The Wake Up! Program is designed to create change. The participants have already made decisions about drugs and alcohol that are not healthy for them, their families, friends and communities. This three session program allows participants to consider their choices and thought processes in an environment where they are free from judgment and are given perspective regarding the impact of the decisions they make. A one-on-one visit to University of Arizona Medical Center exposes participants to the harsh realities of consequences that can and do occur because of drugs and alcohol. The potential to witness incoming traumas, interaction with a counselor and hospital staff and interactive activities contribute to a change of mind and a consideration of goals.