Survey: 2020 Election Weighing on Democrats’ Mental Health; Republicans Turning to Drugs & Alcohol at a Higher Rate to Cope with Stress

This year has brought unexpected challenges and unprecedented action to all of our lives. The COVID-19 pandemic has disrupted nearly all aspects of daily life and has claimed the lives of over 200,000 Americans. The murder of George Floyd and the renewed calls and demonstrations for social justice that followed shocked and galvanized the nation and the world. An emerging conversation about the mental health effects of social media intensified with the release of the popular documentary “The Social Dilemma.” All of these events are also taking place against the backdrop of a fiercely contested general election.

These events, which have dominated the media landscape, combined with long-term uncertainty can create stress, anxiety and other mental health impacts. They can also cause people to lean on unhealthy coping strategies, like substance use.

We’ve been conducting research to better understand what’s affecting mental health and substance use in our communities and which events have been most impactful. With election season reaching its peak, we also wanted to take a look at how members of political parties are experiencing the events of 2020. The results showed that many respondents reported higher rates of drug and alcohol use, as well as mental health symptoms. The results were even more striking when we looked at the differences between party affiliations and how members are handling stress and coping with COVID-19. Here’s what we found.

The Recovery Village Survey Results

We surveyed 1,000 people about their mental health and past-month drug and alcohol use.

Note: Some questions asked respondents to select each option that applied, so in a few instances, the total percentage will be greater than one hundred.

Republicans Report Drug Use at Higher Rates than Independents or Democrats

Survey respondents who identified themselves as Republicans reported drug use at a higher rate than their Democratic or Independent peers. The most significant differences in the rates were between Republicans and Independents.

• One in five Republicans reported using prescription opioids, making them 26% more likely than Independents and 14% more likely than Democrats to do so. 
• They were 33% more likely to use illicit opioids (heroin and fentanyl) than Independents but only 3% more likely than Democrats.
• Just over 10% of Republicans reported Meth use, making them 72% more likely than Independents and 17% more likely than Democrats to do so.
• 14% of Republicans reported using benzodiazepines. This makes them 49% more likely than Independents and 15% more likely than Democrat to use benzos.

• Another 14% reported using prescription stimulants, making them 44% more likely than Independents and 23% more likely than Democrats to do so. 
• All parties reported an uptick in their drug use with 44% of Republicans, 37% of Democrats, and 30% of Independents reporting a past-month increase.
• More Democrats (40%) and Independents (40%) reported using marijuana than Republicans (36%).
• Alcohol use is similar among all groups (85-88% reported past-month use) and all groups are reporting an increase in their use compared to the month prior.
• Reported Republican rates of increase are slightly higher (9%) than their Democratic peers and are 42% higher than the rate of Independents. Republicans were also 18% more likely than Democrats and 40% more likely to Independents to report they had previously been diagnosed with or treated for a substance use disorder.

Using Substances to Cope

Survey respondents were asked to select the reasons for their substance use. They were also asked to identify the biggest reason behind their past-month use. More than six in ten across all groups said coping with stress was one reason for substance use, but coping with mental health symptoms, boredom and recreational use were also popular responses. There were differences between the groups as well.

• Republicans were 37% more likely than Independents and 7% more likely than Democrats to say they used a substance to treat pain. They were also 95% more likely than Independents and 20% more likely than Democrats to say they were physically dependent.
• Democrats were 22% more likely than Republicans and 17% more likely than Independents to report substance use as a way to cope with mental health symptoms.
• Independents were 27% more likely than Democrats and 6% more likely than Republicans to say their substance use was just part of their daily routine. 

Mental Health Under Siege: A Pandemic, an Election & Social Media are Hurting Mental Health

Majorities across all groups agreed that COVID-19 had impacted their mental health. While symptoms of anxiety, depression and anger were reported at similar rates across groups, Democrats were 20% more likely than Republicans and 8% more likely than Independents to report sleep issues.

This year has brought together a myriad of circumstances with the potential to harm mental health. While each group reported a number of factors impacting their mental health, many of these seem to be affecting Democrats more than Republicans or Independents. 

• Almost 60% of Democrats reported the fear of getting sick from COVID-19 has impacted their mental health, making them 35% more likely than Republicans and 27% more likely than Independents to do so.
• 55% of Democrats say their mental health was impacted by the fear of a loved one getting sick, compared to 41.5% of Republicans and 46% of Independents.
• Nearly half of Democrats said the 2020 election has impacted their mental health, making them 89% more likely than Republicans and 30% more likely than Independents to do so.
• Democrats were 31% more likely than Republicans and 27% more likely than Independents to say social justice protests impacted their mental health.

When asked to identify the biggest stressor on their mental health:

• Republicans were 62% more likely than Democrats and 21% more likely than Independents to select the financial impacts of COVID-19 as the event with the largest impact on their mental health.
• Independents were 35% more likely than Democrats and 31% more likely than Republicans to select that quarantine or stay-at-home measures as the largest impact.
• Democrats were 34% more likely than Independents and 12% more likely than Republicans to say that the fear of themselves or a loved one getting sick with COVID-19 had the biggest impact on their mental health.
• Democrats were also 308% more likely than Republicans and 86% more likely than Independents to identify the 2020 Election as having the largest impact on their mental health.

What the Results Mean

Regardless of why, U.S. adults are more stressed and anxious as a result of the coronavirus pandemic and other events that are currently taking place. As COVID-19 persists and the 2020 election continues to intensify, access to mental health care and substance use treatment will become even more critical for overall health and wellbeing.

When asked about current participation or consideration of therapy:

• 34% of all respondents were “considering it.”
• Republicans were 14% more likely than Democrats and 68% more likely than Independents to be in therapy prior to the COVID-19 pandemic.
• Democrats were 24% more likely than Republicans and 26% more likely than Independents to be currently considering therapy.
• Only 8% of respondents reported that therapy “was not an option at this time.”
• Republicans were 10% more likely than Democrats and 25% more likely to Independents to report they have been diagnosed with or treated for a mental health disorder.

These results show there is still work to do to encourage those seeking treatment and connecting everyone with the resources they need. Therapeutic intervention is an important way to treat mental health symptoms as well as underlying causes of substance use. The same way you don’t have to hit rock bottom to get help for addiction, you don’t have to wait until you’re in crisis to get mental health help. Those considering treatment can significantly improve their daily lives and reduce symptoms by participating in mental health counseling.

As a behavioral health care provider and leader in addiction and mental health treatment, we are dedicated to raising awareness and expanding access to high-quality treatment. We serve our local communities at our facilities located around the country and through telehealth options for those who are unable or uncomfortable with traveling. Helping individuals to manage their mental health and break patterns of substance use is not only a critical way to repair families, it also supports the overall health and wellbeing of our communities.

If you or someone you know needs support with substance use or mental health concerns, The Recovery Village can help. We offer a full continuum of care, including telehealth for ongoing outpatient treatment and teletherapy for substance use and mental health conditions. Contact us to learn more about a personalized treatment plan that can meet your needs and get you started on the path to recovery.

For press inquiries about these results and other survey data, email allison@therecoveryvillage.com.

Our Other COVID-Related Studies:

• Survey Shows Drug and Alcohol Use on the Rise During COVID-19 Pandemic
• Mental Health in the Time of COVID-19
• Kids Anxious About Going Back to School After COVID
• South Florida Residents Experiencing “Coronavirus Anxiety” as Pandemic Lingers On
• Young Adults Turning to Drugs & Alcohol to Cope with COVID Stress
• Does Income Level Help You Cope with COVID-19?
• COVID-19 Map: Tracking Substance Usage During Coronavirus
• COVID Resource Center

On-Demand Addiction & Mental Health Resources

The Recovery Village has several, free resources for those living with addiction or mental health conditions and their loved ones. From videos, to clinically-hosted webinars and recovery meetings, to helpful, medically-reviewed articles, there is something for everyone. If you need more direct help, please reach out to one of our representatives.

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There continue to be many mixed messages regarding the risks or benefits of alcohol use, but the American Cancer Society (ACS) recently released a cautionary statement: “It is best not to drink alcohol.” The organization’s new stance is based on mounting evidence that points toward alcohol as a large contributor to cancer risks.

In their updated Diet and Physical Activity Guideline, the ACS examines the relationship between alcohol use and cancer. It also provides in-depth recommendations for exercise, food intake and other health-related factors. This is the first update to the guideline in eight years.

Previous Stance in 2012

Before the most recent update, the ACS recommended that people who drink alcohol should make sure to limit consumption. The organization stated that, as a general rule, women should have no more than one drink per day and men should have no more than two. There have also been changes to previous dietary and exercise recommendations.

What Changed? 

A press release from the ACS breaks down the differences between the updated guidelines and those from 2012. These guidelines include new recommendations for physical activity, diet and alcohol intake — all of which are related to cancer risks.

1. Physical Activity

The organization has increased its recommendation for physical activity. Previously, the guidelines stated adults should exercise at a moderate level for 150 minutes per week or at a vigorous level for 75 minutes per week. 

The updated guidelines indicate that adults should exercise for 150 to 300 minutes at a moderate level, or 75 to 150 minutes at a vigorous level. The ARS also states that it’s best to reach the upper level of these limits.

2. Diet

The guidelines previously stated that adults should eat a healthy diet with plenty of plant foods, like fruits and vegetables and should limit consumption of processed or red meat, eating 2.5 cups of fruits and vegetables daily and choosing whole grains instead of refined grains.

Now, the guidelines recommend following a healthy eating pattern at all ages. It describes this pattern as eating foods that help promote a healthy body weight and are high in nutrients. It also recommends eating a variety of vegetables, whole fruits and whole grains. It specifically states that red or processed meats, sweetened beverages, highly processed foods and refined grains should be limited or removed from eating patterns.

3. Alcohol Intake

While the ACS still recommends daily limits for alcohol intake — one drink for women and two drinks for men — the organization now states that it’s best to avoid alcohol entirely. This change may represent a potential shift in how the medical community views alcohol use as a whole. Instead of attempting to determine an amount that individuals can “safely” drink, the ACS has taken the stance that alcohol use is not optimal for health, particularly in regard to cancer risks.

How Alcohol Consumption Affects Cancer Risks

According to the updated guidelines, which compile scientific data from a variety of research organizations and studies, alcohol is the third largest modifiable factor in cancer risks. The primary two factors are body weight and tobacco use. 

Alcohol use is linked to at least seven types of cancer, including colon, liver, esophageal and stomach cancer. Alcohol is believed to have caused 4% of all cancer deaths in 2014, with 40.9% of oral cavity, 23.2% of larynx, 21.6% of liver and 21% of esophageal cancer cases caused by alcohol use.

The ethanol found in alcohol is carcinogenic. Carcinogens damage DNA and proteins within the body, reducing the ability to repair proteins, absorb nutrients and more. These changes can cause cells to begin growing abnormally instead of dying as they should, which can lead to cancer.

If you or a loved one would like to quit drinking and need support to do so, The Recovery Village can help. Contact us today to learn more about treatment plans and programs that can help you lead a life free from alcohol use and addiction.

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While COVID-19 is a dangerous illness on its own, the pandemic is negatively impacting the United States in a variety of other ways. On top of those who have contracted the virus and are dealing with its life-threatening symptoms, many Americans struggle with mental health concerns as they juggle income woes, joblessness, general uncertainty and fear. Now, another problem is compounding the situation: rising opioid overdose rates.

Some point toward the isolation of quarantine and mental health concerns as reasons for the many recent relapses and unintentional overdoses on fentanyl-laced drugs. The Overdose Detection Mapping Application Program (ODMAP) analyzes counties’ overdose data throughout the country. Of the participating counties in ODMAP, nearly 62% reported higher drug overdose rates than data gathered before March 19, 2020. The frequency and duration of overdose spikes have also increased nationally.

The American Medical Association (AMA) has taken notice, and the organization recently released a documentoutlining the current issues and potential ways to fix them. In it, the AMA explains that states must take action by creating more flexibility for opioid addiction treatment and harm reduction.

What the AMA Proposes

In a supplementary document, the AMA provides an in-depth overview of specific steps states should take to prevent additional overdoses and related deaths. This includes:

• Ensuring people with opioid use disorders can receive access to care: This can be done by increasing medication-assisted treatment through drugs like buprenorphine and allowing patients to receive prescriptions via telemedicine when possible.
• Protecting patients with opioid prescriptions: Reducing restrictions on refills and waiving in-person evaluations allows people to continue receiving the pain relief they need. This could prevent individuals from turning to illicit drugs for pain management.
• Bolstering harm prevention services: Services like needle exchange programs, fentanyl test kits and naloxone distribution help prevent people with addiction from overdosing and contracting diseases caused by sharing needles.

The Opioid Crisis: Not a New Epidemic

The opioid crisis has been an issue for decades now. Out of more than 67,000 Americans who died from a drug overdose in 2018, around 70% involved an opioid. However, the overdose rate decreased by 4% from 2017 to 2018, which may be partly due to the AMA’s efforts.

According to the organization, there has been a 37.1% decrease in the number of opioid prescriptions from 2014 to 2019. Naloxone, an opioid overdose reversal medication, had more than one million prescriptions in 2019 — a vast increase from around 6,500 in 2015. More than 85,000 health care providers are now able to prescribe buprenorphine, and hundreds of thousands have received training in treating substance use disorders.

These are steps that help increase access to addiction treatment and effective pain relief while also ensuring that people who do not need opioids do not receive them. Even with the COVID-19 pandemic and opioid epidemic converging, the AMA is still working to ensure that people remain safe when taking drugs — prescription or otherwise.

If you or a loved one is struggling with mental health symptoms and substance abuse as a result of the coronavirus pandemic, The Recovery Village provides services that can help you to overcome your situation. We even offer teletherapy, inpatient and outpatient options to keep you safe during the pandemic. Contact us today to begin your recovery journey. 

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The COVID-19 pandemic threatens far more than respiratory health — it’s also causing widespread mental health concerns and substance abuse. A recent editorial from Federal Practitioner explains how the pandemic’s effects of isolation, uncertainty and stress have impacted people who rely on ongoing recovery support. Now, it’s revealed that frontline workers like nurses, doctors and others currently facing long hours and stressful shifts may be struggling with substance use.

The Relationship Between Mental Health and Substance Use

The editorial describes a nurse who relapsed due to acute work-related stress and subsequently died from a presumed overdose. The 32-year-old was unable to attend routine 12-step meetings and found virtual alternatives unhelpful. 

While it’s difficult to research such a new phenomenon, surveys show that mental health is declining and substance use is increasing during the pandemic. Our survey of mental health professionals found that 81% of clients have increased symptoms, and 53% have increased their level of substance use. Around 64.5% report increased anxiety, with 17.2% reporting depression symptoms.

In 2019, 49.9% of adults with severe mental illness reported past-year substance use, compared to only 16.6% of adults with no mental illness. Many with mental health disorders turn to substances in an attempt to self-medicate, which can lead to addiction. 

Why Are People Struggling?

While poor mental health can lead to substance use, a lack of community resources can as well. Due to how easily coronavirus spreads, many social support systems were forced to cancel events or move online. Additionally, many clinics with harm reduction services like needle exchanges and methadone treatment have closed their doors due to guidelines and budget issues, leading to higher overdose rates and dangerous substance use.

Isolation also plays a significant role in relapse, as many people rely on in-person support and a  sense of community to maintain recovery. Loneliness, financial struggles and stress can be overwhelming triggers for substance use.

Why Are Health Care Professionals Struggling?

Medical staff are already prone to addiction due to long hours and stressful work environments. Around 10% to 12% struggle with substance use during their careers, and co-occurring disorders are common in these individuals. For someone with a career in medicine, the stigma of addiction can be overwhelming, leading many to feel isolated as they progress deeper into addiction. 

Health professionals are facing a great burden during the pandemic, and many are feeling even higher levels of stress and experiencing burnout. These factors are likely causing greater numbers of medical staff to struggle with substance use.

Help Is Available at The Recovery Village

A study found that 74% to 90% of health professionals remain sober after attending treatment, which is an incredibly high rate. However, it’s important to treat the person as a whole — stopping substance use is not enough on its own. People with addiction must also learn strategies for coping with difficult situations, learn how to prevent relapse and receive treatment for underlying mental health concerns.

The Recovery Village offers a full continuum of care along with dual diagnosis treatment to improve chances of long-term sobriety and health. We also offer telehealth services, allowing clients to receive accessible treatment from the comfort of home. Contact us today to learn more about how our services can help you begin the path toward a healthier, substance-free life.

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Is COVID-19 Fueling the Next Opioid Epidemic? The Data Says Yes.

As a behavioral health care provider, we’ve been studying drug and alcohol usage during the pandemic since it began. We’ve seen a clear and significant increase in substance use as well as reported mental health symptoms. 

Prior to the emergence of COVID-19, the opioid epidemic dominated both local and national public health headlines. Between 2006-2012, 76 billion opioid pills flooded the country. Florida in particular became a focal point as the crisis developed. In fact, just last month, the Florida governor announced a $5 million pilot program to help fight the crisis in the state.

Prior to COVID-19, progress had been made: pill mills were shut down, prescribing protocols for opioids have been adjusted and lawsuits alleging that drug companies prioritized profits over public health have been filed and won. But have the stay-at-home measures, unemployment and restricted access to health care created by the pandemic turned back the clock?

To find out, we launched a survey in partnership with Project Opioid to understand how opioid abuse has been impacted by the pandemic.

Opioid Usage Rising Fast During Pandemic

We surveyed 785 Florida residents about their substance use pre-COVID compared to now. 

Note: Some questions asked respondents to select each option that applied, so in a few instances, the total percentage will be greater than one hundred.

Florida’s Growing Opioid Problem Infographic

Click to see, share or download the full infographic.

Of those who reported opioid use:

• 23% more report using opioids multiple times per day now compared to pre-Covid
• 18% more report daily use now compared to pre-Covid

Not only is their reported usage skyrocketing compared to people who use other drugs, their usage patterns are accelerating even faster. 

Those who reported opioid use were:

• 101% more likely to report their use has increased to daily use, multiple times per day
• 41% more likely to report their use has increased to daily use
• 49% more likely to report their use increased to several times per week.

Seeking Treatment

How the Pandemic Influenced Opioid Use

In addition to mental health symptoms, opioids users were 112% more likely to say they tested positive for COVID-19, putting additional strain on not only their mental but physical health as well.

Opioid users were also more likely to report increased tensions at home. Over half said COVID-19 had a negative impact on their relationships within their household and nearly a quarter reported a “significant negative impact.” They were 81% more likely to report “significantly more” arguments within the household since the emergence of COVID-19.

Connecting Floridians with the Help They Need

Opioid addiction is a leading contributor to overdose deaths. In 2018, there were 67,367 fatal overdoses. Opioids were responsible for 69.5% of them. Getting help with an opioid addiction is an important step in managing both physical and mental health and can literally save your life.

To help support Floridians facing addiction or mental health concerns, The Recovery Village operates adult drug and alcohol rehab centers in Umatilla, Orlando, Lake Worth, Atlantis and Miami, in partnership with Baptist Health South Florida as well as a specialty facility designed for teen drug and alcohol rehab in Sebring.

We offer a full spectrum of care, including telehealth for ongoing outpatient treatment and teletherapy for substance use and mental health conditions. Contact us to learn more about a treatment program that can meet your unique needs.

For press inquiries, email allison@therecoveryvillage.com

Our Other COVID-Related Studies:

• Survey Shows Drug and Alcohol Use on the Rise During COVID-19 Pandemic
• Mental Health in the Time of COVID-19
• Kids Anxious About Going Back to School After COVID
• South Florida Residents Experiencing “Coronavirus Anxiety” As Pandemic Lingers On
• How Employers Are Helping Mitigate the Impact of COVID-19 on Mental Health
• COVID Resource Center

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It is an understatement to say COVID-19 forever changed the lives of billions around the globe, but frontline health workers experienced a situation unlike any other group. These tireless workers sacrificed their time, safety and other responsibilities to provide excellent care to the people in need.

Sadly, this sacrifice resulted in a terrible toll on their physical and mental health. Because of the complexity of COVID, it may take decades to fully understand the negative influence on frontline health workers.

How COVID-19 Changed the Medical Field

Frontline health workers agree that COVID’s impact on the medical field is far-reaching and profound. For many workers, nearly every facet of their job has changed since early 2020 due to the restrictions and precautions put in place for COVID.

Healthcare workers experienced a unique situation marked by: 

• Increased work stress: The pandemic brought longer hours, higher caseloads, poorer patient outcomes, more death and increased discomfort from wearing additional protective gear. 
• Higher risk of infection: Healthcare workers were knowingly coming in contact with infected people, and with limited understanding of transmission during the early days, many feared becoming infected themselves. For healthcare workers, each workday felt like walking into a burning building.
• Fears of infecting family, friends, and loved ones: Home is normally a place of comfort and relaxation, but many healthcare workers avoided their family and support system to limit the risk of infecting others during the pandemic. 

As time progresses, many changes will diminish, while others may become permanent.

Consequences of Medical Work During COVID

Medical workers were encouraged, and in some cases forced, into stressful and uncertain situations as part of their job. Some of the greatest hardships they faced included:

Long Hours and Sleep Deprivation

During the pandemic, many healthcare workers saw the quantity and quality of their work change. Not only did they have to work more, but the work they did was more demanding, difficult and dangerous. 

As work increases, the time available to get restful sleep diminishes. As shifts expand and change, establishing a regular routine and appropriate sleep hygiene becomes much more challenging.

Necessary Quarantine Isolations

When coming home after a 12, 16, or 24-hour shift, healthcare workers typically want some food, rest and contact with their loved ones. The mandatory isolations made this routine impossible as workers were forced to quarantine from their friends and family. 

Imagine a new mother who comes home after a long shift only to stay separated from her child by a window or door. Quarantines require people to choose the well-being of others over their immediate need for love and physical contact, which puts people in unenviable positions.

Constant Exposure to Trauma and Loss

Healthcare workers in certain parts of the country saw dramatic increases in people being ill and dying under their care. The stress and trauma of these losses will not affect everyone similarly, but being around so much poor health can take a toll on the worker’s mental and physical well-being.

What Kind of Mental Disorders Have Frontline Workers Encountered Because of COVID

Because of COVID, frontline workers have been exposed to more stress while losing contact with their healthy supports and coping skills. This combination puts people at great risk of various mental health disorders.

Post-Traumatic Stress and Other Stress-Related Disorders

People exposed to death and dying are regularly at higher risk of post-traumatic stress disorder (PTSD) and other stress-related disorders.

PTSD can create a number of unwanted symptoms like:

• Intrusive thoughts and images of the trauma
• A strong urge to avoid people, places and things connected to the trauma
• Significant mood changes involving fear, horror, shame, guilt and anger
• Thinking problems linked to memory, self-esteem and trust
• An experience of numbness or an inability to feel desired emotions

PTSD is often associated with one significant experience, but chronic exposure to dangerous or fearful situations can create symptoms. For frontline health workers, each workday could include a traumatic experience. 

Depression 

High stress levels commonly produce a range of depressive symptoms. Some health workers saw an emergenceof new depressive symptoms or a worsening of preexisting symptoms like:

• Low mood
• Irritability
• Sleep, diet, and weight changes
• Low energy and motivation
• Poor attention and decision-making skills
• Low self-esteem
• Thoughts of death and dying

As depressive symptoms increase, they can begin to affect a worker’s job performance, concentration and motivation to attend their next shift.

Anxiety Disorders

In addition to depression, high levels of stress can also create new or worsening anxious conditions. Diagnoses like generalized anxiety disorder, panic disorder, agoraphobia and other specific phobias may develop from intense work stress.

With an anxiety disorder in place, a person could feel:

• Nervous and worried
• Restless
• Easily tired and fatigued
• Concentration problems
• Irritability
• Physical tension
• Panic attacks marked by sweating, trouble breathing and feeling dizzy
• Sleeping problems

Somatic Symptoms

Because of the strong connection between the mind and the body, a frontline health worker could note the onset of physical symptoms stemming from their high stress.

The presence of somatic symptoms at such high levels illustrates the cause and effect relationship between high stress and poorer physical health.

Insomnia

Whether from PTSD, depression, anxiety or somatic complaints, a theme with frontline health workers is poorer sleep. Sleep issues can come when there is difficulty falling asleep, staying asleep, or waking in the morning feeling drained and unrefreshed. In a recent study, 60% of frontline health workers experienced poor sleep quality during the COVID-19 outbreak. 

Not only can insomnia come from other mental health conditions, but lack of sleep can also make underlying psychological conditions worse. Without restful sleep, frontline health workers will struggle to feel well or function normally at work.

Getting Psychological Help for Frontline Healthcare Workers

During the coronavirus pandemic, frontline healthcare workers have been placed into stressful conditions that have drained their physical and mental health and well-being. Some frontline health workers will come out of COVID relatively unscathed, while many others will greatly benefit from professional psychological help.

Psychological help comes in many forms, with therapy and medication treatments at the forefront. Health workers who note changes in their mood, sleep, patience, concentration or irritability should consider seeking a mental health evaluation as soon as possible. Ideally, employers would facilitate access to care, but workers will have to start the process in many cases.

Due to their busy schedules, healthcare workers may benefit from some introductory webinars to explain the risks and provide some basic solutions. If you or a loved one need help to manage substance use disorders or co-occurring mental health conditions that have emerged during the high stress of COVID, contact The Recovery Village for treatment options tailored to your unique needs.

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With over 40% of Florida’s COVID-19 cases, South Florida has been the epicenter of the state’s coronavirus outbreak. To better understand how the pandemic is impacting the South Florida community, we surveyed 500 South Florida residents about their mental health and substance use. With income level emerging as a predictor of coronavirus infection, we also wanted to understand how income level is impacting substance use and mental health.

The results showed that many respondents reported higher rates of drug and alcohol use. Nearly 80% of participants said COVID-19 had impacted their mental health and almost half reported coping with stress or mental health symptoms as the reason for their substance use. Here’s what else we found.

The Recovery Village Survey Results by Income Level

We surveyed 500 South Florida residents about their mental health and use of drugs and alcohol in the past month. Note: Some questions asked respondents to select each option that applied, so in a few instances, the total percentage will be greater than one hundred. 

When referring to household income level, we’ll define those groups as following:

• Lower income households = households making less than $49k annually
• Middle income households = households making between $50-99k annually
• High income households = households making over $100k annually

Substance Use in South Florida

Rate of alcohol use: Many respondents reported higher rates of past-month drug and alcohol use. The rate of past-month alcohol use grew with household income:

• 52.69% of high income households
• 45.96% of middle income households
• 40% of lower income households

Rate of drug use: The inverse was true of drug use. The rate of reported past-month decrease in use corresponded with decreasing household income:

• 13.98% of high income households
• 15.53% of middle income households
• 16.33% of lower income households

Based on their past-month consumption, 57% of those who drank and 60% of drug users said they felt they should cut back. All groups selected coping with stress when asked what was the biggest reason for past-month substance use, but the rate grew with income level:

• 38.71% of high income households
• 32.3% of middle income households
• 28.16% of lower income households

While majorities in all groups reported using alcohol, there were some differences between substances used and income level. Middle income households in particular reported higher rates of drug use compared to other groups.

In fact, middle income households were:

• 95% more likely to use meth than lower income households and 116% more likely than high income households.
• 80% more likely to use prescription opioids and 145% more likely to use heroin or fentanyl than low income households. They were 19% more likely to use prescription opioids and 52% more likely to use heroin or fentanyl than high income households.
• 95% more likely to use prescription stimulants, like Adderall and Ritalin, than lower income and 16% more likely than high income households.
• 84% more likely to report using benzodiazepines, like Xanax and Ativan, than the lower income households and 26% more likely than high income households.

Across all households, stress, mental health symptoms and boredom were big drivers of substance use.

In the middle income households, a few other reasons stood out:

• Nearly 20% said they were physically dependent on a substance, compared to 9.68% of high income households and 10.20% of lower income households.
• 57% reported their substance use as recreational or social, compared to 47.31% of high income households and 44.49% of lower income households.
• 30% said substance use was part of their daily routine, compared to 25% of high income and 17% of lower income households.

As high unemployment rates persist and more employers, including middle level management, continue to make tough decisions about their workforce, unhealthy coping methods (like substance use) and adverse mental health impacts may be another one of COVID-19’s lasting legacies.

COVID-19 Impacts to Mental Health

All three income groups reported that COVID-19 has impacted their mental health. There were some slight variations in the symptoms reported:

• Low income households reported higher rates of depression/loneliness (70.5%) compared to the middle (68.5%) and higher (63.4%) income groups.
• The middle income group was 26% more likely to experience anger/agitation than the lower income household and 19% more likely than the high income households.
• All three reported sleep issues at similar rates.

Reports of anxiety/nervousness increased with income level:

• 87.32% of high income households
• 77.95% of middle income households
• 67.89% of low income households

While these symptoms were reported as new for the majority of all groups, the rate increased with income level:

• 74.65% of high income households
• 58.27% of middle income households
• 55.79% of lower income households

Of those for whom symptoms were not new, middle income households also said that their symptoms were more severe now than in the past at a higher rate (71.7%) than either of the other groups (both 44%). These results, including increases in substance use, demonstrate a need for mental health resources and healthy coping strategies in the South Florida community.

Highlighting the Need for Access to Mental Health Resources

The impact of COVID-19 is still being felt, and in some cases still developing. Families are making decisions about going back to school and fall activities. More temporary furloughs may become permanent as the impact of the coronavirus continues to weigh on the economy. If workers lose their jobs and benefits, access to critical care for mental health and substance use could become more limited. 

This is troubling because people are already considering making changes to improve their overall health and wellness. When survey participants were asked if they felt they should cut back on their current substance use, the majority of all groups responded yes. This was true for those who drank or used drugs.

Due to their reported symptoms, South Floridians are also considering mental health interventions to help. We found striking differences across the income groups for who had access to mental care both before the pandemic and currently: 

• 17.2% of high income households were in therapy prior to the COVID-19 outbreak versus just 9.8% and 11.18% of lower and middle income households.
• All three income groups reported they were “considering” therapy at similar rates (33-37%).
• Lower income households were 112% more likely than middle income and 431% more likely than high income households to report that therapy is “not an option at this time.”

Managing mental health symptoms and getting support for stopping substance use are important ways to invest in your overall health and wellness as well as the health and wellbeing of your community. While South Florida has recently committed resources, including $40 million for a project aimed at prevention and treatment for mental illness and substance use disorders, more investment is needed to help the community cope with the impacts of COVID-19 and thrive in its aftermath. As a health care provider and behavioral health leader, we are dedicated to raising awareness about available treatment options and expanding access to treatment through our presence in local communities and by offering telehealth options for those who are unable or uncomfortable with traveling to a facility. 

To help support South Florida residents facing addiction or mental health concerns, The Recovery Village operates drug and alcohol rehab centers in Lake Worth, Atlantis and Miami, in partnership with Baptist Health South Florida. We offer a full spectrum of care, including telehealth for ongoing outpatient treatment and teletherapy for substance use and mental health conditions. Contact us to learn more about a treatment program that can meet your unique needs.

For press inquiries, email allison@therecoveryvillage.com

The post Does Income Level Help You Cope With COVID-19? appeared first on The Recovery Village Drug and Alcohol Rehab.

We often hear about the physical health risks of COVID-19, but important mental health consequences related to the pandemic are also occurring, especially in high-risk populations. People with pre-existing mental health issues, a history of substance abuse or medical problems have experienced worsened mental health in the face of a global pandemic. In a recent survey, 81% of mental health professionals said clients reported an increase in mental health symptoms, with anxiety, depression and stress being the most common.

They’re not the only ones. Children, essential workers, frontline health workers, and people living with disabilities are also at high risk for mental distress. Resources, coping strategies and trained professionals are available to help high-risk individuals and their families protect their mental health during the pandemic. 

1. People at Higher Risk of Contracting COVID-19

Those who are at high risk of contracting COVID-19, such as older adults and those with underlying health issues, may be susceptible to mental health problems during the pandemic. These individuals may be fearful of contracting the virus and feel like they are not in control of their own health. A UK study conducted by researchers working for various colleges and universities in London and Ireland found that older adults were more likely to have anxiety about COVID-19. Study results also found that people who had pre-existing health problems or who had loved ones with health problems were more likely to experience depression and anxiety.

If you fall into the category of having a pre-existing health condition or being older, you can cope with your anxiety surrounding COVID-19 by taking precautions to keep yourself safe. Avoid large crowds, wear a mask and social distance if you must go out in public, and follow medical experts’ advice. You may feel that the COVID-19 situation is out of your control, but you can take steps to protect your health. If you are supporting loved ones who are anxious about COVID-19 because of age or health problems, you can help them by listening to their concerns and respecting their desire to be cautious.

2. Caretakers

If you are in a caretaking role for an older adult or someone with a medical condition, the COVID-19 pandemic can also be especially stressful for you. Chances are you are having to take extra precautions to avoid spreading the virus to those under your care, and you may be feeling socially isolated. During this time, it is important to remember to practice self-care.

The University of Michigan Department of Psychiatry recommends that caretakers remember to use healthy coping strategies and take time to care for themselves through healthy nutrition, adequate sleep and regular physical activity. It is also necessary to connect with others to avoid feeling emotionally disconnected. This can involve calling loved ones or making a visit while maintaining a safe social distance.

3. Parents

Similar to caretakers, parents can feel the stress of caring for others. They may be worried about keeping children safe from the virus or worried about children returning to school, where they may be exposed to others who are sick. Two-parent households may have to decide who will return to work and who will care for the children if homeschooling is necessary. Single parents may feel excessively stressed during these times, as they balance work and childcare responsibilities, especially if children are not returning to school in the fall.

As with caretakers, it is important for parents to find time to care for themselves. Reaching out to other parents to talk can be a source of support and an outlet for stress. Parents who are struggling with childcare arrangements may consider choosing one family member or friend who is at home and available to care for the children during the workday to eliminate some of the stress of finding childcare. If possible, it is also important to take a few moments per day for yourself, perhaps to take a relaxing bath or a walk around the block.

4. Children and Teens

While parents are certainly feeling the strain of the pandemic, children and teens are also at risk of mental health problems. Their daily routines may have been disrupted. They are likely picking up on the stress and worries of the adults in their lives. According to a survey by The Recovery Village of 1,000 parents of school-aged children, 66% of children and teens are anxious about returning to school.

In addition, nearly three-fourths of parents indicated that COVID-19 has impacted their children’s mental health. A majority of parents also reported symptoms like anxiety, depression and anger were new for their children.

It is important that parents be willing to listen to their children’s fears and concerns and provide validation that it is okay to have strong feelings. Parents can help their children by creating routine and structure wherever possible. In some cases, it may be necessary for parents to seek mental health resources, such as therapy, for their children. Fortunately, many providers offer teletherapy, which can occur remotely and prevent the spread of the virus.

5. Frontline Workers and Other Essential Workers

In addition to other vulnerable populations, frontline workers and other essential personnel may be especially prone to anxiety surrounding COVID-19. Frontline workers who are exposed to COVID-19 victims may experience trauma and distress; they also live with the concern of bringing the virus home to family. Essential workers, such as grocery store personnel and food service staff, are exposed to the public daily and may be fearful of contracting and spreading the virus.

A study conducted with healthcare workers in Wuhan, China, where the coronavirus originated, confirmed that these workers might be at risk of mental health symptoms.Results found that 20.1% of workers had at least mild depression and anxiety levels, and over half reported moderate to severe stress levels. Concerns about themselves or coworkers contracting the virus were top sources of stress.

Essential workers can ease some of their concerns by practicing proper safety measures, such as wearing masks, maintaining a safe social distance, and regularly washing their hands. Reaching out to family and friends for emotional support can also be helpful.

6. Existing Mental Health Conditions or Substance Abuse Problems

Individuals who had pre-existing mental health conditions or substance abuse problems are also at risk of complications during the pandemic. Of the 440 mental health practitioners surveyed by The Recovery Village about clients’ mental health, 95% indicated that anxiety had increased; 85% reported an elevation in depression, and 82% stated that stress levels had risen.

In addition, survey results showed that 53% of clients have increased their use of drugs and alcohol since the pandemic, including increases in alcohol, marijuana, heroin, fentanyl and benzodiazepine use. The data suggests people who use alcohol or drugs may be turning to them more to cope with the added distress and negative mental health consequences of the pandemic.

Those struggling with mental health symptoms or substance abuse should reach out to a professional to help them develop healthy coping mechanisms. Teletherapy options are available to help people receive services remotely. Some providers like The Recovery Village also offer resources and online support groups for drug and alcohol use.

7. People with Disabilities

According to the American Psychological Association, a pandemic can also harm the mental health of people with disabilities. They may lack access to needed supplies as a result of limited resources. They may also experience increased social isolation, as normal outings and group activities may no longer be possible. Some individuals with disabilities may have underlying health conditions that make them more susceptible to the virus, which can increase anxiety.

If you have a loved one who lives with a disability, make an effort to reach out to him or her, even if by phone, to maintain social connections. Include them in activities wherever possible, and be an advocate so they can access needed services. People living with disabilities may also benefit from connecting with a local board of developmental disabilities for services.

8. People Who Have Lost Their Jobs

Losing a job and struggling financially is an obvious source of stress, and with COVID-19 causing some businesses to close or reduce budgets, this is, unfortunately, a reality for many people. Those who have lost their jobs may struggle to cope and may even turn to drugs or alcohol to ease their distress.

A 2012 study found that being unemployed significantly increased the risk of relapsing to drug use, so those who have found themselves without a job because of coronavirus may be at increased risk. If this is the case, it is important to reach out for treatment to find healthier ways to cope. A treatment provider may also provide resources, such as job training and employment opportunities.

People Experiencing Homelessness

According to experts, the homeless are at a greater risk of complications from coronavirus due to underlying health problems, addiction and living in crowded shelters or tents. This, combined with the stress of poverty and inadequate housing, can make a pandemic even more distressing for those experiencing homelessness. It is important for these populations to reach out to community service providers for resources and needed healthcare services during this time.

9. Socially Isolated People

Those who live alone may feel lonely and bored during the COVID-19 quarantine, which can make them feel anxious or depressed. Self-care can help someone cope with these side effects of social isolation. Self-care may involve exercising, getting plenty of sleep, trying a new hobby or taking time to work on house projects. Those who struggle with severe distress from social isolation may benefit from reaching out for counseling via the Nobu teletherapy app. 

10. Some Racial and Ethnic Minority Groups

Unfortunately, some racial and ethnic minority groups may face challenges during the COVID-19 outbreak due to poverty and health disparities that can make them more likely to have complications if they catch the virus. They may also experience discrimination from healthcare providers, which can create additional anxiety surrounding COVID-19.

The Centers for Disease Control and Prevention (CDC) has reported that racial and ethnic minority groups, including people of color from diverse backgrounds, may be more likely to be affected by COVID-19. The CDC recommends that people turn to community- and faith-based organizations for support. People who are experiencing discrimination may also benefit from reaching out to a social worker, as these professionals are trained specifically to advocate for groups who have faced discrimination.

People Without Access to Information in Their Primary Language

Common among these minority groups are those who are not native English speakers. They may be at risk of mental distress during the COVID-19 pandemic because they cannot completely understand the recommendations of medical experts. This can understandably be anxiety-provoking. Fortunately, the CDC provides communication resources in dozens of languages.

11. People Who Live in Group Settings

People who live in group settings may also face mental health challenges in a pandemic. This can include nursing homes, dorms, sober living housing and more. In addition to being concerned about potentially contracting the virus, they may feel isolated from loved ones who cannot visit. Those who live in group settings can control their situation by following recommendations, such as wearing masks and practicing social distancing. They can also create a sense of connection by making regular phone calls and video chats with loved ones.

People in Evacuation Shelters

With hurricane season underway, it is also important to consider the challenges people may face if they flee to an evacuation shelter. These settings can be crowded, which increases the risk of spreading illness and adds stress on top of the challenge of leaving home. As with other groups at increased risk of exposure to the virus, it is important to stay safe by practicing social distancing, wearing a mask, washing hands and avoiding touching surfaces.

Those living in group settings and other high-risk individuals may be especially susceptible to contracting the COVID-19 virus or experiencing the challenges that come with social isolation. Some people may have mild depression and anxiety symptoms, which may be alleviated through self-care, proper precautions, and taking time to connect with loved ones. In some cases, people may require professional help to help them overcome severe mental health symptoms or develop healthier coping mechanisms.

If you or a loved one is struggling with mental health symptoms and substance abuse as a result of the coronavirus pandemic, The Recovery Village provides services that can help you to overcome your situation. We even offer teletherapy, inpatient and outpatient options to keep you safe during the pandemic. Contact us today to begin your recovery journey. 

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Survey: 78% of South Florida Residents Say COVID-19 Impacted Their Mental Health

There are currently over 584,000 cases of COVID-19 in Florida. South Florida has been hit particularly hard by the virus with over 255,000 cases across Dade, Broward and Palm Beach counties. Additionally, COVID-19 has created additional pressure for many families through concerns about health, rising unemployment and social isolation. In fact, mental health professionals have already reported a surge in mental health symptoms as a result of the coronavirus pandemic.

To better understand how the pandemic is impacting the local communities we serve, we recently surveyed 500 South Florida residents about their mental health symptoms and substance use over the past month.

The Recovery Village Survey Results

We surveyed 500 South Florida residents about their mental health and use of drugs and alcohol in the past month. Note: Some questions asked respondents to select each option that applied, so in a few instances, the total percentage will be greater than one hundred.

Substance Use in South Florida

The substances respondents most commonly used:

• Alcohol (82%)
• Marijuana (42%)
• Prescription opioids (18%)
• Cocaine (17%)
• Benzodiazepines, such as Xanax (16%)
• Prescription stimulants, such as Adderall (15%)

Many respondents reported higher rates of drug and alcohol use.

• 44% reported an increase in past-month alcohol consumption, with 18% reporting a significant increase
• 48% of drug users reported an increase, with 20% reporting a significant increase

COVID-19 Impacts to Mental Health

The participants were also asked about their mental health over the past month:

• 78% said COVID-19 has impacted their mental health, with 35% saying it was a significant impact
  • 75% reported feelings of anxiety
  • 69% reported depression or loneliness
  • 48% reported sleep issues
  • 45% reported anger
• These symptoms were new for 60% of respondents
• Over a third of respondents are currently considering therapy or treatment for these symptoms
• 31% of respondents said coping with stress was the reason for their substance use; another 16% said they used a substance to treat mental health symptoms like anxiety or depression

Connecting South Floridians with the Help They Need

With 60% of survey respondents saying their mental health symptoms were new and, of those who had previously experienced symptoms, 54% saying their current symptoms were more severe than in the past, South Floridians are demonstrating an urgent need for mental health intervention.

When asked about therapy for their symptoms:

• 23% are already receiving treatment
• 34% are actively considering it
• Another 12% of survey respondents said that treatment is not currently an option, highlighting the need for mental health resources.

Additionally, when asked if they should cut back on their current substance use:

• 52% of respondents felt they should cut back on their current alcohol use
• 60% of those who use drugs felt like they should cut back on their drug consumption

Getting help with managing mental health symptoms or support for stopping substance use are important ways to invest in your overall health and wellbeing. As a health care provider and behavioral health expert, we are dedicated to raising awareness about available treatment options and expanding access to treatment through our presence in local communities and by offering telehealth options for those who are unable or uncomfortable with traveling to a facility.

To help support South Florida residents facing addiction or mental health concerns, The Recovery Village operates drug and alcohol rehab centers in Lake Worth, Atlantis and Miami, in partnership with Baptist Health South Florida. We offer a full spectrum of care, including telehealth for ongoing outpatient treatment and teletherapy for substance use and mental health conditions. Contact us to learn more about a treatment program that can meet your unique needs.

For press inquiries, email allison@therecoveryvillage.com

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Here’s How Employers Are Helping – Or Not – Mitigate the Impact of COVID-19 on Mental Health

Fears about COVID-19’s effect on mental health in the U.S. have been well-documented and are well-founded. With many more people reporting mental health symptoms and mental health providers struggling to meet the need across the country, mental health resources and solutions are more important than ever for Americans. 

While the vaccine rollout is an important tool in the fight against COVID-19, it’s going to take time to deliver nationally. In the interim, the coronavirus pandemic will continue to affect mental health and our lives, including our work life.  

We recently surveyed 2,000 Americans about their mental health during the pandemic to better understand mental health trends and available resources, specifically the role that employers are playing. We found that in addition to reporting experiencing widespread mental health symptoms, employees at different levels of their organizations had different perceptions, comfort levels or even access to mental health resources. 

COVID’s Impact on the Workforce

We surveyed 2,000 U.S. residents who are currently employed about their mental health and use of drugs and alcohol in the past 6 months.

Note: Some questions asked respondents to select each option that applied, so in a few instances, the total percentage will be greater than one hundred.

Participants were asked about their mental health over the last 6 months.

• 75% reported experiencing mental health symptoms including:
  • 76% reported feelings of anxiety/nervousness
  • 66% reported feeling stressed
  • 64% reported depression or loneliness
  • 61% reported sleep issues
  • 41% reported anger or agitation
• 54% have been diagnosed with and/or treated for a mental health condition

Facing a Mental Health Challenge in the Workplace

Even before the coronavirus pandemic, the U.S. workforce was already facing a mental health challenge. We know that mental health impacts companies and investing in mental health benefits reaps rewards:

• 78% of employees miss work due to mental health concerns.
• Over 80% of employees treated for mental illness reported improved levels of work efficacy and satisfaction.
• A Deloitte study found that companies implementing major mental health preventative programs received a 162% return on their investment over 3 years and a 218% return for programs lasting over 3 years.

With the added strain of COVID-19 lingering, some employers are contributing to meet the need. 

• 64% of survey participants said their employers offered some type of mental health resources
• 47% said their employer provided mental health resources as a direct response to the COVID-19 pandemic
• 55% reported using provided mental health resources
• 89% would be comfortable using the provided resources
• 60% said they would be comfortable talking to their boss or employer about a mental health challenge
• Almost 75% said their company’s culture supports their health and wellbeing 

While our survey results were encouraging, they still highlight an important need for both  resources and destigmatizing mental health concerns in the workplace. Our results indicate up to 32 million workers don’t have access to employer-offered mental health resources. Even though mental health symptoms were widely reported, 40% – up to 64 million workers – said they would not be comfortable sharing a mental health challenge with their boss or employer.

Closing the Gap for Frontline Workers

Workers across the board reported experiencing adverse mental health symptoms but there were big differences when comparing the available resources and perceptions of individual contributors and managers and above. Employees that are managers or above were more sure of the resources available and more comfortable using them.

• 70% of managers and above said their company offered mental health resources compared to 57% of individual contributors
• 22% of individual contributors were unsure if mental health resources were offered compared to just 9% of managers and executives
• Just 31% of individual contributors reported using the available resources compared to 70% of managers and above
• 83% of managers/executives knew their insurance covered those resources compared to 57% of individual contributors
• 32% of individual contributors were unsure if their insurance covered the available mental health resources compared to just 8% of managers who were unsure
• 69% of the manager/executive group reported they were comfortable speaking with their boss or employer about a mental health issue compared to 48% of individual contributors who said the same
• 67% of individual contributors agreed that their company culture supports their health and wellbeing vs 80% of managers and above

These results suggest there’s much more to be done to support the mental health care needs of individual contributors with the potential for a huge positive impact. According to a Harvard Business Review analysis of U.S. Bureau of Labor Statistics labor data, there were 111 million Americans workers who are not managers, supervisors, and administrators in 2014. 

It’s possible that these frontline employees may not be aware of the full suite of options their companies are providing to support mental health and simply increasing communications can help close the gap. Employers can also take a hard look at the available resources they’re offering at all levels of the organization and make sure they’re adequately investing in their frontline workforce. Given the larger share of the workforce these employees occupy versus management, employers have an opportunity to make a big impact on the health and productivity of the team members.

Mental Health Resources Are Available to Help Employers Meet the Needs of their Teams

With rising awareness and increased understanding and acceptance around mental health, employers will be facing increased expectations to be supportive and offer resources. 73% of survey participants said they expect their employers to offer mental health resources.

Historically, employers have used employee assistance programs (EAP) to provide support, but additional options have emerged in recent years including apps and increased acceptance of time off for mental health reasons (mental health days).

Employers seeking to provide support through digital offerings like apps and teletherapy should take care to ensure that the content shared or counseling offered is created and delivered by licensed mental health clinicians and other professionals. This ensures that your organization is providing high quality, evidence-based solutions and support. It also helps foster trust among employees that the offered resources are legitimate, effective and reliable. 

Contact us to learn more about new or even supplemental options that can complement your existing mental health resources. Our team can work with you on a solution that offers a spectrum of resources to meet the full range of your team’s needs. 

For press inquiries, email emullins@advancedrecoverysystems.com

Other COVID-Related News & Resources

• COVID Resource Center
• Does Income Level Help You Cope With COVID-19?
• Survey Shows Drug and Alcohol Use on the Rise During COVID-19 Pandemic
• Kids Anxious About Going Back to School After COVID
• Mental Health in the Time of COVID-19
• South Florida Residents Experiencing “Coronavirus Anxiety” As Pandemic Lingers On
• Is COVID-19 Fueling the Next Opioid Epidemic?

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