The Outlook project based in Manchester offers a range of activities, support and skills training to people over the age of 17 with ongoing or previous drug or alcohol issues. The programme was originally implemented in 2002 in response to identified need for a comprehensive dedicated outreach service to cater for the diverse needs of problematic drug and alcohol users across the east Manchester area (Iredale, 2002). The catchment area for service users has since been extended to include the rest of Manchester city centre (ONS census 2003 estimates that the Manchester city area has a population of approximately 432,400 people).The programme is based on a community model, reaching out especially to ‘hard to reach’ groups of local people in many socially excluded areas of Manchester. The indices of Multiple Deprivation show that Manchester has an exceptionally low ranking position in the North West compared with the rest of the UK when accounting for factors of income, employment, education, health, skills and training, barriers to housing and services, and crime.