Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Delivery of Health Care
/ organization & administration
Health Services Needs and Demand
/ organization & administration
Humans
Mental Health
/ trends
Organizational Innovation
Pandemics
/ prevention & control
Pneumonia, Viral
/ epidemiology
Public Health
/ methods
Quality Improvement
SARS-CoV-2
United States
/ epidemiology
COVID-19
Community
Mental Health
Journal
Ethnicity & disease
ISSN: 1945-0826
Titre abrégé: Ethn Dis
Pays: United States
ID NLM: 9109034
Informations de publication
Date de publication:
2020
2020
Historique:
entrez:
29
9
2020
pubmed:
30
9
2020
medline:
8
10
2020
Statut:
epublish
Résumé
The coronavirus pandemic of 2019 (COVID-19) has created unprecedented changes to everyday life for millions of Americans due to job loss, school closures, stay-at-home orders and health and mortality consequences. In turn, physicians, academics, and policymakers have turned their attention to the public mental health toll of COVID-19. This commentary reporting from the field integrates perceptions of academic, community, health system, and policy leaders from state, county, and local levels in commenting on community mental health needs in the COVID-19 pandemic. Stakeholders noted the broad public health scope of mental health challenges while expressing concern about exacerbation of existing disparities in access and adverse social determinants, including for communities with high COVID-19 infection rates, such as African Americans and Latinos. They noted rapid changes toward telehealth and remote care, and the importance of understanding impacts of changes, including who may benefit or have limited access, with implications for future services delivery. Needs for expanded workforce and training in mental health were noted, as well as potential public health value of expanding digital resources tailored to local populations for enhancing resilience to stressors. The COVID-19 pandemic has led to changes in delivery of health care services across populations and systems. Concerns over the mental health impact of COVID-19 has enhanced interest in remote mental care delivery and preventive services, while being mindful of potential for enhanced disparities and needs to address social determinants of health. Ongoing quality improvement across systems can integrate lessons learned to enhance a public mental well-being.
Identifiants
pubmed: 32989370
doi: 10.18865/ed.30.4.695
pii: ed.30.4.695
pmc: PMC7518533
doi:
Types de publication
Editorial
Langues
eng
Sous-ensembles de citation
IM
Pagination
695-700Informations de copyright
Copyright © 2020, Ethnicity & Disease, Inc.
Déclaration de conflit d'intérêts
Competing Interests: ACA is founder of Chorus Innovations, Inc., Open Science Initiative, and Arevian Technologies, Inc.
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