title: Improving mental health capacity in rural communities: mental health first aid delivery in drought-affected rural New South Wales.
abstract: OBJECTIVE
  To assess the effectiveness of mental health first aid (MHFA) training in drought-affected rural and remote Australia, as part of a strategy to improve capacity among farming communities to provide early intervention for mental health problems.
  
  
  METHODS
  Data were obtained from 99 participants recruited across 12 New South Wales towns, before and after delivery of MHFA seminars emphasising the role of front-line workers from agricultural-related services. Surveys assessed knowledge of, confidence in dealing with, and attitude towards people experiencing mental illness, along with the impact of training on response to mental health problems among target population of farmers and farming families.
  
  
  RESULTS
  Rural support workers and community volunteers attended MHFA seminars because of perceived mental health needs in the workplace. A majority of responses reflect a concern with giving appropriate advice and support well outside narrow job definitions. Participants' ability to identify high prevalence disorders and endorse evidence-based interventions for both high and low prevalence disorders increased following MHFA training, as did their confidence in their ability to provide appropriate help.
  
  
  CONCLUSIONS
  MHFA training can form an effective part of a strategy to improve systems of care and pathways to early intervention in rural communities by using local networks to provide mental health support.
authors.affiliation: Centre for Rural and Remote Mental Health, The University of Newcastle, Orange, NSW, Australia. khill@rfdsqld.com.au
authors.forename: Gina-Maree
authors.initials: GM
authors.lastname: Sartore
authors.forename: Brian
authors.initials: B
authors.lastname: Kelly
authors.forename: Helen J
authors.initials: HJ
authors.lastname: Stain
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Fuller
authors.forename: Lyn
authors.initials: L
authors.lastname: Fragar
authors.forename: Anne
authors.initials: A
authors.lastname: Tonna
mesh_terms: D000293:Adolescent; D000328:Adult; D016390:Allied Health Occupations / Q000193:education*; D003156:Community Mental Health Services / Q000458:organization & administration / Q000592:standards; D003625:Data Collection; D055864:Droughts; D004493:Education; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D015397:Program Evaluation; D012424:Rural Population; D055815:Young Adult