Just Say No campaign

DEFINITION: The Just Say No campaign was a substance-abuse awareness and prevention program for youth promoted by US First Lady Nancy Reagan.

DATE: Established 1982

Background

In the early 1980s, Nancy Reagan, then-US First Lady, had been publicizing the problem of substance abuse disorder through speeches and visits to various national organizations. That same year, she was approached by a schoolgirl in Oakland, California, who asked the First Lady what she should say if she were asked to use drugs. Reagan responded by saying, “Just say no,” which became the name of Reagan’s nationwide awareness and prevention program.

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Reagan continued her crusade against substance abuse among the nation's young and vulnerable. She spoke nationally to parent groups, community groups, schools, and other audiences about drug abuse and its effects on children. In 1986, US president Ronald Reagan signed a proclamation creating the first official Just Say No to Drugs Week. By 1988, more than twelve thousand Just Say No clubs had formed across the nation and worldwide.

Early research supported the focus of the Just Say No program. This research, especially the work of Richard Evans on the social inoculation model, supported the claim that these programs “inoculated” students with peer-pressure-resistance skills that included refusing drugs if approached by peers.

In 1989, Reagan established the Nancy Reagan Foundation to continue the campaign against drug abuse. The foundation merged with the BEST Foundation for a Drug-Free Tomorrow in 1994, which developed the Nancy Reagan Afterschool Program, promoting drug prevention and life skills for youth.

Mission and Goals

The Just Say No campaign became a national effort to educate youth and prevent substance abuse. The mission of the campaign was to teach children to resist drug use by simply teaching them to say “no” to anyone who approached them with the idea of using drugs. The slogan was simple and catchy, and it helped to initiate a national dialogue about the problems of substance abuse disorder in the 1980s.

The program was widely disseminated across the county. However, no evidence exists to demonstrate that the program was effective. Also, it is unclear what specific program elements the Just Say No campaign contained.

By reviewing numerous sites and old publications, one can see that the Just Say No campaign was linked to several early drug prevention efforts. Just Say No media messages were created, and Just Say No clubs were implemented in elementary and secondary schools. A Youth Power program existed, and numerous schools implemented Just Say No afterschool programs. The Just Say No campaign became more of a slogan interwoven with existing early drug prevention work.

This drug prevention work included the Red Ribbon Campaign of the National Federation of Parents, school-based drug-prevention assemblies, and drug-free weeks that were politically highlighted to bring national attention to the problem of substance abuse for young people. Although some of these components attempted to teach children positive resistance skills, it is unclear if rigorous evaluations or studies were conducted or if any positive findings exist on the program. Documents link research roots to the development of various programs, but it is unclear what specific components or curricula were created and later evaluated for effectiveness. The Just Say No campaign apparently evolved into a movement involving concerned parents and community members.

Dated studies conducted in 1984 concluded the following: First, most substance abuse prevention programs did not contain adequate evaluation components. Second, increased knowledge had virtually no impact on substance abuse or on intentions to smoke, drink, or use drugs. Third, effective education approaches were experiential in their orientation. They placed too little emphasis on the acquisition of skills necessary to increase personal and social competence, particularly those skills needed to enable students to resist interpersonal pressures to begin using drugs. Fourth, few studies demonstrated any success in preventing substance abuse. In the late 1980s and early 1990s, substance prevention programs were created based on research ideas, but they were not commonly evaluated to determine their effectiveness in preventing substance abuse.

A group called Just Say No International, formerly Just Say No Foundation, was formed in Oakland, California, in 1986. This organization was led by Ivy Cohen, who brought attention and focus to the problem of substance abuse internationally. One publication by Far West Laboratory for Educational Research and Development, published in 1993, contains an introduction by Cohen unveiling a new Just Say No program called Youth Power. Youth Power was developed with the premise that a “whole child” approach to substance abuse prevention was needed. The program was described in this 1993 publication as treating children as individuals with the ability and desire to help provide solutions to substance abuse problems through empowerment models. Again, no evaluation findings were presented in this report.

Information on the Just Say No campaign has remained difficult to find and locate, and questions lingered about whether the program prevented substance abuse behaviors as measured through rigorous program evaluations. The Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-based Programs and Practices does not list the Just Say No campaign as an evidenced-based substance-abuse prevention intervention. In hindsight, experts believe the message, while admirable, needed to be backed up by education about the effects of drug use to be more effective. The campaign did, however, bring national attention to the problems of drug abuse and American youth in the 1980s and early 1990s.

Still, as early as the early 1990s, the Just Say No campaign had begun to be phased out in favor of scientifically backed harm reduction and treatment-focused approaches. The Just Say No Campaign continued to be criticized for several reasons in the twenty-first century. First, critics claimed that while the phrase "Just Say No" was cemented in the cultural lexicon of 1980s America, the idea oversimplified a complex problem. Many youths turn to substances as a coping mechanism for complicated issues. The Just Say No campaign and accompanying programs, such as Drug Abuse Resistance Education (D.A.R.E.), have been criticized as being ineffective and sometimes leading youth to experiment with substances. The Just Say No campaign focused heavily on street drugs and ignored prescription drug abuse, which would become a significant social and health issue in the late twentieth and early twenty-first century. Finally, many have expressed the belief that the Just Say No campaign and the larger War on Drugs during the Reagan administration were responsible for the mass incarceration of already socially, economically, and politically disenfranchised individuals in American society. 

Bibliography

Evans, R. I. “A Historical Perspective on Effective Prevention.” Cost-Benefit/Cost-Effectiveness Research on Drug Abuse Prevention: Implications for Programming and Policy. Edited by W. J. Bukoski and R. I. Evans. GPO, 1998.

Hart, Carl L., and Charles Ksir. Drugs, Society, and Human Behavior. 18th ed., McGraw-Hill, 2022.

“'Just Say No' And Its Effects.” Landmark Recovery, 3 Dec. 2018, landmarkrecovery.com/just-say-no-and-its-effects. Accessed 19 Aug. 2024.

Lillienfeld, Scott O. “Why 'Just Say No' Doesn't Work.” Scientific American, 1 Jan. 2014, www.scientificamerican.com/article/why-just-say-no-doesnt-work. Accessed 19 Aug. 2024.

National Institute on Drug Abuse. Preventing Drug Use among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders. 2nd ed., NIDA, 2003.

Stricherz, Mark. “What Ever Happened to 'Just Say No?'” The Atlantic, 29 Apr. 2014, www.theatlantic.com/politics/archive/2014/04/ghost-of-just-say-no/361322. Accessed 19 Aug. 2024.

Sullum, Jacob. “The Darker Side of 'Just Say No.'” Reason Magazine, 14 Mar. 2016, reason.com/2016/03/14/the-darker-side-of-just-say-no. Accessed 19 Aug. 2024.