Focus on Youth
with ImPACT
(Informed Parents and Children Together)
A Focus on Kids Intervention
An HIV Prevention Program
for African-American Youth
with a Complementary Program for Parents
ETR Associates
Santa Cruz, California
ETR Associates (Education, Training and Research) is a nonprofit organization committed to fostering the health, well-being and cultural diversity of individuals, families, schools and communities. The publishing program of ETR Associates provides books and materials that empower young people and adults with the skills to make positive health choices. We invite health professionals to learn more about our high-quality publishing, training and research programs by contacting us at 1-800-321-4407 or visiting our website at
Copies of this curriculum can be obtained free of charge by contacting , or from the CDC Division of HIV/AIDS Prevention by contacting the Focus on Youth with ImPACT technical monitor, Dr. Winifred King, at .
Focus on Youth with Informed Parents and Children Together (ImPACT) was supported by Grant/Cooperative Agreement Number U65/CCU924904 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.
© 1998 by ETR Associates. Revised edition © 2005.
Focus on Youth with ImPACT edition © 2008.
All rights reserved.
Produced by ETR Associates, 4 Carbonero Way,
Scotts Valley CA 95066-4200.
Contents
Preface and Acknowledgments...... vii
Introduction...... 1
Session 1: We’re All in This Together...... 9
1. Introduction Game: Flying Objects...... 11
2. Focus on Youth with ImPACT Program Overview...... 12
3A. Group Cohesion Activity: Crossing the River...... 15
3B. Group Cohesion Activity: The Box...... 17
3C. Group Cohesion Activity: The Human Knot...... 19
4. Establishing Group Agreements...... 21
5. Family Tree...... 24
6. SODA Decision-Making Model—Step 1: Stop...... 31
7. Wrap-Up and Closing Ritual...... 34
Session 2: Risks and Values...... 35
1. Opening Ritual and Review...... 37
2. How Risky Is It?...... 38
3. Why Do People Feel Invulnerable?...... 60
4. Defining a Value...... 62
5. Rank Your Values...... 63
6. Values Voting...... 66
7. Wrap-Up and Closing Ritual...... 71
Session 3: Educate Yourself: Obtaining Information...... 73
1. Opening Ritual and Review...... 75
2. SODA Decision-Making Model—Step 2: Options...... 76
3. Resources: Finding Information for Good Decisions...... 80
4. Trusted Guardian/Adult as a Resource...... 87
5. Ya Heard Me! What Teens Want to Know...... 90
6. Challenge: Check It Out!...... 103
7. Wrap-Up and Closing Ritual...... 105
Session 4: Educate Yourself: Examining Consequences...... 107
1. Opening Ritual and Review...... 109
2. Numbers Game: How Many Teens Are Really…?...... 110
3A. Condom Demonstration...... 113
3B. Condom Card Activity...... 117
4A. Hands-On Condom Race...... 123
4B. “Let the Music Play” Condom Card Race...... 125
5. SODA Decision-Making Model—Step 3: Decide...... 126
6. More Challenges!...... 128
7. Wrap-Up and Closing Ritual...... 130
Session 5: Build Skills: Communication...... 131
1. Opening Ritual and Review...... 133
2. SODA Decision-Making Model—Step 4: Action...... 134
3A. Communication Game: Communicating Without Words...... 136
3B. Communication Game: Changing Messages...... 138
4. Communication Styles: Aggressive, Assertive and Nonassertive..140
5. Sex: A Decision for Two...... 145
6. Wrap-Up and Closing Ritual...... 152
Session 6: Sexual Health and Showing You Care Without Having Sex...... 155
1. Opening Ritual and Review...... 157
2. Ways to Show You Care...... 158
3. “Ways to Show You Care” Roleplay...... 165
4. HIV Transmission Game...... 167
5. Safer Sex and Contraception...... 170
6. Challenge: Being-a-Parent Interviews...... 184
7. Wrap-Up and Closing Ritual...... 186
Session 7: Attitudes and Skills for Sexual Health...... 187
1. Opening Ritual and Review...... 189
2. HIV-Positive Speaker or Video...... 190
3. Goal Setting for My Future...... 192
4. Goal Setting: Obstacles and Support...... 196
5. Roleplay: Saying NO or Asking to Use a Condom...... 200
6. Wrap-Up and Closing Ritual...... 204
Session 8: Review and Community Project...... 205
1. Opening Ritual and Review...... 207
2. What Are You Concerned About?...... 208
3. What Youth Can Do...... 210
4. The Knowledge Feud...... 212
5. Pat on the Back...... 216
6. Community Projects Discussion...... 218
7. Wrap-Up and Closing Ritual...... 223
Appendixes...... 225
A. Adapting Session Activities...... 225
B. Optional All-Day Retreat for Session 6...... 241
C. Information for Group Leaders...... 243
CDC Materials...... 259
Male Latex Condoms and Sexually Transmitted Diseases...... 261
CDC Statement on Study Results of Product Containing Nonoxynol-9.267
Nonoxynol-9 Spermicide Contraception Use—United States, 1999....269
The ABCs of Smart Behavior...... 273
Guidelines on Content of HIV Education Materials...... 275
Introduction