviews of literature to determine how the provisions may impact health and which populations are most likely to be impacted by the proposed change Literature Review Analysts explore potential connections to health by: Conducting initial literature reviews Reviewing public testimony and documents relevant to the bill Drafting a logic model for review by subject matter experts and key informants Explore Pathways Analysts determine how provisions in the bill would change the status quo by reviewing the bill language and interviewing staff at agencies responsible for implementing the proposed policy Review Bill Washington State Board of Health

  45. Levels of Key Informant Engagement Washington State Board of Health

  46. Strength-of-Evidence Criteria VERY STRONG EVIDENCE STRONG EVIDENCE A FAIR AMOUNT OF EVIDENCE EXPERT OPINION INFORMED ASSUMPTION NOT WELL RESEARCHED UNCLEAR Washington State Board of Health

  47. HIR of ESSB 5395 Concerning comprehensive sexual health education

  48. ESSB 5395: Provisions Requires every public school (K-12) to provide comprehensive sexual health education, which is evidence-informed, medically and scientifically accurate, age-appropriate, and inclusive of all members of protected classes by September 1, 2021. Directs Office of Superintendent of Public Instruction (OSPI) to develop a list of comprehensive sexual health education curricula that meet state requirements and to create instructional materials review tools. Requires public schools to either implement a comprehensive sexual health education curriculum from the OSPI curricula list or to use the OSPI review tools when choosing curricula other than those on the list. Allows parents or legal guardians to excuse their child from planned instruction in comprehensive sexual health education through a written request. Washington State Board of Health

  49. ESSB 5395: Methods Review of literature Key informant interviews (19 organizations total) • Agencies from other states • Washington State agencies • Community organizations • Individuals impacted by the bill Washington State Board of Health

  50. ESSB 5395: Magnitude of Impact Providing school-based sexual health education, other than HIV and STD prevention instruction, is not currently mandatory in Washington State. Limited data available about the extent to which public schools are in compliance with current law as well as limited information about which students and how many students are currently receiving comprehensive sexual health education in Washington. • 80% of high schools reported teaching 18 out of 20 CDC identified critical sexual health topics in 2018 • 89% of students surveyed across the state said they had received sexual health education in school just once • 18% of students surveyed across the state said they had not received any sexual health education in school • Some schools provide abstinence-only sexual health education despite curriculum not aligning with state law Washington State Board of Health

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