Teaching Sexuality Education - Pembina Trails School Division

advertisement
Teaching Sexuality Education
Grade 7, 9, 10 LRSD, PTSD, SJSD
Roselle Paulsen
Sexuality Education Resource Centre
S.E.R.C.
Training and Consultation
Education
Resource Centre
Facts of Life Program
Special Projects
MECY Curriculum
Five significant risk behaviors
Inadequate physical activity
Unhealthy dietary behaviors
Drug use including alcohol and tobacco
Sexual behaviors that result in STI
and UPP
Intentional and unintentional injuries
General Learning Outcomes
Resulting five GLOs
Movement
Fitness Management
Safety*
Personal and Social Management*
Healthy Lifestyle Practices*
Curriculum Overview
S.E. in K, gr. 2, 5, 7, 9, 10, 12
Personal and Social Management is intricately
linked to the sexuality unit
5 or 6 topics per grade
Risk behaviors are the basis for the
curriculum
What’s in grade 12?
Understanding health relationships
Rights and responsibilities in
relationships
Unhealthy and abusive relationships
Community supports and services
Sexuality Education
What are the values we promote?
“What values are you teaching my child?”
Why teach it…
*Re-enforced information
*Discussion with peers
*Universal values
*A+ sexuality education
Informing parents…
Curriculum
Get familiar with the resource
Look at BLM’s and appendices
Climate Setting
What do you do to make students
comfortable?
Respect Rules
What?
How?
Why?
Values
Values Corners
Culture
Culture
Cultural aspects of our experiences:
Gender
Ability
Sexual Orientation
Faith
Family
Economic Class
Experiences
Age
Race
Heritage
Politics
Geography
Sexism, racism, homophobia
Fill in individually
Language
Sex, gender
Sexuality
LGBTTQQI
LGBT*
Lifestyle
Orientation
Choice
47.5 % of LGBTQ youth do not feel fully
accepted at school
49% have had rumours spread about them
41% have been sexually harassed at school
Students heard ‘gay’ or ‘fag’ 25-75 times a
day at school
Dr. Catherine Taylor, U of W, 2008 National Survey on Homophobia and
Transphobia in Canadian Schools
Messages to Give…
8 groups plan response to one issue
1.
2.
3.
4.
5.
6.
7.
8.
Sex
Masturbation
Their bodies
Relationships
Sexually transmitted infections
Birth control
Sexual orientation
Abortion
Puberty
5 I’s of Adolescence
Independence
Identity
Intellect
Integrity
Intimacy
Video
What Teens Want to Know About Sex
sunburst.com
Key Issues
Body shape and changes
Breast development (girls/boys)
Posture
Penis development/size
Hygiene
Acne
Voice changes
Menstruation, cycles
Sanitary products
Tampons…TSS, virginity, values
Emotions and feelings
Being ‘normal’
Reproduction
Reproduction
Ova in ovaries from birth
Sperm produced at puberty, as needed
Fertilization: where and how
Implantation
Fetal development
Twinning
S.A.K.E. Groups
Skills
Attitudes
Knowledge
Environment
SAKE Groups
4 groups: what teens need to develop healthy self
concept and relationships
1. Skills teens need to develop
2. Attitudes/beliefs we want teens to hold
3. Knowledge (SRH) teens need to have
4. Environment that supports teens
(at school, at home, in their community)
Languages of Sexuality
Medical / scientific
Childhood
Street
Indirect / euphemistic
Attitudes: I am sexual
I am worth protecting
I deserve respect
I have goals
Using Condoms is…
S mart
A ffordable
F ashionable
E asy
R esponsible
S ensible
E rotic
X citing
Skills: practice processing and scripting
Imagine, process, practice
Practice, practice, practice…
An Announcement
adapted from Mary Long
This is your last warning!
If you continue to ignore me,
in showing no interest
in learning my name,
if you have not spoken to me
by the end of next week,
I will stop dreaming about you.
Although 2/3 of prime time TV
shows had sexual content,
Less than 1 in 10
contained reference to the
risks and responsibilities of
sexual activity or…
contraception or safer sex.
Canadian Guidelines for Sexual Health Education, Health Canada, 2003.
Environment:
safety, nurturing, role models
services
opportunities, activities
education
supportive media messages
Sexually Transmitted Infections
Diseases
Infections
Transmitted
Transmissible
HIV
Human
Immunodeficiency
Virus
AIDS
Acquired
Immuno-Deficiency
Syndrome
No cure or vaccine
Preventable
Transmission
Sexual intercourse
Infected blood
Infected woman to fetus/baby
Infection
Antibodies form, in 6-12 weeks and
within 6 months
Symptoms appear
AIDS develops
Can be a 20+ year process
HIV in Manitoba
56 new cases in 2000
89 new cases in 2008
1,566 cases 1985 – 2008
Highest rates among 20-39 year olds
CDC MB Health 2009
Causes of Infection
1996-2007 cumulative
1.
2.
3.
4.
Heterosexual contact
IDU
MSM
Endemic
Manitoba Health 2008
Globally
33.2 million living with HIV globally
~ 5,750 AIDS deaths each day
2.5 million new infections per year
U.N. 2008
AIDS in Manitoba
13 new diagnoses in 2006
4 in 2008
266 cases 1985-2008
HIV is NOT spread by:
Touching, hugging, kissing
Sharing food or linens
Being coughed, sneezed, cried on
Giving blood
Pets or insects
Pools, fountains, phones…
STIs
Chlamydia
Gonorrhea
Syphilis
LGV lymphogranuloma venereum
Trichomonas
Pubic lice
Scabies
Genital Herpes
Genital Warts (HPV)
(vaccine - gr.6 girls)
HIV
Hepatitis B
(vaccine – A,B – gr.4’s)
Hep A & C
Signs
Symptoms vs being asymptomatic
Transmission considerations for:
Parasites
Bacteria
Viruses
Youth aged 15-24
Have the highest rates of infection in
Manitoba for:
Chlamydia
Gonorrhea
HIV
What to do…
Get tested
Follow treatment
Inform partner(s)
Abstain from risk contact until advised
Treatment is free and confidential
Where to go for info…
Community health centre
Public Health Nurse
Counsellor
Physician
Parents
Activity
Break into groups
Place each behavior card on the
continuum of risk for STIs
Safer Sex
Condoms: male latex
male polyurethane
novelty and ‘natural’
female polyurathane
Oral dams: bought and homemade
(aka dental dams, latex squares…)
Artist: Spacca, Brazil
STI Lessons
Grade groups review their STI lessons
from the curriculum resource
Share overview, tips, adaptations
Just Say No…
…will be as effective in combating
AIDS as “Have a nice day” has
been in combating clinical
depression.
Nicholas Firstenberg, Hunter College, NY.
Evaluations
Have a great evening.
Welcome to Day 2
Questions or observations from day 1?
Agenda Day 2
Adolescent Pregnancy
Birth Control
Review of lessons
Question box
More activities
Resources and Referrals
Concentric Circles
1. Create 2 circles, an inner and an outer
ring
2. Face the person in the other circle
Survey
What are the top sources for sexual
information among youth?
Teens identify both parents and school
as important sources of info; as well as
friends and the internet
Teens are still having first intercourse
on average around 16.5-17 years of
age. This has been consistent for over
a decade.
Canadian Paediatric Society, 2008
CYSHHAS 2002
CYSHHAS
Canadian Youth, Sexual Health and
HIV/AIDS Study
11,074 students in grades 7, 9, & 11
Council of Ministers of Education,
Canada, 2003
Reasons for 1st Intercourse
Grade 9 & 11, Top 4 reasons:
Love
Curiosity/experimentation
Got carried away
Influence of alcohol/drugs
Reasons Condoms Not Used
Did not expect to have sex
Used other method of birth control
I/partner don’t like to use condoms
Had too much alcohol/drugs
Adolescent Pregnancy
Rate per 1,000 females 15-19
Manitoba 47.3
Winnipeg 42.2
Fort Garry
Assiniboine South
St. James/Assiniboia
St. Vital
St. Boniface
Transcona
MB Health 2008
2006-2007
Number
1,982
932
17.8
12.5
24.2
18.5
24.6
27
42
18
42
39
39
32
Risk Factors for Teen Pregnancy, STI
Social disorganization: violence, poverty…
Family disruption: divorce, substance use…
Older boyfriend
Pregnant sister
Own teenage mom
Peers: substance use, sexually active, prochildbearing
Doing poorly in school; no post-sec plans
Sexually or physically abused
National Campaign on To Prevent Teen Pregnancy 2005
United States
Protective Factors…
Family connectedness, interactions
Higher level of parent education
Greater parental supervision
Parent disapproval of teen sex
Parent support of BC use if sex. active
Parent communication about sex,
condoms, contraception
Healthy Sexual Behavior
Positive self-worth
Acceptance of one’s sexuality
Integration of sexuality into mutually
satisfying relationships
Attainment and maintenance of SRH
Canadian Guidelines for Sexual Health Education,
Health Canada 2003
Desire, not improved
cognition, produces positive
outcomes in teens.
Dr. Michael A. Carrera, Lessons for Lifeguards, 1996.
Birth Control
Review A & P
Brainstorm
Address myths first
Give referrals
video
Myths clip
Teen Contraception, 2nd ed.
Canadian Learning Co. 1-800-267-2977
Adapt for Teens
What do teens need to know about
birth control?
Which methods do teens most need to
learn about?
Abstinence
Postponing intercourse and avoiding
risky behaviours
Safe and safer alternatives
Balancing intimacy with safety
Hormonal Methods
Barriers & Spermicides
“Condoms aren’t completely safe…
A friend of mine was wearing one
and got hit by a bus.”
Bob Rubin
Remember condom information
covered yesterday
5 teams
…Condom card race
Teach
Pairs
Condom explanation and demo
Lesson Review
Grade groups; each take 1 lesson
Grade 7: lessons 2, 3, 4
S1: lessons 1, 3, 5
S2: lessons 1, 2, 4
Activity
Calories burned/hr
Walking on sand
250
Walking on sand w. crabs 500
Swimming
Swimming w. shark escort
It’s all relative.
600
1,999
DVD Clip
Dove: Evolution
www.campaignforrealbeauty.ca/dsef
This is…
Jeopardy!
Opinion Corners
Use process that we used day one to discuss beliefs
Examples…
Agree/Disagree Cards: teams
Rank Ordering
Half of the small groups each discuss
reasons teens get pregnant or
reasons to postpone pregnancy
Prioritize top two on your list
Reconvene and discuss
STI Coasters Activity
Other Activities
Guest speakers
Dear Abby letters
Art/posters/ads
Songs/skits/drama
Rank ordering
Decision Making
Small groups discuss your scenario.
Key issues to process with students.
Question Box
Process:
everyone submit, teacher review/prep…
Privacy protection
Respond to all questions
Disclosures
Types of Questions
Information
Am I normal?
Permission seeking
Values
Personal
Shock
Write questions as students
Discuss:
What type(s) of question
Message to give
Script – the answer to give
Information
Am I normal?
Permission seeking
Values
Personal
Shock
Resources
Resource people BLM G8 (K-8); BLM G10 (S1/2)
Contact sheet
Parent info k-8 p.195
Web sites
p.207
Books
p.215
senior p.127
p.139
p.147
Create your own
Song
Game
Poster / graphic
License plate
Homework task
Research task
To meet S A K and/or E
Take away
Two things that I will do when I go back
to school are…
1.
2.
Questions?
Evaluation
Draw
Thank you!
and…
Safe Olympics
Download