Effectiveness of Youth Mental Health First Aid USA for Social Work Students

Rose, Theda; Leitch, Judith; Collins, Kathryn S.; Frey, Jodi Jacobson; Osteen, Philip

doi:10.1177/1049731517729039

Cited by 29 publications

(39 citation statements)

References 33 publications

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“…Sixteen studies were excluded at the full-text screening stage: 11 were not an MHFA program, 4 were not an RCT or controlled trial, and 1 was a duplicate publication. A final 18 studies were included in the review, with a total of 5936 participants [ 13 – 22 , 42 – 49 ]. Only 6 of these were included in the prior review of MHFA [ 13 , 17 – 19 , 45 , 48 ], with 12 additional controlled trials identified.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

2018

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ObjectiveTo provide an up-to-date assessment of the effectiveness of the Mental Health First Aid (MHFA) training program on improving mental health knowledge, stigma and helping behaviour.DesignSystematic review and meta-analysis.MethodsA systematic search of electronic databases was conducted in October 2017 to identify randomised controlled trials or controlled trials of the MHFA program. Eligible trials were in adults, used any comparison condition, and assessed one or more of the following outcomes: mental health first aid knowledge; recognition of mental disorders; treatment knowledge; stigma and social distance; confidence in or intentions to provide mental health first aid; provision of mental health first aid; mental health of trainees or recipients of mental health first aid. Risk of bias was assessed and effect sizes (Cohen’s d) were pooled using a random effects model. Separate meta-analyses examined effects at post-training, up to 6 months post-training, and greater than 6 months post-training.ResultsA total of 18 trials (5936 participants) were included. Overall, effects were generally small-to-moderate post-training and up to 6 months later, with effects up to 12-months later unclear. MHFA training led to improved mental health first aid knowledge (ds 0.31–0.72), recognition of mental disorders (ds 0.22–0.52) and beliefs about effective treatments (ds 0.19–0.45). There were also small reductions in stigma (ds 0.08–0.14). Improvements were also observed in confidence in helping a person with a mental health problem (ds 0.21–0.58) and intentions to provide first aid (ds 0.26–0.75). There were small improvements in the amount of help provided to a person with a mental health problem at follow-up (d = 0.23) but changes in the quality of behaviours offered were unclear.ConclusionThis review supports the effectiveness of MHFA training in improving mental health literacy and appropriate support for those with mental health problems up to 6 months after training.Trial registrationPROSPERO (CRD42017060596)

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Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

2018

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“…Evaluation studies of the YMHFA program, however, have indicated that improving mental health literacy is insufficient for increasing appropriate helping behaviors in the real world. Although previous evaluation studies of the YMHFA reported improvements in confidence in offering help [25,33], understanding of the five steps of helping behaviors [31], and recognizing the importance of offering help [32], they did not show that the programs significantly increased the numbers of actual helping behaviors. Why was the existing YMHFA program not able to effectively increase appropriate helping behaviors?…”

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confidence: 80%

“…This 14-h program can be conducted as either over two full days or four small sessions, and those instructors registered on the MHFA website [30] teach how to recognize and help young people with mental disorders and facilitate role plays between participants to develop practical skills of helping behavior (for more details, see [25]). An evaluation study of the YMHFA in Australia has demonstrated improvements in knowledge of mental disorders, stigmatizing attitudes, and confidence in offering help [25], and this program has been conducted in the United States [31][32][33]. To improve literacy regarding the worldwide problem of depression among youth, it is hoped that the YMHFA will be used globally in future, as well as the original MHFA that has already been conducted and evaluated in over 22 countries [34], including the United Kingdom [35,36], the United States [37], and Japan [38][39][40].…”

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confidence: 99%

Exploring perceived costs and benefits of first aid for youth with depression: a qualitative study of Japanese undergraduates

Kashihara

Sakamoto

2020

Int J Ment Health Syst

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Background: Early interventions for depression among youth are greatly needed. Although Youth Mental Health First Aid (YMHFA) program has been developed to teach the public how to help young people with mental disorders, including depression, it has assumed human altruism and overlooked the possibility that participants would experience conflict between the costs and benefits of helping behaviors. The present qualitative study, therefore, initially explored content of the costs and benefits perceived by youth in terms of helping their peers with depression. Methods: A total of 56 Japanese undergraduates (32 female, 24 male; M age = 20.20, SD = 1.09) participated in the face-to-face survey. They were provided with basic knowledge about helping behaviors and were presented with a vignette describing an undergraduate with depression. Then, they left free descriptive comments on their views of the costs/benefits of helping/not helping the person in the vignette. As supplemental quantitative analyses, we statistically compared numbers of labels (n = 624), which were obtained from participants' comments, across two (costs/ benefits) × two (helping/not helping) domains. Finally, we conducted a qualitative content analysis that combined inductive and deductive methods to categorize these labels. Results: The supplemental quantitative analyses (i.e., ANOVA and post hoc analyses) on the numbers of labels highlighted that the participants perceived suppressors (i.e., costs of helping, benefits of not helping) as well as motivators (i.e., costs of not helping) in making decision to help peers with depression. The qualitative content analysis mainly showed that: (i) the categories in each domain covered multiple facets of costs and benefits, including negative/positive effects on the participants themselves, the person in the vignette, and interpersonal relationships; and that (ii) the participants perceived the conflicts of costs and benefits regardless of whether they help their peers with depression. Conclusions: These results provide evidence for how young people experience the conflicts between the costs and benefits of helping behaviors toward their peers with depression and reveal specific content of these costs and benefits. These findings could serve as a basis for extending YMHFA programs and designing educational content to promote public helping behaviors in realistic situations.

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“…One of the studies (Pereira et al, 2015) reported that their waitlist control group had a lower rating compared to one of the training groups post‐training. One study did not report data due to unacceptable reliability (Rose et al, 2017). Effect sizes ranged from 0.36 to 1.18 at post‐training (n = 9) and 0.68 to 1.0 at follow‐up (n = 2).…”

Section: Resultsmentioning

confidence: 99%

Child mental health literacy training programmes for professionals in contact with children: A systematic review

O’Connell

Pote

Shafran

2020

Early Intervention Psych

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Aims There has been a surge in child mental health literacy training programmes for non‐mental health professionals. No previous review has examined the effectiveness of child mental literacy training on all professionals in contact with children. Methods Studies were identified through a systematic literature search of the Cochrane, EMBASE, Medline, and PsycINFO databases in February 2019. The review included studies that delivered training to professionals who have regular contact with young people aged 0 to 19 in the context of their role and at least one component of mental health literacy; (a) knowledge, (b) attitudes, (c) confidence in helping, (d) intention to help and (e) actual helping behaviour. The quality of papers was reviewed using the Cochrane revised Risk of Bias Tool for randomized controlled trials (RCTs) and the Integrated Quality Criteria for the Review of Multiple Study Designs for non RCTs. Results Twenty‐one studies met eligibility criteria (n = 3243). There was some evidence that global and specific child mental health literacy training improved professionals' knowledge and stigma‐related attitudes towards mental health. Few studies investigated the impact of training on actual helping behaviour. Conclusion There may be value in providing child mental health literacy training to professionals in contact with children, however there is a need for studies to evaluate the long‐term impact of such training, particularly on subsequent access to appropriate support. Findings raise concerns about the quality of the studies reported in the systematic review and recommendations are made for future studies.

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Effectiveness of Youth Mental Health First Aid USA for Social Work Students

Cited by 29 publications

References 33 publications

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

Exploring perceived costs and benefits of first aid for youth with depression: a qualitative study of Japanese undergraduates

Child mental health literacy training programmes for professionals in contact with children: A systematic review

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