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The worst is yet to come in the mental health emergency sparked by the coronavirus pandemic and the future economic fall-out, a charity is warning.

Many people who were previously well will develop mental health problems as a “direct consequence of the pandemic and all that follows”, according to Mind.

Two out of three (65 per cent) adults aged 25 and over and three-quarters of young people aged 13-24 with an existing mental health problem reported worse mental health during the lockdown, its survey found.

Of adults with no previous experience of poor mental health, more than a fifth (22 per cent) now say that their mental health is poor or very poor.

The charity surveyed 14,421 adults aged 25 and over and 1,917 people aged 13-24 between April 9 and June 1.

Those who were furloughed, changed jobs or lost their job due to coronavirus saw their mental health and wellbeing decline more than those whose employment status did not change, it found.

Over half (56 per cent) of adults and 71 per cent of young people reported over- or under-eating to cope, while overall roughly a third said they were using alcohol or illegal drugs.

And a third of young people with existing mental health problems said they were self-harming.

Of those who tried to access NHS mental health services, one in four (25 per cent) were unable to get support, the survey found.

A further third (32 per cent) of adults and more than a quarter (28 per cent) of young people did not try to access support because they did not think that their problem was serious enough.

Mind predicts that prolonged worsening of wellbeing and “continued inadequate access” to NHS mental health services will lead to a marked increase in people experiencing longer-term mental health problems.

It believes the “worst is yet to come”, as the impact of unemployment and financial difficulties is due to grow, while the easing of lockdown will not address many of the underlying issues of poor mental health.

Paul Farmer, Mind chief executive, said: “The coronavirus pandemic is as much a mental health emergency as it is a physical one.

“The devastating loss of life, the impact of lockdown, and the inevitable recession that lies ahead will leave a deep and lasting scar on our nation’s mental health.

“Those of us who were already struggling with our mental health have fared worst, but we also know that many people who were previously well will now develop mental health problems, as a direct consequence of the pandemic.”

He added: “As we look to the future, those in power must make the right choices to rebuild services and support, and to ensure that the society that comes after the pandemic is kinder, fairer and safer for everyone experiencing a mental health problem.

“This can only be achieved by putting mental health at the very centre of the UK Government’s recovery plans, not only in relation to the NHS, but across all domestic departments.”

Mind has announced five tests the Government must prioritise as part of its recovery plan for mental health.

These are: investing in community services; protecting those most at risk and addressing inequalities faced by black, Asian and minority ethnic (BAME) people; reforming the Mental Health Act; providing a financial safety net through the benefits system; and supporting children and young people.

A Department of Health and Social Care spokeswoman said: “We recognise the impact that this unprecedented global pandemic can have on people’s mental health.

“NHS mental health services have remained open, delivering support online and over the phone, and we published guidance at the beginning of lockdown to provide advice on steps individuals can take to support their wellbeing and manage mental health.

“We have also awarded £4.2 million to mental health and wellbeing charities like Samaritans, Young Minds and Bipolar UK.

“This is in addition to £5 million already made available to charities through the coronavirus mental health response fund.”