Experiences in applying skills learned in a mental health first aid training course: a qualitative study of participants' stories
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Background: Given the high prevalence of mental disorders and the comparatively low rate of professional help-seeking, it is useful for members of the public to have some skills in how to assist people developing mental disorders. A Mental Health First Aid course has been developed to provide these skills. Two randomized controlled trials of this course have shown positive effects on participants' knowledge, attitudes and behavior. However, these trials have provided limited data on participants' subsequent experiences in providing first aid. To remedy this, a study was carried out gathering stories from participants in one of the trials, 19–21 months post-training. Methods: Former course participants were contacted and sent a questionnaire either by post or via the internet. Responses were received from 94 out of the 131 trainees who were contacted. The questionnaire asked about whether the participant had experienced a post-training situation where someone appeared to have a mental health problem and, if so, asked questions about that experience. Results: Post-training experiences were reported by 78% of respondents. Five key points emerged from the qualitative data: (1) the majority of respondents had had some direct experience of a situation where mental health issues were salient and the course enabled them to take steps that led to better effects than otherwise might have been the case; (2) positive effects were experienced in terms of increased empathy and confidence, as well as being better able to handle crises; (3) the positive effects were experienced by a wide range of people with varied expectations and needs; (4) there was no evidence of people over-reaching themselves because of over-confidence and (5) those who attended were able to identify quite specific benefits and many thought the course not only very useful, but were keen to see it repeated and extended. Conclusion: The qualitative data confirm that most members of the public who receive Mental Health First Aid training subsequently provide support to people with mental health problems and that this support generally has positive effects.
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Positive changes to actual helping behaviour from MHFA training is supported by qualitative research that gathered stories from MHFA trainees approximately 20 months after training.
“Nevertheless, positive changes to actual helping behaviour from MHFA training is supported by qualitative research that gathered stories from MHFA trainees approximately 20 months after training [51].”
From Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour (2018) · cites this paper as [51]
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Encina, E. P., Rodante, D., Agrest, M., Tapia‐Muñoz, T., Vidal-Zamora, I., Ardila-Gómez, S. E., Alvarado, R., Leiderman, E. A., & Reavley, N. J. (2024) · Figshare · doi:10.6084/m9.figshare.24792424
Evans, J., Romaniuk, M., & Theal, R. (2021) · Figshare · doi:10.6084/m9.figshare.14432075
State of the Science: Mental Health First Aid Training of the Public
Jorm, A. F., Kitchener, B. A., Morgan, A. J., & Hart, L. (2026) · Behavior Therapy · doi:10.1016/j.beth.2026.06.001
Self-citationA cluster randomised controlled trial of mental health first aid (MHFA) in UK workplaces
Atanda, O., Reavey, P., Durcan, G., Carter, T., O’Shea, N., Brown, S., Wood, K. V., Vangeli, E., White, S., & Callaghan, P. (2026) · Journal of Public Mental Health · doi:10.1108/jpmh-03-2026-0051
- Authors
- Jorm, A. F., Kitchener, B. A., & Mugford, S. K.
- Affiliations
- Australian National University (AU)
- Corresponding author
- Jorm, Anthony F
- ORCID
- Jorm, Anthony F
- Venue
- BMC Psychiatry
- Published
- 2005-11-09
- Volume
- 5
- Issue
- 1
- Pages
- 43-43
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC1308824
- OpenAlex
- W1853982672
- Cited by
- 95
- References
- 16
- Citations by year
- 2026: 2 · 2025: 4 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 12 · 2019: 4 · 2018: 8 · 2017: 1 · 2016: 4 · 2015: 6 · 2014: 6 · 2013: 2 · 2012: 4
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Funders
- NSW Ministry of Health
- Medical Research Council
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Keywords
- mental health first aid, empathy, confidence, crisis management, help-seeking
- MeSH terms
- Adult, Aged, Mental Disorders, Curriculum, Emergency Services, Psychiatric, Empathy, Female, First Aid, Health Education, Helping Behavior, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Postal Service, Surveys and Questionnaires, Research Design, Program Evaluation, Randomized Controlled Trials as Topic, Self Efficacy, Internet, Narration
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