I like to think I do a good job of meeting clients where they are at. But today I’m not so sure. Katie came in, sobbing. She showed me a pregnancy test that she had taken. I looked at it and said “Katie, you can relax. This says you’re not pregnant. Let’s go to the sexual health clinic and get you some better birth control so you don’t have to worry about this again!” To my surprise, this just made her cry harder.
Long story short, she ended up being upset about NOT being pregnant. This is a 15 year old street kid who has already had a baby taken away. She’s in an abusive relationship with a 19 year old drug dealer. How can she want to be pregnant? What is she thinking? Sometimes I think some people are better off not being allowed to get pregnant at all!
Instructions: After thinking about the value statement, click on it for a brief explanation.
When you aren’t aware of your own beliefs and values, it may put you at risk for assuming that your personal beliefs are facts. It can lead to strong emotional reactions when your values are not in line with situations you encounter. When you are aware of your values, you can acknowledge them as being your own. This will make it less likely that your personal values will feed into your interactions with youth.
It is important to avoid making assumptions about your clients.
Assumptions to avoid:
Service providers working with youth, play an important role in normalizing healthy sexuality and providing sexual health education. The relationships that form between service providers and youth create a trusting situation where teachable moments happen.
Youth can be influenced by a person who offers consistent and caring support; this might be an outreach worker, staff at a youth-serving agency, or a teacher (Caputo et al., 1997).
It is normal to feel uncomfortable when talking to youth about sexuality. Acknowledging awkwardness can make everyone feel more comfortable.
The use of slang terms by youth can make people uncomfortable; however it can be helpful to understand the language that youth are using. If you are unsure of meaning, don’t be afraid to ask. You can then turn the use of slang into a teachable moment by acknowledging the word, defining it, and then using the more accurate, objective term.
It is important not to confuse sexual experience with sexual health knowledge. Even youth who seem sexually experienced and knowledgeable, look to adults they trust for information and guidance. Many vulnerable youth have gaps in basic knowledge about decision making, bodies, health care, healthy relationships and safer sex (Lokanc-Diluzio, 2014). Setting boundaries to ensure that personal experience is not shared as objective facts is important to this process.
Comprehensive sexuality education programs are designed to give young people the skills to make responsible sexual decisions. Research shows that this type of education results in postponement of first sexual intercourse, a decrease in the number of partners, and increases in condom use (SIECCAN, 2010).
Our assumptions about sexual orientation or gender identity may be reinforced by personal experiences, but there are no “common” signs that let you know another person’s gender identity or sexual orientation. When we make assumptions about someone’s identity, we may marginalize sexual minorities. Discrimination, heterosexism and service providers’ lack of support for sexual minorities are reasons that youth do not access health services (Marshall, 2008).
When a service provider is able to overcome assumptions that lead to labels, they are able to provide better service. This type of inclusive practice creates safer spaces for LGBTQ youth.
Caputo, Y., Weiler, R., & Anderson, J. (1997). The street lifestyle study. Ottawa, ON: Health Canada.
Lokanc-Diluzio, W. (2014). A mixed methods study of service provider capacity development to protect and promote the sexual and reproductive health of street-involved youth:
An evaluation of two training approaches. (Doctoral dissertation). Available from http://hdl.handle.net/11023/1507
Marshall, B.D.L. (2008). The contextual determinants of sexually transmissible infections among street-involved youth in North America. Culture, Health & Society, 10(8), 787-799.
Sex Information and Education Council of Canada (SIECCAN). (2010). Sexual health education in the schools: Questions & Answers (3rd ed.). Retrieved November 24, 2010, from http://www.sieccan.org/pdf/she_q&a_3rd.pdf