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National Guidance for AI in Mental Health and Substance Use Health Care

Overview

The Mental Health Commission of Canada (the Commission) and the Canadian Centre on Substance Use and Addiction (CCSA) are leading the development of Canada’s first national guidance for the use of artificial intelligence (AI) to support mental health and substance use health (MHSUH).

AI is increasingly being used for healthcare triage, service navigation, service delivery, and communication, but service providers, developers and users have no guidelines specific to mental or substance use health to support its effective and safe use. The recently published E-Mental Health Strategy for Canada highlights the need for safety in this field.

National polling conducted by the Commission and Mental Health Research Canada (n = 3,519) in February 2026 highlights a significant gap between AI innovation and public confidence.

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These findings reinforce the importance of human oversight, transparency, accountability, and meaningful consent in building public trust in AI-enabled MHSUH care.

This multi-year initiative responds to a clear and urgent need for practical, ethical, and system-informed direction to support the safe, effective, and equitable use of AI in care delivery. A multi-phase mixed methods approach is being used to synthesize existing evidence and gather new data by consulting with a diverse range of experts in multiple sectors.

A national steering committee provides strategic oversight and expert advice. The committee includes individuals with expertise in clinical practice, policy, AI, ethics, data governance, and lived and living experience, including First Nations, Métis, and Inuit perspectives. It guides project priorities and ensures diverse perspectives are integrated, and members of the committee champion uptake through their networks.

The steering committee is complemented by a multidisciplinary health-care professionals advisory group representing a broad range of front-line disciplines (e.g., physicians, nurses, psychologists, social workers, peer support workers, and community practitioners). Acting in a consultative capacity, the group provides practice-informed input to ensure the guidance is relevant, feasible, and grounded in real-world care and implementation contexts.

The current phase of work represents a critical shift from conceptual considerations to the development of actionable guidance, implementation-oriented criteria, and practical resources to support adoption across the MHSUH ecosystem.

What we learned

Findings from an environmental scan, literature review, and consultations with clinicians, researchers, policy makers, digital and AI tool developers, and people with lived and living experience reinforced three core themes related to the use of AI to support MHSUH.

From transparency to usable clarity

It is important to ensure that AI tools can be understood, evaluated, and used responsibly in practice. The focus must shift toward practical clarity to help users make relevant decisions. Practitioners require sufficient AI literacy to understand when and how tools should be used responsibly and to have confidence in the reliability of the tools’ outputs.

Preserving the therapeutic relationship

AI should enhance care without disrupting the therapeutic relationship. Human-centred care must remain foundational, with AI supporting rather than replacing human connection, empathy, and clinical judgment.

Addressing structural risk

Fairness, inclusion, privacy, and responsible data use must be promoted while recognizing and preparing for inevitable risks.

The Commission and CCSA developed a short resource highlighting the work to date, key insights, and next steps.

Steering Committee Members

The Steering Committee provides strategic advice and oversight, ensuring that diverse perspectives, including lived and living experience, First Nations, Métis and Inuit perspectives, ethics, equity, legal, and technical expertise, are integrated into the guidance.

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Dr. Aislin R. Mushquash

  • Associate Professor; Lakehead University Research Chair in Youth Mental Health; Clinical Psychologist, Lakehead University  

Al Raimundo

  • Person with lived experience/Technical experience  

Dr. Allison Crawford, MD, PhD

  • Chief Medical Officer, 9-8-8 Suicide Crisis Helpline

    Professor Departments of Psychiatry and Dalla Lana School of Public Health, University of Toronto

    Psychiatrist, Centre for Addiction and Mental Health 

Anthony Esposti

  • CEO, CAPSA

Ashley Silversides

  • Treatment Manager
    Mamisarvik Healing Centre

Carly Straker

  • Manager, System Quality and Integration, Mental Wellness and Addictions Recovery Division, Government of the Northwest Territories

Chris Cull

  • Strategic and Technical Advisory Group on Mental Health, Neurological and Substance Use Conditions

    World Health Organization 

Dr. Christopher DiCarlo

  • Principal/Founder, Critical Thinking Solutions

Dr. Christopher Mushquash

Dr. David Martell

  • Physician Lead, Addiction Medicine – Mental Health & Addictions Program, Nova Scotia Health

Dr. David Wiljer, PhD

  • Associate Dean, CPD, Temerty Faculty of Medicine;

    Professor (status only), Department of Psychiatry and IHPME,

    University of Toronto; Scientist, The Wilson Centre;

    Executive Director, Education Technology Innovation, 

    University Health Network.

Jason Miller

Jeannie Borg RN, MA Leadership

  • Director of Clinical Informatics and Digital Health, Waypoint Centre for Mental Health Care

Jennifer Dahak

Jonathan Morris

  • CEO, Canadian Mental Health Association BC Division

Kim Kulbacki

Dr. Leslie E. Roos

Associate Professor, Departments of Psychology & Pediatrics; Licensed Clinical Psychologist; Clinical Scientist at Children’s Hospital Research Institute of Manitoba; CIHR Implementation Science Chair in Human Development, Child, and Youth Health

The University of Manitoba

Norm Odjick

  • Director General, Algonquin Anishinaabeg Nation Tribal Council

Rebecca Jesseman

  • Executive Director, Mental Health and Addictions, Health PEI

Russell Greiner

Professor, Department of Computing Science, University of Alberta

Adjunct Professor, Department of Psychiatry, University of Alberta

Canada CIFAR AI Chair and Fellow-in-Residence, Alberta Machine Intelligence Institute (Amii) 

Stephanie Thevarajah

Valerie Pisano

  • President & CEO, MILA

Health Care Professional Advisory Group

The Health Care Professional Advisory Group provides clinical and practice-informed input, expertise, and advice focused on implementation realities, professional considerations, and frontline care contexts.

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Dr. Conrad Sichler

  • Medical Psychotherapy Association of Canada

Dr. Devin Fowlie

  • Canadian Psychological Association

Dr. Erin Knight

  • Canadian Society of Addiction Medicine

Florence Budden

  • Canadian Federation of Mental Health Nurses

Dr. Hance Clarke

  • Canadian Pain Society

Karina Albert

  • Canadian Counselling and Psychotherapy Association

Dr. Leyna Lowe

  • Canadian Mental Health Association

Lisa Diamond-Burchuk

  • Canadian Association of Occupational Therapists

Mayce Al-Sukhni

  • Canadian Society of Healthcare Systems Pharmacy Representative

Dr. Norm Buckley

  • McMaster University/Institute for Pain Research and Care

Dr. Sarah Pennisi

  • Canadian Association of Social Workers

Tifaine Magnusson

  • Canadian Society of Healthcare Systems Pharmacy Representative

Tracie Risling

  • Canadian Nurses Association

Dr. Vijay Seethapathy

  • Canadian Psychiatric Association