When you’re starting to drown between employee concerns, payroll duties and helping your CEO -- HR Insider is there to help get the logistical work out of the way.
Need a policy because of a recent regulatory change? We’ve got it for you. Need some quick training on a specific HR topic? We’ve got it for you. HR Insider provides the resources you need to craft, implement and monitor policies with confidence. Our team of experts (which includes lawyers, analysts and HR professionals) keep track of complex legislation, pending changes, new interpretations and evolving case law to provide you with the policies and procedures to keep you ahead of problems. FIND OUT MORE...
Understanding the Difference Between Mental Health Days and Sick Days: A Guide for Canadian Employers

As conversations around workplace mental health gain momentum in Canada, employers increasingly grapple with distinguishing between traditional sick days and mental health days. While both types of leave are designed to support employee wellbeing, significant differences exist in how they are perceived, managed, and regulated across Canada. For employers, understanding these nuances is essential—not only for legal compliance but also for fostering healthier, more productive workplaces.

Defining Sick Days Vs. Mental Health Days

Historically, sick days have been straightforward. An employee feeling physically unwell, experiencing an illness, or recovering from injury would use a sick day. Common examples include flu, injuries, or infections. However, mental health days—time off explicitly intended to relieve stress, anxiety, depression, or mental fatigue—are increasingly recognized as essential to employee wellness.

Mental health days are typically taken when an employee feels mentally or emotionally overwhelmed and needs time away from work to recuperate. This could be due to stress, burnout, anxiety episodes, or other mental health challenges that significantly impact their ability to function effectively at work.

Employers in Canada need to acknowledge that mental health concerns are as valid and serious as physical illnesses. Mental health days, therefore, should be treated with equal sensitivity and confidentiality as traditional sick days.

Legal Context and Jurisdictional Differences

Canadian employment law around sick days and mental health days varies by province and territory, with federal guidelines applying to federally regulated industries like banking and telecommunications. The following comprehensive table outlines jurisdictional differences across Canada.

Province/Territory Sick Days Allowance Mental Health Days Recognition
Federal Up to 10 paid sick days annually. Explicitly includes mental health.
Ontario Up to 3 paid sick days annually; varies by employer. Mental health covered under "personal emergency leave".
British Columbia 5 paid sick days annually. Mental health included in "illness or injury" leave.
Québec 2 paid sick days annually; additional unpaid leave. Broadly covers mental health under illness-related absences.
Alberta No mandated paid sick days; varies by employer. Mental health absences typically considered under general illness.
Manitoba 3 unpaid days for sick leave. Mental health implicitly recognized within sick leave provisions.
Saskatchewan 12 unpaid days annually. Mental health implicitly recognized within general illness leave.
Nova Scotia 3 unpaid sick leave days. Mental health implicitly recognized within general illness leave.
New Brunswick 5 unpaid sick leave days. Mental health implicitly recognized within general illness leave.
Prince Edward Island 3 unpaid sick leave days. Mental health implicitly recognized within general illness leave.
Newfoundland & Labrador 7 unpaid sick leave days. Mental health implicitly recognized within general illness leave.
Northwest Territories 5 unpaid sick leave days. Mental health implicitly recognized within general illness leave.
Nunavut No specific mandated sick leave. Mental health implicitly recognized within general illness leave.
Yukon 12 unpaid sick leave days. Mental health implicitly recognized within general illness leave.

These jurisdictional differences highlight the importance of employers clearly understanding their obligations in each province or territory where they operate.

Issues Employers Face

Canadian employers face various issues regarding the integration of mental health days into existing sick leave frameworks. A common challenge is stigma - some managers or supervisors might perceive mental health days as less legitimate, leading to reluctance among employees to disclose the true reasons for their absences.

Employers must also navigate privacy concerns. Mental health is sensitive, and employees may fear stigma or judgment. Ensuring confidentiality and creating a culture of trust are critical in addressing these concerns effectively.

Generational Perspectives and Potential Misuse

Generational differences can influence how mental health days are viewed and utilized. Millennials and Gen Z employees, who are more likely to openly discuss mental health, may be more inclined to use and advocate for mental health days. Conversely, older generations may perceive mental health days as unnecessary or indicative of weakness, fostering misunderstanding or skepticism in multi-generational workplaces.

Employers must also consider potential misuse. Critics sometimes suggest younger generations use mental health days casually, without genuine mental health concerns. However, research suggests that employees who feel supported in their mental health are less likely to misuse such benefits. Therefore, a well-communicated policy and supportive work environment significantly mitigate this risk.

Managing Excessive Absences and Abuse

Employers often face challenges when an employee exhausts their allotted sick and mental health days. Employers are permitted to request medical documentation after an employee has used several days to verify legitimate use. This documentation typically includes a doctor's note or a healthcare professional’s certification confirming the need for the absence due to physical illness or mental health conditions.

If an employer suspects abuse, they must handle the situation sensitively and legally. Employers may request further evidence or documentation but must respect employee privacy and confidentiality. Dialogue is crucial—open communication to discuss patterns of absenteeism can reveal underlying issues, including the need for additional support or workplace accommodations.

Disciplining Employees for Abuse

Disciplining employees suspected of abusing sick or mental health days is legally sensitive. Employers must carefully document any disciplinary action and ensure policies around absenteeism and misuse of sick days are clearly communicated to all employees.

However, disciplinary actions must be handled delicately, particularly regarding mental health. Incorrectly or unfairly disciplining an employee claiming mental health issues can lead to allegations of discrimination under Canadian human rights laws. Employers should consult legal counsel or human resources experts before taking any disciplinary measures to ensure compliance with employment standards and human rights legislation.

Proposed Changes For 2026 And Beyond

Several Canadian provinces and the federal government are actively discussing legislative changes aimed at better recognizing mental health in employment standards. Proposals include expanding paid sick leave provisions explicitly to include mental health days, requiring employers to have dedicated mental health support programs, and increasing mental health training requirements for management and HR staff.

Federally, there is ongoing advocacy for more comprehensive mental health provisions within employment insurance and labor codes, potentially leading to standardized national guidelines.

Conclusion

Canadian employers must recognize the essential distinction between mental health days and traditional sick days. Treating both with equal seriousness is not just legally prudent; it is vital for maintaining a healthy, engaged workforce. As attitudes toward mental health continue evolving, employers who proactively support mental health through clear policies and compassionate workplace culture will undoubtedly see the greatest benefits.