cover broad social influences that most programs do not consider. Programs that encourage a social commitment to abstain from drugs show lower rates of drug use. Getting the community outside of the school to participate and also using peer leaders to facilitate the interactions tend to be an effective facet of these programs. Even though adolescents are frequently aware of the negative consequences of substance use, they may start and maintain this habit. Adolescents, their parents, and other family members are the focus of comprehensive preventive and control programs in schools and the community. These effective actions help promote children's development of a positive sense of self-worth and sufficiency, to stop adolescent risk behavior, and to help them build strong, healthy coping skills. Lastly, teaching youth and adolescents skills that increase resistance skills in social situations may increase protective factors in that population. Community prevention programs Prevention programs work at the community level with civic, religious, law enforcement, and other government organizations to enhance anti-drug norms and pro-social behaviors. Many programs help with prevention efforts across settings to help send messages through school, work, religious institutions, and the media. Research has shown that programs that reach youth through multiple settings can remarkably influence community norms. Community-based programs also typically include the development of policies or enforcement of regulations, mass media efforts, and community-wide awareness programs. Increasing health education in the community also plays a role in helping to decrease the consequences of substance use. On a community level, established safe injection sites that provide a hygienic space supervised by licensed healthcare professionals allow for safe monitoring of participants and provide health education and care to prevent overdose. Another way to help prevent overdose, especially regarding opioids, is the increased access and knowledge of naloxone. Naloxone is the standard opioid overdose reversal agent. Studies show Overdose Education and Naloxone Distribution (OEND) programs decrease the rate of rate of deaths from opioid overdose. Naloxone comes in different routes of administration such as, an injection that's administered intravenously, intramuscular, or subcutaneously and a nasal spray. Naloxone injection and the nasal spray are both commonly used in adults and children who are going through drug overdose because it is successful in reversing the overdose effects As a safety precaution, patients taking opioids are recommended to always carry naloxone with them and should replace the naloxone regularly, via reference to the expiration date. Research has