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COVID-19 and Mental Health: What We Are Learning from www.mhascreening.org July 1, 2020

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Page 1: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

COVID-19 and Mental Health:What We Are Learning from www.mhascreening.org

July 1, 2020

Page 2: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

Mental Health and COVID-19: More than 169,000

People Impacted by Anxiety and Depression

➢ Through June, more than 169,243 additional people (over pre-pandemic baselines) have screened moderate to severe for depression or anxiety since the start of the pandemic.

➢ In addition, far more people are now taking mental health screenings – 7,000 per day in May and June. The per day number of anxiety screenings completed in June was 406% higher than in January, and the per day number of depression screens was 457% higher.

➢ The mental health impacts of the pandemic are not confined to anxiety and depression. There has been a steep increase in the numbers of people screening positive (“at risk”) for psychosis, too. In June, more than 18,000 people screened at risk for psychosis, more than 4 times the baseline numbers we had seen through March.

➢ The mental health impacts continue to be more pronounced in young people (<25): roughly 9 in 10 are screening with moderate-to-severe depression, and 8 in 10 are screening with moderate-to-severe anxiety.

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Page 3: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

Mental Health and COVID-19: Thoughts of Suicide &

Self-Harm at Epidemic Levels in both May and June

➢ “Loneliness and isolation” is cited by the greatest percent of moderate to severe depression (74%) and anxiety (65%) screeners as contributing to mental health problems “right now.” These percentages have been steady since mid-April.

➢ Despite a dramatic jump in screeners in May and June (230,822 in June versus 69,626 in April), severity continued to track equal to or higher than our pre-pandemic baselines.

➢ In June 2020, 25,498 depression screeners reported thinking of suicide or self-harm on more than half of days to nearly every day, with 14,607 reporting these thoughts nearly every day.

➢ Special populations are also experiencing high anxiety and depression, including LGBTQ, caregivers, students, veterans/active duty, and trauma survivors.

➢ For thousands of positive screeners, racism and current events are cited as factors in their screening results.

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Page 4: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

MHA Screening (www.mhascreening.org):

Nearly 5.5 Million Completed Screens

Depression (PHQ-9) Anxiety (GAD-7) Bipolar (MDQ)

PTSD (PC-PTSD)Youth Screen

(PSC-YR)Parent Screen

(PSC)

Alcohol and Substance Use Screen (CAGE-

AID)

Psychosis Screen (Ultra-High Risk)

(PQ-B)Eating Disorders

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MHA Screening

• Began in April 2014.• Access to screening tools is free and anonymous at

www.mhascreening.org.• Most screeners voluntarily give de-identified demographic

data.• Screeners are young, (63% < 25 years), female (72%).• Help-seeking population (74% positive).• Otherwise representative of the population.

Page 6: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

In June, Per Day Anxiety Screenings

Increased by 406% over January

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200

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1/1 - 1/31 2/1 - 2/29 3/1 - 3/31 4/1 - 4/30 5/1 - 5/31 6/1 - 6/30

Page 7: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

In June, Per Day Depression Screenings

Increased by 457% over January

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January February March April May June

Depression Screenings

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Page 8: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

More Than 64,108 Additional Screeners Have

Anxiety Since COVID-19 Pandemic

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10000

20000

30000

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50000

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Mar Apr May June Total

Moderate to Severe

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Excess Moderate-to-Severe screening results above the Nov-Jan 3-month

average (5295 moderate to severe)

Page 9: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

More Than 105,135 Additional Screeners

Have Depression Since COVID-19 Pandemic

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February March April May June

Excess Moderate to Severe Depression Screens above the Nov-Jan 3-month

average (10,867 moderate to severe)

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Psychosis: Those Screening “Positive”

Increased Dramatically in May & June

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October November December January February March April May June

Page 11: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

Psychosis Screening: Severity Also Up in

June 2020

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68.00%

69.00%

70.00%

71.00%

72.00%

73.00%

74.00%

75.00%

76.00%

3500

5500

7500

9500

11500

13500

15500

17500

19500

Nov Dec Jan Feb Mar April May June

Screeners At Risk Percent at Risk

Page 12: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

May Anxiety Screeners: The Main Things

Contributing to Mental Health Problems Right Now

Reason Number of Responders Percent of Respondents

Loneliness or isolation 15934 62.14%

Past trauma 12219 47.65%

Relationship problems 10540 41.10%

Coronavirus 9326 36.37%

Current events (news, politics, etc.) 7542 29.41%

Grief or loss 6489 25.31%

Financial Problems 6315 24.63%

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N=25,643, scoring moderate to severe 5/1-5/31,

“Choose up to 3”

Page 13: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

June Anxiety Screeners: The Main Things

Contributing to Mental Health Problems Right Now

Reason Number of Responders Percent of Respondents

Loneliness or isolation 17637 64.74%

Past trauma 12700 46.62%

Relationship problems 11111 40.79%

Current events (news, politics, etc.) 9838 36.11%

Coronavirus 7878 28.92%

Grief or Loss 6723 24.68%

Financial Problems 6588 24.18%

Racism 2097 7.70%

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N=27,241, scoring moderate to severe 6/1-6/30, “Choose up to

3”

“Racism” added as option on 6/16

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May Depression Screeners: The Main Things

Contributing to Mental Health Problems Right Now

Reason Number of Responders Percent of Respondents

Loneliness or isolation 32910 72.59%

Past trauma 20931 46.17%

Relationship problems 20100 44.34%

Coronavirus 13703 30.23%

Grief or loss 12413 27.38%

Financial Problems 10142 22.37%

Current events (news, politics, etc.) 9868 21.77%

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N=45,335, scoring moderate to severe 5/1-5/31,

“Choose up to 3”

Page 15: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

June Depression Screeners: The Main Things

Contributing to Mental Health Problems Right Now

Reason Number of Responders Percent of Respondents

Loneliness or isolation 37237 73.92%

Past trauma 22653 44.97%

Relationship problems 22058 43.79%

Current events (news, politics, etc.) 14674 29.13%

Grief or loss 13366 26.53%

Coronavirus 11926 23.67%

Financial Problems 11767 23.36%

Racism 2704 5.37%

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N=50,376, scoring moderate to severe 6/1-6/30, “Choose

up to 3”

“Racism” added as option on 6/16

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Screeners Are Not “Worried Well”:

Depression Severity Higher In March-June v. Jan-Feb

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50.00%

55.00%

60.00%

65.00%

70.00%

75.00%

80.00%

85.00%

90.00%

95.00%

100.00%

Jan Feb Mar Apr May June

Depression Screeners, Percent Moderate to Severe

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More Than 25,000 People Considered Self-Harm

or Suicide in June

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16.6%17.5%

20.6%

18.3%17.48%

19.66%

13.2% 13.5%14.6%

14.1% 13.62%14.66%

4205 45375871

7061

21165

25498

0

5000

10000

15000

20000

25000

30000

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

"Jan 2020" "Feb 2020" "Mar 2020" "Apr 2020" "May 2020" "June 2020"

Suicidal/Self-Harm Thinking

% Nearly Every Day % More Than Half the Days Total Number, Half to Nearly Every Day

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Young People in June Still Disproportionately

Experiencing Depression and AnxietyPercent Moderate to Severe

18

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

"11-17" "18-24" "25-34" "35-44" "45-54" "55-64" "65+"

Depression Anxiety

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Special Populations: Positive for

Depression and Anxiety

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0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00%

Vet/Active Duty

New/Exp Mom

Caregiver

LGBTQ+

Trauma Survivor

Student

Anxiety Depression

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For More Resources

• For MHA COVID-19 resources: https://www.mhanational.org/covid19

• For other mental health COVID-19 resources: https://psychhub.com/covid-19/

• To take a free mental health screen: https://screening.mhanational.org

Page 21: COVID-19 and Mental Health: What We Are Learning from ......Mental Health and COVID-19: More than 169,000 People Impacted by Anxiety and Depression Through June, more than 169,243

Facebook.com/mentalhealthamerica

Twitter.com/mentalhealtham

Instagram.com/mentalhealthamerica

Youtube.com/mentalhealthamerica

Contact Us Mental Health America

500 Montgomery StreetSuite 820Alexandria, VA 22314

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[email protected]

@pgionfriddo