Appalachian Replication Project (ARP)

Evidence-based Sexual Health and Youth Development Programming in Schools and Agencies

We partner with schools and community organizations to implement evidence-based sexual health and youth development programming. Our team trains educators and youth workers to deliver programming in schools and other agencies, and we provide funding so that these locales can establish and sustain programming. Since 2010 , our programs have helped reduce teen pregnancy and STD and have empowered thousands of youth.

Draw the Line/Respect the Line

Draw the Line/Respect the Line is a three-year, abstinence-based sex education program for sixth, seventh, and eighth grade students. This program was primarily designed to help young adolescents postpone having sex and provides the knowledge and skills to prevent HIV, other STD, and pregnancy. The program uses a 19-session curriculum that teaches youth how to establish and maintain limits regarding sexual behavior.

Image of Draw the Line Overview

Teen Outreach Program© (TOP©)

The Teen Outreach Program© promotes the positive development of teens through curriculum-guided interactive discussions; positive adult guidance and support; and community service learning. TOP© focuses on topics related to adolescent health and development, including healthy relationships, communication, influence, goal-setting, decision making, values clarification, community service learning, and adolescent development and sexuality. TOP© is a nine-month program that uses a club format in schools and community settings.

While the Appalachian Replication Project trains, supports, and funds these programs, our staff does not facilitate the programs. If you have questions or comments about program facilitation at your child’s school or community agency, please contact that location directly.

The Case for Sexual Health Programming in Middle School

Parents and caregivers want to be sure their students are receiving age-appropriate instruction in school. Both Draw the Line, Respect the Line and Teen Outreach Program© are specifically designed for middle school students. The main goal of Draw the Line is prevention: the program encourages students to set limits, teaches them how to stick to those limits, shows them how to respect the limits of other people, and explains the health risks associated with sexual activity. Teaching these concepts before students enter into romantic relationships is key. Research demonstrates that students who understand how unplanned pregnancy and STDs occur have fewer sexual partners over the course of their lives, are more likely to wait to have sex, and are less likely to be victimized. When they do choose to begin a sexual relationship, they do so armed with knowledge on how to protect themselves and their partner.

Teen Outreach Program© contains some lessons on sexual health but also includes valuable information about their friendships, family relationships, values, self esteem, career goals, social media, brain development, community, empathy, communication, emotion management, decision making, problem solving, and more. The program uses a “whole child” approach using a 9-month club format. Students can participate in the program year after year, often with the same facilitator. Students report that, over time, they come to see their TOP© facilitator as a mentor and trusted adult.

Here are a few examples of what the Draw the Line and TOP© programs look like. Preview the Draw the Line program on ETR’s website, or you may request to view printed materials in full from the school or agency facilitating it. 

*Please note, some schools may have specific program adaptations or elect to omit the condom demonstration from the 8th grade Draw the Line curriculum. Contact your child’s school if you have questions.

Schools and agencies who partner with us send consent forms home to parents before programming starts and give students pre- and post-tests to measure knowledge gain. You may see samples of the pre/post tests here:

More resources for you to help you navigate adolescence with your child: