Planned Parenthood Columbia Willamette A Leader in Reproductive

Planned Parenthood Columbia Willamette A Leader in Reproductive and Sexual Health Services in Oregon and Southwest Washington since 1963

Planned Parenthood Columbia Willamette To provide, promote, and protect access to sexual and reproductive health care. Three Arms of PPCW: Patient Services (Provide) Education and Training (Promote) Public Affairs (Protect)

Who are we? • Almost 200 Staff and 300 Volunteers • Serving two counties in Washington and thirty counties in Oregon • Serving 60, 000 patients a year • 15, 000 young people reached by our peer education programs last year

Who We Serve

PPCW Education Department Our Mission is to foster healthy sexual attitudes in youth through family and community education.

PPCW Education Department • Provide training for youth, families, and service providers. • Only use evaluated science-based sexuality education curriculums. • Classroom based education programs are designed to be culturally sensitive, medically accurate, age-appropriate, and in alignment with Oregon’s Health Education Standards. • All materials are available in English and Spanish.

Our Goals • Reduce Sexually Transmitted Diseases – About 1 in 4 people contract an STD before the age of 21. – The largest proportion of AIDS cases in the United States occurs among people infected with HIV in their teens or 20’s. • Reduce unintended teenage pregnancies – In 2003, 62% of teenagers had engaged in sexual intercourse by their senior year of high school. – The teenage pregnancy rate increased by 3% in 2005 -2006. This is the first increase in 15 years.

youth education programs Teen Council Peer Education Program The Si. HLe Portland Project Parent Child Communication

Reason Why Peer Education? Research has shown that people (particularly teens) are influenced by their peers and that information coming from peers is highly valued Young people become advocates within their own communities, are able to reach youth that are not reached by conventional education programs

…introducing The Teen Council Peer Education Program Goal To help our community’s youth establish lifelong, healthy attitudes and behaviors regarding reproductive and sexual health.

Teen Council Program Growth 200420052006200720082009 Teen Council Sites 3 3 5 3 4 Teen Council Peer Educators 24 32 46 26 41 Schools/Community Organizations Represented by Peer Educators 13 14 23 14 13 Youth Reached by Peer Educators 1, 053 10, 803 15, 375 10, 064 15, 719

how to 4. 6. Train and guide the TC members Implement Special Projects and Events 2. Teen and Parent Orientation Nights 1. Recruit and select diverse groups of teens make teen council happen 3. Summer Retreat 5. Deliver the MPC curriculum to groups of youth 7. Evaluate TC outcomes & process

2009 -2010 Program Calendar Teen and Parent Orientation 2 day Retreat August 24 th & 25 th September 14 th – December 18 th weekly 2 hour meetings January 4 th –June 7 th weekly 2 hour meetings

Program Training STD/HIV Prevention Teen Pregnancy Prevention Anatomy and Physiology Healthy Relationships Ambassador Training Communication Skills Self-esteem Decision Making and Negotiation Skills

Program Training Family & Community Connection Community and Diversity Values Leadership and Public Speaking

Making Proud Choices Curriculum SEXUAL HEALTH RISK FACTORS Increase knowledge of HIV/STDs and contraception MPC INTERVENTION 6 one hour sessions that address each risk and protective factors listed Increase the belief that using condoms can prevent pregnancy, STDs, and HIV Increase perceived risk of becoming infected with an STD if sexually active and not using a condom Increased self efficacy and skills to delay sexual activity or refuse unwanted sex Increased self efficacy and skills to use condoms and contraception Increase comfort talking with partner, peers and adults about sex, condoms or contraception HEALTH BEHAVIORS Delay initiation of sex Increase use of condoms Increase use of contraception HEALTH GOALS Reduce unplanned teen pregnancy and STDs/HIV rates among youth ages 14 -18 in schools and community based programs in PPCW’s Service Area

Let’s Try it out… • Transmission Game • Condom Line Up © 2008 Planned Parenthood® Columbia Willamette, Inc.

outreach: world AIDS day

measuring success toolbox observation weekly reporting by TC Quantitative & Qualitative autobiography /journaling outreach evaluation form document/art/ photo collection surveys for MPC participants focus groups/community forums

Did it Work? What were the results? FY 2005 FY 2006 FY 2007 Condoms → ↑ ↑ STD’s/HIV ↑ ↑ ↓ Birth Control → ↑ ↑ Objective To improve teens’ knowledge of: To improve teens’ likelihood of using a condom if they choose to be sexually active Perceived risk of STD if not using condom → ↑ Positive beliefs about abstinence → → Positive beliefs about condoms ↑ ↑ To improve teens’ comfort in talking with others about reproductive and sexual health: Talking with peers → → Talking with family and other adults ↑ ↑ ↑ To increase teens’ likelihood and self-efficacy of talking with their partners about: Remaining abstinent ↑ ↑ → Condom use → ↑ → n/a 44% 62% To improve teens’ likelihood of seeking services at Planned Parenthood Percentage of teens more likely to seek services

Impact of Teen Council “Domino Effect” v 36% of youth considered the information and materials received from Peer Educators (PE) to be “fairly new” or “totally new. ” v 88% of youth were “definitely more likely” or “most likely” to use a condom if sexually active, as a result of their interaction with PE v 81% of youth were “more likely” or “somewhat likely” to talk with a boyfriend/girlfriend about safer sex v On average, youth talked about sex with 2. 8 peers and 1. 7 adults since their interaction with a PE.

Service Commitment Teen Council Members commit to: • Attend retreat and all meetings and trainings. • Arrive at each meeting or training on time and physically and mentally prepared. • Serve as a resource for my peers and community. • Fulfill obligations to school and family. • Fulfill obligations for the projects we commit to. • Complete all necessary paperwork related to our project • Represent myself and other teens in order to develop and provide great health education. • Treat myself and my peers with respect and honor everyone’s time and contribution. • Value myself as an equal partner in program development.

Service Commitment In return for this, Teen Council Coordinator’s commits to: • Lead the retreat and the meetings and trainings in ways that are creative, fun and real. • Arrive at each meeting or training early and physically and mentally prepared to train you • Answer questions as honestly as possible. • Support you in prioritizing school, family and self-care commitments. • Provide you with safe and challenging opportunities for growth. • Treat you with respect and honor your time and contribution. • Value you as an equal partner in program development.

Lessons Learned • When to start recruitment • Youth Engagement • Resources needed for youth development programming • Building Community Capacity through referral © 2008 Planned Parenthood® Columbia Willamette, Inc.

Questions? Comments? Thoughts? Concerns?

Teen Resources • Take. Care. Down. There. org • Teen. Wire. com • Sexetc. org