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The impact of
COVID-19 on
mental health
Stephen Grcevich, MD
President and Founder, Key Ministry
SFN Dads Conference
May 16, 2020
Contributing factors to a
mental health crisis
• Quarantine/social isolation
• Unemployment, financial hardship
• Educational disruptions
• Impacts on mental health service
delivery
• Traumatization of frontline
healthcare providers
• “Down time”
Coronavirus impact on
young people with
mental health needs
• 32% grew “much worse”
• 51% “a bit worse”
• 9% “made no difference”
• 6% “became a bit better”
• 1% “became much better”
26% reported they could no longer
access mental health support
Source: youngminds.org.uk. Conducted 3/20-3/25
High levels of emotional distress, substance abuse from COVID19
Overdose, suicide
and
unemployment
• Overdose death rates from opioids increase by 3.6% for every
1% increase in unemployment, ED visits by 7%
• 46,802 overdose deaths by opioids in U.S. (2018)
• Relative risk of suicide increased 20-30% with unemployment
in last recession
Hollingsworth A et al. J Health Econ. 2017 Dec;56:222-233
Nordt C. et al. Lancet Psychiatry 2015; 2:239-45
“Most reviewed studies reported
negative psychological effects
including post-traumatic stress
symptoms, confusion, and
anger. Stressors included longer
quarantine duration, infection
fears, frustration, boredom,
inadequate supplies, inadequate
information, financial loss, and
stigma.”
Brooks S et al. Lancet:2020; 395: 912–20
Unique COVID-19 challenges when
families have kids with special needs
• Children at higher risk of severe COVID-19
complications need more rigorous social
distancing
• Special education services provided by schools
have largely disappeared
• Loss of access to private support services
• Fathers working, spending much more time at
home than usual
• Availability of in-home caregivers
Supporting your child’s
mental health through
COVID-19
• Keep your kid (and yourself) on a routine
• Model responses you desire from your child
• Involve your kids in serving other people
• Limit excessive exposure to news
• Promote connectedness with friends, family
through technology
• Busy is better for many kids
How dads need to care for their
own emotional health through
COVID-19
• Regularly connect with other men!
• Establish, maintain a routine
• Identify ways to distract yourself from your
problems
• Try to regularly exercise
• Seek help from your PCP or mental health
professional if:
• Thoughts of suicide
• Changes in sleep, eating, energy, concentration, sex
drive, ability to experience pleasure
• Anxiety impacting work, family responsibilities
keyministry.org
• Training
• Conferences
• Video training
• Roundtables
• Consultation to churches
• Resources
• Not Alone
• Special Needs Parenting
E-mail: steve@keyministry.org
Twitter: @drgrcevich
LinkedIn: /in/stephen-grcevich-md/

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The impact of COVID-19 on Mental Health

  • 1. The impact of COVID-19 on mental health Stephen Grcevich, MD President and Founder, Key Ministry SFN Dads Conference May 16, 2020
  • 2. Contributing factors to a mental health crisis • Quarantine/social isolation • Unemployment, financial hardship • Educational disruptions • Impacts on mental health service delivery • Traumatization of frontline healthcare providers • “Down time”
  • 3. Coronavirus impact on young people with mental health needs • 32% grew “much worse” • 51% “a bit worse” • 9% “made no difference” • 6% “became a bit better” • 1% “became much better” 26% reported they could no longer access mental health support Source: youngminds.org.uk. Conducted 3/20-3/25
  • 4. High levels of emotional distress, substance abuse from COVID19
  • 5.
  • 6.
  • 7. Overdose, suicide and unemployment • Overdose death rates from opioids increase by 3.6% for every 1% increase in unemployment, ED visits by 7% • 46,802 overdose deaths by opioids in U.S. (2018) • Relative risk of suicide increased 20-30% with unemployment in last recession Hollingsworth A et al. J Health Econ. 2017 Dec;56:222-233 Nordt C. et al. Lancet Psychiatry 2015; 2:239-45
  • 8. “Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma.” Brooks S et al. Lancet:2020; 395: 912–20
  • 9. Unique COVID-19 challenges when families have kids with special needs • Children at higher risk of severe COVID-19 complications need more rigorous social distancing • Special education services provided by schools have largely disappeared • Loss of access to private support services • Fathers working, spending much more time at home than usual • Availability of in-home caregivers
  • 10. Supporting your child’s mental health through COVID-19 • Keep your kid (and yourself) on a routine • Model responses you desire from your child • Involve your kids in serving other people • Limit excessive exposure to news • Promote connectedness with friends, family through technology • Busy is better for many kids
  • 11. How dads need to care for their own emotional health through COVID-19 • Regularly connect with other men! • Establish, maintain a routine • Identify ways to distract yourself from your problems • Try to regularly exercise • Seek help from your PCP or mental health professional if: • Thoughts of suicide • Changes in sleep, eating, energy, concentration, sex drive, ability to experience pleasure • Anxiety impacting work, family responsibilities
  • 12. keyministry.org • Training • Conferences • Video training • Roundtables • Consultation to churches • Resources • Not Alone • Special Needs Parenting E-mail: steve@keyministry.org Twitter: @drgrcevich LinkedIn: /in/stephen-grcevich-md/