MHFA Research, Evaluation & Assessment
This program has been subjected to thorough evaluation. So far, three studies have been completed:
1. Uncontrolled trial with the public in 2001
The first evaluation study of MHFA was an uncontrolled trial in 2001 with members of the public living in Canberra. This trial examined the effects of the course on knowledge of mental disorders, stigmatizing attitudes and help provided to others. There were 210 participants who were given questionnaires at the beginning of the course, at the end, and at 6 months follow-up. The course was found to produce the following benefits:
- Better recognition of mental disorders from case vignettes.
- Changed beliefs about treatment to be more like those of health professionals.
- Decreased social distance from people with mental disorders.
- Increased confidence in providing help.
- Increase in the amount of help provided to others.
2. Controlled trial of MHFA in the workplace in 2002
Because the first study had no control group, a second trial was conducted in which course participants were compared with a wait-list control group. This randomized controlled trial was carried out in 2002 with employees of two Australian government departments who did the course during their work time. This trial involved 301 participants who were randomized to either participate immediately in a course or to be wait-listed for 5 months before undertaking the training. The trained group improved more than the wait-list control group in the following areas:
- Greater confidence in providing help to others.
- Greater likelihood of advising people to seek professional help.
- Improved concordance with health professionals about treatments.
- Decrease in stigmatizing attitudes.
- Improved mental health in the participants themselves.
The mental health benefits of the course to participants were unexpected because the course does not provide therapy and promises no personal benefits. We think the course may have mental health benefits by providing participants with good quality information which allows them to make better choices about their own mental health care.
Download full report of workplace trial from BMC Psychiatry 2004, 4:23 - (107k).
3. Controlled trial of MHFA with the public in a rural area in 2003
A trial has been carried out with members of the public in a large rural area of New South Wales. This trial was carried out as a partnership between the New South Wales Southern Area Health Service and the Centre for Mental Health Research. In this trial, the catchment area of the Southern Area Health Service was divided into 16 local government areas. Eight of these areas received the course immediately and the other 8 were placed on a waiting list to receive the training later in the year (the controls). There were 753 participants in the trial: 416 of these were in the areas that received the course immediately and 337 were in the control group that was placed on a waiting list to do the course later.
People who did the course showed a number of changes relative to the control group:
- Better recognition of disorders from case descriptions of a person with either depression or schizophrenia.
- Less negative attitudes towards people with mental disorders.
- More like health professionals in their beliefs about what treatments are likely to be helpful
- Greater confidence in providing help to someone.
- More likely to actually provide help to someone.
The course did not change the following:
- Number of people with mental disorders that the participant had contact with.
- Advising people to seek professional help.
An article with these results is presently under review by BMC Psychiatry.
As a follow-up to this trial, we are currently doing a qualitative study asking participants about their experiences in providing help after doing the course. We want to find out how many people actually used their skills following the course and whether they had good or bad experiences in doing so.