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