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, Program Coordinator
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 at email@example.com, and 210-223-4589, ext. 108.
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 receive either Big Decisions or a control program, and students complete confidential surveys before, directly after the program, and 12 months after the program. Students participate in the study only with parent or guardian consent, and parents and guardians of the students are offered the companion parent program, Key Conversations.
We anticipate completing this project in June, 2020, and will publish our results.
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