This report documents the sixth year of our DATMS, and it deviates from the trend reports previously produced. A longitudinal qualitative study has been completed to increase understanding of the subjective experience of clients attending local services, and the impact of drug and alcohol use on the individual and their families. The impact local service provision has in supporting people was also explored. Since March 2020, Covid-19 has influenced programme participation and implementation. Thus, the impact of Covid-19 on local community services has also been explored. Drug-related litter has been included to record any changes in the amount of litter found during the pandemic with the amount found previously. Treatment demand data has been presented to ensure the continuity of the trend monitoring system.