This paper provides an overview of the current position of drug and alcohol services in Scotland and summarises the progress against recommendations made in our 2009 report.

• Key facts p.4
• Summary p.5
• Part 1. The scale of drug and alcohol misuse p.8
• Part 2. The Scottish Government's approach p.11
• Part 3. The long-term vision for drug and alcohol services p.24
• Endnotes p.27
• Appendix. Initiatives introduced in other countries have reduced deaths p.29