An estimated 9 percent of adults in New York City (NYC) had major depression in 2016, and about 20 percent are likely have a mental health challenge in any given year. Furthermore, more than 40 percent of adults with serious mental illness either experience delays accessing needed mental health treatment or never receive it at all. To address these documented unmet mental health needs, the Mayor's Office of Community Mental Health (OCMH) brought together city agencies, nonprofits, and community-based organizations in 2015 to support the mental health of all New Yorkers through 54 priority initiatives. One of these initiatives involved the provision of in-person Mental Health First Aid (MHFA) trainings, first to staff at city agencies and community-based organizations and eventually to all New Yorkers citywide-free of charge.Citywide MHFA trainings under OCMH were launched in 2016 and continued until early March 2020 when most of the city experienced shutdowns due to coronavirus pandemic safety precautions. At the time of the shutdowns, planning for a full-scale evaluation of the impact of the MHFA trainings was underway but had not yet been launched. Once the evaluation could be adjusted to current circumstances by April 2021, it resumed in the form of a mixed-methods study that included a web-based survey of past trainees and a series of focus groups to assess the impact of the MHFA trainings and needs for continued training in the future. This report describes the evaluation activities that took place; the methods behind them; and the results at the individual, agency, and community levels. It also offers recommendations for ways to improve future mental health education efforts. This study was sponsored by the Mayor's Office for Economic Opportunity.
Social and Behavioral Policy ProgramRAND Social and Economic Well-Being is a division of the RAND Corporation that seeks to actively improve the health and social and economic well-being of populations and communities throughout the world. This research was conducted in the Social and Behavioral Policy Program within RAND Social and Economic Well-Being. The program focuses on such topics as risk factors and prevention programs, social safety net programs and other social supports, poverty, aging, disability, child and youth health and well-being, and quality of life, as well as other policy concerns that are influenced by social and behavioral actions and systems that affect wellbeing. For more information, email