The objectives of this project were to report on the level of substance misuse in Port Hedland and Roebourne, to identify current interventions services, and to assess the extent to which those services were meeting community needs. Methods included: documentary analysis, a review of statistical collections on alcohol consumption and alcohol-related hospital admissions, semi-structured interviews with community members and service providers, and observations of service provision activities. A number of specific recommendations were made including: implementation of socio-economic development initiatives; support of cultural activities; increased service coordination; supply reduction measures; health promotion activities; and the provision of treatment services including detoxification, rehabilitation and respite services.