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
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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.
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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.
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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.
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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?
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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.
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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.
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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.
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Strengthen addiction-related research and data systems
- Improve surveillance of substance use trends and treatment outcomes.
- Invest in implementation science to scale effective interventions.
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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.
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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.
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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.
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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.
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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.
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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.
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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.