In 2021 the Adolescent Addiction Service worked with 50 young people and their families with a mean age of 15.5 years (range 13-18 years). In comparison to 2020 referrals were up by 25%. However, 10% were from outside of catchment area and as a result 6% were referred to services within their own area. The majority of referrals (70%) were male, which reflects a reduction on 2020 when 82% were male and 6% were Non Irish nationals, reflecting a decrease of 7% compared to 2020. Similar to previous year’s referrals were received from a broad range of services. Of note is 80% increase in referrals from CAMHS which reflects the extent of dual diagnosis among young people who access service.