keepin' it REAL is now Considered Effective in all Prevention Categories!

keepin' it REAL is now considered to be an "indicated" program, which means it is considered effective in all three categories of prevention programs as defined by the Institute of Medicine (IOM) — universal, selective, and indicated.

• As a universal program, keepin' it REAL may be delivered to an entire population, such as middle school students.
• keepin' it REAL is considered a selective program because it is considered to be effective with sub-groups that are thought to be at-risk for substance abuse, such as those who are struggling academically.
• As an indicated program, keepin' it REAL is considered appropriate to use with individuals who are exhibiting behaviors associated with substance abuse but do not meet the clinical criteria for substance addiction.