The Continuum of Education: A
Collaborative Approach to
Reproductive Health
Panel Speakers:
Cybele Boehm, Shelly DeBerry, Jill
Fields, Mary Grandon, Patty
McGrew, Tisha Reed and Mary
Weikle
Objectives :
•
Participants will acquire knowledge and resources
on the current options and resources available to
address teen reproductive health.
• Participants will understand the importance and
effectiveness of a collaborative approach to address
adolescent reproductive health education and
services.
• Participants will learn from one SBHC’s model how
reproductive health issues are addressed, what
family planning services are available and the
collaboration that exists.
West Virginia Department of Education
Office of Healthy Schools
Cybele Boehm
CSPHP/HIV/AIDS Program
Coordinator
Mary Weikle
Health and PE Coordinator
cboehm@access.k12.wv.us
mweikle@access.k12.wv.us
304-558-8830
304-624-6554 ext. 259
Youth Risk Behavior Survey
(YRBS) 2009
 Percentage of WV high school students who ever had
sexual intercourse is 54.1 (compared to 46%
nationwide)
 Among WV students who were sexually active, the
percentage who used a condom during last sexual
intercourse is 54.4 in 2009 (compared to 61.1%
nationwide).
 Among WV students, 15.5% reported having had
sex with 4+ people in their life (compared to 13.8%
nationwide).
Youth Risk Behavior Survey
(YRBS) 2009
Percentage of WV high school students
who did not use birth control pill before last
intercourse is 76.9.
Percentage of students who had ever been
taught in school about AIDS or HIV infection
is 82.8.
YRBS Trend data posted at
http://wvde.state.wv.us/healthyschools/documents/2009WVH
TrendReport_000.pdf.
In 2008, CDC-Division of STD
Prevention stated that 1 in 4
adolescent females has an
STD.
• In a recent CDC report, West
Virginia was the only state
with an increase in teen
birth rate in the past two
years.
WV State Teen Pregnancy Plan
• Existing Resources:
– CSPHP created in 2009
– Regional Network
– Local County Wellness Councils
• Proposed Strategic Efforts
– Collaboration between WVDE and WVDHHR
– Top Down support (curricula, resources,
linkages, in-school collaboration)
Policy 2520.5
Health Content Standards and Objectives
(*Under Public Comment!)
A major focus has been given to what the
Center for Disease Control recognizes as
adolescent risk behaviors (tobacco use,
dietary patterns contributing to disease,
sedentary lifestyle, sexual behaviors that
result in HIV infection/other STDs and
unintended pregnancy, alcohol and
other drug use, and behaviors that result
in intentional and unintentional injury).
Policy 2520.5 Content Standards
Content Standards are the broad descriptions
of what all students must know and be able to
do at the conclusion of the instructional
sequence.
1: Health Promotion and Disease
Prevention
2: Culture, Media and Technology
3: Health Information and Services
4: Communication
5: Decision-Making
6: Goal Setting
7: Health Behaviors
8: Advocacy
• Objectives are incremental steps toward
accomplishment of content standards.
• Objectives are listed by grade level and
are organized around the content
standards. Objectives build across grade
levels as students advance in their
knowledge and skills.
• The instructional objectives guide
instructional planning and provide a
basis for determining appropriate
assessments, instructional strategies
and resources.
6th Grade
• HE.6.1.03
discuss and examine strategies for the prevention
of injuries (e.g., fractures, laceration, head trauma),
communicable diseases (STD’s, HIV and AIDS), and
other health problems.
• HE.6.7.01
differentiate between safe and risky behaviors in
relationships (e.g., abuse, date rape, peer pressure,
sexual activity).
• HE.6.7.02
contrast the differences between safe and risky
behaviors for preventing pregnancy and STDs (e.g.,
abstinence, birth control, drug use).
7th Grade
• HE.7.1.03
Describe the anatomy and functions of the
reproductive system.
• HE.7.1.04
Identify general symptoms and potentially long–
term health consequences of STD’s.
• HE.7.7.01
Discuss risky or harmful behaviors in
relationships (e.g., abuse, date rape, sexual
activity).
• HE.7.7.02
analyze the differences between safe and risky
behaviors including methods for preventing
pregnancy and STDs (e.g., abstinence, birth
control, disease control).
8th Grade
• HE.8.1.03
Label and explain the functions of the bodies systems
(e.g. circulatory, skeletal, reproductive, digestive).
• HE.8.1.04
Determine the risk factors that lead to teen pregnancy,
HIV/AIDS and other STD’s.
• HE.8.4.04
Compare and contrast various refusal and negotiation
skills to avoid or reduce risky and harmful health
behaviors (e.g. pregnancy, drunk driving, STDs, dating
violence, harassment, ATOD).
• HE.8.7.02
Contrast the differences between safe and risky
behaviors including methods for preventing pregnancy
and STDs (e.g., abstinence, birth control).
High School
• HE.HS.1.04
Differentiate between the causes of
communicable (e.g., STDs, HIV/AIDS,
bacterial/viral infections) and noncommunicable (e.g., heredity, lifestyle,
environment) diseases.
• HE.HS.1.05
Identify and apply skills to prevent
communicable (e.g., STDs, HIV/AIDS,
bacterial/viral infections) and noncommunicable (e.g., heredity, lifestyle,
environment) diseases.
• HE.HS.4.01
utilize skills for effective communication in
discussion concerning ATOD, nutrition, sexuality,
and relationships with peers, family and others.
High School
• HE.HS.5.02
Identify and discuss health concerns that require
collaborative decision-making (e.g., sexuality, STDs,
HIV/AIDS transmission/prevention, refusal skills).
• HE.HS.5.03
Analyze the effects of potentially harmful decisions
that impact health and the effect these decisions
have on their family, community and self (ATOD
use, STD transmission, pregnancy prevention, teen
parenting).
• HE.HS.7.03
List examples and explain short and long term
impacts of health decisions (e.g., smoking, good
diet, wearing seat belts) on the individual, family
and community (e.g., lung cancer, heart disease,
STDs).
HIV/AIDS EDUCATION
126CSR51
Instruction on the principle modes by which communicable
diseases, including, but not limited to, human
immunodeficiency virus (HIV)/acquired immunodeficiency
syndrome (AIDS) are prevented, spread and transmitted shall
be taught to students as outlined in 126CSR44E West Virginia
Board of Education Policy 2520.5, Health Content Standards
and Objectives.
An opportunity shall be afforded to the parent or guardian of a
child subject to instruction in the prevention, transmission and
spread of HIV/AIDS and other sexually transmitted diseases to
examine the course curriculum requirements and materials to
be used in such instruction. The parent or guardian may
exempt such child from participation in such instruction by
giving notice to that effect in writing to the school principal
as set forth in W. Va. Code §18-2-9.
Shelly DeBerry
West Virginia Department of Education
Office of School Improvement
Student Success Advocate
sdeberry@access.k12.wv.us
304-558-3199
“Every school-day in America, 171
school buses loaded with children
leave school never to return. That is
our daily dropout rate.”
(National Center for Education Statistics, 2004. Dropout Rates in the United States: 2001)
Approximately, 7000 students are
expected to dropout of school in
West Virginia this year.
Education Week Diplomas Count 2010
19
How does WV Rate?
• In 2006, West Virginia had a teen pregnancy rate of
44.9 per 1,000 teenage girls, which placed the state
16th in the nation.
• Birth rates for young teenagers aged 15–17 declined
in 31 states during 2007–2009
• Birth rates increased significantly for only one state
from 2007 through 2009, West Virginia, by 17 percent.
NCHS Data Brief ■ No. 58 ■ February 2011
What’s the Cost?
• Teen pregnancies cost the nation
about $9.1 billion a year, according to
the CDC.
• Other Cost of Dropouts
Students Who Earn
More Learn More
Long Term Effects
Over the course of his or her lifetime,
a high school dropout earns, on
average, about $260,000 less than a
high school graduate.
23
Increasing the graduation rate and college
matriculation of male students in the
United States by just 5 percent could lead
to combined savings and revenue of
almost $8 billion each year by reducing
crime-related costs.
24
If the United States‘ likely dropouts
from the Class of 2006 had graduated,
the nation could have saved more than
$17 billion in Medicaid and
expenditures for uninsured health
care over the course of those young
people‘s lifetimes.
25
Correlations with Dropping
out of School
 70 % of young women who gave birth within 4 years of
starting high school also left before graduating.
 They represent 32.8 % of dropouts ands 18.7% of all
student enrolled in school.
 70% of students who had substantiated case of abuse
and neglect during the high school years, who had a
foster care placement, or who had given birth within
four years of starting high school, dropped out in
Philadelphia.
(Neild Y Balfanz, 2006)
Teen Pregnancy
 Teen girls in the bottom 20% of basic reading and
math skills are five times more likely to become
mothers over a two-year high school period than
teen girls in the top 20%
 Male and female students with low academic
achievement are twice as likely to become
parents by their senior year of high school
compared to students with high academic
achievement.
National Dropout Prevention
Center/Network
27
(Alliance for Excellent Education, 2003)
Children of Teenagers
• More likely to repeat grades
• Do worse on standardized tests
• Less likely to complete high school
(Reitzi, 2005)
National Dropout Prevention
Center/Network
28
APPI Contact Information
Northern:
Eastern:
Vacant
Cynthia Hinkle
304-257-4922
cindy.r.hinkle@wv.gov
Central:
Deena Ellison
304-558-5388
deena.s.ellison@wv.gov
Southern:
Brandi Seabolt
304-250-6548
brandi.l.seabolt@wv.gov
Director:
Vacant
WV DEPARTMENT OF HEALTH AND HUMAN RESOURCES
OFFICE OF MATERNAL, CHILD AND FAMILY HEALTH
FAMILY PLANNING PROGRAM
ADOLESCENT PREGNANCY PREVENTION INITIATIVE
Vacant
Adolescent Pregnancy Prevention Initiative
350 Capitol Street, Room 427
Charleston, WV 25301-3714
(304) 558-5388 or 1-800-642-8522
Fax: 558-7164
tisha.g.reed@wv.gov
Northern Region
Vacant
Adolescent Pregnancy Prevention
9083 Middleton Mall
White Hall, WV 26554
(304) 368-4420 x 79328 Fax: (304) 368-4191
HANCOCK
BROOKE
OHIO
MARSHALL
MONONG ALIA
WETZEL
MORGAN
MARION
PRESTON
TYLER
Central Region
Deena Ellison
Adolescent Pregnancy Prevention
350 Capitol Street, Room 427
Charleston, WV 25301-2714
(304) 558-5388 or 1-800-642-8522
FAX: (304) 558-7164
deena.s.ellison@wv.gov
HAMPSHIRE
PLEASANTS
DODD- HARRISON
RIDGE
WOOD
RITCHIE
BARBOUR
TUCKER
BERKELE Y
JEFFERSON
GRANT
HARDY
WIRT
LEWIS
GILMER
JACKSON
UPSHUR
CALHOUN
RANDOLPH
ROANE
MASON
BRAXTON
PENDLETON
WEBSTER
PUTNAM
CLAY
CABELL
KANAWHA
NICHOLAS
POCAHONTA S
LINCOLN
WAYNE
BOONE
FAYETTE
GREENBRIER
MINGO
LOGAN
RALEIGH
WYOMING
SUMME RS
Southern Region
Brandi Seabolt
Adolescent Pregnancy Prevention
Post Office Box 1069
Beckley, WV 25802-1069
(304) 250-6548 Fax# (304) 250-6560
brandi.l.seabolt@wv.gov
MINERAL
TAYLOR
ME RCER
MCDOWELL
MONROE
Eastern Panhandle
Cindy Hinkle
Grant County Health Department
PO Box 608, Hospital Drive
Petersburg, WV 26847
(304) (304) 257-4922 Fax# (304) 257-2422
cindy.r.hinkle@wv.gov
WVDHHR/BPH/OMCFH/DPWH/FPP/APPI/June 2011
West Virginia Department of Health and Human Resources
Bureau For Public Health
Office of Maternal, Child and Family Health
Family Planning Program
Adolescent Pregnancy
Prevention Initiative
1-800-642-8522
wvdhhr.org/appi
WV APPI influences and supports teens
as they explore and determine
responsible sexual and reproductive
options for their future.
Adolescent Pregnancy Prevention
Initiative
APPI conducts hundreds of classroom
presentations during each school year.
• Nearly 20,000 students participated in APPI
activities last year.
• 100,000 items from prevention literature to videos,
public service announcements and even brochures
on sexually transmitted infections are distributed
each year by APPI Specialists.
Available Curricula
• Wise Guys: Male Responsibility
• Reducing the Risk: Building Skills to Prevent
Pregnancy, STD and HIV
• COMING SOON: SiHLE and Making Proud Choices!
West Virginia Department of Health and Human Resources
Bureau For Public Health
Office of Maternal, Child and Family Health
Division of Infant, Child and Adolescent Health
Adolescent Health Initiative
1-800-642-8522
wvdhhr.org/ahi
Patty McGrew, Director
Patty.F.McGrew@wv.gov
The underlying philosophy of the Adolescent Health Initiative is holistic,
preventive, and positive focusing on the development of assets and competencies
in youth as the best means for fostering health and well-being and for avoiding
negative choices and outcomes.
Adolescent Health Initiative
• Adolescent Health Coordinators
•
•
•
•
Community-Based
Funded by Temporary Assistance for Needy Families (TANF)
Primary focus is positive youth development
Centered on Search Institute’s 40 Developmental Assets
• Adolescent Health Educators
•
•
•
•
School-Based
Funded by Title V State Abstinence Education Grant Program
Primary focus is teen pregnancy prevention
Centered on “Promoting Health Among Teens” curriculum
Adolescent Health Coordinators
• The Adolescent Health Coordinators (AHCs) work to educate
communities about the 40 Developmental Assets providing
information, resources and technical assistance
• AHCs actively collaborate with local partners to link
adolescents in need of preventive health care
• AHCs work with local groups to design programs which
respect the values and concerns of the community.
• Free resource materials
Adolescent Health Educators
• The Adolescent Health Educators (AHEs) provide
medically accurate sexual educational classes and parent
seminars
• The AHEs work with local groups to design programs
which respect the values and concerns of the
community.
• Free resource materials
• Make referrals for contraceptive services and/or STI
testing
Adolescent Health Educators
HANCOC
K
Wetzel County Commission
BROOKE
OHIO
MARSHALL
Regeneration, Inc.
MONONGALIA
WETZEL
Women’s Care Center
PRESTON
TYLE
R
PLEASANT
S
HAMPSHIRE
MINERAL
DODD HARRISON
-RIDGE
WOOD
RITCHIE
MASO
N
BERKELE
Y
JEFFERSO
N
TUCKER
GRANT
HARDY
LEWI
S
GILME
R
JACKSON
TAYLOR
BARBOUR
WIRT
UPSHUR
CALHOUN
RANDOLP
H
BRAXTON
ROAN
E
PENDLETON
WEBSTER
PUTNAM
CLAY
CABELL
Rainelle Medical Center
NICHOLA
S
KANAWHA
WAYNE
MORGAN
MARION
POCAHONTAS
LINCOL
N
BOON
E
FAYETTE
GREENBRIER
MINGO
LOGAN
RALEIGH
WYOMING
SUMMERS
MONROE
MERCER
Mission WV-THINK (TPP)
MCDOWEL
LL
AHI State Office
Community Action of SE WV
Region 6
Hancock
Dara Pond
Marshall County
Family Resource Network
Adolescent Health Coordinators
Brooke
Ohio
Region 5
Region 7
Marshall
Stella Moon
RESA V
Wetzel
Pleasants
Tyler
50
I77
Barbour
Grant
33
Upshur
Region 8
Randolph
Braxton
Pendleton
35
Cabell
Putnam
Webster
I79 Clay
I64
Nicholas
Kanawha
Wayne Lincoln
Boone
I77
Mingo Logan
Pocahontas
19
Fayette
Greenbrier
119
Cathy Davis
Valley Health
Systems, Inc.
Tucker
Raleigh
Wyoming
I77
Christine Merritt
Pendleton Community
Care
Region 4
Nonie Roberts
New River Health Association
I64
Sum mers
Mercer
McDowell
Jeff erson
Hardy
Lewis
I79
Roane
Mineral
Hampshire
ridge
Cal - Gilmer
houn
I81
Morgan
Berkeley
Preston
I79 Taylor
Dodd - Harrison
Ritchie
Jackson
Mason
I68
Marion
Wirt
Region 3
Region 2
Idress Gooden
RESA VII
Monongalia
Wood
Margo Friend
United Way of
Central WV
I70
Monroe
Region 1
Celi Van Dyke
RESA I
Denotes lead agency location
AHC Contact Information
Celi Van Dyke
RESA I
304-256-4712, Ext 1120
mvandyke@accesss.k12.wv.us
Stella Moon
RESA V
304-485-6513, Ext 120
smoon@access.k12.wv.us
Cathy Davis
Valley Health
304-617-8890
cdavis@valleyhealth.org
Dara Pond
Marshall FRN
304-845-3300
ahicoordinator@comcast.net
Margo Friend
United Way
304-340-3622
ahiuwcwv@yahoo.com
Idress Gooden
RESA VII
304-624-6554, Ext. 245
igooden@access.k12.wv.us
Nonie Roberts
New River
304-877-6342
nonieroberts@suddenlink.net
Christine Merritt
Pendleton Community Care
304-358-2531
cmerritt@pcc-nfc.org
AHE Contact Information
Darla Thomas
Rainelle Medical Center
304-438-6188, Ext 1082
dthomas@rmchealth.org
Theresa Hoskins
Wetzel County Commission
304-771-8533
wcfrn@yahoo.com
Brad Riser
Regeneration, Inc.
304-643-4187
ritprojectchat@yahoo.com
Janet Kimes
Women’s Care Center
304-485-7122
wcc@wirefire.com
Jim Pettus
CASE WV
304-325-2441
jpettus@casewv.org
SBHC
Jill Fields, P.A.-C
304-949-3591
jfields@cchcwv.com
Mary Grandon, P.A.
Family Planning in a SBHC
WHAT???
Condoms
Oral contraceptive pills
Contraceptive patches
Nuvaring
Depo-Provera
Family Planning in a SBHC
“LARCs”—long acting reversible contraceptives:
Mirena IUC
Paragard IUC
Implanon
Family Planning in a SBHC
STI
Prevention
Screening
Treatment
LOTS OF COUNSELING!!!!!
Family Planning in a SBHC
WHO???????
“EVERY PATIENT”
Don’t forget the guys!!!!
Risk assessments
Encourage “coached” autonomy
Encourage healthy relationship-building with peers and
parents/guardians
Encourage connectedness between adolescents and
caregivers
Family Planning in a SBHC
HOW??????????????????
VERY CAREFULLY!!!!
Assess need
Assess ability to meet need
Assess support