Open and honest conversations about underage drinking and prescription drug misuse are crucial to help teens make informed decisions. Adolescents face numerous pressures from peers, social media, and misconceptions about the “safety” of alcohol and prescription medications. Parents, teachers, and mentors have the power to protect and guide teens by creating a supportive environment for these important discussions.

Why This Conversation Matters

Research shows that teens are more likely to listen to trusted adults when it comes to serious topics like substance use. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), underage drinking and prescription drug misuse can have long-term effects on brain development, decision-making, and overall health. Engaging in early, open conversations can reduce the likelihood of risky behaviors and empower teens to make healthy choices.

Tips for an Honest and Impactful Conversation

1. Be Open and Nonjudgmental
Start the conversation without assumptions. Teens may have questions or experiences they are hesitant to share. Make it clear that your goal is to help them make informed decisions, not to judge or lecture.

2. Use Everyday Moments as Conversation Starters
Natural, casual settings—such as during a drive or after a movie—can make these conversations feel less intimidating. Refer to real-life events or news stories about underage drinking or prescription drug misuse as a way to introduce the topic.

3. Share the Facts
Many teens believe that underage drinking or taking prescription drugs occasionally is harmless. Dispel these myths with facts:

• Drinking before age 21 increases the risk of developing alcohol dependence later in life.
• Misusing prescription drugs—even once—can result in serious health complications, including overdose.

SAMHSA’s “Talk. They Hear You.” campaign provides reliable facts and conversation guides to help you communicate these risks effectively.

4. Ask Questions and Encourage Reflection
Rather than giving a lecture, ask your teen questions:

• “What do your friends think about drinking and taking prescription medications?”
• “How do you feel about the risks?”

Giving them space to reflect and respond builds trust and keeps the conversation going.

5. Discuss Peer Pressure and Coping Strategies
Teens often experiment with substances due to social pressure or stress. Help them develop strategies to handle difficult situations:

• Practice saying no.
• Offer alternatives, such as calling you for help or suggesting a different activity.

Leveraging Resources for Support

• SAMHSA’s “Talk. They Hear You.” Campaign: This initiative provides practical tools for parents, including conversation guides, tips, and resources to help navigate discussions about underage drinking and prescription drug misuse.
• Informed Families: This organization offers valuable programs like the Red Ribbon Campaign, which promotes healthy choices and substance use prevention.

For Teachers and Mentors

Educators can support these conversations by integrating substance use prevention into school activities. Peer-led discussions and health education programs can provide a safe space for teens to talk about the pressures they face. SAMHSA’s resources for educators offer guidance on implementing these strategies.

Building a Foundation of Trust

The most important takeaway is to create an ongoing dialogue. Teens are more likely to turn to you for guidance when they feel heard and supported. By starting the conversation early and reinforcing it often, you’ll help them build the skills to make healthy, informed decisions.

For more tips and resources, visit SAMHSA’s “Talk. They Hear You.” and Informed Families.