• More people will use substances. Economic downturn is likely during/after the pandemic, and substance use historically increases during times of economic downturns, and even after previous pandemics where medium- and long-term increases in alcohol and drug use was seen.

2 sets of factors that are all likely outcomes from the pandemic impact substance use.

• Emotional distress, isolation, and unemployment increase alcohol and drug use
• Reduced availiability, higher prices, and financial restrictions decrease substance use