世界卫生组织对130个国家开展的调查显示，COVID-19疫情对心理健康服务造成了广泛破坏1。在2020年6月至8月的调查期间，93%的国家报告其关键精神卫生服务遭到中断或停止1。这一现象与心理健康需求的增加形成鲜明对比，凸显了疫情期间的服务供需失衡。
调查揭示了服务中断的具体范围。超过60%的国家报告对弱势群体的心理健康服务出现中断，其中儿童青少年服务中断率达72%，老年人服务为70%，孕产妇服务为61%1。在具体治疗项目上，67%的国家咨询和心理治疗服务受阻，65%报告伤害减少服务中断，45%的药物维持治疗服务受影响1。此外，35%的国家紧急干预服务中断，30%的国家精神类疾病药物获取受限1。
为应对这一挑战，70%的国家采用了远程医疗或远程治疗手段1。但这种转变存在显著的地区差异：高收入国家部署远程医疗的比例超过80%，而低收入国家还不到50%1。
尽管89%的国家已将心理卫生纳入国家COVID-19应对计划，但资金保障严重不足1。仅17%的国家表示获得了充分的额外资金用于这些活动1。长期以来，各国对精神卫生的投资就严重欠缺——疫情前国家卫生预算中精神卫生支出不足2%，国际援助中心理健康资金更是不足1%1。
WHO强调了精神卫生投资的经济价值。抑郁症和焦虑症每年造成近1万亿美元的经济生产力损失，而每投入1美元用于这些疾病的循证治疗，可获得5美元的回报1。世界精神卫生日定于10月10日，WHO在该期间举办了"心理健康大事件"在线宣传活动，进一步推动这一议题的关注1。
A World Health Organization survey of 130 countries conducted between June and August 2020 reveals that the COVID-19 pandemic has disrupted or halted critical mental health services in 93% of nations globally, even as demand for psychological support has intensified.1 The findings underscore a severe gap between rising need and available resources, with only 17% of surveyed countries reporting adequate additional funding to sustain mental health activities during the crisis.1
The disruptions span multiple service categories and vulnerable populations.1 Over 60% of responding countries reported interruptions to mental health services for children and adolescents (72%), older adults (70%), and pregnant and postpartum women (61%).1 Counseling and psychotherapy services faced disruption in 67% of countries, while 65% reported breaks in harm reduction services and 45% in opioid maintenance treatment programs.1 Additionally, 35% of countries experienced interruptions in emergency mental health interventions, and 30% saw obstacles to accessing psychiatric medications.1
To address service gaps, 70% of countries adopted telehealth or remote therapy platforms, though adoption rates diverged sharply by income level.1 High-income nations deployed remote mental health services at rates exceeding 80%, compared to fewer than 50% in low-income countries.1 While 89% of countries incorporated mental health into their national COVID-19 response plans, chronic underfunding of the sector persists: pre-pandemic national health budgets allocated less than 2% to mental health, and international health aid devoted less than 1% to mental health initiatives.1
The WHO emphasized the economic and human costs of neglecting mental health, noting that depression and anxiety disorders result in nearly one trillion dollars in lost economic productivity annually, yet a one-dollar investment in evidence-based treatment for these conditions yields a five-dollar return.1 The organization used World Mental Health Day on October 10 to launch an online awareness campaign highlighting these disparities and calling for increased investment in mental health services.1
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