Psychological and Mental Health First Aid

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Psychological First Aid (PFA)

According to the World Health Organization, PFA “involves humane, supportive and practical help to fellow human beings who have suffered a serious crisis event”.

PFA involves looking, listening and linking when helping someone who has suffered a crisis event. It involves helping people responsibly - respecting their safety, dignity and rights - whilst also looking after your own health and wellbeing. It emphasizes listening rather than putting pressure on the affected person to speak. The steps include:

Psychological First Aid

  • LOOK
  • LISTEN
  • LINK

 

Look

  • Check for safety
  • Check for people with obvious urgent basic needs
  • Check for people with serious distress reactions

Listen

  • Approach people who may need support
  • Ask about people’s needs and concerns
  • Listen to people, and help them to feel calm

Link

  • Help people address basic needs and access services
  • Help people cope with problems
  • Give information
  • Connect people with loved ones and social support

Some people may require special attention in a crisis e.g. children and adolescents, people with health conditions and disabilities, older people and people at risk of discrimination and/or violence.

Though a specific health or social care background is not required to offer PFA, it is recommended that any work done in crisis settings is done with the support of an organisation or community group.

For further information, refer to the WHO publication Psychological first aid: Guide for field workers (2011), free to download from the WHO website

Mental Health First Aid (MHFA)

MHFA is similar to PFA in that it offers basic skills for helping a person experiencing a mental health crisis. However, in addition, MHFA offers tools to support someone with long-term mental health issues, or who is experiencing the first signs of a mental disorder. The Mental Health First Aid Action Plan provides the following five steps when helping someone experiencing a mental health crisis:

Mental Health First Aid (ALGEE)

  1. ASSESS for risk of suicide or harm
  2. LISTEN non-judgmentally
  3. GIVE reassurance and information
  4. ENCOURAGE appropriate professional help
  5. ENCOURAGE self-help and other supports

 

Approach, assess and assist with any crisis

  • If you are worried about someone, carefully consider the time and place that you will APPROACH them about it
  • ASSESS for signs of crisis or risk of self-harm/suicide, and ASSIST the person if they are in crisis

Listen non-judgementally

  • A person experiencing a mental health problem needs to be able to talk without feeling judged
  • LISTEN non-judgementally and show the person that you care

Give Support and Information

  • GIVE the person whatever SUPPORT you are able to, whether emotional or practical
  • GIVE the person INFORMATION that can help them understand what they are experiencing. Use information leaflets from this guide and recommended websites.

Encourage appropriate professional help

  • ENCOURAGE the person to engage with your professional help or any service you refer to

Encourage other supports

  • ENCOURAGE the person to use self-help strategies and to avoid using alcohol or other drugs to cope
  • ENCOURAGE the person to seek the support of family, friends and others.

For further information on MHFA refer to mhfaengland.org/mhfa-centre/resources