- Do you have any questions or concerns about what being a boy or girl means?
- How do you feel – more like a boy, girl, or somewhere in between?
- Do you like your body?
- Do you think your body is healthy? Does your body fit you?
- What do you wish was different about your body?
- If you could change anything about your body, what would it be?
- Have you talked with your parent(s) or at school about puberty?
- What does puberty mean to you?
- Do you know what changes are ahead when you start puberty?
- What sort of plan do you have with your parent(s) for talking about teen issues?
| - Prepare children to enter puberty
- Prepare children to have open, honest, supportive communication
- Give children permission to ask questions
- Give children a skillset to ask questions
- Give children an explicit plan about how to bring up sensitive topics with adults
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- What do you know about puberty?
- What sort of conversations have you had about being a teen with your parents, at school, or with friends?
- How do you feel about the changes in your body? Have your friends' bodies started to change?
- What changes are occurring with your friends regarding crushes, romantic feelings, dating, or sex?
- Do you have any crushes or romantic interests in your life?
- Is there anyone who is extra special and who you would like to get to know or date?
- Most kids masturbate. Do you get aroused, touch yourself, or wonder about having sex?
- Some kids start experimenting with sex early. Do you have any questions about what sex is?
- What are your friends doing in regards to sex?
- What have you done so far about sex?
- What and how do you and your parent(s) communicate about sex?
- What is your parent(s) position on being sexually active?
- Can you talk openly with your parent(s) about sex?
- Is there anything I can do to help you communicate with your parent about puberty and sex?
| - Early education, preparation for puberty
- Early identification of gender dysphoria, same-sex attraction and behaviors
- Early support for sexual minoritized youth and early intervention for parents (eg, resources, referrals)
- Risk reduction and prevention of: anxiety, depression, suicidality, and other mood or behavioral concerns
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