October Health – 2026 Report
Addiction in United Kingdom 
In the UK population, the leading driver of addiction-related stress is socioeconomic and structural factors linked to drug and substance use environments, including: - Poverty and financial hardship, unemployment or insecure employment - Inequities in access to effective treatment and support services - Adverse childhood experiences and trauma exposure - Social isolation and weak community supports - Mental health comorbidity (co-occurring anxiety, depression, and other conditions) Workplace relevance: Financial stress and job insecurity can heighten substance use risk and stress for employees. Consider implementing accessible mental health resources, normalising help-seeking, and offering confidential support options. If helpful, I can outline a concise workplace plan or suggest digital support options (e.g., group sessions, psychoeducation) to address addiction-related stress.
- Addiction Prevalence
- 7.22%
- Affected people
- 3,971,000
Impact on the people of United Kingdom
- Physical health: Chronic stress from addiction can raise blood pressure, heart rate, and inflammation, increasing risk of cardiovascular disease, sleep disturbances, headaches, and weakened immune function.
- Mental health: Heightened anxiety, depression, irritability, mood swings, and increased risk of substance use relapse; May worsen cognitive function, memory, and concentration.
- Sleep: Sleep disturbances or insomnia are common, leading to fatigue and impaired decision-making.
- Relationships: Strained family and social relationships due to withdrawal, secrecy, financial strain, and conflict; can lead to social isolation or codependent dynamics.
- Work and productivity: Lower concentration, absenteeism, reduced performance, and higher error rates; increased job stress and potential job loss.
- Coping patterns: May rely on substances or unhealthy behaviours as maladaptive coping mechanisms, perpetuating a cycle of stress and addiction.
- Physical consequences over time: Nutritional deficiencies, weight changes, and escalation of health problems related to long-term substance use.
- Financial impact: Increased debt and stress related to treatment costs, legal issues, or healthcare expenses.
- Safety risks: Impaired judgment and coordination can raise the risk of accidents at home or work, especially if driving or operating machinery.
If this is about workplace health:
- Encourage early access to support: Employee Assistance Programs, confidential coaching, and access to addiction-focused resources.
- Promote a non-judgmental culture: Normalize seeking help and provide flexible work arrangements during recovery.
- Consider digital supports: Paired with human support, digital programs (e.g., CBT-based modules, mindfulness, and psychoeducation) can reduce stigma and increase engagement.
Suggestions for action:
- Seek professional help for assessment and treatment planning.
- Build a recovery-friendly routine: consistent sleep, regular meals, and scheduled activity.
- Communicate with a trusted supervisor or HR about needs and accommodations.
If you’d like, I can tailor this to a specific workplace context or provide a brief self-check-in for reinforcing coping strategies.
Impact on the United Kingdom Economy
- A high level of addiction-related stress can reduce workforce productivity: more absenteeism, presenteeism, and lower performance, which dampens economic output.
- Increased healthcare and social costs: greater demand for treatment, addiction services, and social support strains public budgets and increases tax burdens.
- Decreased labor force participation: individuals may drop out of work or limit hours, shrinking the effective labor supply.
- Higher crime and enforcement costs: addiction can correlate with crime or legal system strain, diverting resources from productive investment.
- Impacts on investment and savings: uncertainty and financial instability reduce consumer confidence and long-term investment.
- Intergenerational effects: family instability and poorer adolescent outcomes can affect future human capital and long-term economic growth.
Workplace-focused considerations (UK context):
- Supportive employer policies can mitigate these costs: access to confidential counseling, clear return-to-work plans, flexible hours, and substance-use support programs.
- Embed mental health resources in work culture to reduce stigma and encourage early help-seeking.
- Consider partnering with digital mental-health platforms (e.g., October) for group sessions, assessments, and educational content to address addiction-related stress and resilience.
If you’d like, I can tailor this to a specific sector or provide a short action plan for a UK-based organisation.
What can government do to assist?
- Strengthen public health messaging: run national campaigns that normalize seeking help, reduce stigma, and provide clear information on where to access support for addiction.
- Expand access to evidence-based treatment: increase funding for medication-assisted treatment (MAT), counselling, and integrated care that treats co-occurring mental health issues.
- Improve early intervention and prevention: implement school and community programs that teach coping skills, stress management, and healthy coping strategies to reduce initiation and escalation.
- Enhance workforce support: train employers to recognize addiction-related stress, offer confidential employee assistance programs (EAPs), and provide flexible work arrangements to support recovery.
- Invest in harm reduction: expand access to clean supplies, overdose prevention, and safe spaces, while linking individuals to treatment rather than punitive measures.
- Promote social determinants of health: address housing instability, unemployment, and poverty that contribute to addiction stress by cross-sector collaboration.
- Leverage digital tools: offer accessible digital mental health resources, virtual counselling, and online support groups to reduce barriers to care. Consider partnering with platforms like October for group sessions and assessments when appropriate.
If you’re aiming to reduce workplace-related addiction stress specifically:
- Conduct anonymous employee surveys to identify stressors and high-risk roles.
- Provide confidential EAP access and manager training on supportive communication and non-stigmatizing language.
- Create structured return-to-work plans for employees in recovery, with reasonable accommodations and ongoing check-ins.
What can businesses do to assist their employees?
-
Promote a supportive, stigma-free culture: leadership openly discusses mental health and addiction, and managers are trained to respond with empathy and without judgment.
-
Provide access to confidential support: offer employee assistance programs (EAPs), in-house counselling, or partnerships with addiction specialists. Ensure services are easy to access and free of cost to employees.
-
Implement clear policies and resources: publish a comprehensive addiction and substance misuse policy, including confidential reporting channels, return-to-work procedures, and accommodations.
-
Normalize early help and screening: run voluntary, confidential wellbeing screens and provide discreet pathways to help before issues escalate.
-
Offer targeted workplace adjustments: flexible scheduling, reduced shift noise or fast-paced environments, and supportive return-to-work plans for employees in recovery.
-
Train managers and peers: give line managers practical tools to have non-judgmental conversations, recognize warning signs, and direct colleagues to appropriate resources.
-
Create a peer-support network: establish moderated peer-support groups or buddy systems for employees in recovery, with clear boundaries and confidentiality.
-
Promote healthy coping and resilience: provide workshops on stress management, sleep hygiene, sleep-well campaigns, mindfulness, and healthy substitutions to cope with triggers in the work context.
-
Reduce stigma through education: host short lunchtime sessions featuring speakers with lived experience, information on addiction as a health issue, and myths vs. facts.
-
Monitor workload and environment: track workload distribution, avoid chronic understaffing, and address coercive performance pressures that can trigger relapse.
-
Encourage harm-reduction approach: where appropriate, implement policies that reduce risk (e.g., caffeine and energy drink awareness, access to water, healthy lunch options) and provide information on treatments.
-
Provide digital tools and content: use platforms like October to deliver digital group sessions, psychoeducation, and self-guided content on managing cravings, relapse prevention, and planning.
-
Measure impact and adapt: set a small number of metrics (utilization of support services, sickness absence related to substance issues, employee survey sentiment) and review quarterly to refine initiatives.
-
Ensure legal and regulatory compliance: follow UK laws on occupational health, confidentiality, data protection (GDPR), and disability discrimination; consult HR/legal counsel when designing programs.
-
Support managers’ well-being: ensure managers receive supervision and mental health support to prevent burnout, which can contribute to managerial bottlenecks in supporting others.
If you’d like, I can tailor a concise UK-focused plan for your company and suggest October sessions that fit your workforce demographics.