Leading the way in abstinence-plus education in Texas
The Big Decisions curriculum is designed to help young people make healthy and informed decisions about sex and relationships. Authored by Healthy Futures of Texas founder Dr. Janet Realini, it's approved for use in more than 40 Texas school districts and contains 10 easy-to-use lessons.
Big Decisions is designed to vigorously—and effectively—encourage young people to postpone sexual involvement. It provides guidance and information young people need to reduce their risks when they do become sexually active.
Age-appropriate for 8th-12th grade students
Medically accurate and up-to-date
Conforms to Texas law (TEC §28.004)
Values neutral, inclusive, and trauma-informed
For more information:
Monica Rivera, Director of School District Health Initiatives
830-426-6490, or email us here
We offer an in-depth training on Big Decisions that trains educators, including teachers, nurses and more, how to be effective sexual health educators. We develop competency in four Foundational Principles and offer hands-on tutorials in instruction.
We recommend a two-day training for Big Decisions, and a one-day training for the companion parent program, Key Conversations.
Interested in a training in San Antonio or at your institution? Contact Monica Rivera by emailing us or at 830-426-6490
Our team has worked hard to develop a Big Decisions Virtual Facilitation Guidance Packet that includes guidance for various distance learning settings.
If your campus has teachers that have been previously trained on Big Decisions 4th Edition, your district can purchase the packet for each of your teachers for $90.00.
Reach out to Monica Rivera to learn more by emailing us or at 830-426-6490
In 2015, Healthy Futures was granted an Office of Population Affairs Teen Pregnancy Prevention grant to evaluate the effectiveness of Big Decisions. This randomized controlled trial is being conducted in three rural border Texas school districts:
Eagle Pass Independent School District
San Felipe Del Rio Consolidated Independent School District
Carrizo Springs Consolidated Independent School District
Ninth grade classes received either Big Decisions or a control program, and students completed confidential surveys before, directly after the program, and 12 months after the program. Students participated in the study only with parent or guardian consent, and parents and guardians of the students were offered the companion parent program, Key Conversations.
After five years of hard work from our partners, school district leaders, and dedicated teachers, we can share with you all findings on the Big Decisions rigorous evaluation.
1 - RULES OF THE GAME: Forming a Respectful Group
2 - GOALS AND DREAMS: My Future
3 - RELATIONSHIPS AND ROMANCE: What is Healthy?
4 - ANATOMY AND REPRODUCTION: How it Works
5 - ABSTINENCE: Decisions to Wait
6 - A CLEAR “NO”: My Limits
7 - CONTRACEPTION: Pregnancy at a Good Time for You
8 - SEXUALLY TRANSMITTED INFECTIONS, Including HIV/AIDS
9 - STAYING HEALTHY AND ON TRACK: Defending My Limits
10 - OVERCOMING CHALLENGES: Big Decisions
Responding to Challenging Questions
Big Decisions nurtures a classroom environment that encourages youth to ask the questions they have about sex and relationships. It can be a challenge for facilitators to respond to these questions when they don't know the answer, or when the question is shocking.
We've developed a supplementary guide to responding to challenging questions. Facilitators, administrators, and parents can use this guide to navigate the questions that arise as youth complete Big Decisions.