Nova Scotia's auditor general, Kim Adair, released a report on June 23, 2026, stating that the province is failing to properly oversee addictions and mental health care services. The report highlights significant gaps in data collection, performance measurement, and accountability across the system.
Key Findings of the Audit
According to Adair, the Nova Scotia Health Authority and the Department of Health and Wellness lack comprehensive data on wait times, patient outcomes, and service utilization for mental health and addictions programs. Without this information, it is impossible to determine whether resources are being used effectively or if patients are receiving timely care.
The audit found that the province has no standardized way to track patients across different programs, making it difficult to coordinate care for individuals with complex needs. Additionally, there is no clear accountability structure for ensuring that targets for access and quality are met.
Impact on Patients
Adair noted that the lack of oversight has real consequences for Nova Scotians seeking help. “Without proper data and performance monitoring, we cannot know if people are getting the care they need when they need it,” she said. The report recommends that the province establish clear performance indicators and regular reporting to improve transparency and accountability.
The auditor general also pointed out that funding for mental health and addictions has increased in recent years, but without measurable outcomes, it is unclear whether the additional money is making a difference.
Government Response
In response, the Nova Scotia government acknowledged the findings and pledged to implement the auditor's recommendations. Health Minister Michelle Thompson said the province is committed to improving data collection and will work with health authorities to develop a new accountability framework. However, no specific timeline was provided for the changes.
The Canadian Mental Health Association's Nova Scotia division expressed concern, stating that the audit confirms what many advocates have been saying for years: the system is fragmented and lacks the oversight needed to serve patients effectively.
