Well-being is a concept which can connect together a number of important ideas that have a strong resonance for professional practice across the human services. This can critically include considerations of illness, crisis and loss (Thompson and Livingston, 2016). Such acute moments in individuals' lives can be examined through their precipitating events, coping mechanisms and responses. This paper explores some of the organisational and sociological dimensions of wellbeing and how they facilitate a greater understanding of illness, crisis and loss. These deliberations are then exemplified through a focus on alcohol and other drug use.