Reply To: Challenges of Care with COVID-19


As a person who worked in the very early covid days with unhoused individuals who needed to self isolate from close covid contact, and the dynamic mental health challenges that posed this vulnerable, often mentally unwell, typically substance affected group. It became much harder to discern what mental health challenges were related to covid, or to underlying concerns, including psychosis. During this time, something that stood out to me particularly were the reports from this group of individuals about how much more toxic the drug supply was becoming, because of border shut downs, leading to the substances available on the street becoming increasingly cut with a diversity of other substances. I am reflecting now on how this increase in toxic drugs available has contributed to increasing substance induced psychosis, and ultimately potentially triggering long term underlying psychotic disorders.