As the world moves to single-person homes and online-everything practices that ignore physical communities, more people are beginning to need mental health care. For many, this environment is increasingly anxious and lonely. One thing we can do to look after others around us is knowing how to care for their mental health needs, giving if you like, mental health first aid. In this article, we'll look at the concept of mental health first aid in a little more depth. We’ll also give you the information you need to train as mental health first aider.
The global environment is such that anger is on the rise and often it can seem that empathy is in decline. Broadly speaking, we are ever-more seeing the psychological stress that comes from a feeling of lack of control. Especially with the economic threats of instability and uncertainty.
Data collected by the World Health Organisation suggests a rise in depression and anxiety disorders. Depression rose by 54% between 1990 and 2013, and anxiety disorders by 42%3.
These mental health problems rank second and seventh, respectively, in the global burden of disease. Amongst the top twenty diseases, five are mental illnesses. Worldwide, an estimated 700 million people suffer from a mental disorder.
Of course, our recent health crisis has also had a major bearing on mental health globally. Inequality continues to increase year on year. And increasing pressures relating to our climate crisis also mean that mental health problems are on the rise. Paying attention to mental health as well as other health concerns is higher on the agenda – and more urgent – than ever before.
Poor mental health can have a knock-on effect on many other things – including work, family, friendships, resilience and willingness to change. The rise of mental health issues is a complex issue. And not one that we can solve overnight. But there is something many people can do.
One thing that an individual can do to help combat the epidemic of mental ill-health is train as a mental health first aider.
You don't need to be an expert or have medical training to become a mental health first aider. A mental health first aider is a member of the general public who undertakes a simple training programme. Anyone can learn how to offer initial support for those developing, or experiencing a worsening or a crisis of mental health.
Like traditional first aid, mental health first aid is not about treating or diagnosing conditions. Rather, it is about offering that first stage of support until they can receive appropriate professional help or the crisis resolves.
A mental health first aid training course helps people recognise mental health problems, provide support, and know where to turn for treatment and/or services.
Research into mental health first aid training has shown that those who take the training have improved knowledge, confidence, attitudes and helping behaviour1. Undertaking such a training program can allow you to play your part in helping those with mental health issues. And can also help to spread and disseminate knowledge and understanding of mental health problems throughout the wider populace.
Being alert to mental health issues means members of the public who undergo this training can recognise when someone needs help. And assist someone in getting appropriate professional help. Mental health first aiders reduce the risk of someone coming to harm during a mental health crisis.
As a mental health first aider, you can also help to reduce the stigma and discrimination surrounding mental health issues. And join the conversation to help the public understand the experiences of others.
Becoming a mental health first aider does not require a lifestyle switch. You do not need to dedicate several hours of your week to practising what you’ve learned. You should carry on life as usual after your training. The essence of this training is to have trained people in different environments - schools, workspaces, government offices, at the train stop. People who can identify, help, reassure and support a person in distress.
If every community can have a handful of people trained to offer mental health first aid when needed, we could improve the overall quality of life in those communities.
It is also important to understand how combating mental health issues can have a positive knock-on effect on other sectors of society. And help us to tackle many of the other problems and inequalities we face on a global scale.
In 2000, Betty Kitchener and Anthony Jorm, both Australian mental health educators, developed the mental health first aid program2. Since then, over the past couple of decades, the program has since spread to several other countries around the world.
By 2019, over 3 million people had trained as mental health first aiders around the globe. And many more are interested in increasing that number and joining the ranks of those who can give appropriate first response for mental health issues.
To train as a mental health first aider, the first step is to find the body running the training where you live. The body running the training, and the exact training on offer vary depending on where you live or reside currently.
Canada: Participants receive Mental Health First Aid training under the leadership of the Mental Health Commission of Canada. Find more information on training in Canada here.
United States: In 2014, Congress appropriated $15 million to SAMHSA to train teachers and school personnel in Youth Mental Health First Aid. In 2015, the government created an additional $15 million fund to support other community organizations serving youth. The Mental Health First Aid Act of 2015 authorised more spending for mental health first aid training. Several different bodies offer training in many different states.
There is also training being run in Bermuda.
The UK: In England, the NHS's National Institute for Mental Health in England runs the mental health first aid training courses. There is also training in Wales and Northern Ireland. Scotland's NHS also runs mental health first aid training there.
EU: Across the EU, several further licensed bodies deliver mental health first aid training. In Denmark, Finland, France, Germany (website coming soon), Ireland, Malta, the Netherlands, Sweden and Switzerland.
Australia: Mental Health First Aid International runs training programs across Australia. Mental Health First Aid training programs in Australia have won several awards. By 2015, 2% of the adult population had received training of this kind.
New Zealand: You can find information on training in New Zealand here.
Asia: Across Asia, mental first aid training courses are being run in Bangladesh, Cambodia, Hong Kong, India, Japan, Malaysia and Pakistan.
There are also current programmes in Saudi Arabia and the UAE.
If you live in a country or region where they do not provide mental health first aid training, you can license the Australian programme. It is available for use wherever you may live.
The creators and regulators of mental health first aid courses base them on a series of guidelines. These have been developed through consultation from experts, including those who have lived through mental health problems, and mental health professionals. The guidelines cover best practice first aid and cover a range of mental health problems and crises in different contexts.
Though each individual is different, they design the training to be suitable to deliver mental health first aid in high-income, developed countries with well-developed healthcare systems. They teach participants practical skills to spot the triggers, signs and symptoms of mental health issues, and render initial help.
You can find more information on these guidelines here.
Participants can reinforce all mental health first aid courses by an action plan, called the ALGEE action plan.
This action plan is as follows:
Having the basic knowledge in place to deliver this first aid action plan can make a huge difference. So you should consider training as a mental health first aider so you can deliver this initial support to those who may be struggling. Both in your community or your place of work.
Even as we transition to more independent lifestyles, it’s important that we make efforts to stay connected to and help our communities. Training as a mental health first aider may offer you no personal benefits. But it could be the reason why someone else lives to see another day. We can improve issues like anxiety, depression, and workplace mental health crisis if we are all educated on mental health issues.
|Hadlaczky, Gergö & Hökby, Sebastian & Mkrtchian, Anahit & Carli, Vladimir & Wasserman, Danuta. (2014). Mental Health First Aid is an effective public health intervention for improving knowledge, attitudes, and behavior. A meta-analysis. International Review of Psychiatry. 26. 10.3109/09540261.2014.924910.|
|Kitchener, B.A., Jorm, A.F. Mental health first aid training for the public: evaluation of effects on knowledge, attitudes and helping behavior. BMC Psychiatry 2, 10 (2002). https://doi.org/10.1186/1471-244X-2-10|
|World Bank Group & World Health Organization, 2016. Out of The Shadows: Making Mental Health a Global Development Priority.|