The North West Interagency Drug group was formed in 1995 to coordinate the region's response to problems around drug and alcohol misuse. The group commissioned a survey 'Young People and Drug Misuse in the North West', and the results and recommendations of this report were published in 1996. Following on from the recommendations in this report the interagency group expanded its representation to include other relevant groups and agencies. A strategy coordinator was appointed in 1997 to facilitate the work of the group and to provide support and highlight concerns n the region. This annual report summaries the the group's activities in 1998. The treatment figures for 1998 as well as developments in treatment in the area are also included. Research is a necessary component of supporting current and developing new practice. The activities covered in this report reflect the broad range of initiatives and organisations involved in dealing with drug and alcohol use in the region.