Welcome to Teen Talk
What
Group Norms
Calming Strategies
What are some ways that we reduce risk in everyday life?
Intro to Harm Reduction
What are some ways that we reduce risk in everyday life?
Behaviors that contain risk:
• crossing the street
• driving a car
• riding a bike
• being in the sun
• baking cookies
Ways people reduce risk:
• looking both ways
• wearing a seatbelt
• wearing a helmet
• putting on sunscreen
• using oven mitts
Intro to Harm Reduction
Partnered sexual behaviors have an inherent potential for harm…
To minimize risks of sexual harm, people may:
• Limit their number of sexual partners
• Only have sex within a committed relationship, such as marriage
• Avoid sexual contact entirely (abstinence)
Intro to Harm Reduction
Risk is a part of life
but we each have the right to make decisions about our own body and anything that affects our health.
The goal is not to eliminate all risk but to be aware and make choices that consider personal and community safety.
Intro to Harm Reduction
Partnered sexual behaviors have an inherent potential for harm… safer sex practices involve proactive communication about personal and relationship boundaries, including a plan to prevent STIs
We
ALL makes mistakes and everyone deserves respect & dignity regardless of their STI status.
All About STIs
Sexually
Transmitted
Infection
STIs are infections commonly passed through sexual behaviors
STI Transmission
STIs are mostly passed through sexual contact with a person who already has an STI…
vaginal sex
anal sex
oral sex
STI Transmission
…either from contact with infected skin or sexual fluids:
semen
pre-ejaculate
vaginal fluid
rectal fluid
STI Transmission
genital skin-to-skin contact (even without penetration)
All About STIs
Who can get an STI?
SOME can also be passed through infected blood or other behaviors…
• Sharing needles or injection equipment
• Sharing personal items (razors, toothbrushes, clothing, bedding, towels, etc.)
• Physical fighting
• Pregnancy, childbirth, or breastfeeding
All About STIs
ANYONE can get an STI
All About STIs
How might someone know if they have an STI?
Signs & Symptoms
pain or itching around private parts unusual discharge something looks or feels different (blisters, warts, sores)
burning sensation when peeing
Signs & Symptoms
If left untreated…some STIs can cause long-term damage to the body, such as cancer or infertility
This means being unable to get pregnant or get someone pregnant
Signs & Symptoms
The most common sign is NONE! Most STIs can be asymptomatic for some time
A person may look and feel healthy but they could still have an STI and not know it
All About STIs
Where could someone get tested for STIs in this area?
This is why it’s so important to get tested!
Examples of Health Clinics
Planned Parenthood
Kaiser Teen Clinic*
In CA, testing is FREE with Family PACT!
* members only
All About STIs
chlamydia
gonorrhea
syphilis
trichomoniasis
pubic lice
All About STIs
Curable Treatable
chlamydia
gonorrhea
syphilis
trichomoniasis
pubic lice
herpes hepatitis B
HPV HIV/AIDS
All About STIs Curable
The infection can be eliminated (cured) from the body with medication
Caused by bacteria or other pathogens (insects, protozoa)
herpes hepatitis B
HPV
HIV/AIDS
Quick Facts About HIV
The infection can be managed (treated) with medication, but not cured
Caused by viruses
Some even have vaccines!
Human
Immunodeficiency
Virus
Acquired
Immune
Deficiency
Syndrome
When the immune system is extremely weak from HIV, a person may be diagnosed with AIDS
Fluids that Transmit HIV blood breast milk
1) 2) 3) 4) 5) 6) rectal fluid
semen pre-ejaculate vaginal fluid
These are the ONLY body fluids that can carry HIV…
Ways HIV is not Transmitted
sharing food or drinks
kissing, hugging, shaking hands
using the same bathroom
urine, sweat, tears, or saliva
HIV Prevention Medicines
If a person is HIV negative
being friends with someone who is living with HIV donating blood
animals or bug bites
HIV Prevention Medicines ART
If a person is HIV positive:
A daily pill that prevents the virus from replicating, and helps strengthen the body’s immune system
Used to treat HIV and prevent transmitting the virus to others
HIV Prevention Medicines
If a person is HIV positive:
U = U
With consistent use, the virus can become “undetectable” and even “untransmittable” to others through sex!
Impacts of HIV
• Millions of people have died from AIDS-related illness due to lack of medical knowledge, research efforts, and funding
• Since the 80s, people living with HIV have faced stigma
negative attitudes, beliefs, and stereotypes that can lead to hurtful behaviors or discrimination
STI Prevention
STI Prevention
Not engaging in any sexual behaviors with a partner
This is the most effective way to avoid STIs!
Limiting the number of sexual partners
…or only having sex within a mutually committed relationship (such as marriage)
STI Prevention
Communicating honestly with sexual partners
✓ Ask questions about their past sexual experiences
✓ Discuss your STI status
✓ Create a plan to prevent STIs together
STI Prevention
Getting vaccinated against HPV and hepatitis B
✓ Available for all genders
✓ FREE at local health clinics (with Family PACT)
✓ Teens can consent (ages 12 and up)
STI Prevention
Using a barrier method during sexual activity
condoms
dental dams
STI Prevention
dental dams
gloves
prophylactic underwear
prophylactic underwear gloves held in place over the vulva or anus during oral sex
worn on the hands (when skin has cuts or sores)
ReviewOnly
STI Prevention
internal condom
external condom
STI Prevention
How many barriers should partners use at a time?
worn inside the vagina during vaginal sex or inside the anus during anal sex
STI Prevention
worn on an erect penis during any type of sex
How many barriers should partners use at a time?
only ONE! (using two or more increases their chance of breaking due to friction)
How to Support Someone
How can we support a friend or partner who has an STI?
one of each?
isn’t two layers better than one?
Remember…
ANYONE can get an STI …and testing positive does not reflect a person’s hygiene or worth.
Everyone makes mistakes.
We can always reflect on our choices and find ways to prioritize harm reduction going forward.
How to Support Someone
• Treat them with respect and dignity
• Include them in activities
• Listen to them
• Remind them to take their medication
• Go to their appointments with them
• Participate in an HIV/AIDS walk to fundraise for HIV research
How
Use
The STI Fact Sheet can help if needed!
Where
Let’s see how many local clinics we can name as a class!
How should a person properly store
Condom Demonstration
Step 1: Ask for consent
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Step 5: Pinch the tip!
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Step 5: Pinch the tip
Step 6: Roll onto erect penis
Step 7: Remove carefully
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Step 5: Pinch the tip
Step 6: Roll onto erect penis
Step 7: Remove carefully
Step 8: Dispose in the trash
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Step 5: Pinch the tip
Step 6: Roll onto erect penis
Condom Demonstration
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Step 5: Pinch the tip
Step 6: Roll onto erect penis
Step 7: Remove carefully
Step 8: Dispose in the trash
Types of Lubrication
Condom Steps Relay
Condom Steps Relay
Place the steps for using an external condom into the correct order!
1. Groups will form a single-file line facing your stack of Condom Steps cards
2. The person at the front of the line can either:
• Pick a new card and place onto the board
• Remove a card that you believe to be incorrect
• Swap two cards into their correct order
Condom Steps Relay
Place the steps for using an external condom into the correct order!
3. After your turn, high five the next person in line to start their turn
4. The first time to get all 8 steps in order wins!
Be careful: there are 8 correct steps, but 12 cards in the deck!
Condom Steps Relay
Step 1: Ask for consent
Step 2: Check the package
Step 3: Open carefully
Step 4: Check the direction
Step 5: Pinch the tip
Step 6: Roll onto erect penis
Step 7: Remove carefully
Step 8: Dispose in the trash
Condom Steps Relay
INCORRECT STEPS:
• Open with scissors
• Sharp objects (including teeth) should never be used to open a condom.
• Apply oil-based lubrication
• Oil causes latex to degrade and break. Lubricants made of oil should never be used with latex barriers.
Condom Steps Relay
INCORRECT STEPS:
• Rinse out and reuse
• Condoms are single-use medical devices. Reusing a barrier can cause it to break or spread infections.
• Flush down the toilet
• Condoms are not biodegradable. Flushing them down the toilet can create clogs and damage plumbing.
Lesson 7 Wrap-Up
Let’s Review!
• What is the difference between curable and treatable STIs?
• How can a person protect themself from STIs?
• Where can people get free local STI testing?
Looking Forward
Next class…
Sexual Violence
(content warning)
• Review consent and laws related to sexual crimes
• Analyze scenarios that depict aspects of sexual violence
• Explore strategies involved in human trafficking
Self-Care Ideas:
Bake some cookies
Run around the block
Help a family member or neighbor with a chore
Go to bed early