Adult Mental Health First Aid Adult MHFA Manual

Adult Mental Health First Aid Adult MHFA Manual, 2016, MHFA England

Why Mental Health First Aid? In 2017 the UK Government launched a campaign to train one million people in basic mental health ‘first aid’ skills to aid mental health support in schools, workplaces and communities across the UK. In a press release the Prime Minister Theresa May stated: Mental Health First Aid : A Rationale “I want us to employ the power of government as a force for good to transform the way we deal with mental health problems right across society, and at every stage of life. ” “This starts with ensuring that children and young people get the help and support they need and deserve – because we know that mental illness too often starts in childhood and that when left untreated, can blight lives, and become entrenched” https: //www. gov. uk/government/news/prime-minister-unveilsplans-to-transform-mental-health-support MHFA England is the UK accredited provider of Mental Health First Aid Training, with the aim to improve the mental health of the nation. https: //mhfaengland. org/ Adult MHFA Manual, 2016, MHFA England

Purpose of the presentation The Power. Point presents a brief overview of the training for Mental Health First Aid as provided by MHFA England. It outlines the areas covered in the two-day training course for members of staff who wish to become Mental Health First Aiders. The Power. Point, however, is not in itself intended as a training tool. Adult MHFA Manual, 2016, MHFA England

The Catholic Children’s Society provide a wide range of support for schools in promoting positive mental health including support for children experiencing loss. Catholic Children’s Society – Mental Health Training Connect. Ed Mental Health Services https: //www. cathchild. org. uk/school-counselling-and-therapy/ https: //www. cathchild. org. uk/connected/mental-health-training/ https: //www. cathchild. org. uk/mental-health-first-aid/ Rainbows Bereavement Support Programme https: //www. cathchild. org. uk/rainbows-bereavment-supportprogramme/ Adult MHFA Manual, 2016, MHFA England

Adult Mental Health First Aid Manual by MHFA England A brief summary of content Adult MHFA Manual, 2016, MHFA England

Adult Mental Health First Aid Manual Section 1 Section 2 Mental Health First Aid Suicide About Mental Health Substance Abuse Depression Useful Statistics Adult MHFA Manual, 2016, MHFA England

Adult Mental Health First Aid Manual Section 3 Section 4 Anxiety Disorders Psychosis Self Harm Building a mentally healthy community Eating Disorders Personality Disorders Useful Statistics Adult MHFA Manual, 2016, MHFA England Useful Statistics

Appendices Appendix A – Cognitive Behavioural Therapy (CBT) Adult Mental Health First Aid Manual Appendix B – Nutrition and Mental Health Appendix C – WRAP Helpful Resources References Adult MHFA Manual, 2016, MHFA England

Section 1 Mental Health First Aid About Mental Health Depression Useful Statistics Adult MHFA Manual, 2016, MHFA England

It’s aims are to: 1. Section 1: Mental Health First Aid What is Mental Health First Aid? Preserve life where a person may be at risk of harm to themselves or others. 2. Provide help to prevent the mental health issue from becoming more serious. 3. Promote recovery of good mental health. 4. Provide comfort to a person with a mental health issue. 5. Raise awareness of mental health issues in the community 6. Reduce stigma and discrimination Adult MHFA Manual, 2016, MHFA England The course teaches people: How to spot early signs of mental health issues, including warning signs of common mental health crises How to offer and provide initial help How to guide a person towards appropriate treatment and other sources of supportive help. It does not teach people to provide a diagnosis or therapy

Section 1: Mental Health First Aid Why Mental Health First Aid? Mental health issues are common There is stigma associated with mental ill health Many people are not well informed Many people with mental health issues don’t get adequate treatment or they delay accessing treatment People may lack the insight to realise that they need help or that help is available Members of the general public often don’t know how to respond Mental Health First Aid has been found to be effective Adult MHFA Manual, 2016, MHFA England

The five basis steps: ALGEE Section 1: Mental Health First Aid Action Plan 1. Approach the person, assess and assist with any crisis 2. Listen and communicate non-judgementally 3. Give support and information 4. Encourage the person to get appropriate professional help 5. Encourage other supports Adult MHFA Manual, 2016, MHFA England

Section 1: Mental Health First Aid Action Plan - Things to bare in mind It is important to care for yourself when offering help Providing Mental Health First Aid to someone from a different cultural background Being culturally competent when providing Mental Health First Aid Practising cultural safety Adult MHFA Manual, 2016, MHFA England

What is mental health? What is mental ill health? Section 1: About Mental health How common are mental illnesses? The impact of mental health issues Spectrum of interventions for mental ill health Prevention Early intervention Treatment and support Professionals who can help Recovery Adult MHFA Manual, 2016, MHFA England

Section 1: Stigma and Discrimination – Strands of inequality Mental Health and Age Mental Health and Gender Mental Health and Disability Mental Health, Race and Ethnicity Mental Health and Religion and Belief Mental Health and Sexuality The mental health continuum Adult MHFA Manual, 2016, MHFA England

Stress and vulnerability models Section 1: What influences mental health? Sources of stress The Stress Vulnerability Model The Stress Container Protective and risk factors Protective factors Risk factors Nature vs nurture The Frame of Reference Adult MHFA Manual, 2016, MHFA England

Symptoms of depression Section 1: What is depression? Effects of depression Warning signs of depression Physical Appearance Attitudes and thinking Bipolar disorder - a particular type of depression Adult MHFA Manual, 2016, MHFA England

Section 1: Risk Factors for depression Examples of risk factors Those most prone to depression Perinatal Depression Adult MHFA Manual, 2016, MHFA England

Section 1: Depression in the workplace The rationale for addressing mental health in the workplace Supporting mental health in the workplace Possible signs and symptoms of depression in the workplace Adult MHFA Manual, 2016, MHFA England

Section 1: Useful Statistics Prevalence and impact of mental ill health global facts and figures Prevalence and impact of mental ill health UK facts and figures Mental health – inequality, discrimination and stigma – facts and figures Depression and mood disorders – facts and figures. Adult MHFA Manual, 2016, MHFA England

Suicide First aid for suicidal crisis Section 2 First aid for depression Substance misuse Useful Statistics Adult MHFA Manual, 2016, MHFA England

About Suicide Myths and facts about suicide Section 2: About suicide First Aid for depression (Using the five basics steps ALGEE) Wellbeing Approaches Adult MHFA Manual, 2016, MHFA England

Section 2: First aid for suicidal crisis (Using the five basics steps ALGEE First aid for suicidal crisis – The five basic steps Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

First aid for depression – The five basic steps Section 2: First Aid for depression (Using the five basics steps ALGEE) Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

Connect… Section 2: First aid for depression The Five Ways to Wellbeing Be Active… Take Notice… Keep Learning… Give… For more information https: //neweconomics. org/2008/10/five-ways-to-wellbeing Adult MHFA Manual, 2016, MHFA England

Giving – Do things for others Relating – Connect with people Exercising – Take care of your body Section 2: First aid for depression The 10 Keys to Happier Living Awareness – Live life mindfully Trying Out – Keep learning new things Direction – Have goals to look forward to Resilience – Find ways to bounce back Emotions – Look for what is good Acceptance – Ce comfortable with who you are Meaning – Be part of something bigger For more information https: //www. actionforhappiness. org/10 -keys-to-happier-living Adult MHFA Manual, 2016, MHFA England

What is substance misuse? Symptoms of substance misuse Section 2: Substance Misuse Dependence syndrome Harmful Use Alcohol Short-term problems caused by alcohol intoxication Long-term problems caused by alcohol use Alcohol and medication for mental health issues Alcohol unit guide Drugs Adult MHFA Manual, 2016, MHFA England

Risk factors for alcohol misuse Risk factors for substance misuse Availability and tolerance of alcohol in society Alcohol use in the family Social factors Genetic disposition Alcohol sensitivity Enjoyment of alcohol Changes in brain chemistry may also play a role Other mental health issues Adult MHFA Manual, 2016, MHFA England

Section 2: First Aid for substance misuse – The five basic steps: ALGEE First aid for substance misuse – The five basic steps Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

Suicide – UK facts and figures Suicide – global facts and figures Section 2: Useful Statistics Treatments that work for depression – facts and figures Alcohol, substance use and suicide – facts and figures Alcohol, substance use and mental health (dual diagnosis)- facts and figures Alcohol use – facts and figures Substance use – facts and figures Treatment for alcohol and substance misuse – facts and figures Adult MHFA Manual, 2016, MHFA England

Anxiety Disorders Self Harm Section 3 Eating Disorders Personality Disorders Useful Statistics Adult MHFA Manual, 2016, MHFA England

General symptoms of anxiety Section 3: What is an anxiety disorder? Physical effects Psychological effects Behavioural effects The Goldberg Anxiety Scale Types of anxiety disorders Generalised anxiety disorder (GAD) Panic disorder Phobias Acute stress disorder(ASD)/Post-traumatic stress disorder (PTSD) Obsessive compulsive disorder (OCD) Mixed anxiety and depression Adult MHFA Manual, 2016, MHFA England

Risk factors for anxiety disorders Examples are: Section 3: Risk Factors for anxiety disorders Genetics Being a more sensitive, emotional person who tends to see the world as threatening A history of marked shyness in childhood or adolescence for social anxiety disorder Persistent stress or extreme stress Adverse experiences in childhood Poverty, poor education and social disadvantage Recent adverse and traumatic life events Having another mental health issue Anxiety symptoms can also result from: Some medical conditions Side effects of certain prescription drugs Use and misuse of alcohol or certain non-prescribed drugs (including caffeine and nicotine) Withdrawal from alcohol or prescription and non-prescription drugs Adult MHFA Manual, 2016, MHFA England

Section 3: First aid for anxiety disorders – The five basic steps (ALGEE) First aid for anxiety disorders– The five basic steps Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

Section 3: Self-harm What is selfharm? What is self-harm? Why do people self-harm? Other expressions of distress – risk taking behaviour Self-harm and stigma Adult MHFA Manual, 2016, MHFA England

Section 3: First aid for self -harm– The five basic steps (ALGEE) First aid for self-harm– The five basic steps Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

Section 3: Eating disorders What are eating disorders? What is anorexia nervosa? Symptoms of anorexia nervosa Physical health problems linked with anorexia nervosa What is bulimia nervosa? Symptoms of bulimia nervosa Physical health problems linked with bulimia nervosa What is binge eating disorder (BED)? Symptoms of binge eating disorder Physical health problems linked with binge eating disorder Adult MHFA Manual, 2016, MHFA England

Risk factors for eating disorders Conflict at home; abuse; neglect or strict upbringing with high expectations of children Section 3: Risk factors for eating disorders Family history of dieting/parental obesity Persistent critical comments from other about eating, weight or body shape (Societal Pressures also) Pressure to be slim because of occupation Dieting Obesity Early onset of menstruation Family history of eating disorders or other mental health issues Certain personality characteristics Adult MHFA Manual, 2016, MHFA England

Section 3: First aid for eating disorders– The five basic steps (ALGEE) First aid for eating disorders– The five basic steps Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

What is personality? What is personality disorder? Section 3: Personality Disorders Why is personality disorder important? When and why do personality disorders occur? Types of personality disorders Cluster A personality disorders ‘odd cluster’ Cluster B personality disorders ‘dramatic cluster’ Cluster C personality disorders ‘anxious cluster’ How common are different types of personality disorders? Recover from personality disorder Personality disorder and Stigma Adult MHFA Manual, 2016, MHFA England

Anxiety disorders – facts and figures Section 3: Useful Statistics Panic attacks – background info on slow breathing guidance Self-harm – facts and figures Eating disorders –facts and figures Anorexia nervosa – facts and figures Bulimia nervosa – facts and figures Binge eating disorders – facts and figures Personality disorders – facts and figures Adult MHFA Manual, 2016, MHFA England

Psychosis Section 4 Building a mentally healthy community Useful Statistics Adult MHFA Manual, 2016, MHFA England

What is psychosis? General symptoms of developing psychosis Section 4: What is psychosis? Changes in emotion and motivation Changes in thinking and perception Changes in behaviour Taking account of different cultures Types of psychotic disorders Schizophrenia Bipolar disorder Psychotic depression Postpartum psychosis Schizoaffective disorder Drug-induced psychosis Psychosis and stigma Adult MHFA Manual, 2016, MHFA England

Genetic factors Changes in brain chemistry and neurotransmitters, especially dopamine Structural brain changes Section 4: Risk factors for psychosis A difficult childhood (including traumatic experiences) Complications at birth Stress, in particular social stressors City life, social adversity, ethnicity and migration General medical conditions Alcohol, cannabis and other drugs Other factors Adult MHFA Manual, 2016, MHFA England

First aid for psychosis – The five basic steps Section 4: First aid for psychosis Approach the person, assess and assist with any crisis Listen and communicate non-judgementally Give support and information Encourage the person to get appropriate professional help Encourage other supports Adult MHFA Manual, 2016, MHFA England

Building a mentally healthy community Adult MHFA Manual, 2016, MHFA England

Psychosis – facts and figures Section 4: Useful Statistics Psychosis, stigma and crime – facts and figures Treatment for psychosis – facts and figures Schizophrenia – facts and figures Bipolar disorder – facts and figures Adult MHFA Manual, 2016, MHFA England

Appendix A – Cognitive behaviour therapy (CBT) Appendices Appendix B – Nutrition and mental health Appendix C – WRAP (Wellness Recovery Action Planning) Helpful Resources References Adult MHFA Manual, 2016, MHFA England

Two-day Training Course This course can be accessed through https: //mhfaengland. org/individuals/ adult/ or via the Catholic Children’s Society https: //www. cathchild. org. uk/menta l-health-first-aid/ Adult MHFA Manual, 2016, MHFA England