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Promising Program Seal

Positive Prevention PLUS

Blueprints Program Rating: Promising

A comprehensive school-based sexual health education and teen pregnancy prevention curriculum to improve high school students' communication and negotiation skills that will help them communicate assertively, abstain from sexual intercourse, and use birth control effectively.

Initial Training and Technical Assistance

$3000 for a two-day training of up to 30 people (plus trainer travel expense), provided by Cardea Services.


Curriculum and Materials

Curriculum package: $279 each (+ tax and shipping), ordered online from

Student workbooks can be purchased in Spanish or English: $6 each (optional).

Each edition features engaging and easy-to-follow semi-scripted lessons and support materials. The curriculum will arrive shrink-wrapped and three-hole punched including lesson dividers and sample Student Workbook, ready to be placed into a three-ring binder.


  • Pre-Post Test
  • Lesson Previews
  • Lesson Wrap Ups
  • Marginal notes to teachers
  • Blackline masters for overhead transparencies and student activity cards
  • Parent materials in Spanish and English
  • Assignments to be completed with a parent or trusted adult
  • Instructional strategies aligned with Common Core and Next Generation Science Standards
  • Downloadable support materials with teacher's lesson slides, parent materials and Safe Surrender video clips
  • Student workbooks in Spanish and English (can be purchased separately)


No additional licensing fees.

Other Start-Up Costs

For school teachers, also add in the cost of a substitute teacher for two days per teacher attendee (approx. $80-120 per day).

If Student Workbooks are not purchased, also add approx. 26 worksheets minimum per student.

Cardea Services typically arranges space with the school district for a district-only training or for an “open training” (to which others may be invited) at their site; procedures are similar for an agency-based training for its health educators.

Some clerical time is required to arrange training space, order materials, register attendees if the school district or community agency is hosting the training.

School or agency must provide the teacher/health educator with a computer and projector for the lesson slides.

It is recommended that the Activity Cards (masters provided) be run on cardstock (approx. 100 8-1/2” x 11” sheets of cardstock).

Ongoing Curriculum and Materials

Parent notification letters are typically duplicated and mailed/distributed by school districts.

Recurring cost of $6 per Student workbook, unless school/agency chooses to duplicate student worksheets themselves.

In California, the law requires retraining of teachers with updated curriculum materials approx. every three years.

One lesson requires NaOH and phenolphthalein for a demonstration; additional materials recommended include sample birth control methods, latex gloves, masking tape or pins.


Schools typically train and equip a number of designated (science or health) teachers to implement the curriculum; community-based agencies will train and equip a smaller cadre of health educators to service school- or community-based teen populations.

Ongoing Training and Technical Assistance

In California, the law requires retraining of teachers with updated curriculum materials approximately every three years.

Fidelity Monitoring and Evaluation

Recommend conducting both process and impact evaluations. Fidelity monitoring instrumentation is provided free by contacting the publisher. Staff or clerical time is required to assemble data.

Ongoing License Fees


Other Implementation Support and Fidelity Monitoring Costs


Some districts and agencies may request participation in a Training of Trainers (TOT) to build capacity within their own organization to (re)train teachers and health educators. This may be negotiated with Cardea Services on a case-by-case basis.

Year One Cost Example

In this example, a high school implements the Positive Prevention PLUS program in ninth grade required courses, either health or science. Four teachers deliver the program to 250 students. The expenses listed below do not include taxes and shipping of materials.

Initial two-day training
Trainer travel
Substitute teachers for 2 training days @ $200/teacher
Curriculum package @ $279/teacher
Student workbooks @ $6/student

Total Year One Cost

With 250 students served by Positive Prevention PLUS, the Year 1 cost per student is $31.66.