October Health – 2026 Report

Addiction in Canada

In Canada, the leading population-level driver of addiction-related stress is the convergence of social determinants of health, particularly: - Housing and income insecurity: unaffordable housing, poverty, and financial instability increase stress and risk for substance use disorders. - Mental health comorbidity: high prevalence of co-occurring mental health conditions (e.g., anxiety, depression) elevates risk for substance use and related stress. - Limited access to timely, stigma-free treatment: barriers to addiction and mental health services (wait times, geographic inequities) amplify stress for populations needing support. - Chronic stressors tied to marginalization: Indigenous communities, immigrants, and racialized groups face systemic stressors (discrimination, historical trauma, cultural dislocation) that heighten vulnerability to addiction and related distress. Workplace relevance: - Economic insecurity and insecure housing can spill into the workplace via higher absenteeism and presenteeism. - Lack of access to supports (employee assistance programs, mental health days) increases job-related stress and potential substance misuse. Consideration for action: - Implement comprehensive mental health support in the workplace, including confidential EAPs, training for managers on recognizing stress signs without stigma, and flexible work arrangements. - Provide access to digital resources and group sessions for coping skills, such as those offered by October, focusing on stress management and healthy routines. - Partner with community services to address housing and income supports for employees facing financial hardship. If you want, I can tailor a brief workplace strategy or a quick assessment for your organization.

Addiction Prevalence
10.49%
Affected people
5,769,500

Impact on the people of Canada

  • Health effects

    • Physical health: increased risk of cardiovascular problems, hypertension, sleep disturbances, digestive issues, and a weakened immune response.
    • Mental health: higher likelihood of anxiety, depression, mood swings, and irritability; worsened cognitive function and concentration.
    • Substance use cycle: tolerance, withdrawal, and cravings can escalate, leading to more use or relapse.
  • Personal life effects

    • Relationships: more conflict, trust issues, and potential neglect of family or friends; increased risk of domestic tension or abuse.
    • Work and finances: reduced productivity, higher absenteeism, and strained finances due to costs of substances or treatment.
    • Daily functioning: impaired judgment, safety concerns (driving or operating machinery), and neglect of self-care.
  • Coping and management in a Canadian workplace context

    • Early identification: recognize signs (changes in behavior, performance, or mood) and seek support promptly.
    • Workplace resources: utilize employee assistance programs (EAPs), talk to a trusted supervisor, or contact confidential mental health services.
    • Treatment options: evidence-based approaches (counseling, medication if appropriate, and support groups). Consider digital supports like October for accessible group sessions and psychoeducation.
    • Self-care strategies: regular sleep, physical activity, balanced meals, social connection, and setting boundaries around work-time to reduce stress triggers.
  • When to seek urgent help

    • Thoughts of harming yourself or others, severe withdrawal symptoms, or any use that endangers safety. In Canada, contact local emergency services or a crisis line (e.g., 1-833-456-4566 in many provinces, or text 45645 in crisis situations). If outside, use your local emergency number.

Would you like tips tailored to a specific situation (e.g., same workplace or a particular province in Canada) or guidance on how to discuss support with your employer?

Impact on the Canada Economy

High addiction-related stress can harm an economy in several interrelated ways:

  • Productivity losses: Increased absenteeism, presenteeism, lower work quality, and higher turnover reduce overall output and efficiency.
  • Healthcare and social costs: Elevated demand for treatment, emergency care, and social services strains public and private budgets, diverting funds from growth initiatives.
  • Labor market effects: Higher disability claims and slower labor force participation can shrink the effective workforce and reduce innovation.
  • Economic volatility: Health crises tied to addiction can lead to unpredictable demand and spending, complicating macroeconomic planning.
  • Error and safety risks: Greater risk of accidents and workplace errors raises costs for businesses and insurance premiums.
  • Intergenerational impact: Addiction can affect family stability and child development, potentially reducing future productivity and earning potential.

Policy and workplace implications:

  • Invest in prevention and early intervention: Employer and government programs that reduce initiation and support recovery can sustain productivity.
  • Supportive workplace culture: Flexible scheduling, EAPs, and stigma-free access to treatment improve retention and morale.
  • Accessible treatment: Reducing barriers to evidence-based care lowers long-term costs and productivity losses.

If you want, I can suggest a concise workplace-focused plan or scripts for team conversations, and point you toward digital resources (like October) for group sessions or assessments to support employees dealing with addiction-related stress.

What can government do to assist?

  • Strengthen early prevention and education

    • Implement school and community programs that teach coping skills, impulse control, and healthy stress management.
    • Promote media literacy to reduce glamorization of substances.
  • Expand access to evidence-based treatment

    • Increase availability of medication-assisted treatment (MAT) for opioid use disorder and other addiction treatments.
    • Invest in integrated care models that co-locate mental health, primary care, and addiction services.
  • Increase affordable, stigma-free care

    • Reduce financial barriers (subsidies, insurance coverage, public funding) for addiction and mental health services.
    • Launch public awareness campaigns to reduce stigma and encourage help-seeking.
  • Strengthen addiction-related research and data systems

    • Improve surveillance of substance use trends and treatment outcomes.
    • Invest in implementation science to scale effective interventions.
  • Improve workplace support and policy

    • Encourage employers to offer employee assistance programs (EAPs), flexible scheduling, and leave policies for treatment.
    • Provide training for managers on recognizing signs of addiction and responding with support rather than punishment.
  • Expand harm reduction and safety nets

    • Support harm reduction services (safe consumption sites, naloxone access) where appropriate.
    • Ensure rapid access to detox, rehab, and recovery supports, including aftercare and housing linkage.
  • Promote healthy environments and economic stability

    • Address social determinants: housing, unemployment, poverty, and trauma-informed care.
    • Create community spaces and activities that reduce isolation and provide purpose.
  • Leverage digital tools and telehealth

    • Scale virtual counseling, mobile apps, and digital CBT for people with addiction challenges.
    • Use data-driven reminders and personalized plans to sustain engagement in treatment.
  • Collaborate across sectors

    • Align policies among health, education, justice, housing, and labor to create a cohesive addiction-reduction strategy.
    • Involve people with lived experience in program design and evaluation.
  • Special consideration for Canada

    • Align with provincial/territorial differences by supporting national guidelines while funding local adaptation.
    • Expand Indigenous-led addiction services and culturally safe care, respecting treaty rights and community sovereignty.
  • How Oct ober can help in workplaces

    • Provide digital group sessions and assessments to support employees dealing with addiction stress.
    • Offer content on coping skills, sleep, and resilience; tailor programs to Canadian workplace norms.
    • Encourage employers to normalize help-seeking and reduce stigma through leadership training and open conversations.

What can businesses do to assist their employees?

  • Normalize conversations about addiction: provide confidential channels for employees to seek help without stigma, including access to EAPs and licensed clinicians.
  • Offer targeted support programs: implement employee resource groups or coaching for those affected by substance use, with clear, non-punitive policies.
  • Provide education and awareness: run brief trainings on signs of addiction, relapse triggers, and how managers can respond compassionately.
  • Expand access to evidence-based treatment: ensure health plans cover medication-assisted treatment (MAT) where appropriate, and offer paid time for treatment appointments.
  • Create a supportive workplace structure: reduce job stressors that can trigger relapse (unreasonable workloads, unclear roles) and offer flexible scheduling during treatment.
  • Encourage healthy coping strategies: promote healthy stress management options (sleep, nutrition, physical activity) and provide mindfulness or resilience programs.
  • Implement early intervention and accommodations: establish a quick, confidential process for employees to request accommodations (reduced hours, leave, modified duties) without fear of penalty.
  • Monitor workload and burnout: use workload analytics and check-ins to prevent chronic stress that can contribute to substance use struggles.
  • Provide digital support through October: offer digital group sessions and content focused on addiction recovery, relapse prevention, and sustaining sobriety in the workplace; integrate assessments to tailor support.
  • Foster a recovery-friendly culture: leadership commitment, anti-stigma campaigns, and success stories to encourage ongoing engagement in treatment and support.