The purpose of this report is to describe the extent of the use alcohol and other drugs being used by young people in Ireland. It describes the effects of the use of methadone drug substitution for addicted adolescents. The report recommends services for parents and their children in the area of prevention, early intervention, and problem-solving and support facilities. The report raises concerns about the lack of drug free recovery facilities, including detoxification, day programmes, drug free residential and aftercare programmes for young people. The report advocates an addiction service with recovery as its primary objective. The report also addresses matters relating to the delivery of services, equality of rights, protection for clients, and the requirement that all services, statutory and voluntary, be evidence based in relation to full recovery from all drugs.