Introduction to the special issue: Social work practice in the era of the COVID-19 pandemic - Challenges and innovations

The emergence of the novel coronavirus (SARS-COV-2) in late 2019 is likely the largest global public health crisis of our lifetimes. COVID-19 morbidity and mortality rates in the United States are among the highest in the world, resulting in over 26.5 million infections and 450,000 deaths to date (Centers for Disease Control and Prevention, 2021). Compounded by a federal response by the Trump administration that can only be categorized as an abject failure, the US<br />has concurrently experienced its worst economic downturn observed since the Great Depression (International Monetary Fund, 2020). Consistent with extant research on population health disparities, the pandemic continues to disproportionately affect communities of color (Centers for Disease Control and Prevention, 2021), highlighting entrenched health inequities in access to and quality of care driven primarily by the social determinants of health (SDOH). A recent study confirms the role of social factors in disease spread, with each 1 point-increase in Social Vulnerability Index scores at the county-level linked to 87 excess cases and 3 additional COVID-related deaths per 100,000 people across the US (Karmakar et al., 2021). Accompanied by skyrocketing rates of mental health conditions and substance misuse (Czeisler et al., 2020; Simon et al., 2020), disproportionate increases in deaths by suicide among Black Americans (Bray et al., 2021) and increased rates of drug overdose (Friedman et al., 2020; Glober et al., 2020), the pandemic has overwhelmed health systems and pushed the health workforce and the American public to the brink.