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TRANSCRIPT
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Mental Health First Aid: Training and Resources for Rural Populations
September 5, 2013
Wendy Opsahl, PhD Manager, Rural MHFA Outreach Project
Vice President, CommunicaIons, Atlas Research
MHFA: Agenda
• Background
• About Mental Health First Aid
• PromoIonal strategy
• Campaign status
• Upcoming acIviIes and presentaIons
• EvaluaIon plans
• Q&A
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Project Background Project: Reaching Rural Safety Net Providers with MHFA Funder: Health Resources and Services AdministraIon Manager: Atlas Research Timeline : October 2012 – September 2013 Purpose: Extend the reach of MHFA into rural communiIes naIonwide
MHFA: About Mental Health First Aid • Evidence-‐based public educaIon program • Developed in Australia and introduced in the U.S. in 2008 • DemysIfies mental illness and gives people the capacity to obtain, process, and understand informaIon needed to make decision and seek care • Low-‐cost, high-‐impact program • Capable of working and spreading effecIvely throughout society
(more than 100K people have been trained since 2008) • Operated in the U.S. by the Mental Health First Aid USA (members include
the NaIonal Council for Behavioral Health, the Maryland Dept. of Health and Mental Hygiene, and the Missouri Dept of Mental Health)
• Vision: By 2020, Mental Health First Aid in the USA will be as common as CPR and First Aid
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• Help offered to a person developing a mental health problem or experiencing a mental health crisis
• Given unIl appropriate treatment and support are received or unIl the crisis resolves
• Not a subsItute for counseling, medical care, peer support or treatment
MHFA:
About Mental Health First Aid (continued)
• Mental health problems are common
• Professional help is not always on hand
– Individuals with mental health problems ocen do not seek help
• Many people… – are not well informed about mental health problems – do not know how to respond
• MHFA creates proven results
• MHFA is relevant for many different populaIons and places including school, community, workplace, and home
• MHFA is low cost and sustainable
• MHFA supports workplace wellness (e.g., employee assistance program, etc.
MHFA: Why Mental Health First Aid?
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MHFA: The training consists of: • Live, in-‐person training by cerIfied instructors in your
community (online training is not currently available) • 8 hour session (can be offered in 1 day or in consecuIve
sessions) • InteracIve exercises
Instructor training • 5-‐day instructor course • Offered by naIonal authoriIes to obtain cerIficaIon • Wrifen exam and presentaIon exam
• Overview of mental health problems
– Depressive/Mood disorders – Anxiety disorders – Disorders in which psychosis occurs – Substance use disorders – EaIng disorders
• Mental Health First Aid for crisis situaIons
• Mental Health First Aid for non-‐crisis situaIons
• AcIon Plan – Assess for risk of suicide or harm – Listen non-‐judgmentally – Give reassurance and informaIon – Encourage appropriate professional help – Encourage self-‐help and other support strategies
MHFA: Participants Learn:
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• Four published randomized control trials and a qualitaIve study (in Australia) – Increases mental health literacy – Expands individuals’ knowledge of how to help someone in crisis – Connects individuals to needed services – Reduces sIgma
• Study on 33 US college campuses 2009-‐2011 – Increased mental health literacy – ReducIon in social distance (decreased sIgma)
• Kitchener BA, et al. Mental health first aid training in a workplace sejng: A randomized and controlled trial [ISRCTNI3249129]. BMC Psychiatry. 2004;4(23):1-‐8.
• Jorm AF, Kitchener BA, Fischer JA, Cvetkovski S. (2010). Mental health first aid training by e-‐learning: a randomized controlled trial. Australian and New Zealand Journal of Psychiatry 44(12):1072-‐81.
• Speer, N., Eisenberg, D., Hahn, E., Brunwasser, S., & Xu, S. Effects of a peer-‐based gatekeeper training program on college mental health outcomes. [Manuscript in Prepara=on]. 2011.
MHFA: Evidenced Effectiveness
MHFA: Who can take the training course? Anyone! Examples include:
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AK 859 (20)
HI 0 (1)
PR 148 (2)
WA 2,867 (56)
OR 1,567 (28)
CA 14,714 (514)
NV 201 (2)
ID 425 (11)
MT 215 (4)
WY 14 (1)
UT 571 (27)
AZ 3,960 (86)
CO 6,540 (169)
NM 3,181 (63)
TX 4,715 (197)
OK 1,378 (26)
KS 4,319 (98)
NE 440 (13)
SD 1,137 (25)
ND 319 (3) MN
1,765 (24)
IA 6,175 (92)
MO 7,473 (291)
AR 525 (13)
LA 123 (4)
MS 857 (68)
AL 629 (10)
GA 2,339 (84)
FL 1,126 (53)
SC 116 (5)
TN
WV 0 (1)
OH 922 (24)
IN 478 (30)
IL 6,149 (118)
KY 377 (12)
MI 4,192 (87)
NY 2,161 (67)
PA 5,052 (182)
NC 1,758 (31)
VA 2,037 (61)
ME 143 (4)
WI 329 (9)
809 (23)
0.1% or more
0.04%-‐0.99%
0.025%-‐0.039%
0.01%-‐0.024%
Less than 0.01%
No data
PERCENTAGE OF POPULATION TRAINED
ALGEE-‐OMETER Over 100,000 First Aiders in the US Trained by over 3,000 Instructors
MD 3,735 (217)
DE 65 (3)
NJ 663 (17)
CT 1,740 (27)
RI 304 (7)
MA 760 (26)
NH 10 (1)
DC 825 (41)
VT 233 (35)
GUAM 37 (0)
• MHFA in President Obama’s Report: RecommendaIons from the Gun Violence PrevenIon Task Force
– Make Sure Students and Young Adults Get Treatment for Mental Health Issues: Three quarters of mental illnesses appear by the age of 24, yet less than half of children with diagnosable mental health problems receive treatment. To increase access to mental health services for young people, we should:
• Provide “Mental Health First Aid” training to help teachers and staff recognize signs of mental illness in young people and refer them to treatment.
• Support young adults ages 16 to 25, who have the highest rates of mental illness but are the least likely to seek help, by giving incen=ves to help states develop innova=ve approaches.
• Help break the cycle of violence in schools facing pervasive violence with a new, targeted ini=a=ve to provide their students with needed services like counseling.
• Train 5,000 more social workers, counselors, and psychologists, with a focus on those serving students and young adults.
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MHFA: Public Policy
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• April 19, 2013: US Senate passed Harkin/Alexander MH Amendment (vote of 95-‐2) – which included authorizaIon for mental health awareness training grant program at SAMHSA (modeled aTer Mental Health First Aid)
• Mental Health First Aid Act 2013 (H.R. 274) (S.153): Status Pending
– In a statement on the Senate floor, Majority Leader Reid expressed his commitment to allowing votes on a number of addi=onal amendments, including Senator Stabenow’s, that did not receive a vote
• State LegislaOve AcOon: Arizona, Virginia, Texas, Washington, Illinois, Michigan, Florida, California, Maryland
• Toolkit for State LegislaOve OpOons
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MHFA: Public Policy
Mental Health: Challenges facing rural communities
20% of our naIon’s populaIon lives in rural areas. Many health dispariIes exist for people who live in rural communiIes. The most substanIal barriers to an individual’s ability to obtain mental health and substance abuse services are:
– Availability – limited number of providers;
– Accessibility – distance, transportaIon, financing of services; and
– Acceptability – willingness to seek services given sIgma surrounding mental health and substance abuse.
Rural communiIes have a chronic shortage of behavioral health providers. Approximately 57% of the federally designated mental health professional shortage areas are in non metropolitan counIes.
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Q: How does the rural curriculum differ from the regular curriculum? It’s culturally adapted. It features: Discussions on what rural communiIes can do with a lack of or limited resources and services, and PracOce sessions include rural-‐relevant scenarios such as farming-‐related situaIons and long-‐distance travel to health care. Trainers can become rural-‐cerOfied.
MHFA: Promotional Strategy • Created a contact database (4,000 items so far) • Created a web presence • Partnered with HRSA and SAMHSA Regional Offices • Distributed lefer from Dr. Terry Adirim (Director of the Office of Special Health Affairs) and Rural Quick Start Guide • Sent a news release to rural media outlets • Followed up with everyone who received the lefer from Dr. Adirim • Provide ongoing technical assistance and referrals • Published arIcle in May issue of Rural Roads magazine • Published arIcle in Na=onal Council Magazine
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MHFA: Target Audiences
MHFA: Campaign Status • 70+ (documented) training referrals to date • 35+ states represented • Round 1: all regions have been contacted • Round 2: focusing on states not represented • 1 month of campaign acIvity remaining
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MHFA: Presentations
Date Conference Name OrganizaOon LocaOon
Apr 9 Annual Conference NaIonal Council for Behavioral Healthcare Las Vegas, NV
May 7-‐10 Annual Rural Health Conference NaIonal Rural Health AssociaIon Louisville, KY
Jul 17-‐20 Rural Areas Conference NaIonal InsItute for Social Work and Human Services in Rural Areas Millersville, PA
Aug 1 Annual Conference NaIonal AssociaIon for Rural Mental Health San Antonio, TX
Aug 7 Webinar NaIonal Area Health EducaIon Centers NaIonal
Aug 29 Annual ConvenIon Community AcIon Partnership Chicago, IL
Sept 5 Webinar NaIonal OrganizaIon of State Offices of Rural Health NaIonal
Oct 22 West Virginia Rural Health Conference WV Rural Health AssociaIon Roanoke, WV
Rural Quick Start Guide
Guide includes informaOon and suggesOons regarding:
• PotenIal parIcipants • Ways to find an instructor • Cost • Supplies and equipment • OrganizaIon Ips • MarkeIng Ips Available on MHFA website
Purpose: To assist people in coordinaIng a MHFA training course in their community
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Meeting Your Community’s Need for Access to Mental Health Services: Community Conversations Toolkit (in development)
Guided discussions include: • Community values about
behavioral care • Current benefits and services • Needed services • Financing and sustainability • AcIon steps
The toolkit contains: • Planning guide • FacilitaIon Ips • FacilitaIon script • Outreach flyer • Sample agenda • Summary template • EvaluaIon form
Purpose: To assist rural communiIes in bringing together behavioral health and primary care providers and collaboraIng around important services and resources to improve access to care for those in need.
MHFA: Plans for Evaluation • How is RMHFA training associated with the delivery of mental health services and community behavioral health partnerships? • Case study approach • MulIple sources of informaIon (e.g., direct observaIons, parIcipant observaIons, interviews and/or focus groups, documents, archival records, audiovisual materials, or physical arIfacts) • Consulted with HRSA and SAMHSA evaluators on design and methodology
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THANK YOU FOR MORE INFORMATION
Wendy Opsahl, PhD
701-‐610-‐8632 [email protected]
Mental Health First Aid
www.mentalhealthfirstaid.org
www.mentalhealth.gov