It is completely normal to be afraid in a pandemic, but fear and the disruption of our life structure is exacting a price on our mental health, especially as we recognize that “reopening” will provoke issues anew. All around us, people in our personal and professional lives are experiencing various types of emotional disturbance in response to COVID-19, so it is little wonder that calls to help lines continue to surge.
We are sad, frustrated and irritable because we are isolated. We grieve the lost lives we know about and those we don’t. We fear the consequences of our own exposure to the virus. We fear the risks we potentially pose to others. We worry about our finances in our collapsing economy, about our ability to be employed with dignity and grieve over losing what must be left behind as a result of the unknown future of COVID-19.
Researchers have documented the psychological impact of prolonged quarantine, finding negative effects that are commonly associated with exposure to trauma, according to a recent review of 24 quarantine studies in the journal the Lancet. These effects include confusion and anger that are exacerbated by fears of becoming infected, loss of freedom, separation from loved ones and financial loss, among others.
For some, the painful emotions provoked by this collective trauma will recede as the coronavirus crisis ebbs, but haunting memories, negative thoughts and uneasy feelings won’t fade so easily for others. They need to be comfortable asking for help.
In response to the pandemic, L.A. County’s Department of Mental Health, which I oversee, is trying to make it easier to access that help.
We are leveraging technology to deliver free mental health assistance to all county residents. Through a partnership with Headspace, every resident can get a free subscription to the company’s guided meditation app. Scientific studies have demonstrated that guided meditation is an effective tool for increasing compassion; improving sleep, health and relationships; and reducing anxiety. The app is appropriate for children as well as adults and is available in English and Spanish versions.
We have also expanded and reengineered the Department of Mental Health help line, (800) 854-7771. Thanks to volunteers and redeployment of select staff who are now working from home, it is now set up to deliver emotional support around the clock to all L.A. County residents, instead of just focusing on crisis responses.
To help manage the trauma that healthcare workers are experiencing, we dedicated a portion of the help line — staffed by volunteers from the Luskin School at UCLA — to meet their needs. The volunteers receive specialized training that allows them to support callers facing harrowing dilemmas with no good choices and no good outcomes, putting them at risk of moral stress and moral injury.
Long before the pandemic, the Department of Mental Health started trying to improve access to care by providing education and staffing to public venues, including at schools, libraries and houses of worship, and linking them to resources.
As part of our response to COVID-19 — and to help the county pivot toward reopening and recovery — we are attempting to set up a network of grassroots mental health “ambassadors.” Trained to function as a lay mental health workforce, they will reach out across public venues in their communities. This effort could begin as early as August, pending the Board of Supervisors’ approval.
The message of our outreach is simple: Wherever people convene they can connect, and through connection they can heal.
Every single person may eventually witness the effects of COVID-19 firsthand. Perhaps then our greater society might finally understand and admit that healthy and unhealthy mental functioning affects us all — and that a full human experience requires good mental health. It shouldn’t have taken a global pandemic to showcase this reality.
Dr. Jonathan Sherin is the director of the Los Angeles County Department of Mental Health.