2019 Symposium Program / Handouts

Monday - April 15, 2019


8:30 AM - 8:45 AM

Welcome/Opening Remarks

David Wiley, PhD, Texas Campaign To Prevent Teen Pregnancy Founder and Board Member
Dr. Wiley will welcome attendees to the 8th Annual Texas Campaign To Prevent Teen Pregnancy Symposium.


8:45 - 10:00 AM (Opening Keynote)

Staying on the Cutting Edge of Sexuality and Teen Pregnancy Prevention

Karen Rayne, PhD, CSE | UN|HUSHED

The world of sexuality covers a wide range of topics. From identity and law to social media and contraception, professionals who are teaching and talking about sexuality need to be prepared to cover a lot of ground. This is complicated by the speed at which these subjects evolve and so require new and emerging information be integrated into classrooms and conversations. When professionals are not up to date, young people miss out on potentially life-saving information. Dr. Rayne uses humor, stories, and specifics to show how some of these topics have evolved through history, the newest and shiniest topics that should be included in cutting edge sexuality education, and finally how to stay on the front line of information about sexuality.


10:30 - 11:30 AM (Breakout Sessions)

Supporting Foster Youth Pregnancy Prevention in Policy and Practice

Monica Faulkner, PhD, LMSW | The University of Texas at Austin/School of Social Work/Texas Institute for Child & Family Wellbeing
Tammi Fleming, PhD, CHES | The Annie E. Casey Foundation

For over a decade, research has documented high rates of pregnancy among youth in foster care. However, research is generally limited in that it focuses on females and does not compare foster youth to youth who have had similar trauma experiences. Despite the gaps in research, there is a clear need for interventions to improve sexual health outcomes for foster youth. Among the most important interventions is trauma-informed sexual health education that allows space for processing trauma. Additionally, systems need improved data collection to help us continue to research and monitor this issue.


Addressing the Needs of At-Risk Students

Alicia Young, Bachelor's in Child Development, Secondary Teaching Credential, Master of Education | New Journey Press
Rachael Asman, MEd | New Journey Press

Human nature tends to give up when there's no end in sight. How do we encourage our at-risk youth to continue their education and not drop out? We must provide options that are not only viable, but also options that will realistically set them on the path to success.

How do we help these youth overcome their obstacles and find a passion for education? Meet them where they are! Learn creative ways to circumvent the conventional educational options for at-risk youth.


Reducing Teen Pregnancy Through Effective Contraception: Best Practices for IUDs, Implants, and Emergency Contraception

Saul Rivas, MD, MSPH | University of Texas Rio Grande Valley, Department of Obstetrics & Gynecology
Jennifer Salcedo, MD, MPH, MPP, FACOG | University of Texas Rio Grande Valley

Despite recent declines in U.S. adolescent pregnancy rates, Texas maintains the fourth highest rate in the country (2016). Additionally, Texas has the highest rate of repeat teen births (2016). Long acting reversible contraception (LARC), including intrauterine devices and implants, is safe, highly effective, and demonstrates high uptake rates among teens when access barriers are removed. In this session, we'll review best practices for providing LARC to adolescents in a framework of reproductive autonomy. We'll highlight immediate postpartum LARC, including the innovative implementation of these services at Women's Hospital at Renaissance. Lastly, we'll spotlight the role of emergency contraception in pregnancy prevention for teens using less effective methods of contraception.


My Life as a Teen Parent: 21 Years Later

Jessica Mejia, BA Communications and Social Work | Texas State University
Jonis Nava, Teen Ambassador | Texas State University

As a former teen parent I have worked with teen parents for more than 15 years. I share part of the presentation about my life as a teen parent who made a decision to educate myself and my son so that his life would change the cycle. I am a Texas State University graduate and he is a Senior this year at my alma mater and also in the Airforce.

He and I tag team sharing latest research data and statistics, how volunteering with Dr. Realini and Healthy Futures helped educate him as a teen ambassador. We share our struggles and successes via a motivational facilitation approach that helps the sometimes burned out community of social workers and medical professionals, this portion of the presentation is where we mention the communities, programs, and people that were a support system and who were a necessary part of our continued success.

Audience will participate in a 15-20 min question and answer time where my son and I share personal experiences so that the audience gets to learn from us.


11:30 AM - 12:45 PM

Lunch Provided


11:30 AM- 2:00 pm

IUD Training provided by Bayer


1:00 - 2:00 PM (Breakout Sessions)

"Asking for a Friend": An Exploration and Practicum in Cultivating Safe Spaces for Anonymous Questions

Joan Miller, Executive Director, Uplift | Planned Parenthood of Greater Texas
Susana Contreras | Planned Parenthood of Greater Texas

An in-depth analysis of student questions, this workshop explores the benefits of creating space for anonymous questions in sexual education. Focusing on reflexive pedagogy, participants will be asked to engage with real student questions collected from the Austin area. This workshop will provide practical hands-on opportunities to explore cultural competency and positive intent behind student questions. Participants will also be given time to practice providing comprehensive answers using trauma-informed language.


Managing Sex Education Controversy: The North East ISD Success Story

David Wiley, Ph.D., MCHES | Texas State University
Rachel Naylor, MEd | North East ISD
Melissa Munsell, MEd | North East ISD

In 2016, North East ISD (San Antonio) adopted an evidence-based sexuality education curriculum for use in their middle schools. The district followed all applicable state laws provided in the Texas Education Code (TEC), including the involvement of the School Health Advisory Council (SHAC) in reviewing and evaluating different curricula. Still, opposition surfaced in the community to the decision and critics used a variety of strategies to create controversy about the decision. Misleading social media posts, robocalls, multiple open records requests, and an "evaluation" of the curriculum by one of the opponents were a few of the strategies used to sew seeds of controversy in the community. The school district countered the opponents by mobilizing a supportive and engaged administration and use of a coordinated communication plan. To be presented are the guidelines of the TEC, NEISD's curriculum adoption process, strategies used by opponents, and successful techniques to counter opp


Beyond the Clinic Walls: Unleashing the Power of Youth-Centered Service

Elaine Cray, MPHE | Texas Campaign to Prevent Teen Pregnancy
Leticia Tenorio, CCHW | Matagorda Episcopal Health Outreach Program (MEHOP)
Toddie Garcia, LMT, CCHW | Matagorda Episcopal Health Outreach Program (MEHOP)

Participants of this session will learn about core components of youth-centered care and practical applications for both health and social service professionals. Certified community health workers will share lessons learned through participation in the Texas Youth-Friendly Initiative (TYFI), a project that builds the capacity of health centers to transform service delivery to youth, ages 10-24. The speakers will highlight their successes with youth engagement, staff development and parent education and explore applications of these practices in multi-disciplinary settings. This session is geared toward youth-serving professionals seeking to create an environment of service that reflects youth's values, needs and desire for empowerment.


Teen Pregnancy Prevention and Reproductive Justice

Veronica Ray Whitehead, M.Ed., CHES | North Texas Alliance to Reduce Unintended Pregnancy in Teens

The development, funding, and prioritization of evidence-based teen pregnancy prevention (TPP) programming has helped further legitimize the necessity for programming beyond practitioners in the field. Many current evidence-based programs rely heavily on the disease prevention model. While this approach provides vital information, implementing organization tend to lean the disease prevention model with their overall view of TPP. In this session, participants will learn why a reproductive justice framework may be necessary in order to meet the social and reproductive needs of teens and families today.


2:15 - 3:15 PM (Breakout Sessions)

Teen Wellness: How Teen Pregnancy Prevention can Open the Door to Comprehensive Health Care and Services

Aida Ponce | Project Vida Health Center
Carmen Zuniga-Hernandez | Project Vida Health Center

Wellness is a framework that can guide us in consistently providing integrated health and social services to youth and their families. Wellness, according to the Substance Abuse and Mental Health Services Organization (SAMHSA) is "being in good mental and physical health." The Hogg Foundation understands Wellness as a state of more than just surviving; to achieve Wellness is to thrive. Project Vida Health Center (PVHC) implemented a Teen Pregnancy Prevention (TPP) strategy, POWER 4-Uth, using Wellness as a framework and the Promotora model as guiding values. By utilizing this framework and set of values, POWER 4-Uth was able to identify and address needs beyond sexual and reproductive health, and generate new initiatives that address one of the most pressing needs: mental health.


#SexyPowerEd: Supporting and Empowering Teachers who Facilitate Sexual Health Education

Janet Realini, MD, MPH | Healthy Futures of Texas

Healthy Futures of Texas will share our strategy for working with school district personnel to increase the professional capacity of teachers to facilitate sexual health education. In this interactive session, participants will hear from project staff about the strategic approach to professional development, from teachers about their needs and experience with professional development in the Big Decisions study project, and from other participants about their perspectives on teacher/facilitator professional development needs in the field of sexual health education.


Using History to Inform Anti-Racist Youth Leadership Development Today

Angelica Benton-Molina | Austin Healthy Adolescent Program/Austin Public Health

This session will cover the following: What does being anti-racist mean? Historical context and development of race/racism as it relates to sexuality. Why leaving race/racism out of social determinants in determining disparities is problematic and does not work to change disparate outcomes for people of color. Why it's important for youth to know history and how a historical perspective is damaging and perpetuates racism. Defining the difference between equality, equity and systemic change. Positive Youth Leadership Development (creating space for Youth led initiatives and organizations). Tools and strategies in beginning to implement an anti-racist lens and framework into your workplace/space. This presentation will only be an introduction to these terms and we will provide information to participants regarding specific workshops, and opportunities for further development regarding this topic. We will also provide a bibliography for further study.


Contraceptive Counseling for Homeless and Unstably Housed Youth

Meera Beharry, MD McLane | Childrens Medical Center, Baylor Scott & White
Celia Neavel, MD, FASHM, FAAFP | Peoples Community Clinic

Dr. Beharry and Dr. Neavel will present up to date research and recommendations for providing contraception to homeless and unstably housed youth. They will focus on aspects of counseling and special considerations for this highly vulnerable population. They will include detailed information on ways that all providers who are working with youth can help to make sure that they are choosing methods that are best tailored to the young person's needs. They will also include information for special subpopulations of youth, such as LGBTQ youth.


3:45 - 5:00 PM Panel Session

Challenges in Consent, Confidentiality and Reporting Requirements for Texas Teens

Celia Neavel, MD, FASHM, FAAFP | Peoples Community Clinic
Keegan Warren-Clem, JD, LLM | Austin Medical-Legal Partnership
Will Francis, LMSW | National Association of Social Workers - Texas Chapter

Texas laws governing minor consent to health care, confidentiality, and mandatory reporting are among the most complex and confusing in the nation. Youth-serving professionals such as social workers, educators, and clinicians can face civil or even criminal liability as a result of not following these laws, but many professionals have an unclear understanding of what is required of them. Additionally, some reporting laws discriminate against LGBTQ youth, presenting ethical challenges to providers. This panel will feature experts from the fields of medicine, social work, law, and public policy and will focus on challenges related to minor consent to physical and mental health care, confidentiality, and mandatory reporting requirements. Special consideration will be given to access to contraception and reproductive health care, and the needs of LGBTQ youth.


5:00 - 6:30 PM

Texas Campaign 10 Year Anniversary Celebration and Networking Reception