This evaluation report presents findings from a large-scale demonstration project and evaluation of Oklahoma Institute for Child Advocacy's POWER Through Choices (PTC) program. The PtC program is a comprehensive sexual health education curriculum designed to address the needs and risks specific to youth in out-of-home care, including youth living in foster care and juvenile justice facilities. The program comprises ten 90-minute sessions, which are designed to be delivered once or twice a week over 5 to 10 weeks.