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Personal Responsibility Education Program. PREP Henry Lustig, MA, MSW, LISW-S PREP Project Manager Ohio Department of Health Susan Williams, Ohio Department of Job and Family Services Jeff Spears, Ohio Department of Youth Services. What is PREP?.

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Personal responsibility education program

Personal Responsibility Education Program


Henry Lustig, MA, MSW, LISW-S

PREP Project Manager

Ohio Department of Health

Susan Williams, Ohio Department of Job and Family Services

Jeff Spears, Ohio Department of Youth Services

What is prep
What is PREP?

Part of the Patient Protection and Affordable Care Act. 

Educates young people on both abstinence and contraception  prevent unplanned pregnancy and sexually transmitted infections.

Targets high risk populations, including pregnant youth and mothers under 21.

The Administration on Children, Youth & Families and Family &Youth Services Bureau oversee the program.


  • US has the highest teen pregnancy rate in the entire industrialized world

  • Teens account for about 50% of all new STD’s in the United States.

What is prep1
What is PREP?

Projects use effective, evidence-based program models

that have been proven to delay sexual activity, increase

condom or contraceptive use for sexually active

youth, or reduce pregnancy among youth.

PREP is in 49 States.

Information of value
Information of Value

Legal Issues:

Minors can self-consent for diagnosis and treatment of STIs & HIV testing

Ohio law is silent on consent for pregnancy testing and contraception, including emergency contraception

–Title X specifically states parental consent not needed for reproductive healthcare

Minors in foster care and juvenile justice can consent to confidential reproductive health care

What makes ohio prep unique
What Makes Ohio PREP Unique?

Target Populations:

Youth 14-19 years of age who are in:

  • Foster Care

  • Juvenile Justice

Why foster care
Why Foster Care?

  • Less likely to use contraception

  • Almost ½ of females in foster care pregnant by age 19

  • 2.5 times higher pregnancy rate than non-foster care peers

  • One-half of 21 year-old males aging out of foster care have impregnated someone vs. 19% of peers not in foster care

Why juvenile justice
Why Juvenile Justice?

  • Higher rates of sexual activity

  • Lower rates of condom and contraceptive use

  • More lifetime sexual partners

  • Among highest rate of STDs

  • Higher pregnancy rates

Why juvenile justice1
Why Juvenile Justice?

  • 94% of males and 87% of females had had sexual intercourse

  • vs. 54% of HS students

  • 32% males, 25% females used a condom during last sexual intercourse

  • vs. 49.4% of males and 40.0% females in the general population

  • 54% males, 47% females used contraception during last sexual intercourse vs. 78% of high school students

  • Vast majority had > 4 sexual partners (many had more than 20)

Why juvenile justice2
Why Juvenile Justice?

  • 14% of incarcerated youth have children (15% M, 9% F)

  • vs. general population: 2% of males, 6% females

  • 12% of incarcerated youth expecting a child

  • More than 1/5 were a parent or expecting a child

  • More than 1/3 of incarcerated females ever been pregnant

Why juvenile justice3
Why Juvenile Justice?

DYS Facilities and Regional Offices- FY 2012 Admissions 633 Youth

Statewide implementation
Statewide Implementation


  • Ohio Department of Health

  • Ohio Department of Job and Family Services

  • Ohio Department of Youth Services

Statewide implementation1
Statewide Implementation

Ohio Department of Job and Family Services

Ohio Department of Youth Services

PCSAO-Public Children Services Association of Ohio

OACCA-Ohio Association of Child Caring Agencies

Planned Parenthood of Ohio

Advisory Council

Statewide implementation2
Statewide Implementation

Regional Coalition Development

Two Tier Training:

  • Curriculum Development

  • Train the Trainer Models

    • Direct links to youth and caregivers

  • Train 90% of the staff who work directly with youth

  • Provide the curriculum to 90% of the youth in out-of-home placement and court-involved (JJ).

Role of regional prep programs
Role of Regional PREP Programs?

  • Establish coalitions & coordinate efforts

  • Train the providers & provide initial materials

  • Provide incentives to providers & youth

  • Provide ongoing Technical Assistance

Role of regional prep programs1
Role of Regional PREP Programs?

  • Participate in evaluation

  • Promote regional and state-wide PREP efforts

  • Provide information to the public and to interested stakeholders

  • Generate systemic changes to support effective prevention programs

  • Generate systemic changes to support successful transitions to adulthood for foster children and those involved with the juvenile justice system

Role of coalition members
Role of coalition members?

  • Promote PREP

  • Assist with organizing and training providers on the curriculum

  • Help expand the PREP program to the required number of targeted providers and youth

  • Offer feedback and resources to the regional organization

  • Assist with sustainability

Healthy sexuality
Healthy Sexuality

  • Knowing oneself & treating others with respect.

  • Youth with the attitudes and skills to achieve healthy sexuality can:

    • Understand family values about sexuality

    • Recognize personal values

    • Make healthy decisions for the future

    • Engage in healthy behaviors

    • Communicate clearly with others about their expectations regarding sexuality and relationships

    • Understand benefits of abstinence and postponing sexual activity

Goals of sexuality education
Goals of Sexuality Education

Promote health & safety

Support abstinence

Assist sexually active students in acquiring skills needed to remain healthy

Help students protect their futures

Set a foundation for healthy sexuality throughout life

Statewide prep implementation
Statewide PREP Implementation

  • Reducing the Risk

  • 3 Lifeskill Development Topics:

    • Healthy Relationships

    • Financial Literacy

    • Career Planning

Reducing the risk
Reducing the Risk

Students will:

Evaluate risks &consequences of becoming an adolescent parent or infected with an STI

Recognize that abstinence & use of contraception are the only ways to avoid pregnancy & STIs

Demonstrate effective communication skills for avoiding unprotected sexual intercourse

Healthy relationships
Healthy Relationships

Students will:

Discuss characteristics of healthy relationships

Demonstrate active listening

Identify 3 forms of verbal communication

Discuss characteristics of unhealthy relationships

Recognize warning signs of an abusive relationship

Identify ways to remain safe

Financial literacy
Financial Literacy

Students will:

Discuss how personal values & beliefs about money influence spending

Explain the difference between financial “needs” and “wants”

Discuss how they spend money on “needs” and “wants”

Define what a budget is and why it is important

Know the difference between net and gross pay

Create a sample budget

Career building skills
Career Building Skills

Students will:

Identify personal interests, abilities & traits related to employment

Match interests & skills with specific occupations

Discuss the information needed to research job opportunities

Create a resume

Complete a job application with a cover letter

Describe components of a successful job interview

Demonstrate the ability to successfully interview for a job


Who is providing prep
Who is Providing PREP?

Rescue Services Center for Adolescent Services

Family Center Family Resource Center of NW Ohio

Northwest Ohio JDC SAFY-Safe Harbor

Lucas County CSB Allen County Juvenile Court

The 12 Inc. Clear Creek Farms-Homes for Children

Choices, Inc. West Central Juvenile Facility

Clark County Juvenile Court David L. Brown Youth Center

Greene County CSB Maryhaven Youth Center- Lebanon

Oesterlen Services for Youth Butler County JDC

Champaign County DJFS Warren County JDC

Nicholas Residential Treatment Ctr. Pressley Ridge

Wilson Children’s Home Oasis Therapeutic Foster Care

Who is providing prep1
Who is Providing PREP?

Transitions for Youth Alpha

SARGUS Guernsey County CSB

McCollough Children’s Home Perry Behavioral Health Choices

Girls’ Gender Specific Cambridge Counseling

Center for Child and Family Development SAFY

Portage County Co. JFS Wayne County CSB

Multi-County Juvenile Attention System Indian River Juvenile Attention System

The Village Network Applewood Centers

Lake County JFS Summit County CSB

Summit County Juvenile Court National Youth Advocate Program (NYAP)

Foundations for Living ABRAXAS

Seneca County Youth Center Seneca County Juvenile Court

Marion County Family Court Marion County Children Services

North Central Ohio Rehabilitation Center Pomegranate Health Systems

A New Leaf The Bair Foundation

Family Resource Center of NW Ohio Allen County Juvenile Center

Who is providing prep2
Who is Providing PREP?

Coshocton County Board of DD First Step

Coshocton County Family and Children First Coshocton Behavioral Health

Muskingum County Children Services Avondale Youth Center

Guernsey County Juvenile Court Multi-County JDC, Lancaster

The Buckeye Ranch Starr - Hannah Neil

Kids Count Too Youth Advocate Program

Student Achievement Program Ottawa County Probation

Ottawa County JFS Lucas County Juvenile Court

Ottawa County Probation Foster Care Connection

Fairfield Independent Living UMCH Family Services

Evaluation results

What does the data show so far?

  • Number of Agencies Involved – 76

  • Number of Regional Staff Trained – 57

  • Number of Provider Agency Staff Trained – 241

  • Number of Youth Provided Curriculum - 486

Evaluation results1

Some Comments from Youth who participated:

What did you like most about the program?

  • “…that they actually could talk to us about condoms, the risk of pregnancy, etc.”

  • “It is good to talk to people about sex and risks. It opens your eyes about things and shows other people have the same questions you do.”

  • “How they took the time to explain everything and make sure we know.”

  • “I like learning about how to say no.”

  • “It opened my eyes about a lot of things and showed me how to protect myself.”

How can prep benefit your organization
How can PREP benefit your organization?

  • Diminish harmful sexual activity – protect kids, foster parents &staff, stabilize placements, decrease negative publicity

  • Increase successful youth outcomes

  • Increase competency and knowledge of staff and foster parents

  • Provide material for ongoing training of foster parents in both Independent Living Skills and support for healthy relationships

How can prep benefit your organization1
How can PREP benefit your organization?

  • Material for billable groups

  • CEUs for staff

  • Enhanced program value through use of evidence-based programming

  • Increased grant and RFP possibilities

  • Free materials and training

  • Technical Assistance

  • Part of a larger, State-Wide Effort supported by ODJFS, ODYS, OACCA, PCSAO, FCFC, ODH, County Public Health Departments and Planned Parenthood.

What is the role of the provider
What is the role of the Provider?

  • Choose qualified staff members to be trained in Ohio PREP curriculum

  • Provide the curriculum to the youth in the program with consistency and fidelity

  • Assist with the collection of data and evaluation material

  • Train other staff and foster parents in the agency

  • Offer feedback on the program