Untitled Document

Pertinent, factual sex education for children at younger ages.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school; 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Need not analyzed in detail during Rapid Design session.

Guidance for parents about how to talk to their children about sex.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school; 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Need not analyzed in detail during Rapid Design session.

Improved access to information about sexual responsibility for teenagers.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school; 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Religious, cultural & social barriers.
	Parent involvement/reaching parents.
	Media proliferation.
	Peer pressure.

Improved access to programs that reduce the incidence of teenage pregnancy and encourage
sexual health.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school; 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Religious, cultural & social barriers.
	Parent involvement/reaching parents.
	Media proliferation.
	Peer pressure.

Parenting Education for teen parents.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school; 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Need not analyzed in detail during Rapid Design session.

More information regarding the impact of CSA e.g., early sexual activity/ perpetration.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school and 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Parent feels powerless and fearful — doesn’t want to believe.
	Social stigma.
	Hidden injury/secrecy. Reporters are hesitant because they may be wrong —do not want to put family through the “wringer.”

Resiliency for youth.

EVIDENCE
	50% of all TN high school students report having had sexual intercourse by the time they graduate from high school; 7.4% before age 13.
	31.7% of those sexually active used a condom. 7% used oral contraceptives.
	15.2% of sexually active students have had four or more partners.
	Teen pregnancy among females ages 15-19 is 63.8 per 1,000 females. African-Americans are 2.5 times higher than white females.
	Teen pregnancy costs $181 million (2004) in healthcare, criminal justice, public assistance and lost tax revenues.
	Over 12,500 chlamydia cases reported for persons ages 10-24 in 2003.
	10% of sexually active teens drank alcohol or used drugs before their last sexual intercourse.

BARRIERS
	Lack of role models (appropriate).
	There is not a common community approach to addressing prevention & education.
	Youth believe they are invulnerable.
	Harder to immediately measure.
	Sometimes youth get into good & bad, and the bad are written off.
	Multi-year support.

STRATEGIES
	Implement Public Health Department reproductive education programs that encourage sexual responsibility among adolescents.
	Improve the healthy lifestyle behavior of pregnant and parenting teens.
	Provide evidence-based reproductive information and resources to teens in targeted high-risk neighborhoods.
	Youth engagement strategies that build resiliency, self-esteem connect with adult.
	Provide support, counseling, etc to victims of sexual abuse.
	Engage & educate parents to relate & discuss with their children.

TACTICS
	Comprehensive wellness/reproductive curriculum….start early before high school.
	Faith based partnership.
	Parental education & involvement.
	Professional training & support for providers.
	Identify & focus resources on high need areas by zip code.
	Provide contraceptive information for all students.
	Expand family Resource Centers.
	After school work program alignment.
	Deliver heath care & MH care in a way that empowers the youth & allows for relationships to develop.
	Challenge youth & encourage youth to challenge what’s happening in their world.
	PSA’s addressing the need to report & treatment for CSA - Educate children – “safe touching curriculum.”
	Media education & awareness for youth & families.

METRICS
	Pregnancy, STD rates and “knowledge.”
	Resiliency/protective factors.
	Changes in sexual practices.

WHY
	Accountability for immediate outcome.
	Addressing root cause concerns.
	Intermediate changes for lasting impact.