There are things that can be done to address loneliness and social isolation.
This resource brings together the policy ideas, from Canada and from around the world, that governments, communities, schools, workplaces, and care systems can act on. It is a working library for the people doing that work: a place to find the levers, the precedents, and the next steps.
Loneliness and social isolation are shaped by public conditions: housing, transit, income, care, and the design of the places we live. They can be addressed by changing those things, and people, in many countries, already are. This resource gathers what they have done, and what could be done here.
Where the work happens.
The policies in this resource span several policy domains, the broad areas where governments and communities can act. Each policy domain makes its own case for the work that needs doing.
What governments, organizations, and communities can do about loneliness.
A working catalogue of policies and practices that reduce social isolation, spanning every level of government, the institutions people pass through daily, and the neighbourhoods and groups they belong to. Narrow the list by who could implement a policy and by the populations it most directly serves. Entries with a fully developed brief are marked.
Suggest a policy or practice.
Know an intervention that should be in this resource? Propose it — your suggestion is sent to the team for review and possible inclusion.
The policies you've endorsed.
A running list of the policies and practices you've signalled deserve attention. Your endorsements are saved to your account, so this list follows you across devices.
A working library to build from.
This resource exists to make the policy conversation about loneliness and social isolation in Canada more concrete. It collects the policies and practices that already exist, somewhere, in some form, and the proposals that have not yet been tried here, so that the people thinking about what to do next have something to start from.
What this is
An interactive, browsable directory of policies and practices. Each one is treated as something a reader can pick up, modify, combine, or set aside. Where the work has been done, you'll find a fully developed brief: the proposal as it would apply in Canada, the rationale connecting it to loneliness, examples from jurisdictions that have already implemented something close, the evidence base, and an honest path to making it real here. Where the work is still ahead, you'll find a placeholder that names the policy and tells you which actors and populations it most concerns.
The resource is built around two ways of finding things. You can browse by policy domain, the broad areas where work happens. Or you can open the directory and filter by the actor who could implement a policy, and the population it would most directly serve.
What this isn't
It does not endorse any particular policy. Different ideas suit different orders of government, different communities, and different political moments. It offers references to weigh rather than prescriptions to follow.
It is also not finished, and probably never will be. New policies and practices will be added as they surface; existing ones will be revised or removed as evidence develops. If something looks wrong, or if there's a policy you think belongs here and doesn't, please get in touch.
Who this is for
Public servants developing federal, provincial, or municipal strategies. Parliamentarians and political staff drafting platforms, briefs, and legislation. Civil society organizations advocating for specific reforms. Community foundations and funders deciding where to put resources. Researchers situating their work in a policy frame. Anyone tired of "we should do something about loneliness" who is looking for a starting point for what.
Social prescribing infrastructure.
Embed trained link workers in primary care who connect patients to non-medical community supports, community groups, peer programs, volunteering, arts, nature, financial advice, as a clinically prescribed pathway out of isolation.
Loneliness is a presenting issue in primary care, but family doctors lack the time and the connections to treat it. A national social prescribing infrastructure, funded link worker positions in every primary care home, supported by a directory of vetted community programs and a referral platform, gives clinicians a reliable, evidence-based pathway for what is, for many older adults and chronically isolated patients, the most important determinant of their health.
The proposal
Fund a permanent community link worker workforce attached to primary care teams (family health teams, community health centres, Indigenous primary care, FQHC-style clinics). Each link worker holds a manageable caseload (typically 200–300 active patients per year), accepts referrals from physicians and nurse practitioners, conducts a what-matters-to-you conversation, and co-designs a non-medical "social prescription", most often a referral to a community program, but sometimes practical help with transportation, benefits, housing, or grief support.
The infrastructure has four parts:
- The workforce. Provincial funding formulas that pay for ~1 link worker per 10,000 rostered patients, with wage parity to social workers.
- The directory. Province-by-province, 211-integrated, vetted databases of community programs link workers can refer to in seconds.
- The clinical pathway. EMR fields for loneliness screening (UCLA-3 or De Jong Gierveld), referral templates, and outcome tracking.
- The community capacity. Operating grants to receiving organizations, so demand surfaced by referrals does not collapse under-resourced groups.
Why it matters
Loneliness is a clinical signal but rarely a clinical treatment. Primary care has the trust and the population reach to identify isolation, but no toolkit for it. When a family doctor says "you should get out more," nothing happens. When a link worker says "I'll meet you at the community kitchen on Tuesday, and I've talked to the coordinator about you," something often does.
For older adults, the demographic most at risk of severe isolation, social prescribing is one of the only health-system interventions with a meaningful evidence base for reducing loneliness, increasing perceived support, and lowering emergency department use.
Putting this work inside the health system (rather than alongside it) is the design choice that matters most. It medicalizes connection in the only sense that helps, it makes it part of the patient's chart, the clinician's plan, and the system's funded workload. It also reaches the people most likely to be missed by community-based outreach: the housebound, the recently widowed, and the patients whose only routine human contact is their GP.
Jurisdictions where it exists
NHS England Link Worker Programme
Following the 2019 NHS Long Term Plan, England funded social prescribing link workers in every Primary Care Network. As of 2024 there are well over 3,500 link workers across the system, embedded in primary care, with NHS England providing salary funding and the National Academy for Social Prescribing providing national infrastructure, training standards, and evaluation.
Rx: Community, Ontario
The Alliance for Healthier Communities ran Canada's first social prescribing initiative in 2018–19 across 11 community health centres. Over 1,100 clients received roughly 3,300 social prescriptions; participants reported improved mental health, greater self-management capacity, and decreased loneliness. Several CHCs continue the work; province-wide funding has not followed.
PHAC implementation guides (2024)
The Public Health Agency of Canada published implementation and evaluation guides for the "Access to Resources in the Community" social prescribing model in September 2024, drawing on Canadian pilots. The guides help organizations adopt the model but stop short of national funding.
CCSMH Clinical Guidelines (2024)
The Canadian Coalition for Seniors' Mental Health released the world's first clinical guidelines on social isolation and loneliness in older adults, with 17 evidence-informed recommendations that include social prescribing. The guidelines create professional consensus but require funding to act on.
Evidence
Evidence on social prescribing is positive but uneven. Outcome measurement is hard, RCT-grade evidence is limited, and effects depend heavily on local community capacity. The case for funding is strong; the case for claiming universal effectiveness is not. Build in evaluation from day one.
Path to reality in Canada
- Federal commitment via the Canada Health Transfer. A targeted, multi-year envelope through bilateral health agreements, conditional on each province standing up a link worker workforce within primary care.
- Provincial workforce planning. Each province sets a target ratio (link workers per rostered population), funds the positions through primary care vehicles (Family Health Teams in Ontario, GMFs in Quebec, Primary Care Networks in Alberta, CLSCs and CHCs everywhere).
- National professional infrastructure. A Canadian counterpart to the UK's National Academy for Social Prescribing, training standards, an evidence registry, an evaluation framework, peer learning.
- EMR integration. Loneliness screening fields (UCLA-3 minimum), referral templates, outcome tracking. Province-level EMR vendors are the leverage point.
- Community capacity grants. Multi-year operating funding to receiving organizations so the receiving end of the prescription does not collapse under referral volume.
- Evaluation built in. A sunset clause and a published evaluation framework from year one, population-level outcomes, equity-disaggregated.
References
- Alliance for Healthier Communities. Rx: Community: Social Prescribing in Ontario, Final Report (2020).
- National roll-out of social prescribing in England's primary care system. The Lancet Public Health (2025).
- National Academy for Social Prescribing. Link Worker Survey (2025).
- Public Health Agency of Canada. Guides for facilitating the implementation and evaluation of social prescribing, HPCDP Vol 44(9), Sept 2024.
- Canadian Coalition for Seniors' Mental Health. Canadian Clinical Guidelines on Social Isolation and Loneliness in Older Adults (2024).
Co-housing & intentional community zoning and grants.
Remove the zoning, financing, and pre-development barriers that have made co-housing, a built form with social connection literally designed into the floor plan, vanishingly rare in Canada despite four decades of demonstrated success elsewhere.
Co-housing pairs private dwellings with shared common space, governed by residents who know each other on purpose. It is not a tenure or an income program, it is a design pattern that produces neighbourly connection as a byproduct of how the buildings sit on the land. Canada has fewer than two dozen built communities. The barrier is not demand; it is that zoning, financing, and pre-development risk are calibrated for conventional condo and detached forms.
The proposal
A coordinated package across three orders of government that treats co-housing, and adjacent intentional community forms (cooperative housing, community land trusts, ecovillages), as a recognized building type with its own zoning permissions, financing tools, and pre-development supports.
- Zoning as-of-right. Municipal zoning bylaw amendments that permit co-housing as-of-right in residential and mixed-use zones, with parking minimums reduced and common house space exempted from FSI calculations.
- CMHC financing track. A dedicated CMHC product for co-housing, pre-development loans, construction financing, and take-out mortgages that recognize the collective decision-making timeline and the resident-driven design process.
- Pre-development grants. Provincial grants of $50–150K for pre-formation groups to cover feasibility, architectural concept, and legal incorporation, the period in which most Canadian co-housing groups quietly dissolve.
- Land access. First-right-of-refusal on surplus public land (federal, provincial, municipal) for incorporated co-housing groups, including former hospital and school sites.
- Senior co-housing track. A specific stream within the National Housing Strategy for senior and multigenerational co-housing.
Why it matters
Most of Canada's housing stock, detached homes, condos, mid-rise rentals, was designed with no social architecture at all. Hallways are double-loaded corridors that residents walk through with their heads down. Lobbies are transactional. Backyards are private. The result, especially for older adults living alone, is that simply existing in your own home produces almost no incidental contact with anyone.
Co-housing inverts this. Parking is at the perimeter, so residents walk through shared paths to reach their door. Kitchens face the common courtyard. There is a common house where residents share meals two to four times a week. Younger residents notice when an older neighbour's lights don't come on.
Residents own (or rent) private, fully equipped homes. They share meals, tools, a guest suite, and decision-making, by choice and by schedule, not by ideology. The intentional community is the building's relationship to itself, not a lifestyle requirement.
Jurisdictions where it exists
Bofællesskab
Denmark invented the modern co-housing form in the 1970s and now has hundreds of communities housing tens of thousands of residents, supported by municipal land allocation and Realkredit financing structures that accommodate cooperative ownership.
Harbourside Cohousing, Sooke BC
Opened January 2016 on a 2.7-acre waterfront site: 31 strata-titled homes across three duplexes, three fourplexes, and a three-storey apartment building. First senior co-housing in BC and only the second in Canada. Includes a care suite, a commitment to "co-care" (voluntary neighbourly mutual support), and a required weekend course on aging well.
Quayside Village, North Vancouver
19 dwellings in townhouse and stacked-apartment forms, arranged around a central courtyard that functions as the community's heart. Layout was intentionally designed to facilitate social interaction.
The Cohousing Association of the U.S.
Over 165 built co-housing communities, plus ~140 in formation. Many municipalities (Boulder, Portland, Davis CA) have made zoning changes to enable the form.
Evidence
Co-housing residents are a self-selected population, people willing to commit to years of group decision-making before they move in. Outcomes data partly reflects selection effects, not just the built form. The policy case is for removing barriers so this form is available to those who want it, not for assuming it would work for everyone.
Path to reality in Canada
- National Housing Strategy stream. A dedicated co-housing and intentional community stream within the next NHS allocation, with $200–400M over five years for pre-development grants, CMHC financing innovation, and capital contributions for affordable units within co-housing developments.
- CMHC product design. A working group with the Canadian Cohousing Network and credit-union sector to design financing products that accommodate the resident-led development timeline (typically 4–7 years from group formation to occupancy).
- Provincial enabling legislation. Model legislation that authorizes municipalities to permit co-housing as-of-right and adopt cooperative-friendly tenure structures.
- Municipal zoning reform. Template bylaw amendments that municipalities can adopt: as-of-right in residential zones, reduced parking minimums, common-house FSI exemption, and overlay zones around transit and senior services.
- Surplus land catalogue. Federal, provincial, and municipal inventories of surplus public land with a defined right-of-first-refusal process for incorporated co-housing groups, especially on closed school and hospital sites.
- Pre-development support hub. Funded technical assistance through the Canadian Cohousing Network, facilitation, legal templates, architectural advisors, so groups in formation make it to construction.
A dedicated minister or cabinet portfolio with cross-government authority.
Name a Minister responsible for Social Connection, with a mandate letter, a small secretariat, and cross-government convening authority, so that loneliness becomes a file that someone in Cabinet owns rather than a theme that everyone gestures at.
Both the UK (2018) and Japan (2021) appointed national ministers for loneliness. The lesson from each is the same: the minister itself matters less than the apparatus the minister builds, a strategy, an annual report, cross-departmental coordination, a budget line, and a measurement framework. Without those, the title is symbolic. With them, it becomes the only way a horizontal issue like loneliness ever moves through a vertically organized government.
The proposal
Designate a Minister (or, more realistically in the Canadian Cabinet structure, an associate minister or a junior minister with a defined portfolio) responsible for social connection. Pair the appointment with five things, without which it is theatre:
- A mandate letter that names the issue, sets a multi-year strategy as a deliverable, and assigns specific accountability for cross-departmental coordination.
- A secretariat within the Privy Council Office or Health Canada, small (10–20 FTEs), senior, with policy and convening capacity.
- A statutory or directive-based requirement to publish an annual report on the state of social connection in Canada, with disaggregated data.
- A standing inter-departmental committee at ADM level, Housing, Transport, Indigenous Services, Seniors, Public Health, Statistics Canada, Justice, so the minister has standing convening authority.
- A dedicated budget line in the Main Estimates separate from general health or seniors spending.
Why it matters
Loneliness is a horizontal problem in a vertical bureaucracy. The drivers, housing form, transit access, primary care, hearing loss, bereavement, retirement, immigration, language, internet access, sit in a dozen different departments. Without a named owner, every department reasonably assumes it is somebody else's file. Mandate letters rule federal government priorities; if loneliness isn't in a mandate letter, it isn't on any deputy minister's planning agenda.
The minister also creates external visibility. Civil society organizations need a federal counterpart to engage; provincial ministries need an interlocutor; international peers (the UK's strategy, Japan's Act, WHO's Commission on Social Connection 2024–2026) need a Canadian counterpart at the table.
The UK appointment in January 2018 was widely covered and changed the public conversation about loneliness almost overnight. That's the symbolic value. The substantive value came from the strategy, the annual report, and the funding that followed. A Canadian minister without the latter would be derided as a stunt; with the latter, it would be the most consequential federal social-policy announcement in years.
Jurisdictions where it exists
Minister for Loneliness (first in the world)
Appointed by Theresa May in January 2018 following the December 2017 Jo Cox Commission on Loneliness report. The portfolio launched the cross-departmental strategy A Connected Society later that year, 50+ commitments across departments, three pillars. Annual reports published since 2019.
Minister for Loneliness and Isolation
Appointed in February 2021 in response to deepening of isolation during COVID and an associated rise in suicide among women. The portfolio led to the Act on Promotion of Measures Against Loneliness and Isolation, effective April 1, 2024, the world's first comprehensive statutory framework on loneliness and isolation.
UK–Japan joint ministerial meetings
Since June 2021 the UK and Japanese loneliness ministers have held joint meetings and issued joint communiqués on measurement, intervention design, and stigma reduction.
National Seniors Council recommendation (2013)
The federal NSC recommended a pan-Canadian national strategy on social isolation and loneliness over a decade ago. The recommendation has been reiterated by the Canadian Coalition for Seniors' Mental Health and others, but no minister, strategy, or statute has followed.
Evidence
The UK's loneliness ministry has been criticized for thinness, small budgets, slow follow-through, and difficulty measuring whether it has actually reduced loneliness in the population. The lesson is not "don't do it" but "don't do only this." A minister without the rest of the menu here is a position without leverage.
Path to reality in Canada
- Cabinet decision. A Prime Minister adds "Minister of State for Social Connection" (or equivalent) to the next Cabinet, with a published mandate letter listing four to six concrete deliverables.
- Stand up the secretariat. Within 90 days, a secretariat is established (PCO Social Development or Health Canada Office of Social Connection), staffed with senior policy capacity and a Statistics Canada secondment.
- National strategy within 18 months. A whole-of-government strategy published, modelled on the UK's A Connected Society, with cross-departmental commitments, measurable targets, and explicit Indigenous, provincial, and municipal coordination provisions.
- Statutory framework within the term. Introduce loneliness framework legislation, Japan's Act as the model, establishing duties, reporting, and a five-year statutory review.
- Annual reporting. First annual report to Parliament within 24 months, with disaggregated population data.
- Federal–provincial–territorial table. An FPT ministerial table established, modelled on existing FPT health and seniors tables, to coordinate the orders of government on which most loneliness interventions actually depend.
References
- UK Government. A Connected Society: A Strategy for Tackling Loneliness (2018).
- UK Government. Joint message from the UK and Japanese Loneliness Ministers.
- Institute for Social Vision & Design. Two Years Since the Act on Loneliness and Isolation.
- National Seniors Council (Canada). Dialogue: Preventing Social Isolation and Loneliness.
