Even once people accept they may have a problem, issues with stigma can prevent them from accessing help. For example, we heard that people often feel a sense of shame at being unable to “drink responsibly”.36 Dame Carol described the particular challenge for people early in their alcohol-dependency journeys in overcoming the stigma of attending treatments alongside a drug-dependent person.37 We heard there was some evidence that alcohol had possibly lost out to drugs as far as treatment was concerned and that a separate ‘alcohol-only’ treatment offer aimed specifically at clients with alcohol dependency could make services more accessible and encourage more people into treatment sooner.38 Dame Black suggested that GP services and outreach could be used more to deliver services.39