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Attachment B The COVID-19 pandemic and the resulting economic recession have negatively affected many people's mental health and created new barriers for people already suffering from mental illness and substance use disorders. During the pandemic, about 4 in 10 adults in the U.S. have reported symptoms of anxiety or depressive disorder, a share that has been.largely consistent, up from one in ten adults who reported these symptoms from January to June 2019. A Health Tracking Poll from July 2020 also found that many adults are reporting specific negative impacts on their mental health and well-being, such as difficulty sleeping (36%) or eating (32%), increases in alcohol consumption or substance use (12%), and worsening chronic conditions (12%), due to worry and stress over the coronavirus. As the pandemic wears on, ongoing and necessary public health measures expose many people to experiencing situations linked to poor mental health outcomes, such as isolation and job loss. As the COVID-19 pandemic continues, Americans are required to stay isolated to protect themselves and their communities. However, the home may not be safe for many families who experience domestic violence, which may include both intimate partners and children. COVID-19 has caused major economic devastation, disconnected many from community resources and support systems, and created widespread uncertainty and panic. Such conditions may stimulate violence in families where it didn't exist before and worsen situations in homes where mistreatment and violence has been a problem. Violence in the home has'an overall cost to society, leading to potentially adverse physical and mental health outcomes, including a higher risk of chronic disease, substance use, depression, post-traumatic stress disorder, and risky sexual- behaviors. There is a concern that the numbers experiencing violence will dramatically rise in as a result of social distancing and quarantine during COVID-19. Children are specifically vulnerable to abuse during COVID-19. Research shows that increased stress levels among parents is often a major predictor of physical abuse and neglect of children. Stressed parents may be more likely to respond to their children's anxious behaviors or demands in aggressive or abusive ways. The support systems that many at -risk parents rely on, such as extended family; child care and schools, religious groups and other community organizations, are no longer available in many areas. Child protection agencies'are experiencing strained resources with fewer workers available, making them unable to conduct home visits in areas. Since children are not going to school, teachers and school counselors are unable to witness the signs of abuse and report to the proper authorities. Also, many at - risk families may not have access to the technology children needed to stay connected with friends and extended family. Mental Health: • Mental Health Literacy and Marketing- $180,000 ($60,000/year) o Mental Health First Aid Instructor training and manuals to train 1,200 community members per year. o Engage a marketing firm to initiate public awareness campaign on mental health topics while highlighting local community providers. • Supporting Residents and Clinicians- $240,000 o Supporting our Long -Term Care Facilities with therapist to provide individual and group therapy to residents and caregivers $27,000 per year x3 years. 4.14.21 UWIRC