Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA.
Philip R. Lee Institute for Health Policy Studies and Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
J Behav Health Serv Res. 2024 Oct;51(4):588-598. doi: 10.1007/s11414-024-09893-4. Epub 2024 Aug 1.
Youth Mental Health First Aid (YMHFA) trains individuals who regularly interact with youth to identify youth experiencing mental health challenges. Several studies demonstrate positive training impacts, but few assess whether the training equally impacts participants of different demographic and professional backgrounds or those who participate in different training modalities. Using a pre-post follow-up design with a comparison group, this study examined changes in participants' confidence in their ability to recognize and support youth mental health needs 1 to 2 months after training. Data were collected over two years (2021-2023) from training participants (n = 480) and comparable non-participants (n = 51). The authors examined whether changes in confidence varied by participant race/ethnicity, professional role in the education or mental health fields, and training modality (online versus hybrid). Training participants' confidence in supporting youth mental health increased significantly compared to non-participants. Although the training was effective for all participants, those with less mental health experience benefited more, consistent with previous research. While both in-person and hybrid training were effective, in-person training participants reported slightly higher confidence scores than virtual at follow-up. Study findings suggest that educational and social service organizations should offer this training to their staff and community members who interact with youth, prioritizing participants with less prior mental health training and delivering training through an in-person training modality when possible. However, additional research is needed to explore how aspects of in-person training, such as trainer characteristics and group dynamics, impact outcomes.
青年心理健康急救 (YMHFA) 培训经常与青年互动的人员,以识别出现心理健康挑战的青年。多项研究表明培训具有积极影响,但很少评估培训是否同样影响不同人口统计学和专业背景的参与者,或那些参加不同培训模式的参与者。本研究采用前后测随访设计和对照组,检查培训参与者(n=480)和可比非参与者(n=51)在培训后 1 至 2 个月识别和支持青年心理健康需求的能力信心变化。数据在两年(2021-2023 年)内收集。作者检查了信心变化是否因参与者的种族/族裔、教育或心理健康领域的专业角色以及培训模式(在线与混合)而有所不同。与非参与者相比,培训参与者支持青年心理健康的信心显著提高。尽管培训对所有参与者都有效,但与之前的研究一致,心理健康经验较少的参与者受益更多。虽然面对面和混合培训都有效,但在随访时,面对面培训参与者的信心得分略高于虚拟培训。研究结果表明,教育和社会服务组织应向与青年互动的员工和社区成员提供这种培训,优先考虑心理健康培训经验较少的参与者,并在可能的情况下通过面对面培训模式提供培训。然而,需要进一步研究来探讨面对面培训的各个方面,例如培训师的特点和小组动态,如何影响结果。