"We're in the midst of the largest drop of life expectancy that we've faced as a city and country in a century. COVID, obviously, is one explanation. But there are many other reasons – overdoses, rising rates of chronic illness, premature deaths from birth inequities, increased rates of violence, suicide. All these link to mental health, either directly, like overdoses, or indirectly. We need to start looking at mental health as a cross-cutting issue that often manifests in conditions or causes of death we would otherwise not refer to as mental health. We have to see it almost in the groundwater."