In 2019 the Adolescent Addiction Service worked with 49 young people and their families with a mean age of 15.3 years (range 13 - 18 years), comprising new referrals, re-referrals and continuances. The majority (90%) were male and 12% were Non-Irish Nationals. Referrals were received from a broad range of services, including some from outside of catchment area. See Fig.1 and Fig.3 for a comparison with previous years. In addition to direct work with young people and families the service engaged in consultations with other professionals and services about young people for whom there were concerns in relation to substance misuse.