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Defining COVID-19 as a Disaster Helps Guide Public Mental Health Policy

Published online by Cambridge University Press:  12 August 2020

Abdulaziz Alkhayyat*
Affiliation:
Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road, Manchester, UK
Kishan Pankhania
Affiliation:
Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road, Manchester, UK
*
Correspondence and reprint requests to Abdulaziz Alkhayyat, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, UK, M13 9PL (e-mail: abdulaziz.alkhayyat@student.manchester.ac.uk).
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Abstract

The coronavirus disease (COVID-19) pandemic continues to be a devastating chapter in history. The consequences of the pandemic unfold daily and they extend beyond physical health. Current research suggests that it is a public mental health crisis. With regard to the physical effects of COVID-19, policy-makers have drawn from past experiences, such as the severe acute respiratory syndrome (SARS) outbreak of 2003, to craft unique responses. A similar approach must be taken to address the mental health effects of the pandemic. Because COVID-19 can fit the definitions of a mental health disaster, it can be addressed using the principles of disaster mental health management. This letter to the editor presents arguments for defining COVID-19 as a mental health disaster, the challenges facing policy-makers in addressing it as such, and calls upon researchers to fill this gap in the literature.

Type
Letter to the Editor
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2020

The coronavirus disease (COVID-19) pandemic has been devastating. Furthermore, the havoc wreaked by the pandemic extends beyond physical health. Arguably, the pandemic is a mental health crisis. The literature surrounding COVID-19 supports this claim. In the work of Qiu et al.,Reference Qiu, Shen and Zhao1 a nationwide survey found that 35% of 52 730 respondents across China had experienced psychological distress associated with the pandemic. The grim uniqueness of COVID-19 is that the panic and fear that come with the virus extend beyond those infected.

To address the physiological ramifications of this pandemic, policy-makers are being tasked with creating unique public health policies. They are looking to past, similar events that serve as guides on how to respond. Hence, social distancing and quarantine measures were implemented because of their efficacy in past crises, such as the severe acute respiratory syndrome (SARS) outbreak in 2003.Reference Wilder-Smith and Freedman2 Yet, where do they turn to address the mental health effects of COVID-19? One may draw parallels between the pandemic and other catastrophic events, such as mass shootings, which inflicted significant trauma on communities.Reference Shultz, Thoresen and Flynn3 Thus, the answer to the psychological challenges posed by COVID-19 may lie in disaster mental health management.

Disaster mental health management takes a preventive approach in aiding people struck with disaster.Reference Math, Nirmala, Moirangthem and Kumar4 Math et al. defines a disaster, in terms of mental health, as an event that meets the following criteria – sudden onset, unpredictability, uncontrollability, huge magnitude of destruction, human loss and suffering – and greatly exceed[s] the coping capacity of the affected community.Reference Math, Nirmala, Moirangthem and Kumar4 The COVID-19 pandemic meets the aforementioned criteria and, therefore, could be deemed a disaster.

Henceforth, the psychological effects of COVID-19 should be addressed using the principles of disaster mental health management. This could include offering community-based services that administer psychological first aid, debriefing, and cognitive behavioral therapy among other interventions.Reference Math, Nirmala, Moirangthem and Kumar4 This recommendation echoes the work of Qiu et al.Reference Qiu, Shen and Zhao1 who recommend “nationwide strategic planning and coordination for psychological first aid during major disasters, potentially delivered through telemedicine.” The challenge that we face in implementing these services is scaling them nationally and internationally to different health care systems. The authors anticipate that, if this approach is taken, the ill mental health effects of the pandemic will be significantly reduced. This, in effect, can decrease the burden placed on mental health services after the pandemic. Researchers should study this speculation and substantiate it further.

The consequences of not addressing COVID-19 as a mental health disaster could be significant. In disaster-stricken communities, mild and moderate mental disorders tend to double after the disaster.Reference van Ommeren, Saxena and Saraceno5 To avoid such repercussions associated with COVID-19, a considerable public health response must be urgently taken – one which views the pandemic as a disaster. Thus, researchers should conduct original research on COVID-19 through the lens of a disaster and seek means to avoid a mental health crisis. In other words, it is time to “flatten the curve” of the psychological effects of this pandemic.

Conflict of Interest Statement

The authors have no conflicts of interest to declare.

References

REFERENCES

Qiu, J, Shen, B, Zhao, M, et al. Correction: a nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Published erratum. Gen Psychiatr. 2020;33(2):e100213corr1.Google Scholar
Wilder-Smith, A, Freedman, DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020. doi: 10.1093/jtm/taaa020.CrossRefGoogle ScholarPubMed
Shultz, JM, Thoresen, S, Flynn, BW, et al. Multiple vantage points on the mental health effects of mass shootings. Curr Psychiatry Rep. 2014;16(9):469. doi: 10.1007/s11920-014-0469-5.CrossRefGoogle ScholarPubMed
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