Nova Scotia’s auditor general says the province’s Office of Addictions and Mental Health is not effectively overseeing mental health and addiction services. In an audit, the auditor reports issues that limit how the office can ensure services meet intended standards and outcomes. The audit cites the absence of an access standard, which would guide and measure whether people can obtain services in a consistent and timely way. It also finds limited monitoring, meaning the office does not sufficiently track how programs perform or whether providers are meeting expectations. The auditor further says there is a lack of public reporting on performance, reducing transparency about results for patients and the public. The reports indicate these gaps hinder the office’s ability to evaluate the quality and effectiveness of the services it oversees. The auditor general’s findings highlight the need for stronger oversight practices, including clearer standards, more robust performance monitoring, and greater public disclosure of outcomes.