Currently in Australia there is limited substantive evidence on the extent to which cultural and linguistic diversity (CALD) impacts on the receipt of quality care in drug and alcohol (D&A) treatment settings. Consequently in 2007 DAMEC conducted a pilot research project that surveyed twenty-nine drug and alcohol workers from twelve agencies across western and south-western Sydney. The responses highlighted specific areas for further investigation. These included ethnicity data collection, the cultural diversity of clients, the existence of special provisions for working with CALD clients, the capacity of workers to work cross culturally, and how attitudes and perceptions influence actual client experiences and outcomes.