The Comprehensive Health Education (CHE) Act of 1988 (59–32–5) requires that public school health instruction be planned, age-appropriate, and sequential. The CHE Act further requires that, at least one time during the four years of grades 9–12, each student shall receive a program of instruction in comprehensive health education to include the following subjects:

• community health
• consumer health
• environmental health
• growth and development
• nutritional health
• personal health
• prevention and control of diseases and disorders
• safety and accident prevention
• substance use and abuse
• dental health
• mental and emotional health
• reproductive health**
• pregnancy prevention**
• sexually transmitted diseases** ***
• family life (option in grades 9–12)

** a minimum of 750 minutes of instruction is required for these three together. *** Instruction in sexually transmitted diseases (STDs) includes AIDS education and must be taught within the reproductive health, family life, or pregnancy prevention education components or it must be presented as a separate component (59–32–30(E)).

Abbreviation Key Concept D Alcohol, Tobacco, and Other Drugs G Growth, Development, and Sexual Health and Responsibility I Injury Prevention and Safety M Mental, Emotional, and Social Health N Nutrition and Physical Activity P Personal and Community Health

Standard identify performance indicators that address emotional health