Variance in access to mental health care due to ethnic and racial disparities raises social justice concerns about the distribution of resources and underlying social variables of inequality. Service users and family organisations have expressed concerns about potential future service cuts, disproportionate additional illness burden, reduced service access, inadequate financial support, exacerbation of inequalities in access to health care, and the need for greater family and carer support

Ethics-driven and rights-driven considerations for sustainable adaptations of mental health delivery

Users of mental health services and their families need to feel empowered to take ownership of their healing journey, especially now when service access is limited and face-to-face contact is often unavailable. Therefore, service users should be centrally involved in the development of mental health-care services and systems, and the renewed discussion of racial inequalities and inequalities in the availability of adequate and adapted health-care access can be viewed as a way to further encourage such involvement

Service user knowledge and involvement for sustainable adaptations of mental health delivery

- Increased community monitoring and mental health screening
- facilitation of diverse and flexible access to mental health care
- anticipate and prepare for an increase in unmet mental health needs in vulnerable groups

Longer-term mental health needs for sustainable adaptations of mental health delivery

Remote therapy for sustainable adaptations of mental health delivery

Ways of working for sustainable adaptations of mental health delivery

- Ethics-driven and rights-driven considerations
- Service user knowledge and involvement
- Longer-term mental health needs
- Remote therapy
- Ways of working

Smith College

- Potential consequences of COVID-19 for mental health
- Mental health service responses to COVID-19
- Sustainable adaptations of mental health delivery
- Assessment of mental health outcomes in clinical practice

Topics of How mental health care should change as a consequence of the COVID-19 pandemic

Moreno, C., Wykes, T., Galderisi, S., Nordentoft, M., Crossley, N., Jones, N., Cannon, M., Correll, C., Byrne, L., Carr, S., Chen, E., Gorwood, P., Johnson, S., Kärkkäinen, H., Krystal, J., Lee, J., Lieberman, J., López-Jaramillo, C., Männikkö, M., Phillips, M., Uchida, H., Vieta, E., Vita, A. and Arango, C., 2020. How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry. DOI:https://doi.org/10.1016/S2215-0366(20)30307-2

How mental health care should change as a consequence of the COVID-19 pandemic

- Public mental health responses and community outreach
- Mental health-care settings
- Mental health needs of special populations

Mental health service responses to COVID-19

Sustainable adaptations of mental health delivery

Assessment of mental health outcomes in clinical practice

- Children

- Domestic caregivers

- Old age

- Marginalized community

- General public

- People who have or had COVID-19

- People with pre-existing mental health disorders

- Health-care workers

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