The principal drugs of concern for clients accessing treatment within the CESPHN region were:
Alcohol and other drugs
16
Alcohol and Other Drug services commissioned by CESPHN in 25/26 FY.
26,294
occasions of direct treatment over the past year by CESPHN commissioned service providers who have supported 2,206 people.
31
Methamphetamine
33
Alcohol
33
Heroin
5
Cannabinoids
74
reported an improvement in their mental health.
69
reported an improvement in their quality of life.
56
reported an improvement in their AOD use.
CESPHN evaluated our Alcohol and Other Drugs (AOD) Program using service data, stakeholder input and consumer feedback. The program aligns well with national priorities and supports primary and community care through stepped, non-residential services. The evaluation found that consumers reported reduced substance use, improved wellbeing and stable housing. Through care services providing pre and post release support to people exiting custody were linked to lower reoffending. Many consumers had co‑occurring mental health needs, highlighting the importance of shared care with mental health services. The evaluation also identified gaps in access for some priority groups and challenges navigating services. Recommendations focus on strengthening integration, referral pathways, data consistency and equitable access.
ACON is NSW’s leading LGBTQIA+ health organisation, with services in Sydney, Newcastle and Lismore. It provides integrated support across alcohol and other drugs, mental health, suicide prevention, sexual health, domestic and family violence, and HIV prevention and care.
A cisgender gay man in his 40s connected with ACON’s M3THOD service, a peer-led program supporting people experiencing issues related to sexualised drug use. After years of methamphetamine use that began in social and sexual settings, his use had escalated to daily consumption, resulting in financial difficulties, relationship breakdown, social isolation, and concerns about his physical and mental health.
Through M3THOD, he worked alongside a peer worker in a non-judgmental environment informed by lived experience. This support helped reduce shame, build trust, and identify achievable goals for change. As his confidence grew, he joined M3THOD’s six-week group program, where peer and clinical facilitators provided integrated care. Connecting with others who shared similar experiences reduced isolation and strengthened his sense of belonging, motivation, and hope.
As part of ACON’s stepped-care pathway, he was referred to the CESPHN commissioned Substance Support counselling service for more intensive therapeutic support. Through counselling, he explored the underlying factors contributing to his substance use, including shame, identity, intimacy, and connection. He developed healthier coping strategies, improved self-awareness, and worked towards sustained abstinence, financial stability, and stronger relationships.
After many months of abstinence, he continues to attend the CESPHN commissioned LGBTQIA+ SMART Recovery group delivered by ACON and Odyssey House. This journey highlights the value of integrated peer and clinical care, resulting in sustained recovery, improved wellbeing, stronger relationships, and greater social connection.