Adfam, in partnership with other organisations supporting and advocating for families, has already produced a response to the 2021 UK drug strategy and the aim here is not to revisit that or provide further commentary on the Government’s plans. Nor is this an attempt to produce an alternative drug strategy. Adfam puts collaboration, participation, and co-design at the heart of all it does and devising an alternative to the 2021 ‘from harm to hope’ strategy would require considerable time and input from a wide range of partners. Instead, this brief ‘thought piece’ considers some of the elements that a drug strategy might include, and the perspective policy makers might take, if they were strategising through the lens of the family, rather than through the more commonly used optics of individual drug users and the wider community. The aim is to spark discussion and promote consideration of the key elements of a family focused approach.