The coronavirus outbreak has affected mental health in a variety of ways. These include:
- the impact of lockdown on an individual’s mental health;
- the impact on individuals suffering from mental health conditions prior to the pandemic; and
- loss of funding and operational capacity for mental health services and charities.
This blog will look at these factors in more detail, as well as looking at what the Government is currently doing to support mental health during the pandemic.
Why is mental health affected by the Covid-19 outbreak?
The lockdown, imposed from 23 March, has significantly limited many activities that have been shown to improve mental wellbeing. These include exercise, contact with the natural world, contact with friends and relatives, and a loss of everyday routine. Generalised fear and anxiety around the Covid-19 pandemic itself may also have an impact on an individual’s mental health.
While research on the mental health impact of the current pandemic is limited, studies of previous epidemics have shown that changes in health behaviour can lead to long lasting damage to mental health. These include:
- enduring changes in health behaviours, such as insomnia and alcohol abuse;
- fragmentation of social engagement, such as continued avoidance of public spaces and contact with others; and
- adverse effects on work and working routines, such as isolation caused by remote working, and stress caused by change in working patterns.
Research into previous outbreaks has also shown that health workers and patients are at increased risk of long-term mental health problems.
What has been the impact on the general population?
Research has shown that levels of anxiety have risen since the beginning of the Covid-19 outbreak. The Office for National Statistics (ONS) reported that between 24 April and 3 May 2020, 75% of British adults were “very worried or somewhat worried” about the effect that Covid-19 was having on their lives. However, these figures represented a 5% decrease from the previous week (17 April to 23 April). The respondents indicated that the negative impact on their ability to make plans was the biggest cause of anxiety.
Researchers at University College London are currently running the Covid-19 social study, which provides weekly reports on the experiences of 90,000 individuals. Results from 13 May reported that anxiety levels had fallen in comparison with the previous week, while depression levels remained relatively stable. Anxiety and depression levels remained higher in younger adults, those living alone, those with lower household income, and people with an existing mental health diagnosis.
There is also evidence of more positive trends. Data from the ONS has shown a significant increase in people’s expectations for unity. Before the outbreak, 21% of people believed Britain was “very or somewhat united”. In the most recent data, expectations for unity after the outbreak had risen to 57%. This rise was most pronounced in young people.
What is the impact on those with pre-existing mental health conditions?
Those with pre-existing mental health conditions are facing a reduced level of support during the Covid-19 pandemic.
The National Counselling Society has provided a list of conditions that must be met before face-to-face counselling can go ahead during the lockdown. These include:
- a client’s mental health would critically suffer and require medical intervention without the continuation of face to face sessions;
- the therapy room provides over two metres of space between counsellor and the client; and
- hand sanitiser is provided, and all surfaces are disinfected after the session.
While remote delivery of support services is a lifeline for many during the pandemic, some have highlighted its limitations. Chair of the Royal College of Nursing’s mental health forum, Ed Freshwater, states:
Alongside verbal communication, a large part of what we do is assess someone’s posture and body language. We’re missing out on that, especially for people who are in very vulnerable circumstances. We can’t pick up on those visual cues.
Concerns about not being able to physically access mental health support are worsening existing mental health conditions. Individuals who suffer from mental health conditions are showing significantly less confidence in the Government’s response than those who do not. Those suffering from obsessive compulsive disorders, anxiety and panic disorders, as well as depression, are at particular risk of a worsening of symptoms during the lockdown. A lack of available medication, or a difficulty accessing this medication, is a further complicating factor.
Research published in the Lancet Psychiatry states that the pandemic also “intersects with rising mental health issues in childhood and adolescence”. It calls for a major research initiative to establish how those living with existing mental health conditions are affected by lockdown measures, and Covid-19 in general.
What is the Government doing?
On 29 March, the Government announced £5 million of additional support for mental health charities in England.
The mental health charity Mind, along with a consortium of other charities and organisations, is using the money announced by the Government to run the coronavirus mental health response fund. This allows mental health services across England to apply for grants of either £20,000 or £50,000 for projects lasting up to 12 months.
In addition, Public Health England (PHE) has updated its Every Mind Matters platform with specific Covid-19 guidance. Yvonne Doyle, medical director at PHE, stated:
We should continue to check up on friends, family and neighbours by phone or online and pursue the activities we are able to do from home and in line with guidance. By adopting a new routine, setting goals, eating healthily and maintaining physical activity, we can stay in good mental health today and tomorrow.
PHE have also published guidance on supporting children and young people’s mental health during the pandemic.
The Scottish Government has announced a £1 million investment in the distress brief intervention programme, which provides early intervention for mental health crises. The Welsh Government has issued new measures under the Mental Health (Wales) Measure 2010. The executive in Northern Ireland has also issued updated guidance.
On 19 May 2020, Baroness Tyler of Enfield is to ask the Government what steps it is “taking (1) to protect, and (2) to support, mental health services (a) during, and (b) after, the COVID-19 pandemic”.
- Public Health England, ‘Every Mind Matters’, May 2020
- Healthier Scotland, ‘Clear Your Head’, May 2020
- Public Health Wales, ‘Staying Well At Home’, May 2020
- NI Direct, ‘Coronavirus (COVID-19): taking care of your mental health and wellbeing’, May 2020
- Parliamentary Office of Science and Technology (POST), ‘Mental health and well-being during the COVID-19 outbreak’, 7 May 2020
Image by Finn from Unsplash.