Teen Mental Health First Aid

Project Details

teen Mental Health First Aid (tMHFA) is a classroom-based training program for high school students developed by Dr Laura Hart, Dr Claire Kelly, Professor Tony Jorm and Betty Kitchener AM. The program is designed to teach adolescents how to recognise and appropriately support a peer who is experiencing a mental health problem (e.g. depression, anxiety) or a mental health crisis (such as thinking about suicide or engaging in self-injury). The program is provided in schools by Instructors who are trained and accredited by Mental Health First Aid International, often with funding from State or Local Governments.

For more information on how to access teen Mental Health First Aid for your school, please see  https://www.mhfa.com.au/our-courses/teen-peer-to-peer-support/teen-mental-health-first-aid/

Dr Laura Hart has been leading development and evaluation research for the tMHFA program since 2012. This has included:

  • A large Delphi expert consensus study was conducted on what key messages adolescents should be taught in a basic mental health first aid training program.
  • Literature reviews were completed on adolescent help-seeking, barriers to treatment, stigmatising attitudes to mental illness, mental health literacy deficits, supportive first aid behaviour deficits, and effective health education techniques for the classroom environment.
  • Translating results into course content for two teen Mental Health First Aid programs; one for students in Years 10-12, another for students in Years 7-9, in collaboration with young people with lived experience of mental health problems in their high-school years, school staff and youth workers.
  • Engaged youth advocacy organisations to collaborate with adolescents with lived experience of mental illness, to develop materials for the Years 10-12 program, using seeding funding from the Jack Brockhoff Foundation.
  • Piloted all materials with students from the Live4Life initiative.
  • Used the outcomes from the first two pilot trials to successfully apply for a NHMRC Project Grant to conduct a large cluster cross-over RCT with 10 Victorian Secondary Schools (2017-2021). With mentoring from Prof Tony Jorm, leading the teenAID research Cluster Crossover Randomised Controlled trial evaluating the Years 10-12 program.
  • Engaged a pedagogical expert in early 2017, to conduct a materials review for the Years 10-12 program, in response to student feedback gathered in the 2014-2017 trial. A third edition was launched by MHFA Australia in mid-2017 integrating evidence-based updates.
  • In 2017 teen MHFA for Years 7-9 was launched with an uncontrolled pilot evaluation funded by a seed grant from the William Buckland Foundation.
  • In Australia, as of 1 July 2018, 46,317 students had received the teen MHFA Years 10-12 program; an additional 6,181 students had received the Years 7-9 program, bringing the total to 52,498 students (source: MHFA Australia training database).
  • In 2020, engaged a series of pedagogical, mental health and teaching professionals to conduct a curriculum review of the Years 7-9 program. This involved a complete re-structure of the program into 4x 50 minute sessions and brand new materials and class activities, which now form the Third Edition.
  • In 2021-2023 conducted a pilot evaluation of the Third Edition Years 7-9 program across schools in Victoria and Western Australia.

International programs with teen MHFA

Awards

  • 2024 Suicide Prevention Australia Award for Outstanding Achievement in Suicide Prevention – awarded to Dr Laura Hart and Dr Claire Kelly for their work developing, evaluating and disseminating the teen Mental Health First Aid Program across Australia
  • 2024 Suicide Prevention Victoria Award for Outstanding Achievement in Suicide Prevention – awarded to Dr Laura Hart and Dr Claire Kelly for their work developing, evaluating and disseminating the teen Mental Health First Aid Program across Australia
  • 2019 Society for Mental Health Research/Australian Rotary Health Research Impact Award 2021

Media

Researchers

  • Dr Aruni Subasinghe
  • Catherine Johnson

Funding

  • 2017 – 2021 NHMRC Project Grant - Improving the capacity of peers to provide guidance and support for adolescents with mental health problems
  • 2014 – 2017 Australian Rotary Health Project Grant for improving the mental health of young Australians: teen Mental Health First Aid Training: A Pilot Cluster Randomised Controlled Trial
  • 2013 Beyond Blue Early Career Research Project: An evaluation of teen Mental Health First Aid: a program to train adolescents to better support their peers

Research Publications

Ross, A. M., Hart, L. M., Jorm, A. F., Kelly, C. M., & Kitchener, B. K. (2012). Development of key messages for adolescents on providing basic mental health first aid to peers: a delphi consensus study. Early Intervention in Psychiatry, 6(3), 229–238. https://doi.org/10.1111/j.1751-7893.2011.00331.x

Mason, R. J., Hart, L. M., Rossetto, A., & Jorm, A. F. (2015). Quality and predictors of adolescents׳ first aid intentions and actions towards a peer with a mental health problem. Psychiatry Research, 228(1), 31–38. https://doi.org/10.1016/j.psychres.2015.03.036

Hart, L. M., Mason, R. J., Kelly, C. M., Cvetkovski, S., & Jorm, A. F. (2016). ‘teen Mental Health First Aid’: a description of the program and an initial evaluation. International Journal of Mental Health Systems, 10(1), 1-18. https://doi.org/10.1186/s13033-016-0034-1

Hart, L. M., Cox, G. R., & Lees, L. (2018). Teaching mental health first aid in the school setting: a novel approach to improving outcomes for common adolescent mental disorders. Current Opinion in Pediatrics, 30(4), 478–482. https://doi.org/10.1097/MOP.0000000000000639

Hart, L. M., Morgan, A. J., Rossetto, A., Kelly, C. M., Mackinnon, A., & Jorm, A. F. (2018). Helping adolescents to better support their peers with a mental health problem: A cluster-randomised crossover trial of teen Mental Health First Aid. Australian New Zealand Journal of Psychiatry, 52(7), 638-651. https://doi.org/10.1177/0004867417753552

Hart, L. M., Bond, K. S., Morgan, A. J., Rossetto, A., Cottrill, F. A., Kelly, C. M., & Jorm, A. F. (2019). teen Mental Health First Aid for years 7–9: a description of the program and an initial evaluation. International Journal of Mental Health Systems, 13(1), 71. https://doi.org/10.1186/s13033-019-0325-4

Jorm, A. F., Mackinnon, A. J., Hart, L. M., Reavley, N. J., & Morgan, A. J. (2020). Effect of community members' willingness to disclose a mental disorder on their psychiatric symptom scores: analysis of data from two randomised controlled trials of mental health first aid training. Epidemiology and Psychiatric Sciences, 29, E46-E51. https://doi.org/10.1017/S2045796019000404

Hart, L. M., Cropper, P., Morgan, A. J., Kelly, C. M., & Jorm, A. F. (2020). teen Mental Health First Aid as a school-based intervention for improving peer support of adolescents at risk of suicide: Outcomes from a cluster randomised crossover trial. Australian & New Zealand Journal of Psychiatry, 54(4), 382-392. https://doi.org/10.1177/0004867419885450

Johnson, C., Hart, L., Rossetto, A., Morgan, A., & Jorm, A. (2020). Lessons learnt from the field: a qualitative evaluation of adolescent experiences of a universal mental health education program. Health Education Research, 36(1), 126-139. https://doi.org/10.1093/her/cyaa050

Rossetto, A, et al., Frequency and quality of first aid offered by older adolescents: a cluster randomised crossover trial of school-based first aid courses. PeerJ, 2020 https://doi.org/10.7717/peerj.9782

Hart LM, Morgan AJ, Rosetto A, Kelly CM, Gregg K, Gross M, Johnson C, Jorm AF (2022) teen Mental Health First Aid: 12-month outcomes from a cluster crossover randomized controlled trial evaluation of a universal program to help adolescents better support peers with a mental health problem. BMC Public Health. https://doi.org/10.1186/s12889-022-13554-6

Wilcox, H., Pas, E., Murray, S. Kahn, G., DeVinney, A., Bhakta, S., Rosenbaum, L., Hart, LM. (2023) Effectiveness of teen Mental Health First Aid in improving teen-to-teen support among American Adolescents. Journal of School Health.: https://doi.org/10.1111/josh.13364

Lu, S., Hart, L.M., Jorm, A.F. et al. Adolescent peer support for mental health problems: evaluation of the validity and reliability of the Mental Health Support Scale for Adolescents. BMC Psychol 11, 193 (2023). https://doi.org/10.1186/s40359-023-01228-w

Rosenbaum, L.L., Bhakta, S., Wilcox, H.C. Pas, E.T., Girgis K., DeVinney, A., Hart L.M., Murray, S.M.  Cultural Adaptation of the teen Mental Health First Aid (tMHFA) Program from Australia to the USA. School Mental Health 15, 637–655 (2023). https://doi.org/10.1007/s12310-023-09576-z

Research Group

Equity and Mental Health

Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

Centre for Health Equity

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