HEALTHY FUTURES OF TEXAS
Making Texas Stronger
Programs and results
What we aim to solve
Teen and unplanned pregnancies can hurt people's chances of success and lessen a community's overall economic wellbeing. Lack of access to reproductive health care and accurate sex ed compound this problem.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Health Education
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.
Parent Education
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.
Youth Advocacy Council (YAC)
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.
Texas Women's Healthcare Coalition (TWHC)
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.
"BAE-B-SAFE”- C-PREP Alamo Colleges Project
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.
OAH Tier 2B Big Decisions Study
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.
Where we work
External reviews

Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Since 2006, Healthy Futures of Texas has worked to reduce unplanned and teen pregnancies through science-based education and advocacy efforts that empower young people, women, and families to make the best decisions for their futures. We work with parents, young people and students to provide sex education, and we advocate at the state and local levels to improve reproductive healthcare access.
What are the organization's key strategies for making this happen?
Every year, we serve 12,000 young people through our programs and millions more through our advocacy efforts. At the state level, our work has maintained or increased millions in funding for preventative healthcare for women, young people and families.
What are the organization's capabilities for doing this?
Community level: Working with multiple partners and through multiple programs, we ensure that young people have access to the information and resources they need to make informed decisions about their bodies and sexual health. (Programs: Youth Education, Parent Education, BAE-B-SAFE, Big Decisions)
State level: We manage a coalition of professional, healthcare and faith-based organizations that advocates for state funding and policies to ensure Texas women have access to preventative healthcare. We train, inform, and provide Texas schools with science-based sexual health education. (Youth Advocacy Council, Texas Women's Healthcare Coalition)
Federal level: In 2018, the federal government tried to end a Department of Human Services program that was funding $213 million in teen pregnancy prevention efforts. We filed a class-action lawsuit and won, securing a major victory for our community and the 61 agencies implementing programs across the country.
What have they accomplished so far and what's next?
Since 2006, we have been critical in reducing the teen pregnancy rate in Texas by more than 60%. We also protect and advocate for women's health funding worth millions of dollars at the state level.
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
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Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
HEALTHY FUTURES OF TEXAS
Board of directorsas of 01/18/2022
Clarissa Chavarria
San Antonio Municipal Court
Term: 2023 - 2020
Clarissa Chavarria
San Antonio Municipal Court
Ethan Jones
Valero
Walter W. McAllister
McAllister Investments
Ingrid Skop
Northeast Ob-Gyn Associates
Judy Dones
University of the Incarnate Word
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
Gender identity
Sexual orientation
Disability
Equity strategies
Last updated: 01/18/2022GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We review compensation data across the organization (and by staff levels) to identify disparities by race.
- We ask team members to identify racial disparities in their programs and / or portfolios.
- We analyze disaggregated data and root causes of race disparities that impact the organization's programs, portfolios, and the populations served.
- We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
- We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
- We disaggregate data by demographics, including race, in every policy and program measured.
- We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We have community representation at the board level, either on the board itself or through a community advisory board.
- We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
- We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.