Merchants Quay Ireland's annual review for 2013 shows demand for services at its Midlands Harm Reduction Outreach Service rose by more than a third.
It also found that 58 percent of admissions to its St Francis Farm Detox unit and nearly half of those accessing its drug-free rehab service came from outside Dublin.
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Tony Geoghegan, CEO of Merchants Quay Ireland, says Ireland's drug problem is not confined to large urban areas.