DCO no background.png

Who We Are

Decisions, Choices, and Options, Inc (DCO) began serving the youth of Middle Tennessee in 2002 with dynamic and engaging sexual risk avoidance prevention programs. From our humble beginnings in one local school system, we currently serve public and private school as well as after-school and community organizations in thirteen counties of Tennessee, five counties of Alabama, and through multiple partnering agencies across the South East. Reaching youth and students ages 11-22, DCO effectively impacts the future of those we are privileged to serve by equipping them with necessary skills to achieve optimal health and life outcomes.

DCO’s Mission is:

"Preparing a generation to choose healthy behaviors that cultivate educational, economic, physical, emotional and relational success.” We believe that teens can and will make healthy life choices once medically and factually accurate information regarding the risks of sexual behavior are clearly communicated and received. DCO’s vision is to partner with schools, parents, communities and faith –based organizations to equip them to reach their goals.


What We Teach

DCO is a primary prevention, multi-layered curricula based on the sexual risk avoidance (SRA) education model.  SRA is a proven effective approach in communicating the risks and negative outcomes associated with early onset of sexual behavior.  Other preventative health education programs targeting youth in the area of risky behaviors such as smoking, alcohol, and texting/impaired driving are also based on the model of risk avoidance.  Our desire is to see the optimal health outcomes for all youth!  Avoiding the risks 100% allows them the freedom and abilities to pursue their dreams, goals and hopes for the future.  This is the guiding passion of DCO’s service to all students served: impacting their lives with the skills and knowledge to reach their destination!


How We Serve

DCO partners with local public and private schools, after school programs and community organizations to deliver a four-tiered direct classroom instructional model based on the grade level and course requirements.  All programs meet the state mandate requirements  content in each course and class we teach.  All of the DCO Educators are SRAS (Sexual Risk Avoidance Specialists) certified by ASCEND, the nation’s leading SRA training institute. Our holistic approach to the health, wellness and success of adolescents has been evaluated and determined effective in reaching teens and youth by teachers, administrators, DCO pre and post tests, and independent analysis by the University of Tennessee Knoxville (SWORPS).  Students consistently share with DCO Educators the impact the programs have made on their life choices and decisions to be committed to optimal health.  In the 2017-2018 school year, DCO Educators taught over 13,000 students in grades Sixth through Twelfth.