In April 2019, 1,790 people texted the Substance Abuse and Mental Health Services Administration Disaster Distress Helpline. In April 2020, that number skyrocketed to nearly 20,000. The Pew Research Center reports that one-third of Americans have experienced high levels of psychological destress during the COVID-19 pandemic and the subsequent large-scale community lockdowns.  And a poll from the Kaiser Family Foundation saw a jump in adults reporting that the coronavirus has had a negative effect on their mental health. In early March it was 32 percent; only two weeks later it was 45 percent.