This document presents the successor national drug strategy covering the period 2026- 2029. The content of the strategy reflects the Government commitment to a health-led approach to drug use. It is informed by evidence from the independent evaluation of the previous strategy, trends in drug and harmful alcohol use, the recommendations of the Citizens’ Assembly on Drug Use and the views of stakeholders, including Oireachtas committees.

The strategy presents an integrated response to drug and alcohol use that seeks to reduce the harms of all substances and acknowledges the overlap between problem drug and alcohol use. It also promotes health equity, recognising that people who use drugs or alcohol in a harmful way are entitled to access healthcare services and to be supported in their recovery journey regardless of social background or location.

The strategy sets out five strategic pillars, including protection from harm, provision of quality treatment services, promotion of recovery, prioritisation of health supports over criminal sanctions, and preparedness for global drug threats. The five pillars will be delivered through 30 specific actions over a two-year period. A new set of actions is envisaged for the final two years of the strategy.

Effective and timely implementation of the actions is critical to the success of the strategy. This requires a major-step change in how the state responds to drug and harmful alcohol use, requiring political leadership, whole-of-government coordination and inclusive, rigorous and transparent governance. Monitoring outcomes, evaluating practices, and developing collaborative and enabling partnerships are key building blocks to maximise the impact of the strategy.

The strategy was developed by an expert steering group, supported by a reference group of frontline services and people with lived and living experiences. In drafting the strategy, the steering group drew on extensive public consultations and expert analyses available nationally and internationally.