Health Education Texas Essential Knowledge and Skills (TEKS)
Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
Health Education, KindergartenGrade 3, Introduction
(3) In Kindergarten-Grade 3, students gain an understanding of health information and skills through five strands:
physical health and hygiene; mental health and wellness; healthy eating and physical activity; injury and
violence prevention and safety; and alcohol, tobacco, and other drugs.
(E) The standards under the alcohol, tobacco, and other drugs strand focus on a number of protective
factors that develop empowered students who are able to make better-informed decisions, including
understanding the impact of substance use on physical, mental, and social health. Through this strand,
students learn key concepts about alcohol, tobacco, and other drugs, including the use, misuse, and
physiological effects; short- and long-term impacts on health; treatment; risk and protective factors; and
prevention. These concepts introduce healthy alternatives and ways for students to ask for and seek out
help from parents and other trusted adults.
Health Education TEKS, Kindergarten, Adopted 2020
(13) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use and misuse of substances
impacts health. The student is expected to:
(A) discuss the proper usage of medications; and
(B) discuss the harmful effects of alcohol, tobacco, and drugs on physical health.
(14) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to identify refusal skills and how to get help from a parent or another trusted adult in unsafe situations
involving the use or misuse of alcohol, tobacco, and other drugs.
Health Education TEKS, Grade 1, Adopted 2020
(14) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use and misuse of substances
impacts health. The student is expected to:
(A) identify the difference between over-the-counter and prescription drugs; and
(B) identify and describe the harmful effects of alcohol, tobacco, other drugs, and dangerous substances
such as inhalants, vaping products, and household products on physical health.
(15) Alcohol, tobacco, and other drugs--treatment. The student understands how to seek emergency help for self
and others in poisoning and overdose situations. The student is expected to describe what poisoning or
overdose could look like and identify how to respond, including who to contact for help.
(16) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to identify how to get help from a parent or another trusted adult related to alcohol, tobacco, and drug abuse.
(17) Alcohol, tobacco, and other drugs--prevention. The student demonstrates refusal skills to avoid substance use
and misuse. The student is expected to identify unsafe situations and practice strategies to avoid risky
behaviors related to alcohol, tobacco, and other drugs.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
2
Health Education TEKS, Grade 2, Adopted 2020
(14) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use and misuse of substances
impacts health. The student is expected to:
(A) describe the purposes of prescription and over-the-counter drugs and their intended benefits; and
(B) explain the harmful effects on physical health and how to avoid alcohol, tobacco, other drugs, and
dangerous substances such as inhalants, vaping products, and household products.
(15) Alcohol, tobacco, and other drugs--treatment. The student understands how to seek emergency help for self
and others in poisoning and overdose situations. The student is expected to describe what poisoning or
overdose could look like and identify how to respond, including who to contact for help.
(16) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) identify unsafe requests related to alcohol, tobacco, and other drugs made by friends; and
(B) identify a trusted adult such as a parent, teacher, or law enforcement officer.
(17) Alcohol, tobacco, and other drugs--prevention. The student demonstrates refusal skills to avoid substance use
and misuse. The student is expected to identify ways to avoid unsafe situations related to alcohol, tobacco,
and other drugs and demonstrate refusal skills.
Health Education TEKS, Grade 3, Adopted 2020
(11) Injury and violence prevention and safety--healthy home, school, and community climate. The student
understands that individual actions and awareness can impact safety, community, and environment. The
student is expected to:
(A) identify reasons for avoiding violence, gangs, weapons, and drugs;
(14) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use and misuse of substances
impacts health. The student is expected to:
(A) identify misuse and proper use of over-the-counter and prescription drugs; and
(B) describe the harmful effects of alcohol, tobacco, other drugs, and dangerous substances, including
inhalants, vaping products, and household products, on physical health.
(15) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of the use and misuse of alcohol; tobacco; drugs, including prescription drugs;
and other substances. The student is expected to describe the harmful effects of alcohol, tobacco, other drugs,
and dangerous substances such as inhalants and household products on mental and social health.
(16) Alcohol, tobacco, and other drugs--treatment. The student understands how to seek emergency help for self
and others in poisoning and overdose situations. The student is expected to describe the signs of poisoning or
overdose and identify how to respond, including who to contact for help.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
3
(17) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) describe how friends can influence a person's decision to use or not use alcohol or drugs; and
(B) describe the difference between reporting and tattling and why it is important to report the use of
alcohol, tobacco, and other drugs by friends or peers.
(18) Alcohol, tobacco, and other drugs--prevention. The student demonstrates refusal skills to avoid substance use
and misuse. The student is expected to demonstrate refusal skills related to alcohol, tobacco, and other drugs
using assertive communication.
Health Education TEKS, Grades 48, Introduction
(3) In Grade 4 and higher, students gain an understanding of health information and skills through six strands:
physical health and hygiene; mental health and wellness; healthy eating and physical activity; injury and
violence prevention and safety; alcohol, tobacco, and other drugs; and reproductive and sexual health.
(E) The standards under the alcohol, tobacco, and other drugs strand focus on a number of protective
factors that develop empowered students who are able to make better-informed decisions, including
understanding the impact of substance use on physical, mental, and social health. Through this strand,
students learn key concepts about alcohol, tobacco, and other drugs, including the use, misuse, and
physiological effects; short- and long-term impacts on health; treatment; risk and protective factors;
and prevention. These concepts introduce healthy alternatives and ways for students to ask for and
seek out help from parents and other trusted adults.
Health Education TEKS, Grade 4, Adopted 2020
(15) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use and misuse of substances
impacts health. The student is expected to:
(B) identify the differences between prescription drugs, over-the-counter drugs, other drugs, and
dangerous substances, including inhalants, vaping products, and household products.
(16) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of use and misuse of alcohol; tobacco; drugs, including prescription drugs; and
other substances. The student is expected to:
(A) describe the short- and long-term harmful effects of alcohol, tobacco, other drugs, and dangerous
substances such as inhalants and household products on mental and social health; and
(B) describe the legal consequences of the misuse of alcohol, tobacco, other drugs, and dangerous
substances.
(17) Alcohol, tobacco, and other drugs--treatment. The student understands how to seek emergency help for self
and others in poisoning and overdose situations. The student is expected to describe the signs of poisoning or
overdose and identify how to respond, including who to contact for help.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
4
(18) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors can
influence decisions regarding substance use and the resources available for help. The student is expected to:
(A) distinguish between positive and negative peer influences and their effects on a person's decision to
use or not use alcohol or drugs; and
(B) identify methods available to report unsafe situations related to alcohol, tobacco, and other drugs.
(19) Alcohol, tobacco, and other drugs--prevention. The student demonstrates refusal skills to avoid substance use
and misuse. The student is expected to:
(A) demonstrate refusal skills using assertive communication related to alcohol, tobacco, and other drugs;
and
(B) identify ways to avoid drugs and discuss healthy alternative activities to the use of drugs and other
substances.
Health Education, Grade 5, Adopted 2020
(15) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between the use and misuse of different substances and how the use and misuse of substances
impacts health. The student is expected to:
(A) explain the reasons to avoid the misuse of over-the-counter and prescription drugs;
(B) identify and explain the importance of each component of prescription and over-the-counter drug
labels; and
(C) describe the physiological effects of alcohol, vaping products, tobacco, other drugs, and dangerous
substances.
(16) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of use and misuse of alcohol; tobacco; drugs, including prescription drugs; and
other substances. The student is expected to:
(A) analyze the short- and long-term harmful effects of alcohol, tobacco, other drugs, and dangerous
substances such as inhalants and household products on the functions of the body systems and mental
and social health; and
(B) describe the legal consequences of the illegal use of alcohol, tobacco, other drugs, and dangerous
substances.
(17) Alcohol, tobacco, and other drugs--treatment. The student understands how to seek emergency help for self
and others in poisoning and overdose situations. The student is expected to describe the signs of poisoning or
overdose and identify how to respond, including who to contact for help.
(18) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) analyze how positive peer influence can be used to help a person decide not to use alcohol or drugs;
and
(B) describe the importance of seeking help and reporting unsafe situations related to alcohol, tobacco,
and other drugs.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
5
(19) Alcohol, tobacco, and other drugs--prevention. The student demonstrates refusal skills to avoid substance use
and misuse. The student is expected to:
(A) assess how being assertive, using refusal skills, and evaluating peer influence can affect decision making
and problem solving;
(B) identify a variety of scenarios and the different types of refusal skills that can be used to avoid the use
of alcohol, tobacco, and other drugs; and
(C) identify and describe healthy alternative activities to the use of drugs and other substances.
Grade 6 TEKS, Adopted 2020
(15) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between use and misuse of different substances and how the use and misuse of substances impacts
health. The student is expected to:
(A) describe the misuse and abuse of prescription and over-the-counter drugs, including combining drugs,
and the dangers associated with each;
(B) compare and contrast examples of prescription and over-the-counter drug labels;
(C) identify and describe practices used to safely store and properly dispose of prescription and over-the-
counter drugs; and
(D) describe substance abuse and addiction to alcohol, vaping products, tobacco, other drugs, and
dangerous substances.
(16) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of the use and misuse of alcohol; tobacco; drugs, including prescription drugs;
and other substances. The student is expected to:
(A) describe the short- and long-term health consequences of prescription and over-the- counter drug
misuse and substance use disorders; and
(B) discuss the legal consequences related to the use, misuse, and possession of drugs, including
prescription drugs.
(17) Alcohol, tobacco, and other drugs--treatment. The student recognizes and understands the options for
treatment and how to seek help related to the use and misuse of alcohol; tobacco; drugs, including
prescription drugs; and other substances. The student is expected to:
(A) identify ways to report a suspected abuse of drugs to a parent, school administrator, teacher, or
another trusted adult;
(B) identify signs and symptoms of alcohol; tobacco; drugs, including prescription drugs; and other
substance use and misuse such as using medicine prescribed for someone else or for reasons other
than intended;
(C) identify examples of who, when, where, and how to get help related to unsafe situations regarding the
use and misuse of alcohol; tobacco; drugs, including prescription drugs; and other substances.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
6
(18) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) explain the impact of peer influence on decision making regarding the use of alcohol, tobacco, and
other drugs;
(B) describe methods for differentiating between positive and negative relationships that can influence
alcohol, tobacco, and other drug use;
(C) identify physical and social influences on alcohol, tobacco, and other drug use behaviors; and
(D) explain the relationships between alcohol, tobacco, drugs, and other substances and the role each can
play in unsafe situations such as drinking and driving.
(19) Alcohol, tobacco, and other drugs--prevention. The student analyzes information and applies critical-thinking
skills to avoid substance use and misuse and recognizes the benefits of delayed use. The student is expected
to:
(A) identify ways such as alternative activities and refusal skills to prevent or avoid the use of alcohol,
tobacco, drugs, and other substances;
(B) demonstrate refusal skills in various scenarios where alcohol, tobacco, and other drugs may be present;
and
(C) identify and describe strategies for avoiding alcohol, tobacco, and other drugs, including opioids.
Grades 7-8 TEKS, Adopted 2020
(15) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between use and misuse of different substances and how the use and misuse of substances impacts
health. The student is expected to:
(A) differentiate between appropriate and inappropriate use of prescription and over-the- counter drugs,
including combining drugs, and the outcomes of each;
(B) identify and describe the categories of prescription drugs and their proper uses;
(C) identify and explain the importance of each component of an over-the-counter drug warning label; and
(D) describe how substance misuse and addiction to alcohol, tobacco, vaping products, drugs, and other
substances, including prescription drugs, affect the body systems and brain.
(16) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of use and misuse of alcohol; tobacco; drugs, including prescription drugs; and
other substances. The student is expected to:
(A) analyze and explain the short- and long-term health consequences of addiction to alcohol and tobacco
and prescription and over-the-counter drug misuse and substance use disorders;
(B) analyze the importance of alternative activities to drug and substance use and misuse on mental and
social health; and
(C) analyze the legal consequences of the use and misuse of alcohol; tobacco; drugs, including prescription
drugs; and other substances.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
7
(17) Alcohol, tobacco, and other drugs--treatment. The student recognizes and understands the options for
treatment and how to seek help related to the use and misuse of alcohol; tobacco; drugs, including
prescription drugs; and other substances. The student is expected to:
(A) identify and describe treatment options for substance abuse and addiction;
(B) identify signs and symptoms of alcohol; tobacco; drugs, including prescription drugs; and other
substance use and misuse such as using medicine prescribed for someone else or for reasons other
than intended; and
(C) identify at least one example of who, when, where, and how to get help related to the use and misuse
of alcohol; tobacco; drugs, including prescription drugs; and other substances.
(18) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) examine the effects and role of peer influence on decision making and problem solving regarding the
use and misuse of alcohol, tobacco, and other drugs;
(B) examine physical and social influences on alcohol, tobacco, and other drug use behaviors;
(C) differentiate among the relationships of alcohol, tobacco, drugs, and other substances and the roles
these substances play in unsafe situations such as drinking and driving; and
(D) identify support systems and describe ways to report the suspected abuse of drugs to a parent, school
administrator, teacher, or another trusted adult.
(19) Alcohol, tobacco, and other drugs--prevention. The student analyzes information and applies critical-thinking
skills to avoid substance use and misuse and recognizes the benefits of delayed use. The student is expected
to develop and apply strategies, including demonstrating refusal skills, for avoiding alcohol, tobacco, and other
drugs in various scenarios.
Health Education TEKS, Health I-II, Introduction
(3) Students will gain an understanding of health information and skills through six strands: physical health and
hygiene; mental health and wellness; healthy eating and physical activity; injury and violence prevention and
safety; alcohol, tobacco, and other drugs; and reproductive and sexual health.
(E) The standards under the alcohol, tobacco, and other drugs strand focus on a number of protective
factors that develop empowered students who are able to make better-informed decisions, including
understanding the impact of substance use on physical, mental, and social health. Through this strand,
students learn key concepts about alcohol, tobacco, and other drugs, including the use, misuse, and
physiological effects; short- and long-term impacts on health; treatment; risk and protective factors;
and prevention. These concepts introduce healthy alternatives and ways for students to ask for and
seek out help from parents and other trusted adults.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
8
Health I TEKS (One-Half Credit), Adopted 2020
(13) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between use and misuse of different substances and how the use and misuse of substances impacts
health. The student is expected to:
(A) examine examples of drug labels to determine the drug category and intended use;
(B) identify and describe the importance of the safe storage and proper disposal of prescription and over-
the-counter drugs; and
(C) develop strategies for preventing the misuse of prescription and over-the-counter drugs, including
recognizing the negative effects of combining drugs.
(14) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of the use and misuse of alcohol; tobacco; drugs, including prescription drugs;
and other substances. The student is expected to describe the interrelatedness of alcohol and other drugs to
health problems.
(15) Alcohol, tobacco, and other drugs--treatment. The student recognizes and understands the options for
treatment and how to seek help related to the use and misuse of alcohol; tobacco; drugs, including
prescription drugs; and other substances. The student is expected to:
(A) investigate and identify treatment options for substance abuse and addiction and misuse, including
prescription drugs; and
(B) explain how to report suspected abuse of drugs to a parent, school administrator, teacher, or another
trusted adult.
(16) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) compare and contrast physical and social influences on alcohol, tobacco, and other drug use behaviors;
(B) design materials for health advocacy such as promoting a substance-free life; and
(C) discuss ways to participate in school-related efforts to address health-risk behaviors.
(17) Alcohol, tobacco, and other drugs--prevention. The student analyzes information and applies critical-thinking
skills to avoid substance use and misuse and recognizes the benefits of delayed use. The student is expected
to:
(A) analyze the relationship between the use of refusal skills and the avoidance of alcohol, tobacco, and
other drugs; and
(B) analyze the role that alcohol and other drugs play in unsafe situations, including sexual abuse and
assault.
TEKS Aligned to Fentanyl Abuse Prevention and Drug Poisoning Awareness
(cont’d)
9
Health II TEKS (One-Half Credit), Adopted 2020
(14) Alcohol, tobacco, and other drugs--use, misuse, and physiological effects. The student understands the
difference between use and misuse of different substances and how the use and misuse of substances impacts
health. The student is expected to:
(A) analyze how substance misuse and addiction to alcohol, tobacco, drugs, and other substances impact
family and community health;
(B) analyze the importance of alternative activities to drug and substance misuse and abuse; and
(C) identify individual and community protective factors and skills that prevent substance misuse and
substance use disorders.
(15) Alcohol, tobacco, and other drugs--short- and long-term impacts. The student identifies and analyzes the
short- and long-term impacts of the use and misuse of alcohol; tobacco; drugs, including prescription drugs;
and other substances. The student is expected to evaluate the impact of laws relating to the use and misuse of
prescription and over-the-counter drugs, alcohol, tobacco, and other substances on self and community.
(16) Alcohol, tobacco, and other drugs--treatment. The student recognizes and understands the options for
treatment and how to seek help related to the use and misuse of alcohol; tobacco; drugs, including
prescription drugs; and other substances. The student is expected to identify ways to support and assist
someone who shows signs and symptoms of alcohol, tobacco, or drug use and misuse.
(17) Alcohol, tobacco, and other drugs--risk and protective factors. The student understands how various factors
can influence decisions regarding substance use and the resources available for help. The student is expected
to:
(A) discuss risk-taking behaviors such as drinking and driving with their associated legal, social, and physical
consequences;
(B) analyze physical and social environmental influences on the misuse and abuse of prescription drugs in
places such as school, sports, or entertainment; and
(C) design a public health information campaign related to safe havens, where to go for help, or reporting
drug-related behaviors.
(18) Alcohol, tobacco, and other drugs--prevention. The student analyzes information and applies critical-thinking
skills to avoid substance use and misuse and recognizes the benefits of delayed use. The student is expected to
develop strategies for preventing use or misuse of alcohol, tobacco, and other drugs, including opioids.