Promoting Positive Adolescent Health Behaviors and Outcomes Thriving in the 21st Century (2020) / Chapter Skim
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in the U.S. Department of Health and Human Services requested that the National Academies of Sciences, Engineering, and Medicine convene an ad hoc committee to review key questions related to the effective implementation of the Teen Pregnancy Prevention (TPP)
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In particular, while alcohol and tobacco are neurotoxic to the developing adolescent brain, sexual development represents a critical developmental task of adolescence that provides the building blocks for adult relationships. Thus, the committee recognized that, in contrast with the prevention of substance use, support for healthy sexual development is as important as prevention of the negative health outcomes associated with sexual behavior (e.g., unintended pregnancy, sexually transmitted infections)
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However, the committee's review did show the strengths of social-emotional learning and positive youth development programs that are provided from childhood throughout adolescence. These programs teach skills that, if learned successfully, underlie and impact a variety of health behaviors and outcomes across the life course by providing a foundation upon which other specific behavioral skills and services (e.g., understanding social norms around drugs, negotiating condom use, access to contraception)
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Department of Health and Human Services should fund universal, holistic, multicomponent programs that meet all of the followng criteria: i • promote and improve the health and well-being of the whole erson, laying the foundation for specific, developmentally appro p priate behavioral skills development; • begin in early childhood and are offered during critical develop mental windows, from childhood throughout adolescence; • consider adolescent decision making, exploration, and risk taking as normative; • engage diverse communities, public policy makers, and societal leaders to improve modifiable social and environmental determi nants of health and well-being that disadvantage and stress young people and their families; and • theory driven and evidence based.
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Promising Approach 2: Programs can benefit from including youth of diverse ages, racial/ethnic backgrounds, socioeconomic status, rurality/ urbanity, sexual orientations, sexes/genders, and disability/ability status in their decision-making processes.
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