Racial residential segregation and economic disparity jointly exacerbate the COVID-19 fatality in large American cities (preprint)

The disproportionately high rates of both infections and deaths of underprivileged racial minorities in the U.S. (including Blacks and Hispanics) during the current COVID-19 pandemic show that structural inequality can be lethal. However, the nature of this structural inequality is poorly understood. Here, we hypothesized that two structural features of urban areas in the U.S. (racial residential segregation and income inequality) contribute to numerous health-compromising conditions, which, in turn, exacerbate COVID-19 fatalities. These two features may be particularly lethal when combined. To test this hypothesis, we examined the growth rate of both confirmed COVID-19 cases and deaths in an early 30-day period of the outbreak in the counties located in each of the 100 largest metropolitan areas in the U.S. The growth curve for cases and deaths was steeper in counties located in metropolitan areas that residentially segregate Blacks and Hispanics. Moreover, this effect of racial residential segregation was augmented by income inequality within each county. The current evidence highlights the role of racial and economic disparity in producing the devastating human toll in the current pandemic. It also offers important policy implications for making virus-resilient cities.

Mental Health and Clinical Psychological Science in the Time of COVID-19: Challenges, Opportunities, and a Call to Action (preprint)

COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this paper, COVID-19 is conceptualized as a unique, compounding, multi-dimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond.