Youth’s curiosity about substance trends is growing, with fentanyl emerging as a devastating, critical concern for school communities and parents alike. Positive Action addresses this urgent need with comprehensive, evidence-based prevention resources that contextualize current risks, build the life skills that protect students, and assist educators with actionable implementation guidance.
Positive Action is a comprehensive health and wellness program that develops students’ life skills and instills character education. Designed with a scaffolded six-unit concept, the program equips students with health-promoting behaviors that prevent harmful habits and choices before they start.
Within this program, Positive Action offers the Prevention Series, a substance use prevention curriculum for secondary students that complements the core Positive Action classroom instruction. The series includes evidence-based lessons on fentanyl awareness, available at no additional cost with any Pasela by Positive Action secondary-grade license.
Pasela by Positive Action is our digital delivery platform that makes implementation simple. Educators get ready-to-teach lessons, gain access to developmentally engaging activities, and leverage integrated tools for support. Leaders get pacing guides and families receive take-home resources to reinforce learning at home. Together, the program and platform empower secondary students with targeted prevention education that addresses the real-world risks shaping their world today.
Fentanyl is a powerful prescription opioid originally developed to manage severe pain, especially after surgery. In recent years, however, the highly controlled medication has become one of the deadliest drugs circulating today, particularly among teens.
More alarming than fentanyl's lethal potency, which is 50 times stronger than heroin, is its widespread accessibility and the youth’s growing exposure to it. Fentanyl is now being found in counterfeit pills made to look like common medications such as painkillers and ADHD medicines. These fake pills are inexpensive, easy to buy online, and often contain hidden, lethal doses of fentanyl, putting unsuspecting young users at extreme risk.
In a study examining the factors and knowledge of youth on fentanyl, it revealed that although overdose deaths are low in teens aged 13-19, fentanyl-related exposure of this age group rose 127.8% between 2015 and 2021, which led to a 7.8% life-threatening effects or death.
Between 2019 and 2020 alone, fentanyl-related mortality in youth jumped 113%. Despite these figures, more than half of the surveyed teens (56.5%) said they know little or nothing about fentanyl, even though over 53.6% personally know someone who could be exposed.
This is a disturbing discovery as it signifies that even students who don’t use substances themselves are often just one friend away from danger.
Perhaps even more concerning, youth who were worried about substance or alcohol use in their own lives were less likely to have accurate knowledge of fentanyl. In other words, those who feel most vulnerable may also be the least informed.
The same study reported that peer influence and social media are among the prevalent sources of exposure and knowledge. Many of them described fentanyl as “easy to access”, underscoring how counterfeit pills, online sales, and peer networks have made potent opioids alarmingly available.
When asked where they get information about substances, 40.5% of teens reported the internet, 38.1% said social media, 31.7% from friends, and 29.8% revealed school. These channels can spread awareness—but also misinformation and risky trends. With so many learning from peers or unverified sources, schools face a critical opportunity to fill the gap with factual, preventive education.
The series offers families opportunities to improve their relationships. With their social skills strengthened, including empathy, fairness, and compassion, among others, they begin to act with greater kindness and consideration toward one another.
Knowledge informs. Skills protect. Positive Action lessons build a core set of life skills and healthy habits that students can apply in the moments that matter.
Students learn structured decision-making to slow down, think ahead, and choose healthy actions that lead to beneficial outcomes. They assess motives, weigh short- and long-term consequences, and choose actions aligned with their goals and values.
Positive Action enhances this skill by explaining the process behind behavior and choices through the Thoughts-Actions-Feelings Circle. With this knowledge, students develop the awareness to recognize when a choice—like trying a pill or giving in to pressure—doesn’t fit who they want to be.
Social awareness is the ability to consider the perspective of others, understand their emotions, and respectfully adjust one’s behavior. As socially aware individuals, students learn refusal strategies that prevent them from being pressured to try harmful substances. Beyond that, they learn to understand peer dynamics and build healthy relationships.
Positive Action engages through repetition and role-play, so students gain the confidence to make safe choices, even when surrounded by peers making risky ones.
Students learn strategies to regulate emotions, control impulses, and stay focused under pressure. When faced with stress, curiosity, or social tension, these skills allow them to pause, breathe, and think before they act.
Many risky behaviors begin as an attempt to handle stress, loneliness, or pressure. Positive Action teaches students to recognize, name, and manage these emotions in healthy ways. They learn coping skills such as reframing, seeking support, and finding positive outlets for frustration or anxiety.
Self-improvement helps students focus on long-term goals and develop the mindset to overcome setbacks. When students feel capable and purposeful, they are less likely to turn to substances as an escape.
Positive Action lessons build this foundation by helping students identify their strengths and celebrate progress toward becoming their best selves.
Positive Action embeds the above life skills across all layers of its prevention content and in each fentanyl lesson. Each fentanyl lesson connects thoughts, actions, and feelings, teaches decision-making, and encourages self-honesty and self-improvement, helping students continuously make responsible choices that lead to positive outcomes. Through its evidence-based approach, the program doesn’t just talk about good decisions; it teaches students how to make them consistently.
Prevention that lasts must address more than knowledge and attitudes. It must shape the underlying habits, skills, and environments that drive behavior over time.
Positive Action is an industry leader in integrated prevention and educational leadership. The program’s core curriculum targets distal influences (self-concept, school climate, self-management strategies, health habits, and others) through the daily life skills instruction. Students learn how to think, act, and feel in ways that support long-term health, relationships, and achievement.
The Prevention Series, which includes fentanyl lessons, adds targeted, time-bound instruction that addresses proximal risks and triggers (peer pressure, curiosity, access to substances, negative thought patterns, etc.). This complementary content offers up-to-date education on counterfeit pills and fentanyl, delivered with developmentally appropriate social-emotional practice.
When life skills and health habits are reinforced daily, and prevention lessons are applied to specific risks, such as vaping, alcohol, or fentanyl, students gain the skills to make positive choices under pressure.
The heart of Positive Action’s integrated approach is its evidence-based social-emotional learning curriculum, taught daily. Organized into a scaffolded six-unit framework, the core program addresses distal risk factors influencing behavior well before students encounter high-risk situations.
These lessons build the foundational concepts and strategies that shape how learners think, act, and feel about themselves and others.
Through consistent practice, students internalize a positive system of thought and behavior and, ultimately, develop physical and intellectual health habits, strong self-management skills, and self-improvement strategies that empower them to resist substance use and other harmful behaviors.
Designed for middle and high school learners, the Series instills healthy habits, decision-making, refusal skills, self-honesty, and emotional regulation. These skills protect students when knowledge alone is not enough.
Lessons are direct, realistic, and nonjudgmental. Students learn to recognize unsafe situations, manage social pressure, and seek help from trusted adults. Each unit covers factual content and links it to life skills.
Students learn to recognize unhealthy situations, understand how substances like fentanyl are disguised and marketed, and assess risk before acting. Each lesson also helps learners challenge substance use myths and misinformation often spread through social media or peer networks, replacing them with facts and critical thinking.
Overall, the Series is beyond resistance. It develops healthy self-management skills, enabling students to stay focused on their goals and succeed.
Integration is the advantage. The core curriculum builds daily habits and shared language. The Prevention Series and fentanyl lessons channel those strengths into specific protective behaviors.
A typical schedule pairs a brief daily curriculum with periodic prevention modules. Core lessons develop identity, health practices, self-management, and empathy. So, when prevention units and fentanyl lessons launch, students already have a framework for decision-making, problem-solving, and self-management.
Teachers and students alike benefit from the consistency it offers. The same simple tools, language, and concepts appear in both curricula, thus reducing prep time and increasing fidelity.
Overall, Positive Action delivers a powerful one-two “impact”.
Fentanyl Lessons are included in the Prevention Series curriculum, which is accessible through Pasela, Positive Action’s digital platform that houses thousands of lessons and hundreds of digital and audio resources, as well as intuitive classroom tools.
With a Prevention Series Pasela License, schools gain full access to targeted prevention lessons that integrate seamlessly with Positive Action’s core curriculum. This license is available as an add-on to any Secondary Level Pasela License and covers middle to high school.
Accessible anytime, anywhere, Pasela allows educators to teach confidently, monitor progress, and connect learning across subjects—all while maintaining the quality, consistency, and measurable impact that define Positive Action’s leadership in social-emotional learning, life skills, and prevention education.
In each lesson, Positive Action anchors the science of fentanyl in practical life skills students can use immediately. The program teaches how to spot unsafe situations, set boundaries, de-escalate pressure, and seek help from trusted adults.
This lesson educates students about fentanyl and its dangers to physical, intellectual, social, and emotional health and self-concept. An activity called “There’s a Positive Way to Do Everything” is completed by the students.
This lesson examines the short- and long-term effects of fentanyl misuse on physical and intellectual health, and teaches students how to prevent harmful habits with healthy actions. Students each receive a “Fentanyl Information Sheet” to know more about the facts and dangers of this substance.
This lesson teaches the negative effects of fentanyl misuse on getting along with others and how to intervene using positive actions of treating others the way we want to be treated. Students complete the “Friends and Family Scenario List” exercise and learn how to help themselves and the people they know make healthy choices.
This lesson teaches the negative effects of fentanyl misuse on getting along with others and how to intervene using positive actions of treating others the way we want to be treated. Students complete the “Friends and Family Scenario List” exercise and learn how to help themselves and the people they know make healthy choices.
This lesson informs about the critical role of self-honesty in preventing or overcoming fentanyl misuse and addiction. To reinforce the concepts, students complete the "Two Truths and One Lie" Activity Sheet.
This lesson reviews the lesson concepts and empowers students to live a substance-free life with continual self-improvement.
Fentanyl is extremely potent, widely present across illicit markets, and often invisible to users. For young people, whose brains are still developing, the combination of potency, unpredictability, and social influence is uniquely dangerous.
Fentanyl is a synthetic opioid many times stronger than morphine. Very small amounts can slow or stop breathing. In illicit markets, there is no quality control—mixing and pressing are inconsistent, and two pills from the same batch can contain vastly different doses.
This unpredictability is the core danger for teens. A pill that looks like a familiar medication may contain a lethal dose. Some fentanyl analogs are even stronger, further increasing risk. Visual checks, taste, or “trusted sources” are not reliable safety measures.
Counterfeit pills that mimic legitimate medications, with packaging that appears professional, also contain unmonitored doses of fentanyl.
Common targets include medications for pain, anxiety, and attention, which are substances that teens may already recognize. Counterfeit versions contain potent additives, and a single pill can cause a fatal overdose.
Fentanyl magnifies the brain vulnerability of adolescents, who are still mastering impulse control, planning, and maturing. Its potency means one impulsive decision can have immediate, irreversible consequences.
Today’s students encounter risk in digital spaces as much as physical ones. Social and messaging platforms can expose teens to offers that appear private, temporary, or normal. Emojis, coded language, and casual delivery services make access feel safe or routine when in reality, it’s anything but.
As the study showed, many young people lack the knowledge about the dangers of fentanyl, yet many are highly exposed to the substance and to the people with access to it. And while resources to help are easily searchable online, not many young people reach out, especially when what they need help with is mental health issues.
Reaching out can feel difficult, but help is never far away. Explore these trusted national organizations and resources for support, accurate information, and judgment-free guidance for youth, families, and educators.
Schools can share these contacts as part of prevention lessons or include them in safety plans and classroom discussions.
For mental health struggles, considering substance use or self-harm, or simply needing someone to talk to, the caring counselors in 988 will answer and help. This lifeline is available 24/7 and 365 days a year for FREE, and conversations are confidential.
For referral information service, this national organization offers FREE, confidential 24/7, 365-day-a-year assistance for individuals and families facing mental health concerns and/or substance use disorders.
For any drug questions, contact this national agency, which is the focal point for public inquiries about accurate, useful information on human drug products.
A state service that aims to prevent and reduce harm from substance poisoning through education and immediate, FREE, expert treatment advice and assistance. Contact (800) 222 1222 in case of exposure to poison or harmful substances.
Protecting students from the dangers of fentanyl begins with proactive education. Positive Action’s Fentanyl Awareness Lessons give educators a ready-to-teach, evidence-informed framework that connects science, social-emotional learning, and life skills to real-world safety. Each lesson empowers students to think critically, act responsibly, and protect one another with confidence and compassion.
Integrate fentanyl awareness into daily instruction so your school can move beyond issuing warnings about risks. You can equip them with skills that last a lifetime: decision-making, building health habits, self-management, and self-honesty. These are the skills that turn awareness into protection.
Join schools across the country in strengthening prevention with Positive Action’s integrated SEL and Substance Use Prevention curriculum.
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