ImROC has kept a close working relationship with Canadian colleagues and Canadian organisations since 2014. Ongoing work within the Canadian Provinces of Manitoba and Ontario includes the further development of Peer Support Worker Training and Recovery College Development. In 2023/24 ImROC continues to work with the Canadian Centre for Mental Health and Addiction (CAMH) and the Canadian Mental Health Association (CMHA).

ImROC Canada was formed in 2023 acknowledging the development work and the ImROC training and consultancy work that is taking place between mid Canada and the East coast.