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1.
Journal of the American Academy of Child & Adolescent Psychiatry ; 60(10):S244-S244, 2021.
Article in English | Academic Search Complete | ID: covidwho-1461218
2.
Journal of the American Academy of Child & Adolescent Psychiatry ; 60(10):S222-S222, 2021.
Article in English | Academic Search Complete | ID: covidwho-1461206
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4.
Community Ment Health J ; 57(5): 801-807, 2021 07.
Article in English | MEDLINE | ID: covidwho-1118243

ABSTRACT

Individuals attending residential rehabilitation programs for substance misuse are particularly vulnerable to treatment disruptions spurred by the novel coronavirus disease 2019 (COVID-19) pandemic. We describe adaptations to services within a large residential rehabilitation program for under-resourced veterans, report veterans' experiences with these changes, and outline successes and challenges encountered throughout adjustment to the pandemic. Data collected from two focus groups with nine veterans engaged in this program during the pandemic highlight experiences of inconsistent communication about residential policies, interruptions to medical and addiction services, and feelings of confinement and social isolation. Overall, these findings suggest the need for health systems to support clients in taking an active role in communications, provide additional technical and social support in transitioning to virtual health services, and offer alternative means for clients to maintain social connection during a pandemic. Understanding clients' perspectives can inform strategies to promote continuity of care and enhanced care experiences.


Subject(s)
COVID-19 , Delivery of Health Care , Health Services Accessibility , Patient Satisfaction , Substance-Related Disorders/rehabilitation , Veterans/psychology , Humans , Interviews as Topic , Pandemics , SARS-CoV-2 , Substance-Related Disorders/epidemiology , United States/epidemiology , United States Department of Veterans Affairs
6.
Psychiatr Serv ; 72(3): 349-352, 2021 03 01.
Article in English | MEDLINE | ID: covidwho-917845

ABSTRACT

For people experiencing homelessness, COVID-19 underscores existing health and social inequities, introduces additional threats to health and safety, and calls for rapid and creative solutions to reduce risk. This column focuses on the particular challenges of two frequently intersecting subpopulations of individuals experiencing homelessness: pregnant women and survivors of domestic violence. The authors describe rapid efforts and cross-agency collaboration in Los Angeles-home to the nation's largest number of unsheltered individuals-to provide these groups with safe interim housing in the context of COVID-19. The authors discuss gaps in care and recommendations for the future, calling attention to the unique mental health and social needs of these highly vulnerable women.


Subject(s)
COVID-19 , Crime Victims , Domestic Violence , Homeless Persons , Local Government , Public Housing , Survivors , Adult , Female , Humans , Intersectoral Collaboration , Los Angeles , Pregnancy , Vulnerable Populations
7.
Ethn Dis ; 30(4): 695-700, 2020.
Article in English | MEDLINE | ID: covidwho-808403

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.


Subject(s)
Coronavirus Infections , Delivery of Health Care , Health Services Needs and Demand/organization & administration , Mental Health/trends , Pandemics , Pneumonia, Viral , Public Health , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Delivery of Health Care/organization & administration , Delivery of Health Care/trends , Humans , Organizational Innovation , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Public Health/methods , Public Health/trends , Quality Improvement , SARS-CoV-2 , United States/epidemiology
8.
Psychol Trauma ; 12(5): 457-460, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-607253

ABSTRACT

There is growing concern about the mental health and social impact of COVID-19 on underresourced children, youth, and families given widespread social disruption, school closures, economic impact, and loss of lives. In this commentary we describe how an existing public-public partnership between a large county mental health department and a state university responded to COVID-19. This partnership, originally designed to address workforce needs, rapidly pivoted to support providers through a trauma- and resilience-informed approach to mitigating adverse mental health effects among youth and families in Los Angeles County. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Consumer Health Information , Coronavirus Infections , Education, Distance , Intersectoral Collaboration , Pandemics , Pneumonia, Viral , Psychological Trauma , Resilience, Psychological , Vulnerable Populations , Adolescent , Adult , COVID-19 , California , Child , Humans , Local Government , Los Angeles , Mental Health Services , Program Development , Psychological Trauma/prevention & control , Universities , Young Adult
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