Participants begin the class by learning about the path of a car crash victim at a trauma center. Hospital staff share their experiences with crash victims in the emergency room, radiology, intensive care, and physical therapy. Students meet young people who have suffered from permanent brain or spinal cord injuries as a result of a motor vehicle crash. The class ends as the Missouri State Highway Patrol Troopers talk about working crash sites and making death notifications to families. At the end of the program, attendees are required to write a one-page essay describing what they learned and how their driving habits will change. Those who attend the full four-hour program will be provided a certificate upon the completion of class.

YTOP offers municipal court judges a way to deter young people from speeding, drunk driving, and other related offenses. Young drivers convicted of driving offenses are often sentenced to attend YTOP. Many attorneys also recommend that their clients with driving offenses take this class prior to their court appearance.