Crisis pregnancy centers—which counsel women against getting abortions—began to pop up in the late ’60s, as states passed laws legalizing abortion. Today, Texas has the most crisis pregnancy centers of any state.

These groups’ sex ed efforts are widespread: More than 35 of these centers are involved in dozens of school districts across Texas. Within these programs—offered for free to school districts—students are taught if they have sex before marriage, emotional risks include depression, guilt and anxiety. They’re taught that condoms do not keep them safe from pregnancy or STDs. These approaches aren’t effective in preventing or changing behavior. Instead, they can cause students to stop absorbing information that might help them make informed decisions about sex in the future.