Healthy Futures provides abstinence-plus sexual health education in schools and agencies in low-income areas of San Antonio. Using evidence-based and evidence-informed curricula—and always with parental consent—our health educators facilitate sessions that help teens make responsible choices. Curricula we use most often, include: Big Decisions is a 10-session Texas-friendly abstinence-plus curriculum for teens authored by HFTX Founder Dr. Janet Realini. Big Decisions offers a community service learning component as well as a parent component. The Big Decisions teen curriculum is currently used by over 20 districts. Teen Outreach Program is an evidence-based program that meets over the course of 9 months, with discussions on pressure situations, goal-setting, sexual health, and communication, plus a community service learning component. HFTX collaborates with Walzem YMCA, Municipal Court, Roy Maas Alternative Youth Center, Haven for Hope to offer this program after school. Making Proud Choices is an evidence-based program that help reduce risks. Teens role-play and interact with each other to enhance their refusal and negotiation skills. HFTX has provided this program at Haven for Hope, Roy Maas’ Youth Alternatives, and Boysville. Draw the Line/Respect the Line is an evidence-based program that help middle school students set and defend their limits and to respect others’ limits. HFTX partners with Metro Health and the Bexar County Health Collaborative (BCHC) to provide this program to all SAISD middle schools. It’s Your Game…Keep it Real is an evidence-based middle school program that helps adolescents delay sex. It teaches teens about relationships, personal rules and sex while giving them the skills to grow into responsible adults. HFTX partners with Metro Health to provide this program to all Edgewood ISD middle schools.

Programming for parent education uses an implementation model that involves partnering with schools, agencies, and organizations that already serve parents and caregivers of pre-adolescent and adolescent children. Parent Education Workshops can be tailored to the needs of partnering entities. There are two types of workshops offered: • Key Conversations, the companion program to Big Decisions, is two interactive parent sessions in which participants gain a better understanding of teen development, the importance of supervision, tips for improved communication, overcoming barriers to talking, and how to build stronger relationships with their children. • Families Talking Together (FTT) is an evidence-based parent program effective in delaying sexual initiation and preventing risky sexual behavior among middle-school-aged Latino and African-American youth. Parents are given information and taught skills they can use to help their adolescent children form healthy relationships, set goals, employ refusal skills, and increase self-esteem. Parents also learn about their teen’s development, monitoring and supervision strategies, and how to build stronger relationships with their teen children. FTT was developed for parents who have children ages 10-14.

YAC seeks to equip teens to become leaders of change in their community regarding sexual health education and teen pregnancy prevention through civic participation at the local and state level. We believe that teen pregnancy prevention can be addressed by educating, training, and empowering teens to become effective advocates for teen pregnancy prevention measures.

The TWHC is a project supported by Healthy Futures of Texas and its 87 healthcare, faith, and community-based organizations are committed to improving the lives of Texas women, children, and families by ensuring access to preventive healthcare, including contraception, for all low-income Texas women. TWHC has been a vital unified voice advocating for policy change at the state level.

Funded by the Families & Youth Services Bureau of the administration for Children's and Families of the U.S. Department of Health and Human Services, HFTX and three of San Antonio’s Alamo Community Colleges have teamed up for a 3 year project. The BAE-B-SAFE program is aimed to prevent unplanned pregnancy and sexually transmitted disease to college-aged teens on and off campus. Students are provided medically accurate information about their sexual and reproductive health and are connected to Healthcare Providers in their surrounding community. BAE-B-SAFE is committed to preparing and connecting these college-aged teens with the resources they need to be empowered about their sexual and reproductive health.

The OAH Tier 2B Big Decisions Study is a 5-year grant awarded by the Office of Adolescent Health, U.S. Department of Health and Human Services (Tier 2B Grant No. TP2AH000044-01-00) in several Texas border/rural school districts, including the Eagle Pass Independent School District and the San Felipe del Rio Consolidated Independent School District. The project studies the effectiveness of the abstinence-plus teenage pregnancy prevention curriculum (Big Decisions) created by Dr. Janet Realini, founder of Healthy Futures of Texas. The study is implemented with 9th grade students and focuses on pregnancy and Sexually Transmitted Infections (STI) prevention as well as positive youth development. The study is a randomized control trial comparing the 3 curriculum interventions. Classes within the district are randomly assigned to receive the Big Decisions curriculum, the Big Decisions Plus curriculum, or the Big Decisions: Youth Voices curriculum. Healthy Futures of Texas requires that ONLY students whose parents want them to participate are in the study. Healthy Futures of Texas has an informed‐consent process for parent consent and for students to assent to participation.