According to the 2016 Kentucky State Police Report, Crime in Kentucky, drug/narcotic offenses increased 8.36% from 2015 to 2016. There were 137 drug/narcotic offenses in Trimble County. Based on this data, it is evident that there is a a strong need for substance abuse prevention and intervention in Trimble County. The number of diverted prescriptions and illegal drugs, overdoses, thefts, arrests, court cases, and medical/financial consequences of drug abuse continue to negatively impact a large number of families in the community. To address the variety of substance abuse issues impacting our community, the Trimble County Cooperative Extension Service partnered with other local agencies to implement the Truth or Consequences program. Truth or Consequences is an enrichment activity designed to illustrate to students the impact of getting involved with illicit and legal substances. Based upon the format of the 4-H Reality Store, students role-played scenarios including possession of prescription drugs, driving under the influence, sniffing, possession of alcohol, drug paraphernalia, or illegal drugs, trafficking, stealing drugs, etc. Depending on the scenario, students visited appropriate officials and/or agencies to experience the consequences of their behavior. Community volunteers, homemaker members, and students’ parents accompanied the students as they visited the various agencies such as law enforcement, district judge, school officials, hospital workers, and coroner. Approximately one hundred students participated in Truth & Consequences: The Choice is Yours to learn more about the physical, legal, financial, and emotional consequences of substance abuse. Forty three community partners and adult volunteers participated in the event as well. Evaluation results revealed the following: youth indicated strong usage and acceptance of alcohol; 59% of youth identified slight or no risk of marijuana usage; 34% indicated slight or no risk of usage when taking prescription medicine without a doctor’s prescription or taking over the counter medicines to get high.  A continued need for parent education and support is evidenced by the fact that over 50% had not talked to parents/caregivers about the dangers of substance abuse during the past 12 months. As a result of the program, three students sought counsel for a family drug abuse related problem.