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Ontario Seniors Face Doubling Opioid Crisis
23 Sep
Summary
- Opioid use disorder in seniors doubled since 2017.
- Around 75% of opioid deaths occurred in younger seniors.
- System readiness for aging opioid users is questioned.

A recent study reveals a significant increase in opioid-use disorder (OUD) among Ontarians aged 55 and older. The number of seniors interacting with the healthcare system for OUD has more than doubled since mid-2017, reaching over 15,000 by the end of 2025. This trend suggests that many individuals who developed OUD over the past decade are now entering older age groups.
The study also reports a substantial rise in opioid toxicity deaths among this demographic. Between 2023 and 2024, approximately 1,087 older adults in Ontario died from opioid toxicity, averaging one death daily. Notably, 75% of these fatalities occurred in individuals between 55 and 64 years old.
Researchers question the healthcare system's preparedness to manage the complex care needs of an aging population with substance use disorders, noting that services may have historically catered to younger individuals. The findings underscore an urgent need to prioritize harm reduction services and adapt clinical infrastructure to support older adults with OUD.
The research analyzed healthcare interactions, treatment use, non-fatal overdoses, and fatalities between January 1, 2013, and December 31, 2025. Data from the Institute for Clinical Evaluative Sciences was utilized to understand trends and circumstances surrounding these deaths.