Part 1: Introduction

Start by introducing the topic of healthy relationships to the patient and caregiver, and explain why it's important to talk about.

Then, ask the caregiver to step out of the room while you chat one-on-one with the teen. They'll get a guide to look over while they're waiting!

  • That's okay! Let them know you can wait until next year and offer to send them home with resources to review on their own.

  • DThat's okay! You can still deliver the education script, but know that the adolescent may be less inclined to engage. Make sure they know how to get in touch if they have any questions later.escription text goes here

Part 2: Education

Deliver the education script to engage your patient in a conversation about healthy dating, relationship abuse, where to get help, and how to help a friend.

Then, hand your patient resources to take home or share with friends. They'll get a guide, a pocket card, and a sticker!

  • That might happen! We have scripts to help guide your response to teen AND caregiver disclosure.

Part 3: Wrap-Up

When the teen is ready, bring the parent back in, and check if anyone has questions. They'll get a guide to read together to help start the conversation at home.

ETHR Components

  • The Introduction script discusses the importance of healthy relationships for adolescent wellness and the limits of confidentiality, and asks the parent to leave the room for the confidential history and ETHR education.

    The Education script teaches the adolescent about the signs of healthy and unhealthy relationships, the importance of checking their own behavior, and where to ask for help for them or a friend. This script also encourages conversation about relationships in their lives through motivational interviewing.

    The Wrap-up script brings the parent back into the conversation and send both adolescent and caregiver home with affirmation and resources they can explore together.

  • The Adolescent resource guide provides more information and resources to explore for adolescent patients.

    The Caregiver resource guide provides more information and resources to explore and answer questions for caregivers.

    The Dyad conversation guide provides conversation questions to ease and guide the family into talking more about healthy relationships at home.

  • The ETHR box provides an easy and engaging way for providers to get resources to families. Within the box, along with the resource guides, families will find a safety plan, a magnet with violence and crisis hotlines, stickers, gum, a stress ball, and the ETHR card game.

  • In the resource box, families will find a card game crated by the research team in collaboration with parent and teens. The game is designed to create a safe space for meaningful conversation about healthy relationships. Parents and teens will answer questions about their opinions on dating and friendships, their experiences in healthy and challenging relationships, and how they would engage with certain unhealthy situations.

Provider Intervention Scripts

Flyer for ETHR program on healthy relationships in pediatric care, featuring guidelines and scripts for healthcare professionals to address dating relationships with adolescents. Includes sections on introduction, education, and wrap-up, with notes on adapting language and using scripts for specific situations. Contact info and logo at bottom.

Using the ETHR script in a visit

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Using ETHR when you’re low on time

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Resource Guides

Teen Guide

Infographic titled "Healthy Relationships: Tips and Tools for Teens and Preteens" by the University of Pittsburgh. It discusses signs of healthy and unhealthy relationships. "Green flags" include mutual respect and safe communication, while "red flags" include invasion of privacy and lack of respect for personal identity. It advises on handling relationships with older partners, noticing red flags, and helping friends. Includes advice to text "LOVEIS" for help.

Caregiver Guide

Infographic titled 'Healthy Relationships: Tips and Tools for Parents/Caregivers' by the University of Pittsburgh. It provides guidelines for identifying green flags and red flags in teen relationships, such as setting boundaries and controlling behavior. It includes communication tips for parents and resources for additional help.

Family Conversation Guide

Infographic on healthy relationships discussing conversation starters for teens and caregivers, including tips for discussing friendships and romantic relationships, understanding healthy and unhealthy behaviors, and communication strategies.

Resource Guides

Teen Guide

Infographic on healthy relationships for teens and preteens, featuring illustrated teens skateboarding, text about safe and supportive relationships, and University of Pittsburgh copyright.

Caregiver Guide

Infographic titled 'Healthy Teen Relationships' with tips for parents. Includes illustrations of diverse teens interacting safely and positively. Emphasizes the importance of recognizing healthy vs. unhealthy relationships for teens. Provided by the University of Pittsburgh.

Family Conversation Guide

Poster promoting healthy relationships, titled "Engaging Together for Healthy Relationships: Starting the Conversation." Illustration of two people talking, emphasizing the importance of open conversations between caregivers and teens, fostering honesty, empathy, and trust. Includes copyright from University of Pittsburgh.