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In Adolescent Reproductive
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Consensus on Parent-Family Engagement in Adolescent Reproductive Health &
Sexuality The following
statement reflects a consensus among reproductive health service, policy,
research, and advocacy organizations working to enhance parents/caregivers
and family capacity around adolescent reproductive health and sexuality. This statement is grounded in published
evidence that shows parents/families have a strong influence on adolescent
sexual behavior; that adults support teens’ access to comprehensive sexuality
education and confidential services; that teens desire support and
communication from important adults on sexuality issues; and that
reproductive health service agencies are connecting with
parents/families without compromising access to services and confidentiality
of care for teens. More detailed information about Parent/Family
Engagement can be obtained from www.cartainc.org/pfeproject.
Working Definition Parent/Family
Engagement in Adolescent Reproductive Health (ARH) and Sexuality is: “Any activity (formal or
informal) that directly or indirectly engages parents and/or immediate
family, extended family, or family/parent surrogates, in ways that: ·
Empower
adults and youth to openly and candidly address issues of sexuality and
reproductive health; ·
Encourages
healthy decision-making and behavior among teens”. All activities
serve to connect with adults and family members, while protecting confidentiality and access to reproductive
health care for teens.” Goals
& Objectives
The primary goal of Parent/Family
Engagement is to: ·
Improve the reproductive and sexual
health of teens. Parent/Family Engagement has four primary
objectives: ·
To increase parent/family
connectedness in youths’ lives; ·
To increase parent/family capacity
to discuss and dialogue with youth about reproductive health issues; ·
To increase parent/family support
for reproductive health services (in general) and reproductive health
services for teens (in particular); ·
To increase the potential for
parents/family members as advocates for ARH. Activities Parent/Family Engagement Activities include (but
are not limited to): ·
Increasing
parent/family knowledge about reproductive and sexual health (e.g.,
reproductive physiology, STDs, HIV/AIDS, contraceptive methods); ·
Increasing
parent/family knowledge about other issues important to teens (e.g.,
relationships, values); ·
Increasing
parent/family knowledge about public policies that influence access to
information and services around reproductive health – for adults and for
teens; ·
Educating
parents/families about the importance of reproductive health care for teens
and about the process of receiving care; ·
Strengthening
parent/adult communication skills about reproductive health and sexuality
issues; (e.g., what issues to discuss; how to start conversation, when to
talk); ·
Promoting
opportunities for parents/families and youth to spend time together doing
things that are mutually enjoyable and that promote respect, trust,
affection, and an exchange of ideas; ·
Encouraging
teens in the clinic setting to inform and/or engage parents and significant
adults in their decisions about sexuality and reproductive health care; ·
Welcoming
parents/family members into the clinic environment, if and when adolescents wish to have parents/family
members involved; ·
Training
parents/caregivers and adult family members to be advocates for local and
national reproductive health issues that promote healthy sexuality among
adults and teens. Program Approaches Parent/Family
Engagement is implemented primarily through the following approaches: Joint Youth- & Parent-Centered. Connects parents with specific youth-centered
activities or offers a separate, short-term activity to augment broader
youth-centered efforts. Activities
can be implemented within the clinic or in local community settings,
depending upon the activity. Parent
(Family)-Centered. Offers explicit outreach to and activities for
parents/families and only parents/families.
Activities are usually community and or school-based and include adult
peer-to-peer training, communication workshops, advocacy training and
multi-media efforts. Why Reproductive Health Professionals Should
Conduct Parent/Family Engagement Any program or agency can do parent/family
engagement and can focus their engagement efforts on issues other than ARH
and sexuality. Participation from
reproductive health provider agencies and professionals is particularly
critical for enhancing parent/family efforts to promote healthy behaviors
among teens. Reproductive health
agencies and professionals: ·
Have
appropriate expertise regarding the reproductive and sexual health of teens; ·
Know
first hand the needs, concerns, and preferences of youth regarding
reproductive and sexual health; ·
Are
committed to protecting access to services and confidentiality of care to
teens, and; ·
Have
access to parents/caregivers and other adults through community outreach and
support services. Evidence Supporting
Parent/Family Engagement and Minor’s Access to Reproductive Health Services ·
Parents and
families play an important role in the development of children and
youth. Young family members develop notions and values
about sexuality in early childhood through information provided by parents
and caregivers, as well as through behaviors and values modeled by
parents/caregivers and other family members. Strong, healthy parent-child relationships, accurate
information, consistent and clear communication, monitoring of and active
support of teens’ interests can delay sexual initiation and increase the odds
of contraceptive use if teens become sexually active. These factors also foster sound
decision-making skills, an understanding and respect for intimacy and a sense
of direction and interest in the future. ·
There is strong parental support
for teen access to reproductive and sexual health information and
services. Parents and caregivers report some comfort
with sexuality-related matters, but would prefer additional guidance on how
to connect with adolescents on sexuality and relationship issues. ·
Teens want guidance from parents
and adult family members around reproductive and sexual health issues. Teens indicate they prefer to talk openly
with significant adults about sexuality, but feel parents are ill informed or
uncomfortable when discussing sexuality issues with them. ·
Teens also want to access
reproductive health information and services without the explicit consent or
knowledge of their parents, caregivers or other significant adults. Many teens delay seeking reproductive
health care out of fear their parents may find out they are sexually
active. In some instances, parental
knowledge about teens’ use of services can lead to serious emotional or
physical repercussions for adolescents.
·
A majority of
adolescents become sexually active by the end of their teenage years. Sexually active teens require access to contraceptive information and
supplies, clinical screening and treatment, and medical and social service
referrals. Protecting access to
reproductive health services and confidentiality of care for teens is
critical for ensuring the sexual health of adolescents. |
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The PFE Project |
1800 N. Charles
St., Suite 902 |
Baltimore,
MD 21201 |
P: 410-625-6250 |
F: 410-625-1965 |
www.cartainc.org/pfeproject |
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