NYSED Guidance for HIVAIDS Prevention Education Learning Objectives

NYSED Guidance for HIV/AIDS Prevention Education

Learning Objectives After this presentation you will be able to: • Describe the role of the HIV/AIDS Health Advisory Council • Describe the role of the Health Coordinator • Describe Parent/Guardian Rights for Exclusion From HIV/AIDS Prevention Education Instruction-§ 135. 3 • Describe two ways the HIV/AIDS Prevention Education Guidance document can be used as a framework of best practice and evidencebased resources to provide age-appropriate, comprehensive, up-to- date materials on HIV prevention

Lack correct information Low HIV testing rates Substance use (decreases condom use) Low rates of condom use Multiple sex partners Uninsured or on parent’s insurance making it difficult to access care • Limited access to medicines to prevent or treat HIV • Young gay and bisexual men who have sex with older partners are at a greater risk for HIV infection • • • CDC HIV and Youth Webpage 4/2019 RISK Young People Are At Greater Risk FOR HIV

What Do You Think? Adolescents ages 13 -24 account for what % of new HIV infections? 11% 21% 41 %

CDC: HIV and Youth Ages 13 -24 • In 2017, youth aged 13 to 24 made up 21% of all new HIV diagnoses in the US. • School programs are vital to achieving an HIV-free generation. CDC Infographic HIV and Youth (April 2019)

What Do You Think? Adolescents ages 15 -24 account for what % of new STD infections? 10% 25% 50 %

How Do HIV, Viral Hepatitis, and STDs Relate To Each Other? Individuals with an STD are 2 to 5 times more likely to acquire an HIV infection They are also more likely to transmit HIV through sexual contact

Treat – Get Care – Stay in Care

Required Health Education Instruction on HIV/AIDS NYSED Commissioners Regulation § 135. 3 (a), (b) and (c) • Requires appropriate instruction on AIDS in grades K-6 • Included in health education course in grades 7 -8, and grades 9 -12

Introduction Provides a framework for local development of a quality HIV/AIDS prevention education program. • Section 1: Information for Local Education Agencies • Section 2: Information for Elementary Teachers & NYS Certified School Health Educators • Section 3: Information for Parents and Communities • Appendices: Information for School Districts, Educators, and Parent and Community Members

Section 1 – Information for Local Education Agencies (LEAs) • NYSED Commissioner’s Regulations § 135. 3 and LEA Policies • Role of HIV/AIDS Advisory Council (Composition, Evaluation and Communications) • Role of the Health Coordinator • Condom Availability Plan • Developing an Effective HIV/AIDS Curriculum • Professional Development • HIV/AIDS Prevention Education Assessment and Sample Form

NYSED Commissioners Regulation § 135. 3 Provision of Health Education: AIDS Instruction • The BOE must establish an HIV/AIDS Advisory Council • The HIV/AIDS Advisory Council makes recommendations concerning: • Content • Implementation • Evaluation • The BOE: • Determines curriculum content • Approves implementation • Responsible for the evaluation of AIDS instruction program Changes and addendums to the policy should be presented to and voted on by the Board of Education.

Instruction at the Elementary & Secondary Levels Commissioners Regulation § 135. 3 • Elementary schools must provide instruction on HIV/AIDS as part of the required sequential health education program for all pupils. • Secondary schools must provide instruction on HIV/AIDS as part of required health education courses in grades 7 -8 and in grades 9 -12. Commissioner’s Regulation § 135. 3

Local District BOE and HIV/AIDS Advisory Council Commissioners Regulation § 135. 3 • Responsible for local health education curriculum and policies • Must establish an HIV/AIDS Advisory Council • Make content recommendations • Implement • Evaluate HIV/AIDS instructional program • Provides advice to the BOE on HIV/AIDS prevention education

HIV/AIDS Advisory Council Composition Commissioners Regulations § 135. 3 Required Members • Parents • School Board Members • Appropriate School Personnel • Community Members • Religious Organizations Recommended Members • Students • Community-Based Organizations • Medical and Public Health Professionals • Policy Creators

Board of Education Best Practice – CR § 135. 3 Best practice is that the BOE: • Creates a statement outlining the HIV/AIDS Advisory Council’s role in recommending health education curriculum and policies. • Makes the final decisions related to the health education curriculum and policies. The Association for Supervision and Curriculum Development (ACSD) recommends review is an ongoing process integrated into district practice for all curriculum.

Components In A Sample Letter for Parents/Guardians • HIV/AIDS Program Information and invitation to review the HIV/AIDS Curriculum • A copy or link to NYSED HIV/AIDS Commissioners Regulations § 135. 3 • Parental rights, requirements, and procedures to opt a student out of the “methods of prevention” portion of the curriculum • Responsibility to teach a child at home if opting out of prevention and encouragement to discuss HIV transmission and prevention with their student • Evidence-based resources provided by the HIV/AIDS Advisory Council, teacher, or school nurse • Teacher and administrator contact information

The Health Coordinator – § 135. 3 “A member of each faculty with approved preparation shall be designated as a health coordinator so that the entire faculty may cooperate in realizing the potential health teaching values of the school programs. ” The health coordinator shall ensure that related school courses are conducted in a manner supportive of health education and provide for cooperation with community agencies and use of community resources necessary for achieving a complete school community health education program. ”

Health Coordinator Tasks Related to HIV/AIDS • Assess how the HIV/AIDS curriculum fits into the comprehensive health education program • Assist in development of school district policies, regulations, and practices • Provide Information regarding the nature of the disease and methods of transmission and prevention for distribution to students, parents, and faculty • Assess resources available for students, parents, staff and the community impacted by HIV/AIDS • Assist the HIV/AIDS Advisory Council with defining and adopting guidelines to support their work

Condom Availability Plan (CAP) § 135. 3 • Local Education Agencies (LEA’s) may make condoms available as part of the mandated HIV/AIDS Instruction Program In compliance with Health Education Commissioners Regulations § 135. 3 (c) (2) (ii) • The Condom Availability Program (CAP) was created in response to the HIV/AIDS epidemic • Resources include a rubric, action plan and webinar to implement a CAP are on the NYSED and NYSCSH websites

Developing an Effective HIV/AIDS Curriculum Guidance Document for Achieving the NY Standards in Health Education • • • Standards-based Scientifically-based Learner-centered Strength-based Authentic Integrated into the educational program Taught by qualified and skilled teachers Uses a coordinated school health approach Supported by the school and community

Sample Elements of an HIV/AIDS Curriculum • Name of the curriculum • The topic of the curriculum • Year of development • Background knowledge • Name and roles of the developers • Units within the curriculum • Objective of the curriculum • Names of lessons within the curriculum • Curriculum objectives • Instructional strategies • National Standards Alignment • Student assessments • State standards – Inclusive of connections and alignment with New York State learning standards • Integrating appropriate content from other academic subjects • Diagnostic and guiding questions • Supplemental materials included in the curriculum • Continuing and sustainable outcomes • Types of technology in the curriculum • Functional knowledge and skills linked to NYSED Guidance Document to Achieving New York State Learning Standards in Health • Data included in the curriculum • Intended audience • Research/evaluation results and theoretical foundation

Evaluating Programs and Professional Development Needs With The HECAT • Current terminology • Methods of prevention, transmission, and treatment • Resources (i. e. , HIV testing information and confidentiality) • HIV/AIDS curriculum, lesson, and assessment development • Use of the Evaluation Rubric • Emerging trends and news on HIV/AIDS CDC Adolescent and School Heath Health Education Curriculum Analysis Tool (HECAT)

Resources for Professional Development American School Health Association (ASHA) CDC Training Programs The Center for Health and Health Care in Schools NYS Association of Health, Recreation, PE and Dance (NYSAHPERD) NYS Education Department NYS Center for School Health (NYSCSH) – contract support office of the NYSED NYS Department of Health-AIDS Institute

HIV/AIDS Prevention Sample Assessment Form Includes 4 sections • Policy • Curriculum, Instruction, and Assessment • Professional Development • Communication and Collaboration

HIV/AIDS Prevention Education Assessment Form • What are our strengths in supporting district-wide implementation? • In what ways can the district improve on current practices to better support district-wide implementation? • Are we where we need to be to increase the likelihood of effective implementation? • How can we increase our capacity to support district-wide implementation?

Section 2: Information for NYS School Health Educators & Elementary Teachers Responsible for Health Education • Teacher Qualifications • NYS Learning Standards for Health Education • HIV/AIDS and Sexual Risk Functional Knowledge • Instructional Considerations • Teaching Components • HIV/AIDS Prevention Education Rubric • Educator Tool Kits

HIV/AIDS Education Teacher Qualifications – § 135. 3 • NYSED Commissioner’s Regulation § 135. 3 provides the teacher requirements for teachers of HIV/AIDS curriculum content in NYS schools • Grades K-6 can be taught by a NYS certified health educator or a regular classroom teacher • Grades 7 -12 must be taught by a NYS certified health educator

NYSED Learning Standards for Health, Physical Education and Family Consumer Science • Standard 1: Personal Health and Fitness Students will understand human growth and development and recognize the relationship between behaviors and healthy development. They will understand ways to promote health and prevent disease and practice positive health behaviors • Standard 2: A Safe and Healthy Environment Students will demonstrate personally and socially responsible behaviors. They will care for and respect themselves and others. They will recognize threats to the environment and offer appropriate strategies to minimize them • Standard 3: Resource Management Students will understand the influence of culture, media, and technology in making decisions about personal and community health issues. They will know about and use valid health information, products, and services. Students will advocate for healthy families and communities

HIV/AIDS and Sexual Risk Functional Knowledge Content related to the NYS Learning Standards has been created for elementary, intermediate and commencement students based on: • CDC Youth Risk Behavior Survey • NYS Commissioner’s Regulations 135. 3 • A Guidance Document for Achieving the New York State Standards in Health Education

HIV/AIDS Prevention Education Elementary, Secondary and Commencement Toolkits

Section 3 – Information for Parents and Communities • HIV/AIDS Prevention Education Instruction Options for Parents and Guardians • Importance of Reliable Resources • Parent’s Rights and Opting Out From Instruction Methods of Prevention • Sample Parent/Guardian Notification Letter • LEAS, Families, and Communities Collaborating To Support Healthy Youth • Creating Collaborating Partnerships

Parents/Guardians Rights and Opting Out From HIV/AIDS Prevention Education Instruction – § 135. 3 “No pupil shall be required to receive instruction concerning the methods of prevention of HIV/AIDS if the parent or legal guardian of such pupil has filed with the principal of the school which the pupil attends a written request that the pupil does not participate in such instruction, with an assurance that the pupil will receive such instruction at home. ” The Regulations break the lessons into three parts: • Nature of the disease • Methods of transmission • Methods of prevention

Parent/Guardian Opt-Out Form Recommendations • Must be submitted to building principal • Recommendation is that the teacher also be notified • Parent/guardian must be assured student’s removal from the lesson will not be seen as punitive • Accommodations for the student during the time they do not attend the lesson

Health Educators Play a Vital Role in Engaging Youth Providing the opportunity to learn and practice refusal skills, negotiating safer choices or seeking help when troubled and helping can help students develop skills that support healthy choices. Sexual minority youth are most at risk for HIV. They are also frequent targets of bullying and harassment.

Acknowledgements/Disclaimer • Development and provision of this information was funded by the NYSDOH AIDS Institute and Centers for Disease Control and Prevention (CDC) and supported by the New York State Education Department. • The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the New York State Education Department, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the US Government. • Any local curricula or instructional strategies developed based on this document, in whole or in part, should be reviewed through normal district procedures and be consistent with local community values and needs. Information and resources provided do not constitute an endorsement of specific programs by the NYSED or the state, and none should be inferred. NYSED is not responsible for the content of the individual organization materials or website links provided as resources.

Additional Resources

NYSCSH Resources • Dedicated pages for HIV/AIDS and Sexual Health Resources including the NYS Sexual Health Plan • NYSED Regulations regarding HIV/AIDS Curriculum and Condom Availability Programs • NYS YRBS and SHP Infographics and Data

NYSCSH Webinars

NYS Youth Risk Behavior Survey • The NYS Center for School Health administers the CDC Youth Risk Behavior Survey and uses the data to create resources for schools. • This resource contains what students say about what they do and provides links to resources to help reduce

NYS School Health Profiles (SHP) • Survey of school administrators and health education teachers on school health practices and health education policies/programs. • Asks health education teachers what training and support they need to be more effective. • The NYS Center for School Health administers the SHP in NYS schools in even years. • Links to national data summaries is on our website.

% of NYS Secondary Schools Lead Health Education Teachers Who Wanted to Receive Professional Development on Topics Related to Teaching Sexual Health Education

% of Secondary Schools NYS Lead Health Education Teachers Who Received Professional Development on Teaching Sexual Health During the Two Years Before the Survey

NYSDOH Sexual Health Plan The NYS Department of Health Youth Sexual Health Plan is a guide to ensure that accurate sexual health information and quality health services are made available to all NYS youth. . The goals of the plan are listed here.

NYSDOH AIDS Institute (NYSDOH - AI) www. health. ny. gov/hi v • HIV/STD/HCV Prevention • HIV Prevention Education • STD Screening • LGBT Services • NYS Condom Program • Drug User Health • Hotlines for Information • Surveillance

CDC Webpage Resources • CDC Adolescent and School Health HIV and STD Prevention at a Glance, 7/2019 • CDC Sexual Risk Behaviors 8/2019

Acknowledgement/Disclaimer Development and provision of this information was supported by the NYS Education Department and funded by in part by the Centers for Disease Control and Prevention (CDC) under Cooperative Agreement number 5 UPS 13 -1307 and the New York State Department of Health AIDS Institute. The views expressed in written materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U. S. Government. The NYSED is not responsible for the content of the individual organization materials or external website links provided as resources and does not endorse individual vendors, products, or services or programs. Reference to any vendor, product, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply the endorsement, recommendation, or approval of the New York State Education Department. The NYSED HIV/AIDS/Sexual Health Material Review Panel (MRP) has approved any HIV content included in this presentation.

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