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Activity: harm reduction and sexual health.


"How might your feelings about your own sexual history influence how you react to discussing sex and sexuality with the young people you work with?"

This is one of the questions on which participants are asked to reflect during Health Initiatives for Youth's (HIFY HIFY Health Initiatives for Youth ) Positive Sexuality and Youth, a two day training for adult providers who work with youth. As difficult as it sometimes is for adults to support positive sexual health in their own lives, we have found it even more difficult for adults to support positive sexuality among the youth with whom they work.

We find that adults often approach teen sexual health with apprehension The seizure and arrest of a person who is suspected of having committed a crime.

A reasonable belief of the possibility of imminent injury or death at the hands of another that justifies a person acting in Self-Defense against the potential attack.
. When they think about teens and sexuality, they tend not to focus on pleasure or safe experimentation or information sharing See data conferencing. . Rather, we often hear them talk about disease, unintended pregnancy, or abuse. While these latter topics are a crucial part of any discussion with youth about sexual health, the persistent attention to these topics as the primary focus of discussion with teens can hinder hin·der 1  
v. hin·dered, hin·der·ing, hin·ders

v.tr.
1. To be or get in the way of.

2. To obstruct or delay the progress of.

v.intr.
 young people's development into adults with healthy attitudes toward sex and sexuality.

In our Positive Sexuality and Youth training we combine presentation and analysis of basic theoretical concepts such as "adultism" and deficit-based approaches with interactive, kinesthetic kin·es·the·sia  
n.
The sense that detects bodily position, weight, or movement of the muscles, tendons, and joints.



[Greek k
 activities through which participants may explore their own assumptions and boundaries around the subject of youth sexual health.

One such activity, "Harm Reduction and Sexual Health" challenges participants to think of at least one affirming statement and at least one harm reduction strategy to apply to a range of sexual acts in which the youth they work with might engage. Within the broader context of the two-day training, this activity helps participants think broadly about what constitutes risk and encourages them to be proactive in supporting youth practice of harm reduction strategies, regardless of what acts the youth may choose to engage in.

ACTIVITY

Purpose:

Putting positive sexuality (and harm reduction) into practice.

Introduction to Harm Reduction and Sexual Health:

Ask participants: "What is Harm Reduction?

Ask participants: "How does Harm Reduction (HR) relate to sexual acts and risks?"

Explain to participants: "Harm Reduction is an approach that aims to support healthy sexuality and reduce sex-related harm experienced by individuals and communities without necessarily changing or reducing the sexual activity itself."

Exercise:

In this exercise participants get a chance to role play, having conversations with youth about the youth's sexual behaviors sexual behavior A person's sexual practices–ie, whether he/she engages in heterosexual or homosexual activity. See Sex life, Sexual life. .

* The facilitator places a piece of paper with a different sexual act on each person's back.

* The participants then circulate cir·cu·late  
v. cir·cu·lat·ed, cir·cu·lat·ing, cir·cu·lates

v.intr.
1. To move in or flow through a circle or circuit: blood circulating through the body.

2.
 around the room talking to Noun 1. talking to - a lengthy rebuke; "a good lecture was my father's idea of discipline"; "the teacher gave him a talking to"
lecture, speech

rebuke, reprehension, reprimand, reproof, reproval - an act or expression of criticism and censure; "he had to
 each other for a few minutes each, taking turns acting the part of the youth (regarding the sexual behavior) and the adult (in their role as educator or counselor).

* Judging from the statements the "adult" makes to each "youth," the "youth" should begin to guess which sexual act is taped on his or her back.

* Each interaction between the "adult" and the "youth" should include two elements: an affirming, sex positive statement that relates to the sexual act and a harm reduction suggestion.

Debrief de·brief  
tr.v. de·briefed, de·brief·ing, de·briefs
1. To question to obtain knowledge or intelligence gathered especially on a military mission.

2.
:

Have participants place Harm Reduction strategies on a list. Ask participants to reflect on this list and their experiences with the activity. Some questions to ask include:

* Does the list explore ideas beyond barrier use?

* Did you ask "youth" you spoke to for options?

* Were you creative in imagining strategies that can reduce risk?

* Does the list reflect the fact that HR does not have to be disease prevention focused?

* Did you work with the "youth" you spoke with to enhance negotiation skills? How could this have helped?

* Did you discuss sexual anatomy and the physiology physiology (fĭzēŏl`əjē), study of the normal functioning of animals and plants during life and of the activities by which life is maintained and transmitted. It is based fundamentally on the activities of protoplasm.  of pleasure? Why would this be important?

* Did anything you say to the "youth" you spoke with to empower empower verb To encourage or provide a person with the means or information to become involved in solving his/her own problems  him or her to make decisions? How did you/could you have done this?

* Did you explore the sexual likes and dislikes of the "youth you spoke with"? Why would this be important?

Rachel Herzing

Program Director

Health Initiatives for Youth

San Francisco San Francisco (săn frănsĭs`kō), city (1990 pop. 723,959), coextensive with San Francisco co., W Calif., on the tip of a peninsula between the Pacific Ocean and San Francisco Bay, which are connected by the strait known as the Golden , CA
COPYRIGHT 2005 Sexuality Information and Education Council of the U.S., Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Author:Herzing, Rachel
Publication:SIECUS Report
Geographic Code:1USA
Date:Sep 22, 2005
Words:667
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