2. Each LEA shall ensure that the coherent and coordinated K-12 curriculum for health includes a. Instruction in all content areas: personal health, mental and emotional health, injury prevention (including violence prevention), nutrition, sexuality and family life, disease prevention and control, and substance use and abuse prevention - including specific topic areas required by state statute; b. An emphasis on developing the key skills (i.e., accessing information and services, analyzing social influences on health, assessing personal risks, goal-setting, decision making, communication, negotiation, and advocacy) that cut across all health content areas and on practicing health-enhancing behaviors; c. Sequential, comprehensive, and developmentally appropriate instruction K-12; d. Medically accurate information; and e. Compliance with statutory requirements for instructional time as well as with other requirements in the Rules and Regulations for School Health Programs.

1. Alcohol, Tobacco and Other Substance Abuse: the causes, effects, treatment and prevention of the use of tobacco and abuse of alcohol and other drugs pursuant to R.I. Gen. Laws §§ 16-22-3, 16-22-1 2, 6-1-5(14), and 35-4-18;

This document outlines health education Standard and outcomes with regard to alcohol/drug abuse

It shall be the duty of the commissioner of elementary and secondary education:

(14) To establish health education, alcohol and substance abuse programs for students in grades kindergarten (K) through twelve (12), in accordance with § 35-4-18. The program will consist of the following: A mandated state health education, alcohol and substance abuse, curriculum for grades kindergarten (K) through twelve (12), a mandated assessment program in the areas of health, fitness, alcohol and substance abuse, and an in-service training program which will be developed specifically for the implementation of the mandated curriculum.

(a) The school committees of the several cities, towns, and school districts shall provide for the incorporation of mandatory instruction of students in grades one through twelve (12) on the effects of alcohol and substance abuse upon the human system in existing health education or other courses.

(b) The department of elementary and secondary education shall incorporate, in consultation with the state department of behavioral healthcare, developmental disabilities and hospitals, substance abuse prevention and suicide prevention into the health education curriculum. For the purpose of this section, "substance abuse prevention" means the implementation of evidence-based, age-appropriate programs, practices, or curricula related to the use and abuse of alcohol, tobacco, and other drugs; "suicide prevention" means the implementation of evidence-based, appropriate programs, practices, or curricula related to mental health awareness and suicide prevention. Further, "substance abuse prevention" and suicide prevention programs shall specifically include information provided to students that mixing opioids and alcohol can cause accidental death.

In order to demonstrate the relationship between the Standard and health education outcomes, the outcomes need to be reviewed and assigned to the most appropriate standard (or Standard) and performance descriptions. A committee of educators and others has accomplished this task. They have aligned the outcomes with the Standard and performance descriptions. The result of this alignment can be seen in the Comprehensive Health Instructional Outcomes. It is essential that all students engage in health education programs that include all of the process and content Standard depicted in this Framework.

Figure 4

The Weaving of Content and Health Education Standard

(7 health education Standard are weaved with 10 health education content areas:)

Health Education Standard:

1. Health promotion and disease prevention concepts
2. Valid health information, products and services access
3. Health enhancing and health risk reduction behaviors
4. Influence of culture, media and technology
5. Interpersonal communication skills
6. Goal-setting and decision-making
7. Personal, family, community and environmental advocacy.

Content areas:

1. Personal Health
2. Mental and Emotional Health
3. Injury Prevention and Safety
4. Nutrition
5. Family Life
6. Environmental Health
7. Disease Control and Prevention
8. Substance Use and Abuse
9. Consumer Health
10. Community Health