It delivers youth clubs five evenings per week which are complemented by structured group work programmes, focusing on the themes of health living, community relations and employability. It also carries out detached youth work in the town centre on weekend evenings. Its Tenant Support Service provides floating support across North Down and Ards to young people who are establishing their first home. It is involved in a number of community initiatives which address particular localised issues. It also offers mental health services aimed at vulnerable adult males as well as a Families Together programme.

YMCA North Down is managed by a local management board.