Alcohol continues to be the leading substance for which individuals seek treatment in South West
This represents a slight increase from 37% during the same period in 2024.
Cocaine follows at 31%, with heroin (8%), cannabis (11%), and benzodiazepines (9%) also featuring prominently.
Regional trends indicate notable differences: Alcohol is the most common substance in the South-West with 53% and Mid-West (34%), while cocaine remains the leading substance in the East (36%)
Coolmine Therapeutic Community, Irelands drug and alcohol treatment service which provides quality community, day and residential services, has released its mid-year 2025 statistics report.
This report offers a comprehensive overview of addiction treatment trends across Ireland.
Pauline McKeown, CEO of Coolmine said: 'Alcohol and cocaine remain the most prominent substances for which people are seeking help. Demand for our services—especially for women and families—remains incredibly high.
'Our teams continue to meet this need with compassion and professionalism. At Coolmine, we believe in the power of recovery and are committed to ensuring people across Ireland can access the support they need to transform their lives,' she added.
In Cork, Coolmine delivers community-based services across North Cork (Mallow), East Cork (Middleton) and West Cork (Ahiohill).
It also has two hubs in Cork city (north and south).
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All locations offer assessments, case management, key working, and group therapy.
To improve accessibility in rural areas, satellite clinics operate throughout the county.
Delivered in collaboration with the HSE, these clinics make treatment more accessible across the county.
A total of 1,969 clients nationally accessed treatment and support through Coolmine in the first half of 2025—virtually unchanged from the record-setting demand experienced in 2024.
This suggests that elevated service levels have become the new norm for addiction treatment in Ireland.
Nationally, 57% of clients were male and 43% female, reflecting an increase in female engagement compared to 2024.
Coolmine has continued to deliver vital family support services:
• 305 families supported across all services in 2025 to date
• 37 parents participated in the Parents under Pressure (PuP) programme
• 35 children currently reside with a parent in treatment
• 1,794 children were directly impacted by parental substance use and received support
Coolmine's residential services continue to operate at full capacity, reflecting sustained demand for structured, long-term recovery supports.
Both Ashleigh House, Coolmine's dedicated residential programme for women and mothers with young children, and Coolmine Lodge, the male residential therapeutic community, are currently operating at 100% occupancy.
These services offer intensive residential care with a focus on therapeutic engagement, life skills development, and long-term recovery planning.
Community-based services in Dublin are also nearing full occupancy, this sustained pressure reflects the growing and urgent need for accessible, high-quality recovery services.
Dublin-based outreach services saw a 15.6% increase in client presentations, with 414 individuals supported through the Assertive Traveller Outreach, Private Emergency Accommodations Team (PACT), and Genio programmes in the first half of the year.
A significant portion of this demand is linked to housing and emergency accommodation, reflecting wider trends reported by homeless support organisations.
The CEO said they are seeing more people, from more backgrounds, reaching out for support. 'The sustained pressure on our residential and outreach services shows the scale of need we are responding to every day.'
Coolmine remains dedicated to delivering evidence-based, person-centered services grounded in dignity, respect, and long-term recovery support for individuals and families affected by addiction.
For more information or support, visit www.coolmine.ie.
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