Indian Health Service Online Submission, Consultation, and Reporting (OSCAR) System for Evidence Based and Promising Practices, Local Efforts, Policies and Resources. (logo: A Circle of Healthy Initiatives for American Indians and Alaska Natives)

Keeping It REAL

Program Type: Promising Practice -Programs not formally evaluated (or formal evaluation is not yet complete) but identified by experts as programs with results suggesting efficacy and worthy of further study in broader pilot implementation efforts.

Keeping It REAL (refuse, explain, avoid, leave) is a culturally grounded, prevention intervention targeting substance use among urban middle-school children. The curriculum consists of 10 lessons promoting anti-drug norms and teaching resistance and other social skills, reinforced by booster activity and a media campaign. There were three versions based on population targeted: a Mexican-American-centered version; a Black/White version; and a multicultural version (developed by incorporating five lessons each from the first two versions).

Age Group(s):
Children, Adolescents

Site Type(s):

Health Indicator(s):
Mental Health , Substance Abuse

Service Area:



Name: Michael Hecht, Ph.D.
Site or Location Name: Keeping it REAL
Pennsylvania State University Department of Communications Arts and Sciences 234 Sparks Building
University Park, PA 16802
Phone: (814) 865-3461