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Mental Health First Aid USA is coordinated by the National Council for Behavioral Health, the Maryland Department of Health and Mental Hygiene, and the.

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Presentation on theme: "Mental Health First Aid USA is coordinated by the National Council for Behavioral Health, the Maryland Department of Health and Mental Hygiene, and the."— Presentation transcript:

1 Mental Health First Aid USA is coordinated by the National Council for Behavioral Health, the Maryland Department of Health and Mental Hygiene, and the Missouri Department of Mental Health.

2 What Is Mental Health First Aid? Help offered to a person developing a mental health problem or experiencing a mental health crisis Given until appropriate treatment and support are received or until the crisis resolves Not a substitute for counseling, medical care, peer support or treatment

3 Why Mental Health First Aid? Mental health problems are common Stigma is associated with mental health problems Professional help is not always on hand  Individuals with mental health problems often do not seek help Many people…  are not well informed about mental health problems  do not know how to respond

4 Program Milestones Created in Australia in 2001 (University of Melbourne) Currently in 22 countries Piloted in the U.S. in 2008 U.S. youth program pilot in 2012

5 First Aider Growth By the Numbers 4 1, ,159 16,531 42,997 40, ,178 22,690 4,85420,307 83,697 66,481 44,819 …and counting!

6 More than 200,000 trained 4,400+ instructors National policy and media attention Partnership with Maryland and Missouri State Governments

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8 Audiences %General Community/Not Specified 12,600 Courses (through April 2014) 24.7%Behavioral Health 15.9%Higher Education 7.0%Social Services 6.9%Primary Care 6.7%Law Enforcement/Public Safety 5.6%Faith Communities 4.5%Youth-focused entities 0.6%Business/Corporations 2.2%Other

9 Did you know? of participants who completed a Mental Health First Aid course say they would recommend it so someone else

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11 Program Overview: Session 1 What is Mental Health First Aid? Mental Health Problems in the United States Mental Health First Aid Action Plan Understanding Depression and Anxiety Mental Health First Aid Action Plan for Depression and Anxiety  Suicidal Behavior  Depressive Symptoms  Nonsuicidal Self-Injury

12 Session 2  Panic Attacks  Traumatic Events  Anxiety Symptoms Understanding Psychosis Mental Health First Aid Action Plan  Acute Psychosis  Disruptive or Aggressive Behavior Understanding Substance Use Disorders Mental Health First Aid Action Plan  Overdose  Withdrawal  Substance Use Disorders Using your Mental Health First Aid Training

13 Did you know? U.S. adults suffer from a diagnosable mental disorder in a given year

14 Depression and Anxiety Are among the most common mental illnesses Can have some similar signs and symptoms Can frequently co-occur

15 Let’s put it into Action! SIGNS & SYMPTOMS OF DEPRESSION Instructions: Divide in groups 5 to 7 people Think of words about depression beginning with each letter of the alphabet.

16 Signs and Symptoms of Depression Behaviors Crying spells, withdrawal from others, neglect of responsibilities, loss of interest in personal appearance, loss of motivation, slow movement, use of drugs and alcohol Physical Fatigue, lack of energy, sleeping too much or too little, overeating or loss of appetite, constipation, weight loss or gain, headaches, irregular menstrual cycle, loss of sexual desire, unexplained aches and pains

17 Signs and Symptoms of Depression Psychological Sadness, anxiety, guilt, anger, mood swings, lack of emotional responsiveness, feelings of helplessness, hopelessness, irritability Frequent self-criticism, self-blame, pessimism, impaired memory and concentration, indecisiveness and confusion, tendency to believe others see one in a negative light, thoughts of death and suicide

18 What Are Anxiety Disorders? Differs from normal stress and anxiety. More severe, lasts longer and interferes with work and relationships.

19 Signs and Symptoms of Anxiety Physical Cardiovascular: pounding heart, chest pain, rapid heartbeat, blushing Respiratory: fast breathing, shortness of breath Neurological: dizziness, headache, sweating, tingling, numbness Gastrointestinal: choking, dry mouth, stomach pains, nausea, vomiting, diarrhea Musculoskeletal: muscle aches and pains (especially neck, shoulders and back), restlessness, tremors and shaking, inability to relax 44 

20 Signs and Symptoms of Anxiety Psychological Unrealistic or excessive fear and worry (about past and future events), mind racing or going blank, decreased concentration and memory, indecisiveness, irritability, impatience, anger, confusion, restlessness or feeling “on edge” or nervous, fatigue, sleep disturbance, vivid dreams Behavioral Avoidance of situations, obsessive or compulsive behavior, distress in social situations, phobic behavior

21 Applying Mental Health First Aid for Crises Suicidal thought and behaviors Non-suicidal self-injury Panic attacks Adult affected by traumatic events Children affected by traumatic events Acute psychosis Medical emergency from alcohol abuse Aggressive behavior

22 Warning Signs of Suicide Threatening to hurt or kill oneself Seeking access to means Talking or writing about death, dying, or suicide Feeling hopeless Feeling worthless or a lack of purpose Acting recklessly or engaging in risky activities Feeling trapped Increasing alcohol or drug use Withdrawing from family, friends, or society Demonstrating rage and anger or seeking revenge Appearing agitated Having a dramatic change in mood 27

23 Questions to Ask Ask the person directly whether he or she is suicidal: “Are you having thoughts of suicide?” “Are you thinking about killing yourself?” Ask the person whether he or she has a plan: “Have you decided how you are going to kill yourself?” “Have you decided when you would do it?” “Have you collected the things you need to carry out your plan?”

24 How to Talk with a Person Who Is Suicidal Discuss your observations with the person Ask the question without dread Do not express a negative judgment Appear confident, as this can be reassuring Check For Two Other Risks Has the person been using alcohol or other drugs? Has he or she made a suicide attempt in the past?

25 How to Help Let the person know you are concerned and are willing to help. Express empathy for what the person is going through. Encourage the person to do most of the talking. State that thoughts of suicide are often associated with a treatable mental disorder. Tell the person that thoughts of suicide are common and do not have to be acted on.

26 Symptoms of a Panic Attack Palpitations, pounding heart, or rapid heart rate Sweating Trembling and shaking Shortness of breath, sensations of choking or smothering Chest pain or discomfort Abdominal distress or nausea Dizziness, light-headedness, feeling faint, unsteady Feelings of unreality Feelings of being detached from oneself Fear of losing control or going crazy Fear of dying Numbness or tingling Chills or hot flashes

27 How to Help Let the person know you are concerned and willing to help. Ask the person whether he or she knows what has happened. If you don’t know it is a panic attack or other medical problem  Check for a medical alert bracelet and follow the instructions  Seek medical assistance If the person believes it is a panic attack  Reassure the person that it is a panic attack  Ask the person if you can help

28 How to Help Remain calm and speak in a reassuring but firm manner. Speak clearly and slowly, and use short sentences. Be patient. Avoid any negative reactions. Acknowledge that the terror feels very real. Remind the person that while a panic attack is frightening, it is not life threatening. Reassure the person that he or she is safe and that the symptoms will pass.

29 After the Panic Attack Ends Offer the person help in getting information about panic attacks. Tell the person that if the panic attack recurs, he or she should speak with an appropriate health professional. Reassure the person that effective treatments are available for panic attacks.

30 Recovery from Mental Illness “Recovery is the process in which people are able to live, work, learn, and participate fully in their communities. For some, this is the ability to live a fulfilling and productive life despite a disability. For others, recovery implies the reduction or complete remission of symptoms.” - President’s New Freedom Commission on Mental Health

31 Youth MENTAL HEALTH FIRST AID USA

32 Program Roadmap: Part One What is Youth Mental Health First Aid? Adolescent Development & Mental Health Problems in Youth What you may see:  Signs and Symptoms  Risk Factors and Protective Factors Mental Health First Aid Action Plan

33 Program Roadmap: Part Two Using the Mental Health First Aid Action Plan  In Non-Crisis Situations  In Crisis Situations

34 What is Your Role? Parent/Guardian/Grandparent Clergy Friend or Neighbor Peer Professional: “In the place of the parent” Be aware of:  Mandatory reporting laws  Privacy rights of young people  When to communicate with parents and other care- givers

35 WHAT YOU MIGHT SEE

36 What are Some of the Disorders we Might Hear About? ADD/ADHD/ODD Anxiety Disorders Bipolar Disorder Depression Eating Disorders Psychosis Substance Use Disorders

37 Typical Adolescent Development Physical Changes  Changes in hormones  Increases in height and weight  Becoming more focused on physical concerns Mental Changes  Developing more abstract thinking skills  Using logic and reason more in decision making  Developing own beliefs  Beginning to question authority

38 Typical Adolescent Development Emotional Changes  Can be quick to change  Feel more intensely  Can lead to risk taking and impulsive behavior Social Changes  May experiment with different levels of social and cultural identity  Peer influence increases  Notice sexual identity  Learn to manage relationships, including romantic relationships

39 Resiliency Most youth pass through adolescence with relatively little difficulty despite all of these challenges. When difficulties are encountered, youth tend to be quite resilient:  Thrive  Mature  Increase their competence

40 WHAT YOU MIGHT DO

41 MHFA ACTION PLAN A – Assess for risk of suicide or harm L - Listen non-judgmentally G - Give reassurance and information E – Encourage appropriate professional help E - Encourage self-help & other support strategies Mental Health First Aid teaches a five-step action plan, ALGEE, for individuals to provide help to someone who may be in crisis.

42 Mental Health First Aid Kevin Hines Mental Health First Aid The film, developed for Youth Mental Health First Aid, features Kevin sharing his struggle with mental illness and substance use. In his junior year of high school, Kevin was diagnosed with bipolar disorder. "In September 2000 Kevin became one of only 34 people to survive a suicide attempt by jumping off the Golden Gate Bridge".

43 Taking Care of the First Aider Have I decided what I will do for self care? Who can I debrief with now? If I feel upset or distressed later, who can I call? If I share with others, how do I ensure the confidentiality of the young person? Do I or my family need a break?

44 MHFA – HOW CAN I GET IT? 8 Hour MHFA course Contact an instructor Move forward Practice what has been learned

45 MHFA Supplements/ Modules

46 Looking Ahead Corporate Program Curriculum Supplements  Higher Education (2014)  Faith Based (2015)  Older Adults (2015 )

47 Mental Health First Aid USA Contact: To register or if you have questions, contact Jenny Rodriguez, at or

48 Mental Health First Aid USA is coordinated by the National Council for Behavioral Health, the Maryland Department of Health and Mental Hygiene, and the Missouri Department of Mental Health. THANK YOU!!! Jamie Katz


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