Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study
Abstract Background Substance use problems have a major impact on the physical and mental health of individuals, families and communities. Early intervention may have a positive effect on recovery and treatment outcomes for those with substance use problems, reducing related risk and harm. Separate...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-024-01561-8 |
| _version_ | 1797272775924121600 |
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| author | Judith Wright Kathryn J. Chalmers Alyssia Rossetto Nicola J. Reavley Claire M. Kelly Anthony F. Jorm |
| author_facet | Judith Wright Kathryn J. Chalmers Alyssia Rossetto Nicola J. Reavley Claire M. Kelly Anthony F. Jorm |
| author_sort | Judith Wright |
| collection | DOAJ |
| description | Abstract Background Substance use problems have a major impact on the physical and mental health of individuals, families and communities. Early intervention may have a positive effect on recovery and treatment outcomes for those with substance use problems, reducing related risk and harm. Separate mental health first aid guidelines on how a member of the public could assist someone experiencing or developing alcohol use and drug use problems in high income Western countries were developed using Delphi expert consensus in 2009 and 2011, respectively. This study aimed to synthesise and update these two original guidelines to reflect current evidence and best practice. Methods The Delphi expert consensus method was used to determine the inclusion of statements in the redeveloped guidelines. A questionnaire was developed using previously endorsed helping statements from the original guidelines on alcohol and drug use problems, as well as relevant content identified in systematic searches of academic and grey literature. Three panels of experts (people with lived experience, support people and professionals) rated statements over three consecutive online survey rounds to determine the importance of their inclusion in the guidelines. Statements endorsed by at least 80% of each panel were included. Results 103 panellists completed all three survey rounds. They rated 469 statements and endorsed 300 of these for inclusion in the redeveloped guidelines. Conclusions This study has developed a broader and more comprehensive set of guidelines for how to support a person experiencing or developing a substance use problem. The redeveloped guidelines provide more detail on knowledge about and recognition of substance use problems, approaching and assisting people who want to change or are not ready to change, harm reduction, community-based supports and professional help, but have less on physical first aid actions. Mental Health First Aid International will use these guidelines in future updates of their training courses. |
| first_indexed | 2024-03-07T14:34:12Z |
| format | Article |
| id | doaj.art-a085b1e1ed164c81b680a202166d287e |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-03-07T14:34:12Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-a085b1e1ed164c81b680a202166d287e2024-03-05T20:44:59ZengBMCBMC Psychology2050-72832024-02-0112111110.1186/s40359-024-01561-8Redevelopment of mental health first aid guidelines for substance use problems: a Delphi studyJudith Wright0Kathryn J. Chalmers1Alyssia Rossetto2Nicola J. Reavley3Claire M. Kelly4Anthony F. Jorm5Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health , The University of MelbourneCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health , The University of MelbourneCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health , The University of MelbourneCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health , The University of MelbourneMental Health First Aid AustraliaCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health , The University of MelbourneAbstract Background Substance use problems have a major impact on the physical and mental health of individuals, families and communities. Early intervention may have a positive effect on recovery and treatment outcomes for those with substance use problems, reducing related risk and harm. Separate mental health first aid guidelines on how a member of the public could assist someone experiencing or developing alcohol use and drug use problems in high income Western countries were developed using Delphi expert consensus in 2009 and 2011, respectively. This study aimed to synthesise and update these two original guidelines to reflect current evidence and best practice. Methods The Delphi expert consensus method was used to determine the inclusion of statements in the redeveloped guidelines. A questionnaire was developed using previously endorsed helping statements from the original guidelines on alcohol and drug use problems, as well as relevant content identified in systematic searches of academic and grey literature. Three panels of experts (people with lived experience, support people and professionals) rated statements over three consecutive online survey rounds to determine the importance of their inclusion in the guidelines. Statements endorsed by at least 80% of each panel were included. Results 103 panellists completed all three survey rounds. They rated 469 statements and endorsed 300 of these for inclusion in the redeveloped guidelines. Conclusions This study has developed a broader and more comprehensive set of guidelines for how to support a person experiencing or developing a substance use problem. The redeveloped guidelines provide more detail on knowledge about and recognition of substance use problems, approaching and assisting people who want to change or are not ready to change, harm reduction, community-based supports and professional help, but have less on physical first aid actions. Mental Health First Aid International will use these guidelines in future updates of their training courses.https://doi.org/10.1186/s40359-024-01561-8Mental health first aidSubstance useHelping behaviourDelphi methodExpert consensusCommunity guidelines |
| spellingShingle | Judith Wright Kathryn J. Chalmers Alyssia Rossetto Nicola J. Reavley Claire M. Kelly Anthony F. Jorm Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study BMC Psychology Mental health first aid Substance use Helping behaviour Delphi method Expert consensus Community guidelines |
| title | Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study |
| title_full | Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study |
| title_fullStr | Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study |
| title_full_unstemmed | Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study |
| title_short | Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study |
| title_sort | redevelopment of mental health first aid guidelines for substance use problems a delphi study |
| topic | Mental health first aid Substance use Helping behaviour Delphi method Expert consensus Community guidelines |
| url | https://doi.org/10.1186/s40359-024-01561-8 |
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