Name: Ann MacLeod &Suzette Sova-Shaikh Title: MHFA Law Enforcement &Public Safety Date:

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Name: Ann MacLeod &Suzette Sova-Shaikh Title: MHFA Law Enforcement &Public Safety Date: 10-28-2014 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.

Law Enforcement & Public Safety 1

Mental Health First Aid: Initial help offered to a person developing a mental health problem or experiencing a mental health crisis. The first aid is given until appropriate treatment and support is received or until the crisis resolves. 2

Mental Health First Aid Originated in Australia and currently in 20 countries Adult MHFA course for individuals 18 years of age and older; available in both Spanish and English Youth MHFA is designed to teach caring adults how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis Included in SAMHSA s National Registry of Evidencebased Programs and Practices Partnership with Maryland and Missouri State Governments 3

What Participants Learn Risk factors and warning signs of mental health concerns. Information on depression, anxiety, trauma, psychosis, and substance use. A 5-step action plan to help someone developing a mental health concern or in crisis. Available evidence-based professional, peer, and self-help resources. 4

What You Learn

MHFA Action Plan Assess for risk of suicide or harm Listen nonjudgmentally Give reassurance and information Encourage appropriate professional help Encourage self-help and other support strategies 6

Where Mental Health First Aid Can Help Prevention Early Intervention Treatment Well Becoming Unwell Unwell Recovering Where Mental Health First Aid can help on the spectrum of mental health interventions 7

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 8

AK 1,774 (41) PERCENTAGE OF POPULATION TRAINED 0.1% or more 0.04%-0.099% 0.025%-0.039% 0.01%-0.024% Less than 0.01% WA 4,867 (72) OR 3,134 (98) CA 27,815 (515) Nearly 250,000 First Aiders in the US Trained by more than 5,000 Instructors NV 646 (34) GUAM 37 (1) ID 707 (13) UT 1,223 (30) AZ 7,281 (120) MT 775 (12) WY 105 (39) CO 11,385 (222) NM 4,448 (87) ND 490 (7) MN 2,778 SD 1,444 (14) NE 685 (38) KS 7,241 (94) OK 2,122(29) TX 10,997(424) (24) IA 8,467 (66) MO 15,202 (271) AR 1,294 (13) LA 333 (4) WI 804 (21) IL 10,766 (181) MS 2,622 (68) TN Reach MI 10,207 (191) IN 1,795 (59) AL 1,121 (45) OH 3,153 (125) KY 774(19) 1,509 (33) GA 4,301 (78) WV 53(4) SC 368 (9) FL 3,717 (143) NY 3,990 (146) PA 16,022 (390) VA 5,082 (211) VT 724(45) NC 4,727 (161) ME 383 (14) NH 118 (11) RI 566 (10) NJ 2,348 (117) MD 7,113 (416) DC 2,164 (48) MA 1,613 (51) CT 4,367 (88) DE 191 (16) Reported through June 2014 HI 73 (3) PR 282 (2) 9

Audiences 12,600 Courses (through April 2014) 31.4% General Community/Not Specified 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 10

Evidence Mental Health First Aid. increases knowledge and understanding encourages people helping people supports people getting help decreases social distance increases mental wellness 11

MHFA Public Policy MHFA in President Obama s Report: Recommendations from the Gun Violence Prevention Task Force Make Sure Students and Young Adults Get Treatment for Mental Health Issues: Three quarters of mental illnesses appear by the age of 24, yet less than half of children with diagnosable mental health problems receive treatment. To increase access to mental health services for young people, we should: Provide Mental Health First Aid training to help teachers and staff recognize signs of mental illness in young people and refer them to treatment. Support young adults ages 16 to 25, who have the highest rates of mental illness but are the least likely to seek help, by giving incentives to help states develop innovative approaches. Help break the cycle of violence in schools facing pervasive violence with a new, targeted initiative to provide their students with needed services like counseling. Train 5,000 more social workers, counselors, and psychologists, with a focus on those serving students and young adults. 12

MHFA Public Policy April 19, 2013: US Senate passed Harkin/Alexander MH Amendment (vote of 95-2) which included authorization for mental health awareness training grant program at SAMHSA (modeled after Mental Health First Aid) Mental Health First Aid Act 2013 (H.R. 274) (S.153) (HB 3763): In a statement on the Senate floor, Majority Leader Reid expressed his commitment to allowing votes on a number of additional amendments, including Senator Stabenow s, that did not receive a vote State Legislative Action: Arizona, Virginia, Texas, Washington, Illinois, Michigan, Florida, California, Maryland Toolkit for State Legislative Options 13

Mental Health First Aid in the News January 8, 2014 by Jennie Grabel What has changed since Jan. 8, 2011, in Tucson and beyond? January 2, 2014 by Patrick Skahill A "First-Aid" Response to Mental Illness December 27, 2013 by Kathleen Megan After Newtown, Building A Stronger System Of Mental Health Services October 13, 2013 by T. Rees Shapiro Mental Health Program Helps Fairfax County Teens Cope March 12, 2012 by Kim Painter Classes Teach First Aid' for Mental Health Crises October 18, 2011 For Your Health

Workplace Impact of Mental Illness Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44 An estimated 26.2 percent of Americans ages 18 and older about one in four adults suffer from a diagnosable mental disorder in a given year Serious mental illnesses (SMIs), which afflict about 6% of American adults, cost society $193.2 billion a year in lost earnings Behavioral health issues cause 217 million missed workdays annually Depression was identified as the most costly health condition among a group of 10 large employers when combining costs from medical, pharmacy, absenteeism, and presenteeism (Source: 2010 Disability Management Employer Coalition Report) 15

MHFA: Benefits MHFA creates proven results MHFA is relevant for many different populations and places including school, community, workplace and home MHFA is low cost and sustainable MHFA supports workplace wellness MHFA as an expression of Corporate Social Responsibility MHFA as a key national resource for EAP programs and HR professionals

Sample of Mental Health First Aid 17

STIGMA Stigma is a cluster of negative attitudes and beliefs that motivate the general public to fear, reject, avoid and discriminate against people with mental illnesses and develop mental disabilities Understand ethnically and racially diverse populations may especially be a target Understand that diverse populations may also frequently hold stigmatizing attitudes about mental illness and the shame, mistrust and discrimination that may accompany incidences of stigma. (1 in 5 overcoming the stigma of mental illness-courtesy of Saginaw County Community Mental Health Authority-Saginaw, Michigan) 18

How to Help Learn and Share (MHFA, ASIST, Safe Talk) Treat people with mental illness with respect and dignity Avoid labeling: terms like crazy, psycho, loony, etc. Support people by assisting them with community resources available Respect the rights of others Educate others about mental illness and substance abuse disorders 19

Mental Health First Aid Movie- ALGEE Movie showing how to put ALGEE into practice 20

What people are saying N.Y.U. has also added a mental health first aid training course. Employees who work in campus hot spots learn to identify mental illness symptoms as well as how to defuse a tense situation until help arrives. A hot spot is any place prone to frustrate, including the financial aid office, the bursar s office, and the registrar s office. Attend a traditional first aid class, and you will learn checklists for assessing and responding to cuts, burns and strokes. [In Mental Health First Aid] students consider how they would respond to a stranger having a panic attack, a friend expressing hopelessness, or a client distressed over an illness. January 23, 2011 March 12, 2012 21

What people are saying March 12, 2012 Attend a traditional first aid class, and you will learn checklists for assessing and responding to cuts, burns and strokes. [In Mental Health First Aid] students consider how they would respond to someone who is apparently having a discussion with someone who is not there, a stranger having a panic attack, a friend expressing hopelessness, or a client distressed over an illness. 22

QUESTIONS? 23

Take a Course. You could be the help someone needs. Contact: Ann MacLeod, LPC-S, NCC ann.macleod@mhmraharris.org 713-970-7516 Suzette Sova Shaikh MA, LPC 832-584-3810 suzette.shaikh@mhmraharris.org 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.