Challenges and Opportunities in Mental Health Care for Transitional Age Youth (TAY): Lessons Learned from the COVID-19 Pandemic

COVID-19, caused by the SARS-CoV-2 virus, began in late 2019. On March 11^th, 2020, the World Health Organization (WHO) declared the virus a pandemic, and by March 13^th, 2020, the United States (US) government declared the pandemic a national emergency and, subsequently, a global pandemic. Since then, the world has experienced an upheaval affecting every age group in almost every aspect of life. This was particularly true for young people. Globally, a number of studies indicated that the COVID-19 pandemic has had a significant impact on youth mental health measures. In the US, the Centers for Disease Control and Prevention (CDC) 2022 report showed that more than a third of high school students reported that they experienced poor mental health during the pandemic, and 44 percent reported feeling persistently sad or hopeless in the last 12 months. More than half (55 percent) reported experiencing emotional abuse by a parent or other adult at home, and 11 percent reported experiencing physical abuse. In addition, more than a quarter (29 percent) reported that a parent or other adult in the home lost their job. The pandemic upended not only daily life but also healthcare delivery throughout the world. Its vast impact on the healthcare system has disproportionately affected transitional age youth (TAY) between 15 to 25 years old. While the pandemic caused unprecedented changes and challenges, it was also a learning experience that deepened our understanding of our system of care, its strengths and vulnerabilities. This paper will discuss many challenges and opportunities associated with the delivery of psychiatric services for TAY in college mental health, emergency departments, and inpatient and outpatient settings, as well as in specialized programs, such as those for early psychotic disorders.