What's New

Supplemental Lessons for Sexual Abuse Prevention

New supplemental lessons offer information and skills to help students recognize and protect themselves from sexual abuse and exploitation. These lessons can be used to help schools meet the requirements of Erin's Law or other state legislation mandating education on sexual abuse prevention. It is recommended that they be taught as a unit and within the context of a larger health or sexuality education program.

HealthSmart educators can view these lessons at the following links:

  • Middle School Supplemental Lessons on Sexual Abuse print and digital versions
  • High School Supplemental Lessons on Sexual Abuse & Exploitation print and digital versions

New Lessons on Affirmative Consent

To address growing interest and state legislation around affirmative consent, ETR has developed a supplemental lesson on this critical topic for the middle school and high school levels.

The lesson is designed to create a foundation for discussion about Affirmative Consent that can carry through the HealthSmart sexual health lessons. Its goal is to help students understand the concept of Affirmative Consent and practice applying its principles in situations similar to those they may face in their own lives.

We recommend teaching this lesson within the HIV, STD & Pregnancy Prevention unit.

  • In the middle school curriculum, a good place to insert it would be before or after Lesson 1: Healthy Romantic Relationships. It could also be taught after Lesson 2: What About Sex? or Lesson 4: Who's Really Having Sex.
  • In the high school curriculum, a good place to insert it would be before or after Lesson 3: Understanding Sexual Risks & Responsibilities.

Note: While this lesson could also be incorporated into the unit on abstinence and personal health, teachers should be aware that the some of the scenarios students evaluate in the high school lesson include situations in which the partners are sexually active.

HealthSmart educators can view these lessons at the following links:

  • Middle School: What Is Affirmative Consent print and digital versions
  • High School: Understanding Affirmative Consent print and digital versions

NEW 2nd Edition of HealthSmart Elementary Is Here!

Now with even better alignment to CDC's Health Education Curriculum Analysis Tool (HECAT) and National Health Education Standards

The elementary grade levels of the HealthSmart comprehensive K–12 health education program have been updated in a second edition. All HealthSmart grades now clearly focus on the essential concepts and skills students need to know and practice to adopt healthy behaviors. Lessons and activities are tailored to the developmental capabilities of students at each grade level (K–5), and cover these key health content areas:

  • Emotional & Mental Health
  • Personal Health & Wellness
  • Injury & Violence Prevention
  • Nutrition & Physical Activity
  • Tobacco & Alcohol Prevention
  • Sexual Health (Grades 4 & 5)

All elementary grades come with a Teacher Guide that contains the easy-to teach lessons, with clear objectives, teaching steps and assessment. Grades K–2 come with 6 Classroom Posters (17" x 22") that provide a colorful, large-format way to reinforce the practice of key healthy behaviors; while Grades 3–5 now feature Student Workbooks that include all student reading and activity sheets and provide a complete portfolio of student work for review and assessment.

Colorful images are used to introduce health concepts and skills, stimulate student thinking and keep lessons lively and fun. Images are provided in a PowerPoint slide show and PDF formats. Teacher Masters include take-home family sheets, teacher pages and activity sheets for group projects.

Educators who purchase HealthSmart have access to the HealthSmart Teacher Support Website that features a wealth of free digital resources, including the Lesson Planning Tool that gives teachers the power to quickly customize a HealthSmart lesson plan.

Alignment with OAH Curriculum Assessment Tools 

The most recent funding opportunity from the Department of Health and Human Services, Office of Adolescent Health, requires selected curricula to align with the elements detailed in either the Systematic Method for Assessing Risk Avoidance Tool (SMARTool) from the Center for Relationship Education for a risk-avoidance approach, or the Tool to Assess the Characteristics of Effective Sex and STD/HIV Education Programs from ETR and Healthy Teen Network for a risk-reduction approach. 

We have aligned the HealthSmart Sexual Health units for middle school and high school with these tools. Alignment documents are available at the links below:

SMARTool Alignment for Middle School Abstinence, Puberty & Personal Health unit >>
SMARTool Alignment for High School Abstinence, Personal & Sexual Health unit >>
Characteristics Tool Alignment for Middle School HIV, STD & Pregnancy Prevention unit >>
Characteristics Tool Alignment for High School HIV, STD & Pregnancy Prevention unit >>

Comprehensive Sexual Health Lesson Plans

We've pulled together new Comprehensive Sexual Health Lesson Plans for middle and high school.

All lessons are aligned to the Knowledge and Skill Expectations for Sexual Health in the CDC's Health Education Curriculum Analysis Tool (HECAT), as well as the National Sexuality Education Standards. A great resource for CDC DASH grantees, or anyone who wants to focus on exemplary, comprehensive sexual health education.

Updated Birth Control Information

The online birth control lesson for middle school has been updated, and we've added two new fact sheets to the high school lesson to include the female condom and the sponge. We also recommend reviewing the methods in order of effectiveness to place an emphasis on long-acting reversible contraception (LARC) methods, which are safe and effective for young people.

Spanish Family Activities for Middle and High School

The family letters and take-home family activities for HealthSmart Middle and High School are now available in Spanish!

  • Print Edition users can access the Spanish versions of these materials from the Digital Resources page.
  • Digital Edition users will find the Spanish versions in the Related Resources sections on the sidebar of the subject and lesson pages.

HealthSmart Aligned with Common Core

Now you can see how your health lessons support the Common Core State Standards!

  • Read more about how HealthSmart activities support Common Core State Standards for English Language Arts in the areas of Reading, Writing, Speaking & Listening and Language.
  • See specific alignments for Grades K-6, Middle School and High School.

National Sexuality Education Standards Alignment

HealthSmart sexual health lessons in Grades K through 12 have been aligned to the National Sexuality Education Standards.

  • Click here to see how the lessons support the NSES.


Why It Works

Download the Foundation Book for your grade level to learn about how the program was developed and the educational premises on which it’s based.

Read More About It

These blog posts explain some of the unique aspects of the HealthSmart program.

The HealthSmart Approach

Putting Research into Action

Teaching Knowledge and Skills

Frequently Asked Questions

  • Is the print or digital edition best for me?
  • How does HealthSmart support teachers?
  • Does HealthSmart align with Common Core State Standards?

The answer to these questions - and many more - are available on our FAQs page.


ETR provides a 2-day HealthSmart training with a 1-day follow-up booster session. This is the ideal model for educators who are or will be implementing the HealthSmart program. For more information, visit the Training page.

Training page