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In 2015, the combined disease burden of mental health and substance use disorders in the United States was higher than that of any other health condition. 1 Given the mental health effects of isolation, stress, and economic strain, researchers forecast a devastating increase in poor mental health as a result of the coronavirus disease 2019 (COVID-19) pandemic 2, 3—estimating an additional 75 000 deaths as a result of substance abuse and suicide in the United States. 4 People with chronic and severe mental health conditions and people with substance use disorders will not only struggle to gain access to the services they need, but pandemic-related stressors are likely exacerbating these preexisting vulnerabilities. 5 The increase in mental health need will burden an already strapped mental health care system 6 and challenge the capacity of our mental health workforce to serve clients’ needs in a mutually safe …