The health content Standard address substance use and abuse in health education in middle school grades.

Instruction in sixth grade, seventh grade and eighth grade in health must be designed so that pupils meet the following performance Standard by the completion of the eighth grade:

1. Comprehend concepts related to the promotion of health and the prevention of disease to enhance health, as demonstrated by the ability of the pupil to:
   • (a) Analyze the relationship between behaviors concerning the health of a person and personal health;
   • (b) Identify the behaviors of a person that affect the function and development of the systems of the human body, including, without limitation, the human reproductive system in accordance with NRS 389.036;
   • (c) Explain the interrelationships between the physical, emotional, intellectual and social health in adolescence;
   • (d) Define personal boundaries and clear personal limits for the pupil;
   • (e) Respect the personal boundaries and clear personal limits of other persons;
   • (f) Describe how age, gender, physical activity, lifestyle and heredity affect the nutrient needs of a person;
   • (g) Analyze the use of a substance that is beneficial to a person and the use of a substance that is harmful to a person;
   • (h) Develop a plan for personal safety to reduce or prevent injuries;
   • (i) Examine the likelihood that a person will suffer a serious injury or illness if the person engages in behaviors that increase the risk of such an injury or illness;

Instruction in sixth grade, seventh grade and eighth grade in health must be designed so that pupils meet the following performance Standard by the completion of the eighth grade:

3. Practice health-enhancing behaviors and avoid and reduce health risks, as demonstrated by the ability of the pupil to:
   • (a) Explain the importance of a person assuming responsibility for healthy behaviors;
   • (b) Create a wellness plan that meets dietary guidelines and includes moderate to vigorous physical activity;
   • (c) Demonstrate methods of responding to behaviors that put a pupil at risk, including, without limitation, the use of alcohol, tobacco and other drugs;
   • (d) Understand basic procedures in safety, first aid and life-saving measures, including, without limitation, the use of and procedures for using recreational safety equipment;
   • (e) Evaluate the behaviors of the pupil that put the pupil at risk for injury, including, without limitation, self-harming behaviors and harmful trends; and
   • (f) Analyze the behaviors of a pupil that increase the risk of the pupil spreading communicable diseases, including, without limitation, sexually transmitted diseases, mononucleosis, tuberculosis and influenza.