학술논문
Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.
Document Type
Editorial & Opinion
Author
Arevian AC; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.; Jones F; Healthy African American Families II, Los Angeles, CA.; Moore EM; VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.; UCLA National Clinician Scholars Program, Los Angeles, CA.; Goodsmith N; VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.; UCLA National Clinician Scholars Program, Los Angeles, CA.; Aguilar-Gaxiola S; Department of Clinical Internal Medicine, School of Medicine, and Center for Reducing Health Disparities, UC Davis, Davis, CA.; Ewing T; California Mental Health Services Oversight and Accountability Commission, Sacramento, CA.; Siddiq H; UCLA National Clinician Scholars Program, Los Angeles, CA.; UCLA Resource Center for Minority Aging Research, Resource Centers for Minority Aging and for Health Improvement of Minority Elderly, Los Angeles, CA.; Lester P; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.; Cheung E; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; Ijadi-Maghsoodi R; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.; UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.; UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.; Gabrielian S; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.; UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.; Sugarman OK; Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.; Bonds C; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; Los Angeles County Department of Mental Health, Los Angeles, CA.; Benitez C; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; Los Angeles County Department of Mental Health, Los Angeles, CA.; Innes-Gomberg D; Los Angeles County Department of Mental Health, Los Angeles, CA.; Springgate B; Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.; Haywood C; Louisiana Community Health Outreach Network, New Orleans, LA.; Meyers D; St. Anna's Episcopal Church, New Orleans, LA.; Sherin JE; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; Los Angeles County Department of Mental Health, Los Angeles, CA.; University of Southern California, Los Angeles, CA.; Wells K; Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.; VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.; UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.; UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.; UCLA Fielding School of Public Health, Los Angeles, CA.; UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.
Source
Publisher: Ethnicity & Disease, Inc Country of Publication: United States NLM ID: 9109034 Publication Model: eCollection Cited Medium: Internet ISSN: 1945-0826 (Electronic) Linking ISSN: 1049510X NLM ISO Abbreviation: Ethn Dis Subsets: MEDLINE
Subject
Language
English
Abstract
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.
Competing Interests: Competing Interests: ACA is founder of Chorus Innovations, Inc., Open Science Initiative, and Arevian Technologies, Inc.
(Copyright © 2020, Ethnicity & Disease, Inc.)
Competing Interests: Competing Interests: ACA is founder of Chorus Innovations, Inc., Open Science Initiative, and Arevian Technologies, Inc.
(Copyright © 2020, Ethnicity & Disease, Inc.)