Substance use and work

With the legalization of recreational cannabis in Canada, questions have been raised about patterns of cannabis use at work, the use of cannabis to treat work-related injuries, and the implications of such uses for work productivity, workplace health and safety and work disability management. IWH research examines these questions, as well as questions about the use and effectiveness of narcotics or opioids to treat pain, including pain associated with work injuries, and patterns of opioid-related harms among workers.

Featured

Image of panel members from the March 2024 Opioids and Work workshop hosted by OCRC and IWH
At Work article

Exploring how workplace solutions can mitigate opioid harms among workers

With the recognition that workplaces can play a part in responding to North America’s opioid crisis, the OCRC and IWH brought together over 100 occupational health specialists, government representatives, union advocates, researchers, and others to discuss how to prevent opioid harms among workers.
Published: May 9, 2024
Journal article
Project
Project

Central nervous system agents and the risk of workplace injury and death: a systematic review

IWH is leading a systematic review to determine the level and quality of research evidence on the association between workers’ use of agents that act on the central nervous system (e.g. opioids, cannabis) and the risk of workplace injury, reinjury, near misses and death, including outcomes affecting co-workers and others in the immediate workplace.
Status: Completed 2019
pills_open_bottle_hydrocodone
Impact case study

WSIB narcotics strategy reducing harm and spending

IWH opioid and chronic pain expert, Dr. Andrea Furlan, helps shape new rules in her role on drug advisory committee.
Published: December 2014
Project
Project

Strategies to support the appropriate use of prescription opioids: a systematic review

IWH led a multi-partner team in a systematic review that sought to answer this question: What are the existing strategies, frameworks, collaborative networks and materials that promote the appropriate use of prescription opioids and/or to reduce the abuse of these drugs?
Status: Completed 2017
Faceless doctor holds opioids in hands
Impact case study

IWH expertise key to opioid guideline, tool development

Work on Canadian opioid guideline in turn leads to development of opioid management tool and helps launch IWH scientist's profile as opioid expert.
Published: July 2012
Project
Project

Understanding the use and impact of early opioid prescriptions for work-related low-back pain

Do opioids prescribed in the early weeks of a new workers’ compensation lost-time claim for low-back pain result in prolonged work disability? This was one of the questions asked by an IWH research team looking at the opioid prescription patterns with respect to low-back pain.
Status: Completed 2017