
Healthy Relationships
Healthy relationships are essential for young people’s emotional and social growth. They help shape their identities and support their mental well-being. Relationships can be with family, friends, romantic partners, or even online interactions. Knowing what constitutes a healthy relationship is key to building strong, supportive bonds. It involves respect, trust, open communication, and emotional support.
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In any healthy relationship—whether it’s with family, friends, or a romantic partner—both people should feel valued, heard, and respected. The following elements are essential to healthy relationships:
Respect: Mutual respect is one of the most important foundations of a healthy relationship. This means acknowledging each other’s boundaries, personal space, and feelings.
Trust: Trust allows both individuals to feel safe and supported. It’s about being reliable, honest, and dependable in actions and words.
Communication: Open and honest communication is vital in understanding each other’s needs and resolving conflicts. It helps avoid misunderstandings and promotes emotional intimacy.
Equality: Healthy relationships are balanced and free from control or manipulation. Both individuals should have equal say, and their voices should be heard.
Support: Being there for one another through challenges and successes is essential. Healthy relationships involve offering emotional, mental, and sometimes physical support when needed.
Boundaries: Setting and respecting boundaries is crucial. Each person should be able to express what they are comfortable with, and their boundaries should be respected.
Independence: In a healthy relationship, both individuals maintain their independence. They are encouraged to pursue personal interests and goals without feeling pressured or controlled.
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Recognising the signs of an unhealthy relationship is important to prevent harm. Unhealthy relationships may include:
Disrespect: When one person tries to control the other, dismisses their feelings, or refuses to acknowledge their boundaries.
Jealousy and Possessiveness: Unhealthy jealousy or possessiveness often leads to controlling behaviour. A healthy relationship should be based on trust and freedom.
Poor Communication: When communication becomes difficult or one-sided, it leads to misunderstandings and unresolved conflicts.
Abuse: Any form of abuse—whether emotional, physical, or sexual—is a clear sign that the relationship is harmful. It can include manipulation, threats, humiliation, or violence.
Isolation: A partner or friend may try to isolate the young person from family and friends, which is a common sign of controlling behaviour.
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As professionals, it’s essential to guide young people in recognising, maintaining, and developing healthy relationships. Here’s how to help:
Provide Education: Teach young people what healthy relationships look like. Discuss key elements such as respect, trust, and communication.
Encourage Healthy Boundaries: Help young people understand the importance of setting and respecting personal boundaries in all relationships.
Promote Self-Respect: Encourage young people to recognise their worth and prioritise their mental and emotional health in relationships.
Create Safe Spaces for Conversation: Encourage young people to share their relationship experiences and any concerns. Create non-judgmental spaces where they feel safe to speak openly.
Support Access to Resources: Ensure that young people are aware of the support services available to them if they are in unhealthy or abusive relationships. Organisations like Childline and NSPCC provide confidential advice and support.
Model Healthy Relationships: Show young people examples of healthy relationships through your own actions. Demonstrate respect, trust, and open communication in your relationships.
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Sexual health is about more than just avoiding pregnancy or sexually transmitted infections (STIs); it’s about having a healthy and positive attitude toward sexuality. It encompasses emotional, psychological, and physical well-being in relationships. Key elements of sexual health include:
Consent:
Consent is the foundation of any sexual activity. It means that all parties involved have given clear, voluntary, and enthusiastic agreement. This includes understanding that consent can be withdrawn at any time during the sexual encounter. It is essential to teach young people how to ask for and give consent and understand that silence or lack of resistance is not the same as consent.
Safe Sex:
Safe sex practices, such as using condoms or other forms of contraception, help prevent sexually transmitted infections (STIs) and unplanned pregnancies. It is important that young people understand the different types of contraception available, how to use them, and where to access them. Promoting safe sex is key to ensuring that young people can enjoy their sexual lives in a way that protects their health.
STIs and Testing:
Being informed about sexually transmitted infections (STIs) is essential in fostering sexual health. Many STIs can be asymptomatic, meaning individuals might not realise they are carrying an infection. It’s important to encourage regular STI testing and to teach young people that regular testing is a normal part of sexual health. Knowing the symptoms, how to protect themselves, and how to access testing services are vital steps in promoting sexual health.
Respect and Communication:
Healthy sexual relationships are built on mutual respect and communication. Young people should be encouraged to talk openly with their partners about boundaries, desires, and concerns. This not only enhances intimacy but also ensures that both partners feel valued and respected in the relationship.
Sexual Identity and Orientation:
Young people should be supported in exploring and understanding their sexual identity and orientation. This includes recognising and respecting the different sexual orientations and gender identities that exist. It is important to foster an environment where young people feel safe to express their sexual identity and are free from discrimination or stigma.
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As professionals working with young people, it’s essential to create a safe, open, and non-judgmental environment where sexual health can be discussed. Here are some ways to offer support:
Provide Accurate Information:
Ensure that the information you share is accurate, age-appropriate, and up-to-date. This includes educating young people about consent, contraception, STIs, and the emotional aspects of sexual relationships.
Encourage Open Communication:
Make it clear that young people can talk to you about sexual health concerns without fear of judgment. Encourage them to ask questions and discuss their feelings and experiences in a safe space.
Promote Healthy Relationships:
Help young people understand that a healthy relationship is based on trust, mutual respect, and communication. Teach them the importance of consent, emotional well-being, and respecting boundaries in all relationships.
Access to Resources:
Ensure that young people know where to access sexual health services, such as contraception, STI testing, and counselling. Local sexual health clinics, online resources like Sexual Health Wirral and helplines are valuable resources that young people can turn to for advice and support.
Be Mindful of Emotional Well-Being:
Sex and relationships can affect emotional health, especially for young people still figuring out their feelings and boundaries. Be aware of the potential emotional impacts of sexual activity, such as guilt, confusion, or pressure. Encourage open discussions about how young people feel about their relationships and sexual experiences.
Provide Support in Cases of Abuse:
Unfortunately, some young people may experience sexual abuse or coercion in relationships. It’s crucial to be aware of the signs of sexual abuse and offer appropriate support if a young person discloses abuse. Make sure young people know they can always reach out for help, either from you, a trusted adult, or a professional support service. For more information visit our Domestic Abuse Page
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1. OurPlace - Sexual Health Wirral - NHS
OurPlace is Wirral's sexual health service dedicated to providing free, confidential, and non-judgmental services for young people aged 19 and under. The service offers a discreet and young-person-friendly clinic area where you can access advice, support, and treatment for sexual health concerns.
Telephone: 0300 123 5474
Service Website: OurPlace - Sexual Health Wirral
2. Sexual Health Wirral - NHS
Sexual Health Wirral offers free and confidential contraception and sexual health services for people living in Wirral. The team of health professionals, including doctors, nurses, and therapists, provide expert advice, treatment, and support for a wide range of sexual health issues.
Telephone: 0300 123 5474
Service Website: Sexual Health Wirral
3. Let's Talk - Wirral Community Health and Care (WCHC)
Let's Talk is Wirral's NHS risk and resilience service for young people. The service is delivered by health and care professionals who work closely with young people to help them develop the knowledge, skills, and confidence to make informed decisions about their health and well-being. It is a key resource for building resilience and supporting emotional health.
Telephone: 0151 514 0219
Email: wchc.lets.talk@nhs.net
Service Website: Let's Talk - WCHC
Brook: A UK-based sexual health service that provides confidential advice on sexual health, contraception, and relationships.
Visit Brook’s websiteSexual Health UK: Offers guidance on contraception, STIs, and where to get tested.
Visit Sexual Health UK’s websiteChildline: A confidential helpline for young people to discuss any issue, including sexual health and relationships.
Visit Childline’s websiteNHS Sexual Health: The NHS provides a range of sexual health services, including contraception, STI testing, and advice.
Visit NHS Sexual Health
Risk Indicators
Understanding the risk indicators for healthy relationships and sexual health is essential for professionals supporting young people. These indicators can help identify concerns and provide early intervention to promote well-being and prevent harmful situations. Below is a risk assessment tool using the RAG (Red, Amber, Green) system to help identify the level of concern based on behaviours, attitudes, and practices related to relationships and sexual health.
Low Risk
These are indicators that suggest a young person is engaging in healthy, respectful relationships and maintaining good sexual health practices. They are aware of their rights and responsibilities and are making informed, positive choices.
Increased Risk
These indicators suggest that the young person may be at risk of entering or already involved in unhealthy relationships or poor sexual health practices. They may need additional support, guidance, or education to navigate their relationships and maintain sexual health.
High Risk
These indicators reflect serious concern. The young person is either currently in an unhealthy or potentially dangerous relationship, or their sexual health is at significant risk. Immediate attention and intervention are needed to ensure their safety and well-being.
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Engages in respectful, open communication with partners.
Demonstrates awareness and practice of safe sex (e.g., using contraception, condoms).
Seeks regular sexual health check-ups and maintains a healthy sexual lifestyle.
Shows confidence in setting boundaries and understanding consent.
Has healthy, supportive relationships with family and peers.
Is aware of and practices safe use of social media and online relationships.
Takes responsibility for their sexual health, such as regular STI testing if necessary.
Expresses confidence and comfort in their sexual identity and orientation.
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Exhibits occasional reluctance or difficulty in setting boundaries in relationships.
Experiences pressure from peers or partners regarding sexual activity.
Shows limited awareness or knowledge of contraception and sexual health.
Has not sought STI testing or is unaware of where to access sexual health services.
Experiences periods of withdrawal or emotional distress following interactions in relationships.
Engages in online relationships that may involve risk, such as anonymity or unclear consent.
Exhibits signs of anxiety or distress about sexual experiences or their body image.
Expresses confusion or uncertainty about sexual identity or orientation.
May be involved in relationships where there is some level of manipulation or control.
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Involved in relationships where there is evidence of physical, emotional, or sexual abuse.
Experiences or expresses fear of their partner, significant emotional distress, or anxiety around relationship interactions.
Is pressured or coerced into sexual activity without full consent or against their will.
Shows signs of self-harm or suicidal thoughts related to relationships or sexual experiences.
Engages in risky sexual behaviours, such as unprotected sex, multiple partners, or substance use during sexual activity.
Is isolated from family or friends and shows signs of dependence or control by a partner.
Does not understand or practice safe sex, and there is no awareness of contraception or STI prevention.
Has experienced or is experiencing sexual exploitation, abuse, or grooming.
Demonstrates severe changes in behaviour or mood, such as depression, aggression, or withdrawal from social activities.
Regularly exposed to unhealthy relationship dynamics, such as manipulation, excessive jealousy, or verbal/physical violence.
Resources
Tea and Consent from Thames Vally Police