Stand Up, Speak Out was created in 1999 with the support of Mothers Against Drunk Driving (MADD) Long Island Chapter, Students Against Drunk Driving, and the Nassau County Traffic Safety Board. It received national attention due to its original placement at the Nassau County Courthouse: defense lawyers successfully contested that its presence could unfairly bias jurors in drunk driving cases. The sculpture was then located at the Nassau University Medical Center. In 2010, the county moved the memorial to Eisenhower Park.

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