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PAGE 11 October 2020 PAGE 13 October 2020 PAGE 18 October 2020 By Tempest Wright, Staff Writer 10.7% of adults reported thoughts of suicide in the past 30 days." As economic, social, and racial issues continue to rise along with the pandemic's death toll, people with SUD will face difficulty safely recovering. Opioid users face a particularly daunting set of challenges due to greater marginalization, trouble accessing specific health care, imposed restrictions on drugs, closure of deaddiction centers, increased risk of life-threatening withdrawal, and usage of illicit opiates. Fear of overdosage looms over potential solutions to mitigate these obstacles, especially as addicts may misinterpret COVID-19 symptoms as signs of withdrawal and self- administer, possibly fatally. Recovery from substance abuse is a long-lasting, multiple-step process. Accessing facilities providing support and intervention has proven difficult during COVID-19. Even after recovery, addicts may discover newly available substitutes to replace or join other vices, administering the same relief and thus creating a new addiction in a vicious cycle. Stigmas surrounding people with SUD can also prevent them from seeking or receiving help, especially if isolated or quarantined alone or in a violent household. Despite the challenges and tragedies caused by the pandemic, it also brought some positive changes. Mental health providers have increased telehealth services, allowing patients to continue treatment from a safe distance. Many companies also went virtual and allowed employees to work from home during shutdowns, including some who announced they will keep the telework option open through at least the end of the year. While these are both landmark improvements, especially for people with disabilities who have been addressing accommodations like these for years, they pale in comparison to the road ahead. Telehealth options may help some mental health patients, but providers are overwhelmed by the increase in those seeking help during COVID-19 and are struggling to keep up. Domestic violence shelters are also overflowing and running low on resources as victims of abusive households seek safety. The CDC suggests that future studies look for drivers of negative impacts on mental and behavioral health throughout the pandemic and whether factors such as social isolation, absence of school structure, unemployment and other financial worries, and various forms of violence serve as additional stressors. They further recommend community-driven intervention and prevention efforts to address stress from experiencing racial discrimination, promoting social justice, and supporting people at risk for suicide. Amidst the worldwide conversation surrounding police brutality, advocates are calling to defund and abolish police and the prison system and to reallocate those funds into community alternatives for support. Funds currently allocated for police could instead be invested into homeless and domestic violence shelters, mental health and SUD services, education to promote racial equality and destigmatize substance use, and more. Several countries issued various relief packages to their citizens to financially assist with physical and mental health concerns and unemployment. While the U.S. falls among the middle of the pack in terms of relief value, failure to control the virus early on has resulted in continuous financial and emotional turmoil for many Americans that has yet to be relieved. Coronavirus deaths in the country continue to stack up while representatives in the Senate use proposed pandemic relief bills as petty pawns for their respective party's political agenda prior to the upcoming November election. The U.S. government's lack of leadership shown by intentionally downplaying a virus and failing to control it or provide sufficient aid to its people proves astounding cowardice on their part and sets an expectation for what Americans must demand in the future. For the deadly cycle of worsened mental health, increased suicidal ideation, and increased substance use to cease, government and legislative bodies must do their part to protect every citizen, especially those disproportionately at risk. An efficient and science-driven plan to control and fight COVID-19 must be America's priority alongside a continued demand for racial justice and accessibility to mental health, harm-reduction, and deaddiction services. As stated in COVID-19 and Addiction, "If a nation has to recover from this disastrous pandemic, the special need for the marginalized strata of the society must be addressed with the utmost care."

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