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.
Ethn Dis. 2020 Sep 24;30(4):695-700. doi: 10.18865/ed.30.4.695. eCollection 2020 Fall.
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.
2019 年的冠状病毒大流行（COVID-19）导致数以百万计的美国人的日常生活发生了前所未有的变化，例如失业、学校停课、居家令以及健康和死亡率方面的后果。反过来，医生、学者和政策制定者也将注意力转向 COVID-19 对公众心理健康的影响。本评论从现场报道，综合了来自州、县和地方各级的学术、社区、卫生系统和政策领导人对 COVID-19 大流行期间社区心理健康需求的看法。利益相关者指出了心理健康挑战的广泛公共卫生范围，同时对现有获取机会和不利社会决定因素的恶化表示担忧，包括感染率高的社区，例如非裔美国人和拉丁裔。他们注意到向远程医疗和远程护理的快速转变，以及了解变化影响的重要性，包括谁可能受益或获取机会有限，这对未来的服务提供具有影响。还指出了扩大心理健康劳动力和培训的需求，以及针对当地人口定制的数字资源扩大对压力源的适应力可能具有公共卫生价值。COVID-19 大流行导致了医疗服务在人群和系统中的提供方式发生了变化。对 COVID-19 对心理健康影响的关注增强了对远程精神保健和预防服务的兴趣，同时注意到潜在的差距扩大和需要解决健康的社会决定因素。整个系统的持续质量改进可以整合经验教训，以增强公众的心理健康。
