Texas Administrative Code
Title 19 - EDUCATION
Part 2 - TEXAS EDUCATION AGENCY
Chapter 115 - TEXAS ESSENTIAL KNOWLEDGE AND SKILLS FOR HEALTH EDUCATION
Subchapter A - ELEMENTARY
Section 115.17 - Health Education, Grade 5, Adopted 2020
Universal Citation: 19 TX Admin Code ยง 115.17
Current through Reg. 49, No. 38; September 20, 2024
(a) Introduction.
(1) The goal of health
education is to provide instruction that allows youth to develop and sustain
health-promoting behaviors throughout their lives. The understanding and
application of these standards will allow students the ability to gather,
interpret, and understand health information; achieve health literacy; and
adapt to the ever-evolving science of health. The health education knowledge
and skills should be presented to students in a positive manner to support the
development of a healthy self-concept and responsible decision making. The
standards will help students reinforce, foster, and apply positive character
traits.
(2) There are essential
skills that repeat throughout the six strands and embody the interconnection of
health literacy. These skills include decision making, problem solving, goal
setting, maintaining healthy relationships with self and others, seeking help
and support, and recognizing various influences on health such as social,
environmental, media, and genetic. These skills, developed early on and
reinforced throughout a student's education, will foster mastery of health
concepts. Health class educators are encouraged to partner with school
counselors where available to schedule time for them to deliver classroom
guidance lessons to help teach these essential competencies.
(3) In Grade 4 and higher, students gain an
understanding of health information and skills through six strands: physical
health and hygiene; mental health and wellness; healthy eating and physical
activity; injury and violence prevention and safety; alcohol, tobacco, and
other drugs; and reproductive and sexual health.
(A) Physical health and hygiene education
helps to prepare students for improved lifelong health outcomes. Learning about
body systems will lay the foundation for personal health and hygiene. Health
literacy and preventative behaviors empower students to make informed choices
to support self, family, and community.
(B) The mental health and wellness strand
recognizes that the knowledge and skills necessary to manage emotions,
reactions, and relationships are essential to reaching one's full potential.
Students gain knowledge about social and emotional health, developing a healthy
self-concept, understanding risk and protective factors, and identifying and
managing mental health and wellness concerns. In the early grades, students
develop fluency around emotions and self-regulation and understand the
relationship between feelings, thoughts, and behavior. In subsequent grades,
students learn and practice appropriate ways to solve interpersonal conflicts,
work to develop a positive self-image, and develop healthy self-management
skills.
(C) The healthy eating and
physical activity strand addresses the importance of nutrition and physical
activity to support a healthy lifestyle. Students apply critical-thinking and
decision-making skills to make positive health choices. Students learn about
essential nutrients, food groups, portion control, government nutritional
recommendations, and the health benefits of being physically active. Students
evaluate the connection between physical activity and nutrition and the
prevention of chronic diseases.
(D)
By focusing on injury and violence prevention and safety, the standards promote
student well-being and awareness of dangerous situations. Supporting student
well-being and providing instruction in digital citizenship, bullying
prevention, first aid, and the identification of safe and unsafe situations
creates empowered and educated students able to make decisions that keep
themselves and others safe. Beginning in Kindergarten and continuing through
high school, students gain knowledge and skills to support safety and wellness
at school, at home, online, and in the community.
(E) The standards under the alcohol, tobacco,
and other drugs strand focus on a number of protective factors that develop
empowered students who are able to make better-informed decisions, including
understanding the impact of substance use on physical, mental, and social
health. Through this strand, students learn key concepts about alcohol,
tobacco, and other drugs, including the use, misuse, and physiological effects;
short- and long-term impacts on health; treatment; risk and protective factors;
and prevention. These concepts introduce healthy alternatives and ways for
students to ask for and seek out help from parents and other trusted
adults.
(F) Beginning in Grade 4,
students learn about changes associated with adolescent development in the
reproductive and sexual health strand. In subsequent grade levels, students
identify the purpose of these changes and their role in fertilization and
reproduction. Students learn the characteristics of healthy and unhealthy
relationships and how to use communication and refusal skills to set personal
boundaries in dating/romantic relationships. Students also identify how to
respond to sexual harassment and abuse.
(4) An integral part of health education
involves educators being aware of state laws relevant to human sexuality
instruction. These laws include affirming:
(A) a local school district's control over
the provision of human sexuality instruction to ensure that local community
values are reflected in that instruction (Texas Education Code (TEC),
§28.004(e)-(h));
(B) the right
of a parent or legal guardian to be informed of the provision of human
sexuality instruction to their child and review the content of that instruction
(TEC, §
28.004(i)-(j)
);
(C) the right of a parent or
legal guardian to remove their child from any portion of human sexuality
instruction without penalty to the child (TEC, §
28.004(i)
);
(D) the centrality of abstinence
education in any human sexuality curriculum (TEC, §
28.004(e)
); and
(E) the right of a parent or
legal guardian to be informed of and consent to an abortion performed on their
pregnant child (with judicially authorized or medical emergency exceptions)
(Texas Family Code, Chapter 33).
(5) Educators also should be aware of and
abide by the statutory prohibition on taxpayer resource transactions between
state governmental entities, including public schools, and abortion providers
or an affiliate of an abortion provider (Texas Government Code, Chapter
2272).
(6) Statements containing
the word "including" reference content that must be mastered, while those
containing the phrase "such as" are intended as possible illustrative
examples.
(7) Students should first
seek guidance in the area of health from a parent or legal guardian.
(b) Knowledge and skills.
(1) Physical health and hygiene--body
systems. The student examines the structure, function, and relationships of
body systems and their relevance to personal health. The student is expected to
describe the structure, functions, and interdependence of the major body
systems, including the reproductive, endocrine, and urinary systems.
(2) Physical health and hygiene--personal
health and hygiene. The student understands health literacy, preventative
health behaviors, and how to access and evaluate health care information to
make informed decisions. The student is expected to:
(A) explain how to manage common minor
illnesses such as colds and skin infections;
(B) identify how to distinguish between myth
and fact when accessing information about health;
(C) identify decision-making skills that
promote individual, family, and community health;
(D) describe the benefits of promoting health
maintenance for individuals and households;
(E) analyze how personal hygiene helps
prevent the spread of germs and communicable illnesses; and
(F) distinguish between treatments if
infected by various vectors, including ticks and mosquitos.
(3) Mental health and
wellness--social and emotional health. The student identifies and applies
strategies to develop socio-emotional health, self-regulation, and healthy
relationships. The student is expected to:
(A)
analyze how thoughts and emotions influence behaviors;
(B) practice and apply strategies for calming
and self-management;
(C) explain
ways of maintaining healthy relationships and resisting negative peer influence
in social groups;
(D) analyze how
to identify perspectives and respectful ways to communicate disagreement with
friends, family, teachers, and others;
(E) define and differentiate between sympathy
and empathy toward others; and
(F)
describe ways to engage in and promote positive interactions when conflict
arises.
(4) Mental
health and wellness--developing a healthy self-concept. The student develops
the capacity for self-assessment and evaluation, goal setting, and decision
making in order to develop a healthy self-concept. The student is expected to:
(A) identify and demonstrate strategies to
help build self-esteem for self, friends, and others;
(B) describe benefits of setting and
implementing short- and long-term goals and perseverance to achieve those
goals;
(C) discuss choices and
decision making as part of goal setting; and
(D) identify goals that one wishes to
achieve, including identifying areas for one's personal growth and ways to
gather constructive feedback.
(5) Mental health and wellness--risk and
protective factors. The student recognizes the influence of various factors on
mental health and wellness. The student is expected to:
(A) identify factors such as school climate
and safety measures that affect an individual's physical, emotional, and social
health; and
(B) discuss how brain
development during childhood affects emotions and decision making.
(6) Mental health and
wellness--identifying and managing mental health and wellness concerns. The
student develops and uses appropriate skills to identify and manage conditions
related to mental health and wellness. The student is expected to:
(A) compare and contrast healthy and
unhealthy methods for managing concerns related to long-term health conditions
for self and others;
(B) identify
situations in which stress can help to achieve goals and build
resiliency;
(C) examine ways to
reduce the impact of stress, trauma, loss, and grief;
(D) define eating disorders and disordered
eating patterns as mental health concerns and the importance of seeking help
from a parent or another trusted adult for self or others if these patterns are
observed;
(E) describe situations
that call for professional mental health services; and
(F) discuss healthy alternatives to harming
oneself, others, or property and the importance of telling a parent or another
trusted adult when someone is struggling to manage overwhelming emotions or
lacks support.
(7)
Healthy eating and physical activity--food and beverage daily recommendations.
The student analyzes and applies healthy eating strategies for enhancing and
maintaining personal health throughout the lifespan. The student is expected
to:
(A) identify foods that are sources of one
or more of the six major nutrients;
(B) examine food labels and menus for
nutritional content, calories, and serving sizes;
(C) identify the amount of sugar in common
beverages and snacks and the daily recommended allowance for added sugar;
and
(D) identify caffeine content
of common beverages and health concerns associated with excess caffeine
consumption.
(8) Healthy
eating and physical activity--physical activity. The student identifies,
analyzes, and applies strategies for enhancing and maintaining optimal personal
physical fitness throughout the lifespan. The student is expected to explain
the physical, mental, and social benefits of fitness.
(9) Healthy eating and physical
activity--nutrition and physical activity literacy. The student obtains,
processes, and understands basic physical activity and nutrition information
needed to make health-promoting decisions. The student is expected to:
(A) describe the importance of goal setting
and set a goal for achieving appropriate levels of physical activity;
and
(B) research and evaluate
health products and information about physical activity and nutritional
choices.
(10) Healthy
eating and physical activity--risk and protective factors. The student analyzes
and applies risk and protective factors related to healthy eating and physical
activity. The student is expected to:
(A)
describe the connection between dietary choices and the prevention of obesity,
heart disease, and diabetes; and
(B) identify attitudes and behaviors that can
reduce the likelihood of developing chronic conditions such as obesity, heart
disease, or diabetes.
(11) Injury and violence prevention and
safety--safety skills and unintentional injury. The student identifies and
demonstrates safety and first aid knowledge to prevent and treat injuries. The
student is expected to analyze strategies for preventing and responding to
injuries.
(12) Injury and violence
prevention and safety--healthy home, school, and community climate. The student
understands that individual actions and awareness can impact safety, community,
and environment. The student is expected to:
(A) explain strategies for avoiding violence,
gangs, and weapons and define human trafficking;
(B) examine characteristics of gang
behavior;
(C) identify safety
procedures that can be used in various situations, including violence in the
home, school, and community; and
(D) create a personal safety plan.
(13) Injury and violence
prevention and safety--digital citizenship and media. The student understands
how to be a safe and responsible citizen in digital and online environments.
The student is expected to:
(A) distinguish
between appropriate and inappropriate boundaries for digital and online
communication and research;
(B)
explain the benefits of identity protection in digital and online environments;
and
(C) analyze the consequences of
cyberbullying and inappropriate digital and online communication in relation to
home, school, and community environments.
(14) Injury and violence prevention and
safety--interpersonal violence. The student understands the impact of
interpersonal violence and the importance of seeking guidance and help to
maintain personal safety. The student is expected to:
(A) identify methods available to report
bullying;
(B) identify ways to
advocate for self and others to prevent bullying and cyberbullying behavior;
and
(C) explain the impact of abuse
and neglect and the importance of reporting abuse and neglect.
(15) Alcohol, tobacco, and other
drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use
and misuse of substances impacts health. The student is expected to:
(A) explain the reasons to avoid the misuse
of over-the-counter and prescription drugs;
(B) identify and explain the importance of
each component of prescription and over-the-counter drug labels; and
(C) describe the physiological effects of
alcohol, vaping products, tobacco, other drugs, and dangerous
substances.
(16)
Alcohol, tobacco, and other drugs--short- and long-term impacts. The student
identifies and analyzes the short- and long-term impacts of use and misuse of
alcohol; tobacco; drugs, including prescription drugs; and other substances.
The student is expected to:
(A) analyze the
short- and long-term harmful effects of alcohol, tobacco, other drugs, and
dangerous substances such as inhalants and household products on the functions
of the body systems and mental and social health; and
(B) describe the legal consequences of the
illegal use of alcohol, tobacco, other drugs, and dangerous
substances.
(17)
Alcohol, tobacco, and other drugs--treatment. The student understands how to
seek emergency help for self and others in poisoning and overdose situations.
The student is expected to describe the signs of poisoning or overdose and
identify how to respond, including who to contact for help.
(18) Alcohol, tobacco, and other drugs--risk
and protective factors. The student understands how various factors can
influence decisions regarding substance use and the resources available for
help. The student is expected to:
(A) analyze
how positive peer influence can be used to help a person decide not to use
alcohol or drugs; and
(B) describe
the importance of seeking help and reporting unsafe situations related to
alcohol, tobacco, and other drugs.
(19) Alcohol, tobacco, and other
drugs--prevention. The student demonstrates refusal skills to avoid substance
use and misuse. The student is expected to:
(A) assess how being assertive, using refusal
skills, and evaluating peer influence can affect decision making and problem
solving;
(B) identify a variety of
scenarios and the different types of refusal skills that can be used to avoid
the use of alcohol, tobacco, and other drugs; and
(C) identify and describe healthy alternative
activities to the use of drugs and other substances.
(20) Reproductive and sexual health--healthy
relationships. The student understands the characteristics of healthy romantic
relationships. The student is expected to identify characteristics of healthy
dating/romantic relationships and marriage, including sharing, kindness,
honesty, respect, trust, patience, communication, and compatibility.
(21) Reproductive and sexual health--personal
safety, limits, and boundaries. The student understands how to set and respect
personal boundaries to reduce the risk of sexual abuse and harassment. The
student is expected to:
(A) define sexual
harassment, sexual abuse, sexual assault, and sex trafficking;
(B) identify ways of reporting suspected
sexual abuse involving self or others such as telling a parent or another
trusted adult;
(C) identify refusal
skills such as saying "no" to any unwanted touch that violates personal
boundaries in relationships; and
(D) discuss and explain the importance of
making decisions regarding setting personal boundaries and respecting the
boundaries of others.
(22) Reproductive and sexual health--anatomy,
puberty, reproduction, and pregnancy. The student identifies the processes of
adolescent development, fertilization, and healthy fetal development. The
student is expected to:
(A) explain the
physical, social, and emotional changes that occur in males and females during
puberty and adolescent development;
(B) describe the process of the menstrual
cycle;
(C) identify and describe
the role of hormones in the growth and development of secondary sex
characteristics such as body hair growth and voice change in males;
(D) define the processes of fertilization and
reproduction; and
(E) identify
significant milestones of fetal development.
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