Pandemic threatens to deepen crisis in mental health care

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Pandemic threatens to deepen crisis in mental health care
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Even before the pandemic, access to mental health services in the U.S. could be difficult. Now experts fear COVID-19 will make the situation worse.

Aubrey, 57, describes the loneliness brought on by social distancing protocols after receiving a dose of antipsychotic medication to treat his schizophrenia, Wednesday, May 6, 2020, in the Brooklyn borough of New York. Even before the pandemic, access to mental health services in the U.S. could be difficult, including for people with insurance. Now experts fear COVID-19 will make the situation worse.

When a caregiver recently checked on him, Bell noted that life before the pandemic was happier and “more social.” “For people who are socially disadvantaged and have mental illness, it’s just a lot to ask,” said Dr. Jeanie Tse of the Institute for Community Living, which treats Bell and others who would not seek care on their own but are referred to the city by social workers and shelters.

In Pittsburgh, Pennsylvania, for example, Karalyn Hipsley was working extra on weekends to cover co-pays for therapy and the insurance she has through her husband’s job. “You can’t put people into situations where they’re locked in their homes for weeks on end and not expect that there’s going to a significant number of people that develop mental health problems,” said Elinore McCance-Katz, who leads the federal Substance Abuse and Mental Health Services Administration.

Many homeless people are avoiding shelters out of fear of infection, making it harder for agencies to identify people in need of care.

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