According to a study done by the Kentucky Institute of Medicine, Adair County ranks 91st out of 120 counties in Kentucky for overall health. Included in this data is youth smoking, where Adair County is 5% over the state average and 7% over the national average.

The Adair County Cooperative Extension Service collaborated with twelve community partners to sponsor Truth and Consequences: The Choice Is Yours. The program is an enrichment simulation activity designed to show students the impact of getting involved with illicit and illegal substances. Students role-play scenarios including: possession of prescription drugs; driving under the influence; sniffing; possession of alcohol, drug paraphernalia, or illegal drugs; trafficking; and stealing drugs; etc. Depending on the scenario, students visit appropriate officials and/or agencies to experience the consequences of their behavior. 189 7th grade youth participated in program.

A program evaluation showed that 97 percent of the seventh graders say they will remember the consequences of their actions and 93 percent said they realize the effects of drugs and crimes would make in their lives. 891 percent of the seventh graders said the program would help them in their future and the importance of their decision.