Alcohol and drug related crashes are the leading cause of death for young people.

From previous research, Dr. John Knight, Dr. Sion Kim Harris and colleagues found that teens who received a Contract for Life at their annual wellness check-up and took it home and discussed it with their parent(s) were at a significantly lower risk for developing substance use related problems compared to patients who did not receive a contract.

The Contract for Life asks teens to agree never to accept a ride from a driver who has been drinking alcohol or using other drugs, and to always wear a seat belt. Our center suggests that parents and teens age 12-17 have a discussion about this contract, and make a plan for safe rides home.

The Contract for Life was created by Students Against Destructive Decisions (SADD). For more information on their organization, please visit


English Contract for Life

Spanish Contract for Life