Serveur d'exploration sur la Covid et les espaces publics

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Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.

Identifieur interne : 000118 ( Main/Exploration ); précédent : 000117; suivant : 000119

Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.

Auteurs : Armen C. Arevian [États-Unis] ; Felica Jones [États-Unis] ; Elizabeth M. Moore [États-Unis] ; Nichole Goodsmith [États-Unis] ; Sergio Aguilar-Gaxiola [États-Unis] ; Toby Ewing [États-Unis] ; Hafifa Siddiq [États-Unis] ; Patricia Lester [États-Unis] ; Erick Cheung [États-Unis] ; Roya Ijadi-Maghsoodi [États-Unis] ; Sonya Gabrielian [États-Unis] ; Olivia K. Sugarman [États-Unis] ; Curley Bonds [États-Unis] ; Christopher Benitez [États-Unis] ; Debbie Innes-Gomberg [États-Unis] ; Benjamin Springgate [États-Unis] ; Catherine Haywood [États-Unis] ; Diana Meyers [États-Unis] ; Jonathan E. Sherin [États-Unis] ; Kenneth Wells [États-Unis]

Source :

RBID : pubmed:32989370

Descripteurs français

English descriptors

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


Affiliations:


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Le document en format XML

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<name sortKey="Jones, Felica" sort="Jones, Felica" uniqKey="Jones F" first="Felica" last="Jones">Felica Jones</name>
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<region type="state">Californie</region>
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<author>
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<nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<affiliation wicri:level="2">
<nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>UCLA National Clinician Scholars Program, Los Angeles</wicri:cityArea>
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<author>
<name sortKey="Goodsmith, Nichole" sort="Goodsmith, Nichole" uniqKey="Goodsmith N" first="Nichole" last="Goodsmith">Nichole Goodsmith</name>
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<nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Californie</region>
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<wicri:cityArea>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles</wicri:cityArea>
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<affiliation wicri:level="2">
<nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>UCLA National Clinician Scholars Program, Los Angeles</wicri:cityArea>
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<author>
<name sortKey="Aguilar Gaxiola, Sergio" sort="Aguilar Gaxiola, Sergio" uniqKey="Aguilar Gaxiola S" first="Sergio" last="Aguilar-Gaxiola">Sergio Aguilar-Gaxiola</name>
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<nlm:affiliation>Department of Clinical Internal Medicine, School of Medicine, and Center for Reducing Health Disparities, UC Davis, Davis, CA.</nlm:affiliation>
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<region type="state">Californie</region>
</placeName>
<wicri:cityArea>Department of Clinical Internal Medicine, School of Medicine, and Center for Reducing Health Disparities, UC Davis, Davis</wicri:cityArea>
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<author>
<name sortKey="Ewing, Toby" sort="Ewing, Toby" uniqKey="Ewing T" first="Toby" last="Ewing">Toby Ewing</name>
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<nlm:affiliation>California Mental Health Services Oversight and Accountability Commission, Sacramento, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>California Mental Health Services Oversight and Accountability Commission, Sacramento</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Siddiq, Hafifa" sort="Siddiq, Hafifa" uniqKey="Siddiq H" first="Hafifa" last="Siddiq">Hafifa Siddiq</name>
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<nlm:affiliation>UCLA National Clinician Scholars Program, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Californie</region>
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<affiliation wicri:level="2">
<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>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Californie</region>
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<name sortKey="Lester, Patricia" sort="Lester, Patricia" uniqKey="Lester P" first="Patricia" last="Lester">Patricia Lester</name>
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<nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Californie</region>
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<name sortKey="Cheung, Erick" sort="Cheung, Erick" uniqKey="Cheung E" first="Erick" last="Cheung">Erick Cheung</name>
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<name sortKey="Ijadi Maghsoodi, Roya" sort="Ijadi Maghsoodi, Roya" uniqKey="Ijadi Maghsoodi R" first="Roya" last="Ijadi-Maghsoodi">Roya Ijadi-Maghsoodi</name>
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<country xml:lang="fr">États-Unis</country>
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<region type="state">Californie</region>
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<nlm:affiliation>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles, CA.</nlm:affiliation>
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<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>VA Greater Los Angeles Healthcare System HSR&D Center for the Study of Healthcare Innovation Implementation & Policy, Los Angeles</wicri:cityArea>
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<nlm:affiliation>UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Division of Population Behavioral Health, Los Angeles, CA.</nlm:affiliation>
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<name sortKey="Gabrielian, Sonya" sort="Gabrielian, Sonya" uniqKey="Gabrielian S" first="Sonya" last="Gabrielian">Sonya Gabrielian</name>
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<region type="state">Californie</region>
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<name sortKey="Sugarman, Olivia K" sort="Sugarman, Olivia K" uniqKey="Sugarman O" first="Olivia K" last="Sugarman">Olivia K. Sugarman</name>
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<nlm:affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Louisiane</region>
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<name sortKey="Bonds, Curley" sort="Bonds, Curley" uniqKey="Bonds C" first="Curley" last="Bonds">Curley Bonds</name>
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<nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<name sortKey="Innes Gomberg, Debbie" sort="Innes Gomberg, Debbie" uniqKey="Innes Gomberg D" first="Debbie" last="Innes-Gomberg">Debbie Innes-Gomberg</name>
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<nlm:affiliation>Los Angeles County Department of Mental Health, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Californie</region>
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<name sortKey="Springgate, Benjamin" sort="Springgate, Benjamin" uniqKey="Springgate B" first="Benjamin" last="Springgate">Benjamin Springgate</name>
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<nlm:affiliation>Louisiana State University Health Sciences Center - New Orleans School of Medicine and School of Public Health, New Orleans, LA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Louisiane</region>
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</author>
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<name sortKey="Haywood, Catherine" sort="Haywood, Catherine" uniqKey="Haywood C" first="Catherine" last="Haywood">Catherine Haywood</name>
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<nlm:affiliation>Louisiana Community Health Outreach Network, New Orleans, LA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Louisiane</region>
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</affiliation>
</author>
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<name sortKey="Meyers, Diana" sort="Meyers, Diana" uniqKey="Meyers D" first="Diana" last="Meyers">Diana Meyers</name>
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<nlm:affiliation>St. Anna's Episcopal Church, New Orleans, LA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Louisiane</region>
</placeName>
<wicri:cityArea>St. Anna's Episcopal Church, New Orleans</wicri:cityArea>
</affiliation>
</author>
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<name sortKey="Sherin, Jonathan E" sort="Sherin, Jonathan E" uniqKey="Sherin J" first="Jonathan E" last="Sherin">Jonathan E. Sherin</name>
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<nlm:affiliation>Resnick Neuropsychiatric Hospital and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<nlm:affiliation>University of Southern California, Los Angeles, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
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<nlm:affiliation>UCLA Fielding School of Public Health, Los Angeles, CA.</nlm:affiliation>
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<title level="j">Ethnicity & disease</title>
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<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (psychology)</term>
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<term>Delivery of Health Care (trends)</term>
<term>Health Services Needs and Demand (organization & administration)</term>
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<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>
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<ArticleTitle>Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders.</ArticleTitle>
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<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>
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<Affiliation>UCLA Fielding School of Public Health, Los Angeles, CA.</Affiliation>
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<CoiStatement>Competing Interests: ACA is founder of Chorus Innovations, Inc., Open Science Initiative, and Arevian Technologies, Inc.</CoiStatement>
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<name sortKey="Moore, Elizabeth M" sort="Moore, Elizabeth M" uniqKey="Moore E" first="Elizabeth M" last="Moore">Elizabeth M. Moore</name>
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<name sortKey="Sherin, Jonathan E" sort="Sherin, Jonathan E" uniqKey="Sherin J" first="Jonathan E" last="Sherin">Jonathan E. Sherin</name>
<name sortKey="Sherin, Jonathan E" sort="Sherin, Jonathan E" uniqKey="Sherin J" first="Jonathan E" last="Sherin">Jonathan E. Sherin</name>
<name sortKey="Siddiq, Hafifa" sort="Siddiq, Hafifa" uniqKey="Siddiq H" first="Hafifa" last="Siddiq">Hafifa Siddiq</name>
<name sortKey="Siddiq, Hafifa" sort="Siddiq, Hafifa" uniqKey="Siddiq H" first="Hafifa" last="Siddiq">Hafifa Siddiq</name>
<name sortKey="Springgate, Benjamin" sort="Springgate, Benjamin" uniqKey="Springgate B" first="Benjamin" last="Springgate">Benjamin Springgate</name>
<name sortKey="Sugarman, Olivia K" sort="Sugarman, Olivia K" uniqKey="Sugarman O" first="Olivia K" last="Sugarman">Olivia K. Sugarman</name>
<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
<name sortKey="Wells, Kenneth" sort="Wells, Kenneth" uniqKey="Wells K" first="Kenneth" last="Wells">Kenneth Wells</name>
</country>
</tree>
</affiliations>
</record>

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