Substance misuse is one of the greatest health crises facing our young people today and the situation continues to deteriorate at pace. The case study highlighted that 40 per cent of young people presenting at addiction services misused alcohol and this is having a major impact on lives, families, communities and society. Education still has an important role, but we recommend the implementation of a Minimum Unit Price in Northern Ireland (NI) at 50 pence per unit as a policy proven reduce alcohol misuse and its harms.