Teen Pregnanc y Prevention (TPP) Program Community Challenge Grant (CCG)

1. California Department of Public Health Center for Family Health, Office of Family Planning Division Teen Pregnancy Prevention (TPP) Program Community Challenge Grant (CCG) Program Orientation June 3, 2008 - Part 1 1 Revised 06/23/08)

2. About the Webinar • A copy of the powerpoint presentation used in this webinar is posted on the Statewide Training and Technical Assistance website: http://www.etr.org/ofp/webinar • Questions regarding the information presented in this webinar may be emailed directly to the Program Consultant.

3. This orientation is divided into two parts: • Part 1: OFP Overview and TPP Program Elements: • Overview of OFP and TPP Programs • Project Strategies • Curriculum • Laws that Impact TPP Programs • Clinical Linkage - Family PACT Referrals • Part 2: Program Requirements • Collaboration • Community Match • Evaluation • Workplan • Progress Report • Program Forms

4. This orientation (Part 1) will provide CCG Program Coordinators with: • An increased understanding of the scope of TPP Programs across the state. • An increased understanding of Office of Family Planning (OFP) program requirements. • An increased understanding of Family PACT services and referrals to clinical services. • An increased knowledge of the laws that impact teen pregnancy prevention programs. Objectives

5. Office of Family Planning Teen Pregnancy Prevention Programs Overview

6. Organizational Chart California Department of Public Health Center for Family Health Center for Healthcare Quality Center for Chronic Disease Prevention and Health Promotion Center for Environmental Health Center for Infectious Disease

7. Organizational Chart Center for Family Health Maternal, Child, and Adolescent Health Division Office of Family Planning Division Genetic Disease Screening Division Women, Infants and Children Division

8. Organizational Chart Office of Family Planning Division Laurie Weaver, Chief Operations Section Jo Miglas, Chief Teen Pregnancy Prevention Program TBD, Chief Family PACT Program John Mikanda, MD, MPH Chief Domestic Violence Stephanie Roberson, MSW Chief Allocation and Matched Funding Unit Sandra Zajkowski, Chief Contract Managers Program Consultants

9. Program Consultants • Yvette Hernandez Albright, MSW • Tijuana Alexander, MSW • David Bodick, MPH • Jeannine Barbato, MPH • Eileen Harvey, BS • Susan Hunter, MPH • Edward Soto, MA • Dinorah Torza, BA

10. Contract Managers • Amber Delgado • Gloria Gastelum • Rhonda Hansen • Rocio Hurtado • Michael Neff • Hoa Takeoka • Fiona Wan

11. Office of Family Planning Division Teen Pregnancy Prevention Program Community Challenge Grants Information and Education Program Male Involvement Program TeenSMART Outreach Program Family PACT - TeenSMART Enhanced Counseling Services

12. Teen Pregnancy Prevention Program Description, Elements and Requirements 12

13. Teen Pregnancy Prevention Program The purpose of the TPP program is to provide education and support to communities, funding locally designed programs aimed at preventing adolescent and unintended pregnancy and preventing sexually transmitted infection including HIV.

14. Teen Pregnancy Prevention Programs • Community Challenge Grant (CCG) • Information and Education (I&E) • Male Involvement Program (MIP) • TeenSMART Outreach (TSO)

15. Program Goals and Legislative History • Community Challenge Grant (CCG) • CA Welfare and Institutions Code • Enacted: 1996, Section 18993-18993.9 • OFP Statute: 2003, Section 14504.1 • The goals of the CCG Program are: • To reduce the number of teenage pregnancies and teenage single parents. • To promote responsible parenting. • To promote the involvement of the biological father in economic, social, and emotional support of his children. • Funded Projects: • 116 Local Projects - Community Based Organizations, Government Entities, School Districts

16. Information and Education (I&E) CA Welfare and Institutions Code Enacted: 1973, Section 14500-14512 OFP Statute: 2003, Section 14504.3 The goal of the I&E Program is: To decrease teenage pregnancies through educational programs that equip teens at high-risk for pregnancy with the knowledge, understanding, and behavioral skills necessary to make responsible decisions regarding at-risk behavior. Funded Projects: 27 Local Projects - Community Based Organizations, Government Entities, School Districts Program Goals and Legislative History

17. Program Goals and Legislative History Male Involvement Program (MIP) CA Welfare and Institutions Code Enacted: 1996, Section 14504 OFP Statute: 2003, Section 14504 The goal of the MIP Program is: To reduce teenage pregnancy through promoting primary prevention skills and motivation in adolescent boys and young men. Funded Projects: 21 Local Projects - Community Based Organizations, Government Entities, School Districts

18. Program Goals and Legislative History • TeenSMART Outreach Program (TSO) • CA Welfare and Institutions Code • Enacted: 1996, Family PACT, Section 24000-24027 • OFP Statute: 2003, Section 14504.2 • The goals of the TSO Program are: • To reduce teenage pregnancies. • To reduce the incidence of sexually transmitted infections among sexually active teens through enhanced reproductive health care counseling, pregnancy prevention education and sexually transmitted infection risk reduction efforts for adolescents accessing Family PACT TeenSMART clinics. • Funded Projects: • 21 Local Projects – Family PACT Clinics

19. Funding Cycle and Funding Source Community Challenge Grant (CCG) Grant Term: 2005-2010 - $19.4M Annually Federal – TANF Dollars Information and Education (I&E) Grant Term: 2003-2011 - $3.175M Annually Fifty percent of the original grant amount for each grantee is State General Fund (SGF).  The SGF is also used to provide dollar for dollar match of Title XIX funding in accordance with Federal Regulations. The percentage of Title XIX for each grantee is based on time study activities. Male Involvement Program (MIP) Grant Term: 2004-2011 - $2.3M Annually Fifty percent of the original grant amount for each grantee is SGF.  The SGF is also used to provide dollar for dollar match of Title XIX funding in accordance with Federal Regulations. The percentage of Title XIX for each grantee is based on time study activities. TeenSMART Outreach Program (TSO) Grant Term: 2003-2011 - $1.825M Annually 50% State General Funds/ 50% Federal Title XIX

20. Funding Levels and Basic Requirements Community Challenge Grant (CCG) Funding Level 1 (FL1) - $100,000 or $127,000 Informal Collaboration/Minimum Number of Strategies: 4 Funding Level 2 (FL2) - $175,000 or $210,000 Formal Collaboration/Minimum Number of Strategies: 6 Information and Education (I&E) $77,000 – $111,000 Informal Collaborative/Minimum Number of Strategies: 3 Male Involvement Program (MIP) $70,000 - $114,000 Informal Collaborative/ Minimum Number of Strategies: 3 TeenSMART Outreach Program (TSO) $75,000 - $100,000 Informal Collaborative/Minimum: Three (3) Outreach Strategies

21. CCG-Specific Program Elements and Requirements

22. Program Elements and Requirements • Target Populations • Project Strategies • Curriculum • Laws that Impact TPP programs • Clinical Linkage/Family PACT Referrals • Evaluation* • Local and Regional Collaboration* • Community Match* • Progress Reporting and Documentation* * These will be covered in Part 2 of the CCG Orientation.

23. Target Populations • Pre-sexually active adolescents. • Sexually active adolescents. • Pregnant and parenting teens. • Parents and families. • Young adults at-risk for unintended pregnancy or absentee fatherhood.

24. PROJECT STRATEGIES

25. Project Strategies and Substrategies • PREVENTION EDUCATION (Required) Option 1A. Comprehensive Sexuality Education Option 1B. Abstinence-focused Education • CLINICAL SERVICE LINKAGE Option 1A – Required Strategy Option 1B – Optional Strategy • Informational Presentations • Education and Support of Significant Adults, Parents and Other Care Givers of Adolescents

26. Project Strategies and Substrategies • Education and Support for Teen Mothers and Fathers • Male Involvement • Service Learning • Peer Provided Services (Peer Provider Training) • Train the Trainer

27. Project Strategies and Substrategies 10. Mentoring 10A. Formal Adult to Youth Mentoring (Formal) 10B. Adult to Youth Partnership/Role Modeling (Informal) 10C. Team Mentoring (Informal) 10D. Group Mentoring (Informal) 10E. Cross – Age Mentoring (Informal)

28. Project Strategies and Substrategies • Community Awareness & Mobilization 11A. Community Event 11B. Advocacy Presentations 11C. Media • Life Skills • Youth Leadership Development • Other

29. CURRICULUM REQUIREMENTSPrevention Education Strategy

30. OFP Requirements • Compliance with CA Education Code - Chapters 51930-51939 • Compliance with CA Health Accountability Act (AB629) for grant amendments executed on or after January 1, 2008. • Information about Family PACT services and referrals to reproductive health services. • Information on the California Safely Surrendered Baby Law and local resources. • Prevention education must have sufficient length of time: 8 hours minimum.

31. Compliance with CA Education Code California Comprehensive Sexual Health and HIV/AIDS Prevention Education Act. Education Code, Chapters 51930-51939 Applies to all publicly funded schools, effective January 1, 2004 Reference: http://www.leginfo.ca.gov Select  Education Code Search for: 51930-51932

32. California Education Code CURRICULUM/MATERIAL SHALL: • Be age appropriate. • Provide information that is medically accurate, up-to-date and objective. • Encourage communication with Parents or Guardians. • Teach respect for marriage and committed relationships. • Provide pupils with skills for making and implementing responsible decisions about sexuality.

33. California Education Code • CURRICULUM/MATERIAL SHALL: • Be available on equal basis to an English learner, or alternative options consistent with the curriculum. • Be appropriate for use with pupils of different races, genders, sexual orientation, ethnic and cultural backgrounds and pupils with disabilities. • Accessible to pupils with disabilities, with modification and instruction in alternative formats and auxiliary aids. • Not teach or promote religious doctrine. • Not reflect or promote bias against any person on the basis of disability, gender, nationality, race or ethnicity, religion, or sexual orientation.

34. California Education Code • COMMENCING IN 7TH GRADE, CURRICULUM/MATERIAL SHALL PROVIDE INFORMATION ABOUT: • Contraception • Provide information on effectiveness and safety of all FDA-approved contraceptive methods, including information on emergency contraception • Sexually Transmitted Disease • Transmission - How STDs are transmitted and how they are not transmitted • Protection - All FDA-approved methods of reducing the risk of contracting sexually transmitted diseases • Resources - Information on local resources for testing and medical care for STDs

35. California Education Code • COMMENCING IN 7TH GRADE, CURRICULUM/MATERIAL SHALL PROVIDE INFORMATION ABOUT: • Abstinence • Teach that abstinence from sexual activity is the only certain way to prevent pregnancy and sexually transmitted disease and HIV. • Provide information about the value of abstinence, while also providing medically accurate information on other methods of preventing pregnancy and STDs.

36. California Education Code EC Section 51933 requires that classes that provide instruction on human development and sexuality in grades seven through twelve shall include medically accurate, up-to-date information about all FDA-approved methods for: 1) reducing the risk of contracting STDs, and 2) preventing pregnancy. EC Section 51933, prohibits: • Teaching “abstinence-only” education, in which information about preventing pregnancy and STDs is limited to instruction on abstinence from sexual activity. • Instruction that emphasizes the benefits of abstinence while focusing exclusively on the failure rates or perceived disadvantages of condoms and other contraceptives.

37. California Education Code • COMMENCING IN 7TH GRADE, CURRICULUM/MATERIAL SHALL PROVIDE INFORMATION ABOUT: • California Law on Surrendering Babies • Instruction and materials shall provide pupils with information on surrendering physical custody of a minor child 72 hours or younger. Include local safe havens/drop-off locations.

38. California Education Code • OTHER REQUIREMENTS: • Instructor Training - Instructors must be trained on medically accurate research on human sexuality, pregnancy and STDs. • Parental Notification – At the beginning of the school year or at the time of the pupil’s enrollment, offering an opportunity to preview materials. • Parental Consent – Passive consent is required. A parent may excuse a student from attending all or part of the program through a signed notice to the school.

39. Compliance with CA Health and Safety Code Sexual Health Education Accountability Act CA Health and Safety Code, Division 120, Section 151000-151003 Applies to sexual health education program grants funded pursuant to contracts entered into or amended after January 1, 2008 Reference: http://www.leginfo.ca.gov Select  Bill Information Search for: Session [2007-2008]and Bill Number [AB629 Brownley]

40. Sexual Health Education Accountability Act CURRICULUM/MATERIAL SHALL: • Include information that is medically accurate, current and objective. • Be culturally and linguistically appropriate for its targeted populations. • Be age appropriate for its target population. • Not teach or promote religious doctrine. • Not reflect or promote bias against any person on the basis of disability, gender, nationality, race or ethnicity, religion, or sexual orientation. • Provide information about the effectiveness and safety of at least one or more drug or device approved by the federal Food and Drug Administration for preventing pregnancy and for reducing the risk of contracting STDs.

41. Sexual Health Education Accountability Act • PROGRAMS DIRECTED AT MINORS UNDER 12 YEARS OLD • CURRICULUM/MATERIALS SHALL: • The program shall include information that the only certain way to prevent pregnancy and STD is by abstinence from sexual intercourse/activities that have been proven to transmit STDs. • Programs directed at minors under 12 years may, but are not required to, include information about the effectiveness and safety of at least one or more drug or device approved by the federal Food and Drug Administration for preventing pregnancy and for reducing the risk of contracting STDs.

42. Sexual Health Education Accountability Act • OTHER REQUIREMENTS: • Agencies shall attest in writingthat its program complies with Health and Safety Code, Sexual Health Education Accountability Act requirements.* • Agencies providing programs in publicly funded schools must comply with the Education Code requirements for Comprehensive Sexual Education. • Agencies providing programs in publicly funded schools shall indicate in writing how their program fits with the school’s plan to comply with the Education Code requirements for Comprehensive Sexual Education. • The Health and Safety Code, Sexual Health Education Accountability Act does not supersede Education Code requirements for publicly funded schools (including charter schools). * Requirement applies to prevention education programs regardless of the setting/site.

43. Sexual Health Education Accountability Act OTHER REQUIREMENTS: • Individuals providing instruction or information shall know and use the most current scientific data on human sexuality, human development and sexually transmitted diseases. • Non-compliance may result in termination or other appropriate action.

44. CA Health Education Content Standards California State Board of Education  Approved March 12, 2008 http://www.cde.ca.gov/be/ag/ag/yr08/documents/mar08item11.doc

45. CA Health Education Content Standards Standard 1: Growth, Development, and Sexual Health Standard 2: Analyzing Influences Standard 3: Accessing Valid Information Standard 4: Interpersonal Communication Standard 5: Decision Making Standard 6: Goal Setting Standard 7: Practicing Health-Enhancing Behaviors Standard 8: Health Promotion

46. Evaluated curriculum Peer reviewed, field-tested, and published in at least one professional journal. The outcome objectives desired have been shown to be significant and effective with the target population(s) over time. Non-Evaluated Not peer reviewed or field-tested. Curriculum Type by Evaluation

47. Original curriculum Curriculum is used in its entirety, as published. No changes are made to the material. Modified curriculum Adaptations are made to the material. May be a compilation of two or more evaluated curriculum. Alters the conditions of an evaluated curriculum. Outcomes from the evaluation of a curriculum cannot be applied if it is modified. Curriculum Type by Publication

48. Clinical Linkage – Family PACT

49. What is Family PACT? Family Planning, Access, Care and Treatment (Family PACT) is California's innovative approach to provide comprehensive family planning services to eligible low income men and women.  This clinical program increases access to services by expanding the provider network to include medical providers, pharmacies and laboratories. www.familypact.org

50. Family Planning & Reproductive Health Goal Expand access to optimal reproductive health Protection Preventing reproductive system disease Management Preventing unintended pregnancy Planning and spacing desired pregnancy