Mental Health and Substance Use Disorders in the Era of COVID-19 The Impact of the Pandemic on Communities of Color: Proceedings of a Workshop—in Brief (2021) / Chapter Skim
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Mental Health and Substance Use Disorders in the Era of COVID-19: The Impact of the Pandemic on Communities of Color: Proceedings of a Workshop - in Brief
Mental Health and Substance Use Disorders in the Era of COVID-19: The Impact of the Pandemic on Communities of Color: Proceedings of a Workshop - in Brief
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the mental health well-being of the health care workforce -- each with a particular focus on the impact of the pandemic on communities of color and how the pandemic has created, revealed, and exacerbated longstanding racial and ethnic disparities in behavioral health care. This Proceedings of a Workshop -- in Brief summarizes the presentations and discussions that occurred at the workshop.
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"They are more likely to have been impacted, and they have existing risk factors that raise their risk of mental health consequences." Gordon explained that treating new or worsening illness in the context of the pandemic can be achieved through the expansion of tele-mental health, although it is important to ensure that tele-mental health does not exclude vulnerable populations or increase disparities. Gordon concluded by noting that NIMH wants to go beyond disseminating knowledge to expanding knowledge, so it has created many funding opportunities and grants to study interventions and their impacts on mental health, particularly among vulnerable populations, including older adults, frontline workers, children, rural and urban populations, and racial and ethnic minorities.
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This crisis has manifested in the scourge of police violence that disproportionately kills Black Americans; in the vestiges of colonization, slavery, and discrimination; in a pandemic that is devastating the population of color; and in the disproportionate mental health impacts in Black communities. Williams reiterated that systemic racism has affected Black and brown Americans long before the pandemic began due to the toll of individual racism (such as having health concerns downplayed by white health care providers)
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. Smedley explained that COVID-19 has exposed inequities that have been persistent for generations, and these inequities are seen within marginalized groups, such as people and older adults of color; direct care workers (who are often women, people of color, and/or immigrants)
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the populations that are at elevated risks of mental health disorders and SUDs also have elevated risks of both contracting and dying from COVID-19, and (3) closing clinics to prevent the spread of COVID-19 resulted in fewer access points for patients and a loss of revenue for care providers.
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In closing, Parks encouraged: • Bearing in mind how the chronic underfunding of the behavioral health care system and fee-for-service payment models have resulted in the inability to adapt to economic stress; • Providing direct relief to behavioral health providers and organizations; • Increasing access to medications for OUD; • Enacting long-term changes to telehealth, such as allowing tele-prescribing for OUD; • Implementing prospective payment methodologies nationwide; and • Expanding access to certified community behavioral health centers. Key Concepts That Sustain Mental Health Inequities Systems-level factors are driving the mental health disparities seen today, said Ruth Shim, the Luke & Grace Kim Professor in Cultural Psychiatry and professor in the Department of Psychiatry and Behavioral Sciences at the University of California, Davis.
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Prevention and community engagement will be the key to alleviating these issues, asserted Alegría, due to high rates of food insecurity, child poverty, greater financial need, school avoidances or suspensions, rising rates of suicide, exposure to violent environments, and limited access to telehealth and school-based services among households of color. Multi-level interventions targeting community and work life for those with mental illness have been linked to increased housing stability and well-being, community-level interventions targeting the built environment have been shown to reduce depressive symptoms, and integrating social services with mental health care using community health workers has improved patients' ability to cope with stress (Alegría et al., 2018)
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. Their typical responsibilities include operating psychiatric inpatient services, funding or operating community mental health services, planning for mental health service development, addressing unmet needs, setting standards for services, licensing mental health providers, monitoring quality and outcomes, and coordinating financing and delivery of services with other state government agencies.
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Mental Health of the Health Care Workforce During COVID-19 It is well established that there are significant disparities in who is infected by COVID-19 in the United States, said Albert Wu, professor in the departments of health policy and management, epidemiology, and international health at the Johns Hopkins Bloomberg School of Public Health. At the time of the virtual workshop, Kaiser Health News reported that 1,445 health care workers died after contracting COVID-19 on the job; it was more than 2,900 before the end of 2020 (Jewett et al., 2020)
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, including • Normalizing conversations about psychological health; • Building resilience by acknowledging challenges and providing resources; • Identifying traumatic stress early, following up with health care workers that miss work, and offering support; • Infusing mental health considerations into policies and procedures that involve health care workers; • Providing psychologically safe forums in which health care workers can make sense of their experiences; • Creating multiple pathways to help the greatest number of people; • Acknowledging the unique challenges faced by health care workers who are part of communities of color; and • Recognizing the diversity that exists within communities of color. People of color in the health care workforce face a double burden of stress, so addressing their unique needs warrants conceptual shifts in research, policy, and practice, asserted Evans.
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2020. Managing mental health challenges faced by healthcare workers during CO VID-19 pandemic.
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75P00120F37108 with the Office of the Assistant Secretary for Planning and Evaluation along with Alkermes, Inc., American Board of Family Medicine, American College of Clinical Pharmacy, American Psychiatric Association, American Psychiatric Nurses Association, American Psychological Association, Association for Behavioral Health and Wellness, Council on Social Work Education, Janssen Research & Development, LLC, Optum Behavioral Health, Think Bigger Do Good Policy Series (a partnership of the Scattergood Foundation, Peg's Foundation, Patrick P Lee Foundation, and Peter & Elizabeth Tower Foundation)
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