Safety First

Program Description

Safety First: Real Drug Education for Teens is a comprehensive, harm reduction-based curriculum designed to educate high school students about drugs and empower them to make informed decisions. Developed by the Drug Policy Alliance and managed by Stanford Medicine's Research and Education to Empower Adolescents and Young Adults to Choose Health Lab, the curriculum includes 13 lessons covering harm reduction principles, neuroscience of drug use, stress and coping, media literacy, and specific substances including stimulants, e-cigarettes/vapes, cannabis, alcohol, opioids, and hallucinogens. It provides scientifically accurate information, interactive activities, and facilitator guides to promote safety and informed decision-making among youth.

Prevention Category

Universal - Direct

Practice Level

Individual

Strategies

Education

Practice Components

Level
Components
Individual
Education
Psychoeducation
Skills Training
Relationship
None
Community/Society
None

Risk and Protective Factors

Risk Factors
Protective Factors
Individual Risk Factors
Early initiation of substance use
Favorable attitudes towards substance abuse
Individual Protective Factors
Emotional self-regulation
Strong coping skills (e.g., problem-solving skills, ability to stand up for beliefs and values)
Family Risk Factors
None
Family Protective Factors
None
School, Peer, and Community Risk Factors
Substance use among peers
School, Peer, and Community Protective Factors
None

Population Age

Age 13-17
Age 18-20

Populations of Focus

Black or African American
Asian
General Population
Hispanic or Latino

Settings

School (K-12)

Parental/Caregiver Involvement

No parent or caregiver involvement

Substance Use Prevention Focus

Alcohol
Cannabis
Cocaine
Fentanyl
Heroin
Inhalants
Methamphetamine
Prescription Drugs
Synthetic Drugs
Tobacco

Recommended Staffing

Teachers or educators

Empirical Evidence of Impact

Substance Substance-Related Behavior Population Age Evidence Strength and Study Populations of Focus
Alcohol Reduced Use or Delayed Initiation 14-15 Promising (Urban)1
Cannabis Changes in Knowledge, Attitudes, or Beliefs 14-15 Promising (Urban)1
Cannabis Reduced Use or Delayed Initiation 14-15 Promising (Urban)1
Opioids Changes in Knowledge, Attitudes, or Beliefs 14-15 Promising (Urban)1
Substance Use (General) Reduced Use or Delayed Initiation 14-15 Promising (Urban)1
References

1 Fischer, N. R. (2022). School-based harm reduction with adolescents: a pilot study. Substance Abuse Treatment, Prevention, and Policy17(1), 79. https://doi.org/10.1186/s13011-022-00502-1

Training and Technical Assistance

Stanford University’s Research and Education to Empower Adolescents and Young Adults to Choose Health Lab offers free online trainings, which are also archived on the project’s website. The website also provides free facilitator guides, talking points, slide charts, interactive data dashboards that can be used during curriculum delivery, and discussion guides for each lesson.

Adaptations

To our knowledge, there have not been significant adaptations to this curriculum.

Program Costs

Required training and implementation materials are available at no cost.

What California Providers Are Saying

We have not yet spoken to any California providers who have experience implementing Safety First. If you have implemented it, we would love to hear from you. Please contact us.

Labels

Universal,

Individual,

Information dissemination,
Education,

Education,
Psychoeducation,
Skills Training,

Early initiation of substance use,
Favorable attitudes towards substance abuse,

Emotional self-regulation,
Strong coping skills (e.g. problem-solving skills, ability to stand up for beliefs and values),

Substance use among peers,

Age 13-17, ages 13-17,
Age 18-20, ages 18-20,

General Population, Hispanic,

No parent/caregiver involvement,

Alcohol,
Cannabis,
Cocaine,
Fentanyl,
Heroin,
Inhalants,
Methamphetamine,
Prescription Drugs,
Synthetic Drugs,
Tobacco,

School (K-12), k-12,

Teachers/Educators, teachers educators,