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The Substance Misuse service complements and enhances existing treatment and recovery services in Sligo, targeting and engaging with service users through the delivery of an outreach-based harm reduction and support service to drug and/or alcohol users in Sligo. Services users may be both actively engaged in substance misuse or in recovery but as this is a voluntary service must have an interest in engaging with the service. The service aims to improve the individual's overall health and help them to engage in and sustain rehabilitation, by supporting them in accessing mainstream services and specialist rehabilitation services and by focusing on contributory factors that impact on personal health status such as mental health, diet and nutrition, stress management, employment status and living conditions. In 2023, 8 service users accessed the service. The service also completed a programme with 8 participants to encourage harm reduction/ continued recovery.