SUZANNE L PEARLMAN Social Marketing & Technical Assistance Manager, NMSOC Grant Children, Youth & Families Department Office of Community and Behavioral Health Programs MENTAL HEALTH FIRST AID New Mexico's Statewide Mental Health Anti-Stigma and Awareness Campaign DAPHNE ROOD-HOPKINS Principle Investigator, NMSOC Grant Children, Youth & Families Department Office of Community and Behavioral Health Programs ERICA PADILLA Statewide Youth Coordinator, NMSOC Grant Children, Youth & Families Department Office of Community and Behavioral Health Programs MONICA MIURA Statewide Family Coordinator NMSOC Grant Statewide Family Organization – Families ASAP BRYAN V GIBB Director of Public Education, National Council for Behavioral Health National Trainer and Spokesperson, Mental Health First Aid USA FEDERATION OF FAMILIES CONFERENCE November 15, 2013

An 8‐hour training course designed to: Give members of the public key skills to help someone who is developing a mental health problem or experiencing a mental health crisis. Just as CPR training helps a layperson without medical training assist an individual following a heart attack, Mental Health First Aid training helps a layperson assist someone experiencing a mental health crisis. Mental Health First Aid provides trainees with: Knowledge of the potential risk factors and warning signs for a range of mental health problems, including: depression, anxiety/trauma, psychosis and psychotic disorders, eating disorders, substance use disorders, and self‐injury MENTAL HEALTH FIRST AID ADULT CURRICULUM

The 8 hour Public Safety Mental Health First Aid version is designed to: Provide those in the public safety and law enforcement sector with information about the signs and symptoms of mental illnesses and substance use disorders and how to deescalate crisis and refer individuals to help. An awareness of the particular needs of the mentally ill can help officers better serve the public (7% of contact involves the mentally ill), work more efficiently, and increase officer safety. Did you know? The largest psychiatric facility isn’t a hospital, it’s a prison. Rikers Island, NY, holds 3,000 inmates struggling with mental illness at any given point. MENTAL HEALTH FIRST AID PUBLIC SAFETY CURRICULUM

Youth Mental Health First Aid is a 8‐hour training course designed to: Build an understanding of the importance of early intervention, and teach individuals how to help an adolescent in crisis or experiencing a mental health challenge. Mental Health First Aid uses role-playing and simulations to demonstrate how to assess a mental health crisis; select interventions and provide initial help; and connect young people to professional, peer, social, and self-help care. Mental Health First Aid provides trainees with: Knowledge of potential risk factors and warning signs of a variety of mental health challenges common among adolescents including: anxiety, depression, psychosis, eating disorders, AD/HD, disruptive behavior disorders, and substance use disorder. MENTAL HEALTH FIRST AID YOUTH CURRICULUM

The Youth Mental Health First Aid curriculum is primarily focused on information participants can use to help adolescents and transition-age youth, ages The course is designed for adults who regularly interact with adolescents, but is being tested for appropriateness within older adolescent groups (16 and older) so as to encourage youth peer-to-peer interaction. The core Mental Health First Aid course has been successfully offered to 50,000+ people across the USA, including hospital staff, employers and business leaders, faith communities, law enforcement, and the general public. MENTAL HEALTH FIRST AID YOUTH CURRICULUM

Participants do not learn to diagnose, nor how to provide any therapy or counseling – rather, participants learn to support someone developing signs and symptoms of a mental illness or in an emotional crisis by applying a core five-step action plan:  Assess for risk of suicide or harm  Listen non-judgmentally  Give reassurance and information  Encourage appropriate professional help  Encourage self-help and other support strategies The five‐step action plan encompasses the skills, resources and knowledge to assess the situation, to select and implement appropriate interventions, and to help the individual in crisis connect with appropriate professional care MENTAL HEALTH FIRST AID ALL CURRICULUMS

From the National Council for Behavioral Health… The evidence behind Mental Health First Aid demonstrates that it makes people; – feel more comfortable managing a crisis situation – builds mental health literacy - helping the public identify, understand and respond to signs of mental illness Specifically, studies found that those who trained in Mental Health First Aid have; – greater confidence in providing help to others – greater likelihood of advising people to seek professional help – improved concordance with health professionals about treatments – decreased stigmatizing attitudes MENTAL HEALTH FIRST AID

Created in Australia in 2001 (University of Melbourne) Currently in 19 countries Piloted in the U.S. in 2008 (Brought to NM in 2010) Youth program Pilot in 2012 (Brought to NM in 2013) MENTAL HEALTH FIRST AID Program Milestones

MENTAL HEALTH FIRST AID Where it Helps…

10 Standard Adult Version Youth Version Spanish Language Version Supplemental Modules: Rural; Veterans; Public Safety; Higher Education; Faith Based; Older Adults MENTAL HEALTH FIRST AID Mental Health First Aid Curricula

AK 975 (21) HI 5 (1) PR 148 (2) WA 3,107 (69) OR 1,587 (28) CA 15,944 (520) NV 215 (4) ID 440 (11) MT 237 (5) WY 46 (3) UT 627 (28) AZ 4,134 (90) CO 6,979 (187) NM 3,255 (69) TX 4,988 (205) OK 1,436 (26) KS 4,517 (100) NE 494 (14) SD 1,165 (26) ND 340 (3) MN 1,839 (24) IA 6,424 (92) MO 7,934 (312) AR 526 (14) LA 158 (4) MS 878 (76) AL 681 (10) GA 2,485 (85) FL 1,297 (80) SC 144 (5) TN WV 0 (1) OH 973 (26) IN 521 (37) IL 6,575 (133) KY 389 (13) MI 4,444 (92) NY 2,377 (69) PA 5,520 (187) NC 1,991 (40) VA 2,215 (62) WI 372 (9) 826 (24) 0.1% or more 0.04%-0.99% 0.025%-0.039% 0.01%-0.024% Less than 0.01% No data PERCENTAGE OF POPULATION TRAINED ALGEE-OMETER Over 130,000 First Aiders in the US Trained by more than 3,975 Instructors MD 3,817 (267) DE 65 (4) NJ 701 (17) CT 1,800 (51) RI 315 (7) MA 887 (29 ) NH 32 (1) DC 898 (49) VT 233 (37) GUAM 37 (0) Reported through August 2013

MENTAL HEALTH FIRST AID Audiences Trained Nationally

From SAMHSA… 50% of all mental health disorders begin by age 14. In any given year, only 20% of children with mental health disorders are identified and receive mental health services. Mental health disorders in children and adolescents are real and can be effectively treated, especially when identified and treated early. Early treatment enables children and adolescents to succeed in school, to develop socially and to fully experience the developmental opportunities of childhood. MENTAL HEALTH FIRST AID

From NM’s Statewide Youth Risk & Resiliency Survey 2011 High School Data… 29.1% felt persistent sadness or hopelessness. 8.6% reported a recent suicide attempt. From the National Alliance on Mental Illness (NAMI) NM… Mental Illness Is Common Of New Mexico’s approximately 2 million residents, about 22,000 children live with serious mental health conditions. Untreated Mental Illness has Deadly and Costly Consequences In 2006, 352 New Mexicans died by suicide. Suicide is almost always the result of untreated or under-treated mental illness. During the school year, approximately 40 percent of New Mexico students aged 14 and older living with serious mental health conditions who receive special education services dropped out of high school MENTAL HEALTH FIRST AID

Developed a Mental Health First Aid Task Force in May of 2012 – Task Force developed to support many collaborating agency/departments/groups priorities including: training/development of local crisis systems training recommendations of House Joint Memorial 17 and House Joint Memorial 45 (both calling for more training and education toward mental health awareness and stigma reduction) better tracking/gathering data developing training opportunities for future sustainability February 1, 2013 launched our first ever NM statewide crisis line: MENTAL HEALTH FIRST AID Statewide Task Force

Task Force Outcomes Coordination of efforts: – distribution list to NM Instructors – Website with resources – Instructor Trainings – Annual Instructor’s Summit » Data, Population Focus, Resources, Support HJM 17 Support – 10 new Instructors in County Detention Facilities State Department Involvement and Goal Setting – Children, Youth and Families Department, Human Services Department, Department of Health, Department of Corrections, Indian Affairs Department, Public Education Department. Development of a New Mexico ‘Mental Health Training Matrix’ Crisis Systems of Care Community Trainings Incorporation of Statewide Crisis Line, System Services and Partners – locally and statewide into all MHFA trainings MENTAL HEALTH FIRST AID Statewide Task Force

Trained to date: Total # of MHFAers certified in New Mexico, to date: 3,255 (as of July 2013) Total # MHFAers certified July 31, 2012-July 31, 2013 in NM: 684 Total # MHFAers certified nationwide to date: 130,000 Resources: Currently New Mexico has 70 Instructors 27 can offer the Youth Curriculum 39 can offer the Public Safety Curriculum CEU’s: 8 hour course: 8 CEU’s through UNM To learn more about Mental Health First Aid: MENTAL HEALTH FIRST AID

Plans for Children, Youth & Families Department (CYFD) Trainings: CYFD Cabinet Secretary and Executive Staff hosted a MHFA training in April 2013 Being reviewed for inclusion in Core Competency trainings for all new CYFD staff Being offered as a part of the CYFD training curriculum to staff CYFD Staff Trained to date: 65 CYFD staff Instructors: 6 Partnership with New Mexico Legislature MENTAL HEALTH FIRST AID CYFD IMPLEMENTATION

Plans for Youth Trainings: Children Youth and Families Department, Youth in Transition Staff - Youth who are aging our of Foster care have a Transition Worker tasked with providing youth with life skills trainings and support. These workers will receive this training to better support youth during this time of transition. Leaders Uniting Voices Youth Advocate of NM. Youth from ages years old are involved in this advocacy group for foster youth. These youth will be trained. One youth from this group is currently a MHFA trainer in the Adult, Youth and Public Safety Curriculums. Systems of Care Youth Coordinators, talks with supporting local youth to advocate for Behavioral Health and Mental Health Services have been trained to better support the youth in local communities. MENTAL HEALTH FIRST AID YOUTH IMPLEMENTATION

Plans for Family Trainings: Entire Staff of New Mexico’s Statewide Family Organization (Families ASAP) have received MHFA training: Statewide Family Coordinator, Local Family Coordinators, Local Youth Coordinators, Family Advocates, Certified Peer Specialist/Intake Specialist. Mental Health First Aid Trainings as a CEU course for our Certified Family Specialist (Parent Support Providers) – Proposed Required CEU course for all recertification. Side by side training for families, community members and professionals in our 2 grant sites; professionals will include Juvenile Justice, Protective Services, Early Childhood/NM Family Infant Toddler Program, educators, and behavioral health partners. MENTAL HEALTH FIRST AID FAMILY IMPLEMENTATION

MHFA and the Tribes in New Mexico: Currently 6 Tribes involved with MHFA and the Statewide Task Force – Santa Clara Pueblo (2 Instructors) – San Felipe Pueblo (2 Instructors) – Ohkay Owingeh Pueblo – Tesuque Pueblo – Mescalero Nation (1 Instructor) – Navajo Nation (5 Instructors) Planned Track for the 2013 Instructor’s Summit (December 2013) Native America Trainers Statewide: 11 MENTAL HEALTH FIRST AID TRIBAL PARTNERS

THE NM IMPACT MENTAL HEALTH FIRST AID

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