Inquiry into the health impacts of alcohol and other drugs in Australia

ARACY’s submission to the House Standing Committee on Health, Aged Care and Disability, drawing on young people’s voices and The Nest Wellbeing Framework.

Alcohol and other drug (AOD) use among children and young people is a health and wellbeing issue shaped by relationships, environments, and opportunities for belonging. ARACY’s submission draws on the experiences of more than 60 young Australians aged 14–24, and argues that prevention and recovery are most effective when services strengthen the ecosystems around young people — rather than relying on fear or punishment.

31%

of AOD treatment clients are aged 10–29, yet most services are designed for adults

1,667

alcohol-induced deaths in Australia in 2023; one-third among people under 45

6 ads/day

average alcohol ads seen daily by 14–17 year olds online (#DigitalYouth, 2024)

1 in 5

young Australians delays or avoids healthcare because of cost

"A lot of young people turn to alcohol to cope with stress or anxiety, but they don't always understand how it makes things worse."

"I think it is because sometimes to get, like, a psychologist or someone, you've got to go on a massive wait list. It can be quite expensive, whereas you might just have friends who have some alcohol… it's just, like, a quick solution."

What young people told us

Young people called for honest, non-judgmental education, access to safe spaces, and early support that recognises their realities. They described most school programs as repetitive and fear-based. They highlighted stigma, cost, and confidentiality as the most common barriers to seeking help. They also identified housing stress, academic pressure, and family norms as key drivers of AOD use.

Grounded in The Nest Wellbeing Framework

ARACY’s analysis maps AOD harms and solutions across The Nest‘s six domains. Strengthening wellbeing, belonging, and connection across systems is the most effective pathway to prevent harm and support recovery.

Recommendation 1
Build equitable, youth-safe systems
  • Expand Medicare-subsidised youth mental health and AOD sessions
  • Establish youth-led and ACCO wellbeing hubs
  • Fund a national youth peer workforce
  • Evaluate services using The Nest Framework
Recommendation 2
Strengthen prevention through co-design
  • Scale OurFutures (Climate Schools) nationally
  • Regulate digital alcohol and vaping marketing
  • Fund peer-led and culturally grounded education
  • Build a prevention evaluation framework using The Nest
Recommendation 3
Integrate prevention across systems
  • Coordinated youth wellbeing agreements across education, housing, justice, and employment
  • Fund school wellbeing hubs with counsellors, peers, and cultural liaison roles
Recommendation 4
Invest in culturally safe practice
  • Resource ACCO-led prevention and recovery programs
  • Require cultural safety and youth participation plans for all federally funded AOD programs
Recommendation 5
Establish shared outcomes and evidence infrastructure
  • Establish a coordinated national outcomes framework under the AIHW, drawing on The Nest as a shared evidence base
  • Support peer-led and co-designed Australian prevention research and long-term evaluation