Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.
Identifieur interne : 000097 ( Main/Corpus ); précédent : 000096; suivant : 000098Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.
Auteurs : Armen C. Arevian ; Felica Jones ; Elizabeth M. Moore ; Nichole Goodsmith ; Sergio Aguilar-Gaxiola ; Toby Ewing ; Hafifa Siddiq ; Patricia Lester ; Erick Cheung ; Roya Ijadi-Maghsoodi ; Sonya Gabrielian ; Olivia K. Sugarman ; Curley Bonds ; Christopher Benitez ; Debbie Innes-Gomberg ; Benjamin Springgate ; Catherine Haywood ; Diana Meyers ; Jonathan E. Sherin ; Kenneth WellsSource :
- Ethnicity & disease [ 1945-0826 ] ; 2020.
English descriptors
- KwdEn :
- Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (psychology), Delivery of Health Care (organization & administration), Delivery of Health Care (trends), Health Services Needs and Demand (organization & administration), Humans (MeSH), Mental Health (trends), Organizational Innovation (MeSH), Pandemics (prevention & control), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Pneumonia, Viral (psychology), Public Health (methods), Public Health (trends), Quality Improvement (MeSH), SARS-CoV-2 (MeSH), United States (epidemiology).
- MESH :
- geographic , epidemiology : United States.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Public Health.
- organization & administration : Delivery of Health Care, Health Services Needs and Demand.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- psychology : Coronavirus Infections, Pneumonia, Viral.
- trends : Delivery of Health Care, Mental Health, Public Health.
- Betacoronavirus, COVID-19, Humans, Organizational Innovation, Quality Improvement, SARS-CoV-2.
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.
DOI: 10.18865/ed.30.4.695
PubMed: 32989370
PubMed Central: PMC7518533
Links to Exploration step
pubmed:32989370Le document en format XML
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Arevian</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Jones, Felica" sort="Jones, Felica" uniqKey="Jones F" first="Felica" last="Jones">Felica Jones</name><affiliation><nlm:affiliation>Healthy African American Families II, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Moore, Elizabeth M" sort="Moore, Elizabeth M" uniqKey="Moore E" first="Elizabeth M" last="Moore">Elizabeth M. Moore</name><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Goodsmith, Nichole" sort="Goodsmith, Nichole" uniqKey="Goodsmith N" first="Nichole" last="Goodsmith">Nichole Goodsmith</name><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Aguilar Gaxiola, Sergio" sort="Aguilar Gaxiola, Sergio" uniqKey="Aguilar Gaxiola S" first="Sergio" last="Aguilar-Gaxiola">Sergio Aguilar-Gaxiola</name><affiliation><nlm:affiliation>Department of Clinical Internal Medicine, School of Medicine, and Center for Reducing Health Disparities, UC Davis, Davis, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Ewing, Toby" sort="Ewing, Toby" uniqKey="Ewing T" first="Toby" last="Ewing">Toby Ewing</name><affiliation><nlm:affiliation>California Mental Health Services Oversight and Accountability Commission, Sacramento, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Siddiq, Hafifa" sort="Siddiq, Hafifa" uniqKey="Siddiq H" first="Hafifa" last="Siddiq">Hafifa Siddiq</name><affiliation><nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Resource Center for Minority Aging Research, Resource Centers for Minority Aging and for Health Improvement of Minority Elderly, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Lester, Patricia" sort="Lester, Patricia" uniqKey="Lester P" first="Patricia" last="Lester">Patricia Lester</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Cheung, Erick" sort="Cheung, Erick" uniqKey="Cheung E" first="Erick" last="Cheung">Erick Cheung</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Ijadi Maghsoodi, Roya" sort="Ijadi Maghsoodi, Roya" uniqKey="Ijadi Maghsoodi R" first="Roya" last="Ijadi-Maghsoodi">Roya Ijadi-Maghsoodi</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Gabrielian, Sonya" sort="Gabrielian, Sonya" uniqKey="Gabrielian S" first="Sonya" last="Gabrielian">Sonya Gabrielian</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Sugarman, Olivia K" sort="Sugarman, Olivia K" uniqKey="Sugarman O" first="Olivia K" last="Sugarman">Olivia K. Sugarman</name><affiliation><nlm:affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Bonds, Curley" sort="Bonds, Curley" uniqKey="Bonds C" first="Curley" last="Bonds">Curley Bonds</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Benitez, Christopher" sort="Benitez, Christopher" uniqKey="Benitez C" first="Christopher" last="Benitez">Christopher Benitez</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Innes Gomberg, Debbie" sort="Innes Gomberg, Debbie" uniqKey="Innes Gomberg D" first="Debbie" last="Innes-Gomberg">Debbie Innes-Gomberg</name><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Springgate, Benjamin" sort="Springgate, Benjamin" uniqKey="Springgate B" first="Benjamin" last="Springgate">Benjamin Springgate</name><affiliation><nlm:affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Haywood, Catherine" sort="Haywood, Catherine" uniqKey="Haywood C" first="Catherine" last="Haywood">Catherine Haywood</name><affiliation><nlm:affiliation>Louisiana Community Health Outreach Network, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Meyers, Diana" sort="Meyers, Diana" uniqKey="Meyers D" first="Diana" last="Meyers">Diana Meyers</name><affiliation><nlm:affiliation>St. Anna's Episcopal Church, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Sherin, Jonathan E" sort="Sherin, Jonathan E" uniqKey="Sherin J" first="Jonathan E" last="Sherin">Jonathan E. Sherin</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>University of Southern California, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Fielding School of Public Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32989370</idno><idno type="pmid">32989370</idno><idno type="doi">10.18865/ed.30.4.695</idno><idno type="pmc">PMC7518533</idno><idno type="wicri:Area/Main/Corpus">000097</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000097</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.</title><author><name sortKey="Arevian, Armen C" sort="Arevian, Armen C" uniqKey="Arevian A" first="Armen C" last="Arevian">Armen C. Arevian</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Jones, Felica" sort="Jones, Felica" uniqKey="Jones F" first="Felica" last="Jones">Felica Jones</name><affiliation><nlm:affiliation>Healthy African American Families II, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Moore, Elizabeth M" sort="Moore, Elizabeth M" uniqKey="Moore E" first="Elizabeth M" last="Moore">Elizabeth M. Moore</name><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Goodsmith, Nichole" sort="Goodsmith, Nichole" uniqKey="Goodsmith N" first="Nichole" last="Goodsmith">Nichole Goodsmith</name><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Aguilar Gaxiola, Sergio" sort="Aguilar Gaxiola, Sergio" uniqKey="Aguilar Gaxiola S" first="Sergio" last="Aguilar-Gaxiola">Sergio Aguilar-Gaxiola</name><affiliation><nlm:affiliation>Department of Clinical Internal Medicine, School of Medicine, and Center for Reducing Health Disparities, UC Davis, Davis, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Ewing, Toby" sort="Ewing, Toby" uniqKey="Ewing T" first="Toby" last="Ewing">Toby Ewing</name><affiliation><nlm:affiliation>California Mental Health Services Oversight and Accountability Commission, Sacramento, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Siddiq, Hafifa" sort="Siddiq, Hafifa" uniqKey="Siddiq H" first="Hafifa" last="Siddiq">Hafifa Siddiq</name><affiliation><nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Resource Center for Minority Aging Research, Resource Centers for Minority Aging and for Health Improvement of Minority Elderly, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Lester, Patricia" sort="Lester, Patricia" uniqKey="Lester P" first="Patricia" last="Lester">Patricia Lester</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Cheung, Erick" sort="Cheung, Erick" uniqKey="Cheung E" first="Erick" last="Cheung">Erick Cheung</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Ijadi Maghsoodi, Roya" sort="Ijadi Maghsoodi, Roya" uniqKey="Ijadi Maghsoodi R" first="Roya" last="Ijadi-Maghsoodi">Roya Ijadi-Maghsoodi</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Gabrielian, Sonya" sort="Gabrielian, Sonya" uniqKey="Gabrielian S" first="Sonya" last="Gabrielian">Sonya Gabrielian</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Sugarman, Olivia K" sort="Sugarman, Olivia K" uniqKey="Sugarman O" first="Olivia K" last="Sugarman">Olivia K. Sugarman</name><affiliation><nlm:affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Bonds, Curley" sort="Bonds, Curley" uniqKey="Bonds C" first="Curley" last="Bonds">Curley Bonds</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Benitez, Christopher" sort="Benitez, Christopher" uniqKey="Benitez C" first="Christopher" last="Benitez">Christopher Benitez</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Innes Gomberg, Debbie" sort="Innes Gomberg, Debbie" uniqKey="Innes Gomberg D" first="Debbie" last="Innes-Gomberg">Debbie Innes-Gomberg</name><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Springgate, Benjamin" sort="Springgate, Benjamin" uniqKey="Springgate B" first="Benjamin" last="Springgate">Benjamin Springgate</name><affiliation><nlm:affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Haywood, Catherine" sort="Haywood, Catherine" uniqKey="Haywood C" first="Catherine" last="Haywood">Catherine Haywood</name><affiliation><nlm:affiliation>Louisiana Community Health Outreach Network, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Meyers, Diana" sort="Meyers, Diana" uniqKey="Meyers D" first="Diana" last="Meyers">Diana Meyers</name><affiliation><nlm:affiliation>St. Anna's Episcopal Church, New Orleans, LA.</nlm:affiliation></affiliation></author><author><name sortKey="Sherin, Jonathan E" sort="Sherin, Jonathan E" uniqKey="Sherin J" first="Jonathan E" last="Sherin">Jonathan E. Sherin</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>University of Southern California, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name><affiliation><nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Fielding School of Public Health, Los Angeles, CA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Ethnicity & disease</title><idno type="eISSN">1945-0826</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Coronavirus Infections (psychology)</term><term>Delivery of Health Care (organization & administration)</term><term>Delivery of Health Care (trends)</term><term>Health Services Needs and Demand (organization & administration)</term><term>Humans (MeSH)</term><term>Mental Health (trends)</term><term>Organizational Innovation (MeSH)</term><term>Pandemics (prevention & control)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (psychology)</term><term>Public Health (methods)</term><term>Public Health (trends)</term><term>Quality Improvement (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>United States (epidemiology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Public Health</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Delivery of Health Care</term><term>Health Services Needs and Demand</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Delivery of Health Care</term><term>Mental Health</term><term>Public Health</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term><term>COVID-19</term><term>Humans</term><term>Organizational Innovation</term><term>Quality Improvement</term><term>SARS-CoV-2</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32989370</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>07</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1945-0826</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Season>Fall</Season></PubDate></JournalIssue><Title>Ethnicity & disease</Title><ISOAbbreviation>Ethn Dis</ISOAbbreviation></Journal><ArticleTitle>Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.</ArticleTitle><Pagination><MedlinePgn>695-700</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.18865/ed.30.4.695</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2020, Ethnicity & Disease, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Arevian</LastName><ForeName>Armen C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jones</LastName><ForeName>Felica</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Healthy African American Families II, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moore</LastName><ForeName>Elizabeth M</ForeName><Initials>EM</Initials><AffiliationInfo><Affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goodsmith</LastName><ForeName>Nichole</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aguilar-Gaxiola</LastName><ForeName>Sergio</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Clinical Internal Medicine, School of Medicine, and Center for Reducing Health Disparities, UC Davis, Davis, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ewing</LastName><ForeName>Toby</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>California Mental Health Services Oversight and Accountability Commission, Sacramento, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Siddiq</LastName><ForeName>Hafifa</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Resource Center for Minority Aging Research, Resource Centers for Minority Aging and for Health Improvement of Minority Elderly, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lester</LastName><ForeName>Patricia</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheung</LastName><ForeName>Erick</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ijadi-Maghsoodi</LastName><ForeName>Roya</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gabrielian</LastName><ForeName>Sonya</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sugarman</LastName><ForeName>Olivia K</ForeName><Initials>OK</Initials><AffiliationInfo><Affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonds</LastName><ForeName>Curley</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benitez</LastName><ForeName>Christopher</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Innes-Gomberg</LastName><ForeName>Debbie</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Springgate</LastName><ForeName>Benjamin</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haywood</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Louisiana Community Health Outreach Network, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meyers</LastName><ForeName>Diana</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>St. Anna's Episcopal Church, New Orleans, LA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sherin</LastName><ForeName>Jonathan E</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Southern California, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wells</LastName><ForeName>Kenneth</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA/VA Center of Excellence for Veteran Resilience and Recovery, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Fielding School of Public Health, Los Angeles, CA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Center for Health Services and Society, Los Angeles, CA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016421">Editorial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ethn Dis</MedlineTA><NlmUniqueID>9109034</NlmUniqueID><ISSNLinking>1049-510X</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="Y">Delivery of Health Care</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006301" MajorTopicYN="N">Health Services Needs and Demand</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008603" MajorTopicYN="N">Mental Health</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009936" MajorTopicYN="N">Organizational Innovation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011634" MajorTopicYN="Y">Public Health</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058996" MajorTopicYN="N">Quality Improvement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">Community</Keyword><Keyword MajorTopicYN="Y">Mental Health</Keyword></KeywordList><CoiStatement>Competing Interests: ACA is founder of Chorus Innovations, Inc., Open Science Initiative, and Arevian Technologies, 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