In Hard-Hit Areas, COVID’s Ripple Effects Strain Mental Health Care Systems

In late March, Marcell’s girlfriend took him to the emergency room at Henry Ford Wyandotte Hospital, about 11 miles south of Detroit.

“I had [acute] paranoia and depression off the roof,” said Marcell, 46, who asked to be identified only by his first name because he wanted to maintain confidentiality about some aspects of his illness.

Marcell’s depression was so profound, he said, he didn’t want to move and was considering suicide.

“Things were getting overwhelming and really rough. I wanted to end it,” he said.

Marcell, diagnosed with schizoaffective disorder seven years ago, had been this route before but never during a pandemic. The Detroit area was a coronavirus hot spot, slamming hospitals, attracting concerns from federal public health officials and recording more than 1,000 deaths in Wayne County as of May 28. Michigan ranks fourth

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Pandemic Presents New Hurdles, And Hope, For People Struggling With Addiction

Before Philadelphia shut down to slow the spread of the coronavirus, Ed had a routine: most mornings he would head to a nearby McDonald’s to brush his teeth, wash his face and — when he had the money — buy a cup of coffee. He would bounce between homeless shelters and try to get a shower. But since businesses closed and many shelters stopped taking new admissions, Ed has been mostly shut off from that routine.

He’s still living on the streets.

“I’ll be honest, I don’t really sleep too much,” said Ed, who’s 51 and struggling with addiction. “Every four or five days I get a couple hours.”

KHN agreed not to use his last name because he uses illegal drugs.

Philadelphia has the highest overdose rate of any big city in America — in 2019, more than three people a day died of drug overdoses there, on

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Casi la mitad de las personas han retrasado su atención médica por la pandemia

A medida que la amenaza del coronavirus fue aumentando en marzo, hospitales, sistemas de salud y consultorios redujeron drásticamente los servicios que no eran de emergencia para prepararse para una afluencia de pacientes con COVID-19.

Pero una nueva encuesta revela que este vacío en la atención no fue solo porque los centros de salud se estaban preparando, sino también porque muchos pacientes decidieron atrasar procedimientos y citas.

En la encuesta realizada por la Kaiser Family Foundation (KFF), el 48% de los estadounidenses dijo que ellos mismos o un miembro de la familia habían salteado o retrasado atención médica por la pandemia, y el 11% de ellos dijo que la condición médica empeoró por culpa de ese atraso.

Grupos médicos han notado una fuerte caída en el número de pacientes de emergencia en todo el país. Algunos, como el Colegio Estadounidense de Médicos de Emergencia, el Colegio Estadounidense de Cardiología y

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