id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-348298-rtm8dn43	O’Connor, Karen	Mental health impacts of COVID-19 in Ireland and the need for a secondary care mental health service response	2020-05-27		.txt	text/plain	3797	192	48	The third wave will arise from the longer-term impact on people with established health problems, for example, diabetes, eating disorder or schizophrenia not accessing routine care due to health service reconfiguration, service reduction or fears of infection. These features include the morbidity and mortality associated with COVID-19, the relentless media coverage, the social distancing measures, the altered pathways to access care, the changes to the care that is available, the suspension of development plans in mental health services and the economic impact on all populations in society. Groups who will be particularly vulnerable to the emergence of new mental health difficulties requiring secondary care interventions This pandemic will be associated with an increase in people presenting for the very first time with significant mental health difficulties. Reluctance to attend for acute care due to fears of COVID-19 infection resulting in delays in effective treatment and increase in crisis presentations Reduced availability/altered access to mental health services	./cache/cord-348298-rtm8dn43.txt	./txt/cord-348298-rtm8dn43.txt