Western University, London, ON, Canada.
Reciprocal Consulting, Vancouver, BC, Canada.
Am J Community Psychol. 2018 Jun;61(3-4):459-471. doi: 10.1002/ajcp.12241. Epub 2018 Mar 25.
The Mental Health First Aid First Nations course was adapted from Mental Health First Aid Basic to create a community-based, culturally safe and relevant approach to promoting mental health literacy in First Nations contexts. Over 2.5 days, the course aims to build community capacity by teaching individuals to recognize and respond to mental health crises. This feasibility trial utilized mixed methods to evaluate the acceptability, cultural adaptation, and preliminary effectiveness of MHFAFN. Our approach was grounded in community-based participatory research principles, emphasizing relationship-driven procedures to collecting data and choice for how participants shared their voices. Data included participant interviews (n = 89), and surveys (n = 91) from 10 groups in four provinces. Surveys contained open-ended questions, retrospective pre-post ratings, and a scenario. We utilized data from nine facilitator interviews and 24 facilitator implementation surveys. The different lines of evidence converged to highlight strong acceptability, mixed reactions to the cultural adaptation, and gains in participants' knowledge, mental health first aid skill application, awareness, and self-efficacy, and reductions in stigma beliefs. Beyond promoting individual gains, the course served as a community-wide prevention approach by situating mental health in a colonial context and highlighting local resources and cultural strengths for promoting mental well-being.
《心理健康急救第一民族课程》是从《心理健康急救基础课程》改编而来的，旨在为第一民族群体创造一种以社区为基础、文化上安全且相关的方法，以促进心理健康素养。在 2.5 天的时间里，该课程旨在通过教授个人识别和应对心理健康危机来建立社区能力。这项可行性试验采用混合方法评估 MHFAFN 的可接受性、文化适应性和初步效果。我们的方法基于社区参与式研究原则，强调关系驱动的程序来收集数据，并为参与者如何分享他们的声音提供选择。数据包括来自四个省的 10 个组的 89 名参与者访谈和 91 名参与者的调查。调查包含了开放式问题、回顾性前后评分和一个情景。我们利用了来自 9 名协调员访谈和 24 名协调员实施调查的数据。不同的证据线汇聚在一起，突出了很强的可接受性、对文化适应性的混合反应，以及参与者在知识、心理健康急救技能应用、意识和自我效能方面的提高，以及对污名化信念的减少。该课程不仅促进了个人的收益，还通过将心理健康置于殖民背景下，并强调促进心理健康的当地资源和文化优势，成为一种全社区的预防方法。
