This #GivingTuesday, we're highlighting what you gave in 2016 and all the amazing things you made possible
Today we're joining people all across the nation to say, "Thanks, Birth Control!" Why? Because birth control has made a huge, positive impact on North Carolina - but it still sometimes gets a bad rap
One year ago, we announced a new name and expanded mission. Now we're celebrating one remarkable year and a bright future...
Welcome to Your Impact: Donors Making a Difference, our newsletter to illustrate how our donors are making North Carolina a better place for young people. If you would like to support our work, make a donation today.
In this Issue
This is an exceptional time for SHIFT NC (Sexual Health Initiatives For Teens), formerly the Adolescent Pregnancy Prevention Campaign of North Carolina. We are the only statewide nonprofit with over 30 years of history focusing on adolescent sexual health. Through our efforts and partnerships, North Carolina now has the lowest teen pregnancy rate in history. In 2015, we expanded our mission to have a more comprehensive impact on young people’s health. Our mission is leading North Carolina to improve adolescent and young adult sexual health. Our work is accomplished by:
- Helping schools and communities implement effective sexuality education
- Making health care more teen-friendly
- Strengthening parent-child relationships
- Using technology to help teens connect with information and support
- Encouraging evidence-based approaches
- Getting policymakers the latest adolescent health information
- Leveraging resources for local communities
- Increasing public understanding of adolescent sexual health
Thank you, thank you, thank you – 2015 was a year of gratitude for all of us at SHIFT NC. Our gratitude begins with you for the financial investment you made to improve adolescent and young adult sexual health in North Carolina. In 2015, SHIFT NC celebrated 30 years of hard work – work founded on principles of providing marginalized youth with a voice through education, advocacy and access to reproductive and sexual healthcare. In honor of our 30 years you helped us to raise close to $55,000 and because of your support SHIFT NC continues to uphold our founding principles.
SHIFT NC experienced extraordinary growth and positive changes in 2015 after shifting our vision to make a more comprehensive impact on young people’s health. Our new name reflects what we’ve always done: shift policies, practices and communities so that teens and young adults can grow up healthy. We also started four new initiatives in communities across the state. These four initiatives, through evidenced-based strategies in capacity building, advocacy, education and access to teen friendly reproductive and sexual healthcare, create environments so young people have the opportunity to grow up healthy. With your financial investment, SHIFT NC is ensuring North Carolina young people and families have a powerful voice in advocating for access to quality, comprehensive sexuality education and sexual and reproductive healthcare.
All the Best,
Kay Phillips. CEO
In 2010, SHIFT NC—then the Adolescent Pregnancy Prevention Campaign of North Carolina—kicked off the beginning of an extraordinary success story. We launched a novel demonstration initiative to address teen pregnancy in one community – Gaston County, North Carolina. The Gaston Youth Connected initiative took a multi-pronged approach to help the community address longstanding problematic teen pregnancy and teen birth rates by using an array of evidence-based approaches. Our goal was to decrease the teen birth rate by 10% in 5 years. The impact? A 39% decline! Gaston Youth Connected not only achieved significant health gains for Gaston County, it provided major lessons for how North Carolina can approach teen pregnancy prevention.
Read our newly released report How Gaston Youth Connected Changed a Community - and New Lessons for North Carolina
Healthy Youth of Onslow & NC Youth Connected
SHIFT NC launched Healthy Youth of Onslow in 2014 to rally community leaders to raise awareness of local teen pregnancy needs. This work paved the way for NC Youth Connected, a 5-year initiative in both Onslow and Cumberland Counties that incorporates evidence-based strategies in program implementation, clinic improvement, and linking youth to healthcare. Between 2015 and 2020, SHIFT NC anticipates a 50% reduction in teen pregnancies across these two counties. Read more about NC Youth Connected...
Every Teen Counts
Every Teen Counts is a new initiative to boost the capacity of North Carolina’s foster care and juvenile justice systems to provide trauma-informed pregnancy prevention services. Foster care agencies and juvenile detention centers serving nine counties will receive capacity building services to strengthen how they help some of North Carolina’s most vulnerable young people. Read more about Every Teen Counts...
All Together Now & Greensboro Health Access Initiative (name TBD)
SHIFT NC is embarking on two major clinic improvement and linking initiatives in Greensboro, in partnership with Cone Health Foundation, and Durham County. Both initiatives will improve the teen-friendliness of partner health providers, while creating strong community networks to help link young people to the care they need. Read more about All Together Now...
“First Period” Social Fundraising Campaign, May 1-May 31, 2016
Help make school a less awkward place to start your period! Stay tuned for our First Period Campaign—a truly unique opportunity for you to support young women and help us normalize adolescent sexual health as part of overall health and development.
2016 SHIFT NC Annual Conference, “Small Steps, Giant Leaps: Propelling Adolescent Sexual Health Forward”, Wednesday, May 11 –Friday, May 13, 2016
Sheraton Imperial Hotel and Convention Center, RTP Go to registration information...
Take Flight with SHIFT NC, Saturday, September 17, 2016, 6:00 pm
Annual benefit, fundraiser, auction at the Millennium Hotel Durham
Contact Jean Workman at firstname.lastname@example.org for more information on these and other opportunities.
The BrdsNBz North Carolina Text Line provides confidential, factually accurate answers to sexual health questions via text message. A NC young person ages 13-19 simply texts a question, and a trained health educator responds within 24 hours. In 2015, there were a total number of 755 questions submitted to the NC BrdsNBz Text line. 152 questions were from first-time users of to BrdsNBz North Carolina.
What do teens ask?
“Does he like me?”
“Can you get pregnant & still have a period?”
“What should I do if I want to break up with a boy and he says that we are never breaking up?”
“How soon after sex can I take a pregnancy test?”
Protecting Minor’s Consent for Health Services
In 2015, SHIFT NC led a coalition to protect one of North Carolina’s most meaningful adolescent health laws. North Carolina law protects a minor’s right to consent to certain health services, including to the diagnosis, treatment, and prevention of: pregnancy, STDs, mental health, or substance abuse. Research shows that laws like this encourage healthy behaviors, stop the spread of infections, reduce teen pregnancy rates, and encourages connections with helpful adults. Furthermore, 83% of North Carolina parents favor the current minor’s consent law.
North Carolina’s minor’s consent law is one of the most powerful tools we have for increasing access to health care. In focus group after focus group, confidentiality fears are named as one of the biggest barriers that prevent young people from accessing needed pregnancy prevention and STI testing and treatment services. Once those youth get in the clinic door, providers are often able to help create connections to parents or guardians. In addition, the law is a lifeline for youth who may be experiencing abuse, incest, neglect, or human trafficking.
In 2015, the North Carolina General Assembly debated a bill that would have eliminated a minor’s ability to consent for health services and required notarized parental consent for the health services covered by the current law—a bar higher than nearly any other health services. We are proud to have led the effort to protect young people and prevent this dangerous change.
Keeping Health Education Strong and Effective
SHIFT NC has been a leader in helping North Carolina school systems implement the 2009 Healthy Youth Act. The law requires schools to include information on abstinence, medically accurate information on HIV and STDs, FDA-approved contraception, healthy dating relationships, and awareness of and risk reduction for sexual assault and abuse. SHIFT NC has provided schools serving more than 25% of the state’s students with intensive training and coaching to implement the law with high-quality, effective educational strategies.
Lawmakers made two changes to the Healthy Youth Act during the 2015 session. The law was amended to include information on sex trafficking. In addition, lawmakers loosened standards for who can approve teaching materials. SHIFT NC is working closely with schools to help them adapt to these changes while maintaining the focus on quality and accuracy.
North Carolina has experienced record declines in its teen pregnancy and teen birth rates. However, many communities and many populations still experience disparately high rates of teen pregnancy and teen birth. In 2010, we launched a novel demonstration initiative to address teen pregnancy in Gaston County, North Carolina. The Gaston Youth Connected initiative took a multi-pronged approach to help the community address longstanding problematic teen pregnancy and teen birth rates by using an array of evidence-based approaches. After five years, the initiative resulted in significant health gains for Gaston County — and provided major lessons for how North Carolina can approach teen pregnancy prevention.
How Gaston Youth Connected Changed a Community - and New Lessons for North Carolina is a supplemental report on the State of Adolescent Sexual Health that details:
- Major components of Gaston Youth Connected and how they worked;
- Lessons learned that can serve other communities; and
- How North Carolina is building on the lessons of Gaston Youth Connected.
SHIFT NC exists to help young people grow up healthy, specifically by helping adults understand and support adolescent sexual health. This includes making North Carolina a safer, more inclusive, more supportive place for LGBT youth.
The national data is more thorough and similarly disturbing:
- More than 75% of LGBT youth experience some sort of harassment at school.
- More than half experience harassment from a teacher or school administrator.
- Most LGBT students who experience harassment at school don’t report it because they fear that it’ll be ineffective – or worse.
We’re committed to helping make North Carolina a better place for our LGBT youth, on #SpiritDay and beyond.
As a part of this year-round commitment, we:
- Train school personnel all across North Carolina on how to be an ally to LGBT youth
- Help schools develop strong policies, practices, and procedures to prevent and respond to bullying
- Work with health educators and healthcare providers to help them understand that LGBT youth need the same access to confidential, nonjudgmental information and health care – including contraceptive access – that all young people need
- Work to make health information and health education inclusive
We hope you’ll join us by signing on to go purple today and showing LGBT youth that they have your care and support.
A new school year means new teachers, new classes, and – for some North Carolina students – new sex ed. If you’re a parent, you should know what to expect.
North Carolina Schools: Leading the Way
Since the 2010-11 academic year, North Carolina schools have been required to provide students in grades 7-9 with comprehensive sex education, or what the schools call Reproductive Health and Safety Education. Overall, in these grades, students should learn medically accurate, age appropriate information about:
- All FDA-approved methods of contraception
- Ways to avoid HIV and STDs, including HPV
- Relationships, including how to avoid/prevent abuse, violence, and sexual assault
These baseline recommendations fit nicely with what we, along with experts from organizations like the American Academy of Pediatrics, recommend for students in this age group. You can check out the full set of Essential Standards that students are supposed to learn in Reproductive Health and Safety Education.
North Carolina’s sex ed law (which passed as the Healthy Youth Act) is the good news… Unfortunately, not every school follows the law. In some cases, schools haven’t had the resources to train teachers and buy new teaching materials. In other cases, administrators are afraid of controversy – even though about 90% of parents want their kids to get the information included under the new law.
At APPCNC, we work with school systems to help them update their policies, practices, and procedures so that they can meet the new standards, and ultimately provide students with a great education. In a workshop called “Awkward to Awesome”, we train teachers to feel comfortable answering the craziest question a 7th grader can muster. We help schools examine different lesson plans and curricula to see what fits both the law and their local community. We also help get everyone in a school system on the same page – so teachers feel supported by their principal; so principals feel supported by their central office, and so no one feels heartburn about getting students important health information.
Your Role as a Parent
North Carolina’s sex ed law specifically encourages parent participation – but it varies from district to district. If your child’s school offers a parent night, we encourage you to go. Your child may also have homework that encourages you to share your thoughts and values about sex and relationships. Do it. It’s important.
If you’re uncomfortable with the sex ed that your child is being provided, you can opt them out. However, we encourage you to talk with the teacher first to try to understand what’s being taught. Always know that:
- Comprehensive sex ed will help your child stay healthier.
- Students who receive comprehensive sex ed stay abstinent longer and are far more likely to be safe and responsible later in life than students who get no sex ed or abstinence-only sex ed.
- Comprehensive sex ed does not encourage early sexual activity and won’t make your child more likely to have sex.
Finally, show your child’s teacher and principal that you support comprehensive sex ed. Fear of controversy is a big barrier to great education. Your vocal support can help make things better for everyone.
In a hilarious post making the Facebook rounds, BuzzFeed asked their staffers to share “the wrongest thing they thought about sex.” We thought it would be amazing to do the same thing with our staff!
Each year we train hundreds of sex educators in North Carolina. One of our most popular trainings is called Awkward to Awesome – a bootcamp on how to teach sex ed. It covers everything from basic reproductive anatomy to a primer on birth control methods to how to answer the craziest question a 7th-grader can lob.
So, in part, BuzzFeed’s viral post looks a lot like our day-to-day. We grew up with similar misconceptions, but we became the trainers of teachers. Those teachers grew up with myths, but they now have to provide medically accurate sex ed. And a whole new generation of young people is walking around with some of their own wrongest ideas.
In part, believing funny falsehoods about sex - later to learn otherwise - is just part of growing up. But how can you process how a condom works if you think a man ejaculates for the duration of sex? Why would you use birth control if peeing after sex prevents a pregnancy? Our job is to build up a North Carolina that can help young people replace their myths with safe, accurate, helpful information about sex, reproduction, and their bodies.
So, here are the wrongest things APPCNC staffers believed about sex (and now obviously know better)!
1. Sex is a laying down hug between two people
2. I thought sex happened “hot dog in a bun” style
3. You could see a boy’s penis moving around inside your stomach during sex
4. If you pee after you have sex, you can’t get pregnant. (Also, sex standing up = no babies!)
5. Sex only happens on wedding nights
6. We (females) only have two holes
7. Friends told me a penis looks like a ponytail
8. I thought tampons would get lost in my vagina if I pushed too far
9. I thought if I went swimming on my period it would stop the flow
10. When I was very young, I thought maxi pads were designed to write cool stuff on and stick on your wall – and then pull them off. (Clearly I had older sisters.)
11. Wearing a maxi pad would make you get your first period. Maxi pads are really perplexing to kids.
12. I was the only girl curious about sex. Sexual curiosity was just for boys.
13. If I didn’t “think gay thoughts” – then it meant that I wasn’t gay.
14. I thought female orgasms were just something "Cosmo" made up – like flat abs in 4 days.
And just to cap it off... Here are 5 questions we've gotten from young people this month. Proof that young people still - even in the age of Google - need a lot of help getting accurate info about sex.
I can't get pregnant if I have sex in a hot tub.
You can contract ‘blue waffle disease’ as an STD.
I’m only in puberty from 10 to 12 – right?
I can’t get an STD if I have unprotected anal sex and I’m a woman.
Can I get pregnant if I pee after sex?
This week we’re presenting a poster* at the national Office of Adolescent Health’s Teen Pregnancy Prevention Conference. We’re really excited about it so we want to share on media like Twitter and Facebook. However, the poster covers two really complicated topics – race and sexual health – that we don’t dare distill down to 140 characters without having some backup info. So here’s what’s up:
Back in 2010, the pregnancy rate for African-American teens was 60% higher than the rate for White teens. Also in 2010, we launched Gaston Youth Connected, a community-wide initiative to reduce teen pregnancy 10% by 2015. The initiative looked at disparities, but did not seek to specifically address pregnancies in young women of color.
In 2012, the African-American teen pregnancy rate was 1.7% lower than the White teen pregnancy rate, closing a long-standing gap and making Gaston County one of only four North Carolina counties where the African-American teen pregnancy rate is lower than the White rate.
A lot of the things that impacted this shift started before Gaston Youth Connected did. Let’s be clear: We’re not taking credit. Right now, we’re trying to understand what happened, why, and what (if any) role the project played.
One of the very first planning activities for Gaston Youth Connected was to work with community leaders to review GIS maps and locate teen birth “hot spots” in the county. Community leaders then identified potential program and outreach locations to coordinate efforts between residents, churches, and youth serving organizations.
Though only 20% of Gaston County’s teen population is African-American, the disparity in teen birth rates caused the project to locate services in “hot spots” that happened to be in largely African-American communities. As a result:
- 57% of participants in evidence-based programs were African-American
- Half of program partner organizations primarily serve African-American youth and programs were offered in six predominantly African-American churches
- 16 of 20 program facilitators were African-American
- 30% of Gaston County’s African-American female teens are covered by a highly effective contraceptive method that they selected and received at the Gaston County Health Department
- 20% of the Gaston County Health Department’s contraceptive-seeking teen clients chose an IUD or Implant (the two most effective methods), double the percentage at similar clinics statewide
In the community…
- Of the project’s nine youth-and-parent Let’s Talk Month events, 44% of participants were African-American
- Two of the three project leadership teams overrepresented African-Americans in the community based on general population percentages
You have to provide really good services that work for people. (This might seem like a no-brainer…) For example, the Gaston County Health Department made a really concerted effort to train their docs to counsel to the most effective methods. They also took significant steps to become more adolescent friendly. The fact that 30% of the African-American teen population used the GCHD to access great birth control speaks volumes.
Actually connecting people to services matters. We're not talking about program flyers here. You have to make a concerted effort to connect people to programs and services. You have to think about where they are, who they want to hear from, and what they want and need.
Use data to drive your work. Again, we didn’t set out to impact the African-American teen pregnancy rate; we set out to get services into teen birth hot spots. Identifying these hot spots let us find the people who might need the most services, and then help them get the services they might want and need.
*You may be asking, “What’s a poster?” A poster is way to show off your research or program results at an academic event. They usually include an overview, some data, some results... As a communications person, I have fun making them but cannot fully explain why they are a thing.
Although our name says “teen pregnancy prevention”, we spend an awful amount of time thinking about overall sexual health. April, it turns out, is a pretty big month for sexual health awareness!
April is Child Abuse Prevention Month
When people try to connect child abuse and teen pregnancy, they often fall back on the myth of the terrible teen parent and assume – falsely – that young parents are destined to be bad parents. Really, the connection works the other way: Most young people who become sexually active before age 15 report that their earliest sexual experiences were nonconsensual, often in the form of child sexual abuse. We also know that young people who experience high numbers of adverse childhood experiences become sexually active at a younger age than their peers who had safe, nurturing childhoods – and that early sexual activity can correlate with lower contraceptive use and relationships with an unhealthy age gap. Learn more about how to raise awareness.
April is STD Awareness Month
Helping young people understand, prevent, and treat sexually transmitted diseases pretty clearly falls in the sexual health wheelhouse. In fact, many of the evidence-based programs that help young people avoid an unplanned pregnancy were originally designed to help people avoid HIV. The overlap between preventing STD transmission and unplanned pregnancy has another intersection: the health care system. When pediatricians, OB/GYNs, and other clinicians take a patient’s sexual health history – something they should do at every visit, according to best practices in adolescent care – they have the ability to talk about a patient’s birth control needs, their need for any screening, and potential risks. Similarly, when we normalize seeking sexual health care, we make it easier for young people to prevent both unplanned pregnancy and STDs. Learn more about how to raise awareness.
April is Sexual Assault Awareness Month
There are so intersections between sexual assault and pregnancy, from the obvious (pregnancy resulting from an assault) to the more complex (polyvictimization of young parents). There are also big overlaps in prevention. Young people need education and practice to develop a healthy respect for others and boundaries, the ability to grant and understand consent, strong communication skills, and a network of supportive sexual health resources. Likewise, we need to address cultural trends that diminish sexual health in our communities: rape culture, toxic gender stereotypes, harassment and bullying, and stigma around sex and sexual health. Learn more about how to raise awareness.
So, April may not be named Sexual Health Awareness Month, but we’re happy to see so many working to raise awareness for individual components of sexual health. We also hope you’ll gear up for Teen Pregnancy Prevention Month in May.
If you feel a little over-aware, take a minute to celebrate National Humor Month.