This nine hour course is usually delivered as three sessions of three hours each across three consecutive weeks. Each participant receives an accompanying course manual [5 ]. The content covers helping people in mental health crises and / or in the early stages of mental health problems. The crisis situations covered include suicidal thoughts and behaviour, acute stress reaction, panic attacks and acute psychotic behaviour. The mental health problems discussed include depressive, anxiety and psychotic disorders. The co-morbidity with substance use disorders is also covered. Participants learn the symptoms of these disorders, possible risk factors, where and how to get help and evidenced-based effective help.
Five basic steps have been devised as an action plan for carrying out Mental Health First Aid (see Figure 1). This action plan is applied to each of the problem areas covered.
The same instructor (BAK) taught all the courses. Mental Health First Aid courses have been conducted in two settings: with members of the public who respond individually to publicity and do courses in the evenings at the Centre for Mental Health Research, and with workplaces which request courses during working hours.