The Next Pandemic: Mental Health
“The pandemic has been a challenge I never expected… My emotions are all over the place. I am always on edge... This is the most overwhelmed I’ve ever felt in my life. There are moments I don’t think it can get worse, and Boomer, my 4-year old, will walk up to me, give me a hug and just tell me he loves me.”Michael Phelps, Olympic swimming champion
Michael Phelps is hardly alone as COVID-19 has caused most parents to struggle with new realities. Some question what the future will bring and wonder if loved ones are safe. Others are coping with the loss of close ones, unemployment, and lack of food or housing. Meanwhile, our littlest learners are currently deprived of social interactions, sequestered to playing inside, and relegated to growing screen time (if they have access to technology at all).
We’re approaching the end of May, which is National Mental Health Awareness month. But the mental health crisis is looming on the horizon.
The first wave of the crisis affected physical health, the second wave is economic. Now comes the third wave—mental health—and our system is ill-prepared.Image source: Imaginable Futures
Prior disasters have triggered rising mental health challenges and greater inequities, especially among young children. Given that mental well-being is a core pillar of effective learning, we feel an even greater sense of urgency regarding the need for investments in mental health solutions.
Disasters Breed Trauma
Evidence suggests that isolation drives trauma. A 2013 meta-study of health-related disasters found that isolation or quarantine can be traumatizing, with 25 percent of isolated or quarantined children and adults experiencing post-traumatic stress disorder.
Moreover, disasters can lead to long-term mental health challenges. After Hurricane Katrina, nearly half of the parents surveyed reported an increase in their child’s emotional or behavioral difficulties. As the intensity of exposure to the hurricane increased, PTSD symptoms worsened. Three years later, researchers found 28 percent still exhibited chronic dysfunction, with greater impact among those with prior instability and lower family or community support during and after the event.
The mental well-being of parents and caregivers directly impacts their child’s well-being. A study of how children fared after the 9/11 attacks found that disaster-related maternal psychological problems had a stronger impact on preschool children than children’s direct exposure.
Alarming Early COVID-19 Data
Before the pandemic, mental health issues were already prevalent. Nearly half of children are estimated to have experienced at least one Adverse Childhood Experience, and a quarter of early-childhood educators had reported clinically significant levels of depression. Unfortunately, COVID-19 may exacerbate existing challenges.
Early data so far are alarming. According to a March 2020 survey by the University of Oregon, 68 percent of parents and caregivers reported an increase in stress, and 33 percent reported an increase in their child’s fussiness or disruptive behavior. In an April 2020 Yale survey that asked 5,000 teachers to describe their emotions, the top five responses included: anxious, fearful, worried, overwhelmed and sad.
An Urgent Call to Increase Funding and Solutions
The current crisis has exacerbated the urgent need for massive investments in mental health. We believe in a tiered approach recommended by the National Association of School Psychology.
- Tier 1: universal intervention for prevention and evaluation of needs;
- Tier 2: response for immediate crisis intervention;
- Tier 3: targeted psychotherapy for those with greater needs.
These mental health supports and interventions need to tackle three groups holistically: children, parents and caregivers, and educators.Figure from National Association of School Psychology
Several portfolio organizations at Imaginable Futures are working on Tier 1. The Harvard Center on the Developing Child offers resources and thought leadership on toxic stress and resilience. Ready4K’s trauma-informed care program educates parents about protective factors and connects them to resources through text messages. Tinkergarten and ThinkEqual teach socio-emotional learning. Khan Academy recently introduced guided meditation practices. Wide Open School has an entire section dedicated to mental health resources for families.
Outside our portfolio, many partners are working on Tier 2 and 3 solutions. Crisis Text Line connects people with counselors across the country. The Lourie Center offers a comprehensive therapeutic program with strong outcomes. Head Start implemented trauma-informed care solutions throughout its network.
But we urgently need more. How we’ve responded to other disasters offers useful guidance. After Hurricane Harvey for example, UNICEF worked quickly to implement a needs assessment and provide school-based mental health support.
At Imaginable Futures, we seek to enable each and every learner to realize the future that they imagine. But we know this is only possible with strong, supported families and communities, particularly in times of crisis. António Guterres, the Secretary-General of the United Nations, has recently called for more attention to mental health as “the core of our humanity.”
We agree. Now, more than ever, we need to find ways to embrace families who are unseen and offer them a lifesaver before they get swallowed by the waves coming toward them.