Avoiding Risky Sex in Adolescence

This guide provides the practitioner with a description of risky sexual behaviour, an explanation of associated risk and protective factors, guidance on the prevention of such behaviour and an overview of what we now know about the development of successful prevention programmes.

Martin Herbert, is Honorary Consultant Clinical Psychologist at the Royal and Devon Exeter Health Care Trust and Emeritus Professor at the University of Exeter.

Introduction

1

(1)

Aims

1

(1)

Objectives

1

(2)

PART I: DEVELOPMENT AND SEXUALITY

3

(13)

Adolescent development

3

(4)

Psychosocial development in adolescence

3

(1)

Psychosocial development of gay and lesbian adolescents

4

(1)

Physical development in adolescence

5

(1)

Sexual behaviour in adolescence

6

(1)

Outcomes associated with risky sexual behaviour

7

(2)

Unintentional teenage pregnancy

7

(1)

Sexually transmitted diseases

8

(1)

HIV infection

8

(1)

Epidemiology

9

(1)

Unintentional teenage pregnancy

9

(1)

Sexually transmitted diseases

9

(1)

HIV infection

10

(1)

Theories about sexually risky behaviour

10

(4)

Behavioural-ecological model of sexual behaviour

10

(1)

AIDS risk-reduction model

11

(3)

Effective prevention programmes

14

(2)

Content

14

(1)

Processes

14

(2)

PART II: PREVENTION PRACTICES

16

(25)

Settings for prevention programmes

16

(1)

Seven tasks for a prevention programme

16

(3)

Identify key network members

16

(1)

Form a contract for cooperation with key network members

17

(1)

Form a contract for cooperation with potential peer leaders

17

(1)

Form a contract for resources

18

(1)

Conduct team training

18

(1)

Implement the programme with close supervision

18

(1)

Evaluation

19

(1)

Assessing risky sexual behaviour

19

(6)

Questions about risky sexual behaviour

20

(2)

Question about intravenous drug use

22

(1)

Questions about family factors

22

(1)

Questions about school factors

22

(1)

Questions about peer group factors

23

(1)

Questions about personality

23

(1)

Questions about behaviour patterns and relationships

23

(1)

Questions about sexual attitudes and beliefs

23

(1)

Questions about sexual knowledge and skills

23

(1)

Questions about triggers for unsafe sex

24

(1)

Questions about consequences of current sexual behaviour pattern

24

(1)

Seven steps towards safe sex: a Prevention Programme

25

(16)

Psychoeducation about safe and risky sex

25

(3)

Generating commitment

28

(3)

Skills training for reducing risky situations

31

(2)

Communication and sexual assertiveness skills training

33

(2)

Skills training in condom use

35

(3)

Self-reinforcement and support-seeking

38

(2)

Relapse management

40

(1)

Conclusion

41

(1)

References

42

(1)

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Avoiding Risky Sex in Adolescence

Summary

Author Biography

Table of Contents

Supplemental Materials