1. COMING TOGETHER TO SUPPORT YOUTH HEALTH MONDAY, OCTOBER 15, 2012 SESSION III

2. OVERVIEW Housekeeping Review of Ground Rules 6:30 –Gathering and Grounding 6:45 – Social Determinants of Health –a summary from last week 7:00- A Look at the Lives of Our Youth 7:20 - Goals

3. GROUND RULES  Confidentiality  Active Listeners  Respect for Privacy  Respect for Values  Recognition of each person’s journey

4. GATHERING AND GROUNDING Your name- Please respond to the MCP Booklet Report. How you feel about being here Introductions; explanations; getting each voice in the room

5. HEALTH BEGINS WHERE WE... LIVE LEARN PLAY LABOR Health Begins at Home LiveLearnraPray PRAY

6. Homeownership rate 2006-2010 = 76% (compared to the state average of 74%) However, only 39.5 % of families with children own their own home. Median household income 2006-2010 = $49,512 ( compared to the state average of $57,243) % of Persons below poverty level = 12.1% ( compared to the state average of 10.6%) WHERE WE LIVE

7. WHERE WE LIVE, CONT. CHILDREN LIVING IN POVERTY

8. We have a higher than average poverty rate among our young families. But it is questionable as to what extent this impacts our quality of life and ability to provide for our children? What is the relationship between this and the sexual health of our teens and young adults. WHERE WE LIVE, cont.

9. We live in small communities Young people tend to date those within the same community or group This pattern of behavior may be one reason we see higher rates of chlamydia.. WHERE WE LIVE, cont.

10. Each school has instruction regarding sexual health WHERE WE LEARN, CONT. But we don’t know: What is being taught At what grade level Is it consistent or does it change by the teacher who is responsible Is the education meeting the needs of the students? In the past the approach has been scare tactics or “just DON’T!” This was NOT helpful.

11. Our unemployment rate is 6.3% (compared to the state average of 7.3%) The majority of our workers are employed by a private company with our largest employers being in the health care, retail trade, manufacturing, construction, and food industries. Of residents 25+, 21% have a bachelors degree or higher. WHERE WE LABOR

12. WHERE WE LABOR, CONT. What are my chances of finding a job here that will allow me to earn income at or above the state average, opportunities for growth and an improved, better life than my own family had. AND How does that impact my decisions regarding my sexual health If I, as a young adult, want to live here and I Complete my high school education Go on to college

13. We have an abundance of beautiful outdoor spaces available to us at a low/no cost. WHERE WE PLAY BUT … Those spaces are underutilized by our youth BECAUSE Parents function out of FEAR FATIGUE FORGETTING

14. WHERE WE PLAY, CONT. If young people do not learn how to enjoy outdoor spaces as children, they are highly unlikely to choose to utilize them in their teens because they are not comfortable outside or they don’t really know what to do.

15. WHERE WE PLAY, CONT. Area churches or ministries try to address the “THERE’S NOTHING TO DO” issue with various outreach programs, but these are not necessary acceptable to the community.

16. WHERE WE PRAY Our congregations are primarily of the Christian faith.

17. WHERE WE PRAY, CONT. The role of the church in supporting adolescent sexual health. Role models Instruction Interest in the lives of their youth Intergenerational exchange Opportunities for service Setting of goals – short term and long term Positive church life involvement.

18. WHERE WE PRAY, CONT. The role of the church in supporting adolescent sexual health. Some fall short and approach with fear and shame leaving the young person to abandon the church as a resource for supporting healthy adolescent sexuality. Others are able to approach the subject from the aspect of original design and normal human development with guidance regarding purpose, appropriate boundaries, respect for the value of each life as well as the value of the family and it’s correlation to Biblical teaching. How can we help these become more like these

19. ADDITIONS OR CORRECTIONS PLEASE SAVE COMMENTS FOR SMALL GROUP TIME

20. Young peoples’ potential for health begins with their families, their school, their jobs, their neighborhoods, and their faith communities.

21. KANDIYOHI COUNTY POPULATION BY AGE AND GENDER 2009 POPULATION ESTIMATES Kandiyohi County Age GroupMaleFemaleTotal 15-179248991,823 18-195305001,030 20-241,3421,3132,655 TOTALS279627125508

22. PRE-KINDERGARTEN TO 12 TH GRADE ENROLLMENT BY RACE KANDIYOHI COUNTYMINNESOTA

23. CHILDREN CHANGING SCHOOLS (BY PERCENTAGE)

24. A LOOK AT THE LIVES OF OUR CHILDREN THE MINNESOTA STUDENT SURVEY- A SNAPSHOT OF THEIR LIFE

25. WHEN A CHILD IS BORN, HE/SHE IS GIVEN A BACKPACK. Throughout adolescence and young adulthood, young people go through all their backpack items -

26. THE CEO OF THE BRAIN AS THE PREFRONTAL CORTEX MATURES, TEENAGERS CAN: Reason better Develop more control over impulses Make better judgments

27. FAMILY COMPOSITION

28. PARENTAL COMMUNICATION CAN YOU TALK TO YOUR FATHER ABOUT PROBLEMS YOU ARE HAVING? MALESFEMALES

29. PARENTAL COMMUNICATION CAN YOU TALK TO YOUR MOTHER ABOUT PROBLEMS YOU ARE HAVING?

30. PERCEPTIONS OF SCHOOL AND NEIGHBORHOOD SAFETY I FEEL SAFE GOING TO AND FROM SCHOOL STRONGLY AGREE OR AGREE I FEEL SAFE IN MY NEIGHBORHOOD STRONGLY AGREE OR AGREE

31. FEELINGS ABOUT SCHOOL HOW DO YOU FEEL ABOUT GOING TO SCHOOL?

32. PERCEPTIONS OF SCHOOL ENVIRONMENT HOW MANY OF YOUR TEACHERS ARE INTERESTED IN YOU AS A PERSON?

33. SCHOOL PLANS WHICH OF THESE BEST DESCRIBES YOUR SCHOOL PLANS

34. HOW OUR YOUTH SPEND THEIR TIME Volunteer Work Work for pay (includes babysitting for others). 3+ hours 1-2 hours 0 hours 3+ hours 1-2 hours 0 hours

35. UNSUPERVISED TIME IN A TYPICAL WEEK, HOW OFTEN ARE YOU HOME ALONE OR ANOTHER PLACE UNSUPERVISED AFTER SCHOOL?

36. SEXUAL HEALTH

37. PHYSICAL VIOLENCE HAS ANY ADULT IN YOUR HOUSEHOLD EVER HIT YOU SO HARD OR SO OFTEN THAT YOU HAD MARKS OR WERE AFRAID OF THAT PERSON?

38. PHYSICAL AND SEXUAL VIOLENCE HAS ANY OLDER PERSON OUTSIDE THE FAMILY TOUCHED YOU SEXUALLY AGAINST YOUR WISHES OR FORCED YOU TO TOUCH THEM SEXUALLY? HAS ANY OLDER/STRONGER MEMBER OF YOUR FAMILY TOUCHED YOU SEXUALLY OR HAD YOU TOUCH THEM SEXUALLY?

39. DATING VIOLENCE HAS SOMEONE YOU WERE GOING OUT WITH EVER HIT YOU, HURT YOU, THREATED YOU OR MADE YOU FEEL AFRAID? HAS SOMEONE YOU WERE GOING OUT WITH EVER FORCED YOU TO HAVE SEX OR DO SOMETHING SEXUAL WHEN YOU DIDN’T WANT TO?

40. SEXUAL BEHAVIOR % OF STUDENTS WHO HAVE NOT HAD SEXUAL INTERCOURSE % OF STUDENTS HAVING SEXUAL INTERCOURSE 3 TIMES OR MORE

41. OF THOSE STUDENTS WHO HAVE EVER HAD SEXUAL INTERCOURSE, HAVE YOU TALKED WITH YOUR PARTNER(S) ABOUT PROTECTING YOURSELVES FROM GETTING STDS/HIV/AIDS? HAVE YOU TALKED WITH PARTNER(S) ABOUT PREVENTING PREGNANCY?

42. CONDOM USE IN SEXUALLY ACTIVE STUDENTS

43. REASONS STUDENTS CHOOSE SEXUAL ABSTINENCE

48. RETROSPECTIVE ADOLESCENT SEXUALITY EDUCATION SURVEY THE QUESTION St. Cloud Nursing Students in collaboration with KCPH and CHAS surveyed Ridgewater College students to: evaluate the effectiveness of the sexuality education received, where the sexuality information came from, how well the information prepared them, preferred sources of the information, and preferred content of information. THE RESPONDENTS 117 STUDENTS MALE 46 FEMALE 71 18-19YRS. 78 20-21YRS 20 22-23 YRS 7 23+YRS. 11

49. SIGNIFICANT SURVEY FINDINGS (1 ) I received the most helpful information about healthy sexuality from: Peers/Friends 34.19% School 31.62% Parents/Caregivers 23.93% Health Care Provider 13.68% Media (internet, TV, movies) 7.69% Church 6.84%

50. SIGNIFICANT SURVEY FINDINGS (2 ) I received the least helpful information about healthy sexuality from: Church 34.19% Media (internet, TV, movies) 23.08% Parents/Caregivers 21.37& Peers/Friends 14.53% School 12.82% Health Care Providers 5.13%

51. SURVEY FINDINGS CONT’D (3 ) With the sexuality information/education I received as a teen, it: 63.25% Helped prepare me for the responsibilities associated with being sexually active (avoid pregnancy, STD’s and the impact of my action on others) 54.70% Helped prepare me with adequate knowledge of the physical/biological aspects of sexuality 47.01% Helped prepare me to recognize healthy vs. unhealthy relationships 32.48 % Helped me to delay initiation of sexual activity 20.15% Helped prepare me emotionally

52. SURVEY FINDINGS CONT’D (4) I wish as a teenager I would have received more information about: 49.57% Birth Control/Condoms 42.74% Sexually Transmitted Infections 34.19% Pregnancy 31.62% Abstinence 20.51% Puberty 15.38% GLBT (Gay, Lesbian, Bisexual, Transgender)

53. I WISH AS A TEENAGER I WOULD HAVE RECEIVED INFORMATION REGARDING HEALTHY SEXUALITY FROM: 47.9 % CHOSE “PARENTS/CAREGIVERS” AS THEIR 1 ST CHOICE

54. I WISH AS A TEENAGER I WOULD HAVE RECEIVED INFORMATION REGARDING HEALTHY SEXUALITY FROM:

56. GOALS

57. Facilitator: to make sure that each person has the same opportunity to speak. Recorder – to accurately record each person’s thought. COLLECTIVE LEADERSHIP MODEL

58. GOALS FIRST STEP Each circle member shares one goal on the first round. Continue to go around until all the goals chosen by the group are recorded. If your goal is recorded exactly like you want it, you just say “ PASS”

59. GOALS 2 ND STEP Each circle member gets 3 dots to vote You may use your dots however you choose- 3 votes for 3 different goals; 3 votes for 1 goal, or anything between. When you have completed this – let us know.

60. GOALS 3 ND STEP With the goals that remain, USING THE COLLECTIVE LEADERSHIP MODEL, go around your circle. Each circle member has the opportunity to voice their support or opposition for ONE goal. If time allows go around twice. Using your dots, vote again. You may use your dots as you wish as before.