Skip to main content
Top
Published in: International Journal of Mental Health Systems 1/2010

Open Access 01-12-2010 | Research

Mental health first aid training for the Chinese community in Melbourne, Australia: effects on knowledge about and attitudes toward people with mental illness

Authors: Angus YK Lam, Anthony F Jorm, Daniel FK Wong

Published in: International Journal of Mental Health Systems | Issue 1/2010

Login to get access

Abstract

Background

The aim of this study was to investigate in members of the Chinese community in Melbourne the impact of Mental Health First Aid (MHFA) training on knowledge about mental disorders and on attitudes to people with mental illness. The hypotheses were that at the end of the training participants would have increased knowledge of mental disorders and related treatments, and decreased negative attitudes towards people with mental disorders.

Methods

Respondents were 108 participants of three MHFA training workshops for the Chinese community in Melbourne conducted by a qualified MHFA trainer. Participants completed the research questionnaire prior to the commencement of the training (pre-test) and at its completion (post-test). The questionnaires assessed participants' ability to recognize a mental disorder (depression and schizophrenia) described in the vignettes, knowledge about the professional help and treatment, and negative attitudes towards people with mental illness.

Results

Between pre- and post-test there was significant improvement in the recognition of mental disorders, beliefs about treatment became more concordant with health professionals, and negative attitudes reduced.

Conclusion

The MHFA training course for general members of the Chinese community in Melbourne produced significant positive change in the level of mental health literacy and reductions in stigmatizing attitudes. The evidence from this study, together with the accumulated evidence of the benefits of MHFA training in the general Australian community, suggests that this approach should be scaled up to a level where it can have an impact on the whole of the Chinese community in Australia.
Literature
1.
go back to reference Jorm AF: Mental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000, 177: 396-401. 10.1192/bjp.177.5.396.CrossRefPubMed Jorm AF: Mental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000, 177: 396-401. 10.1192/bjp.177.5.396.CrossRefPubMed
2.
go back to reference Andrews G, Henderson S, Hall W: Prevalence, comorbidity, disability and service utilization. Overview of the Australian National Mental Health Survey. Br J Psychiatry. 2001, 178: 145-153. 10.1192/bjp.178.2.145.CrossRefPubMed Andrews G, Henderson S, Hall W: Prevalence, comorbidity, disability and service utilization. Overview of the Australian National Mental Health Survey. Br J Psychiatry. 2001, 178: 145-153. 10.1192/bjp.178.2.145.CrossRefPubMed
3.
go back to reference Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H: The National Psychiatric Morbidity surveys of Great Britain--initial findings from the household survey. Psychol Med. 1997, 27 (4): 775-789. 10.1017/S0033291797005308.CrossRefPubMed Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H: The National Psychiatric Morbidity surveys of Great Britain--initial findings from the household survey. Psychol Med. 1997, 27 (4): 775-789. 10.1017/S0033291797005308.CrossRefPubMed
4.
go back to reference Jorm AF, Kitchener BA, Mugford SK: Experiences in applying skills learned in a Mental Health First Aid training course: a qualitative study of participants' stories. BMC Psychiatry. 2005, 5: 43-10.1186/1471-244X-5-43.PubMedCentralCrossRefPubMed Jorm AF, Kitchener BA, Mugford SK: Experiences in applying skills learned in a Mental Health First Aid training course: a qualitative study of participants' stories. BMC Psychiatry. 2005, 5: 43-10.1186/1471-244X-5-43.PubMedCentralCrossRefPubMed
5.
go back to reference Lauber C, Nordt C, Falcato L, Rössler W: Do people recognize mental illness? Factors influencing mental health literacy. Eur Arch Psychiatry Clin Neurosci. 2003, 253: 248-251. 10.1007/s00406-003-0439-0.CrossRefPubMed Lauber C, Nordt C, Falcato L, Rössler W: Do people recognize mental illness? Factors influencing mental health literacy. Eur Arch Psychiatry Clin Neurosci. 2003, 253: 248-251. 10.1007/s00406-003-0439-0.CrossRefPubMed
6.
go back to reference Magliano L, Fiorillo A, De Rosa C, Malangone C, Maj M: Beliefsabout schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients' relatives. Can J Psychiatry. 2004, 49: 322-30.PubMed Magliano L, Fiorillo A, De Rosa C, Malangone C, Maj M: Beliefsabout schizophrenia in Italy: a comparative nationwide survey of the general public, mental health professionals, and patients' relatives. Can J Psychiatry. 2004, 49: 322-30.PubMed
7.
go back to reference Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P: "Mental health literacy": a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia. 1997, 166: 182-PubMed Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P: "Mental health literacy": a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia. 1997, 166: 182-PubMed
8.
go back to reference Jorm AF, Christensen H, Griffiths KM: The public's ability to recognize mental disorders and their beliefs about treatment: Changes in Australia over 8 years. ANZ J Psychiatry. 2006, 40: 36-41. Jorm AF, Christensen H, Griffiths KM: The public's ability to recognize mental disorders and their beliefs about treatment: Changes in Australia over 8 years. ANZ J Psychiatry. 2006, 40: 36-41.
9.
go back to reference Goldney RD, Fisher LJ, Grande ED, Taylor AW: Changes in mental health literacy about depression: South Australia, 1998 to 2004. Medical Journal of Australia. 2005, 183 (3): 134-137.PubMed Goldney RD, Fisher LJ, Grande ED, Taylor AW: Changes in mental health literacy about depression: South Australia, 1998 to 2004. Medical Journal of Australia. 2005, 183 (3): 134-137.PubMed
11.
go back to reference Wong FKD, Lam YKA, Poon A: Depression literacy among Australians of Chinese-speaking background in Melbourne, Australia. BMC Psychiatry. 2010, 10: 7-10.1186/1471-244X-10-7. doi:10.1186/1471-244X-10-7PubMedCentralCrossRefPubMed Wong FKD, Lam YKA, Poon A: Depression literacy among Australians of Chinese-speaking background in Melbourne, Australia. BMC Psychiatry. 2010, 10: 7-10.1186/1471-244X-10-7. doi:10.1186/1471-244X-10-7PubMedCentralCrossRefPubMed
12.
go back to reference Lam AP, Kavanagh DJ: Help-seeking by immigrant Indo Chinese psychiatric patients in Sydney. Australia Psych Services. 1996, 47: 993-995.CrossRef Lam AP, Kavanagh DJ: Help-seeking by immigrant Indo Chinese psychiatric patients in Sydney. Australia Psych Services. 1996, 47: 993-995.CrossRef
13.
go back to reference Ryder AG, Bean G, Dion KL: Caregiver responses to symptoms of first onset psychosis: A comparison study of Chinese and Euro-Canadian families. Transcultural Psychiatry. 2000, 37: 225-235. 10.1177/136346150003700207.CrossRef Ryder AG, Bean G, Dion KL: Caregiver responses to symptoms of first onset psychosis: A comparison study of Chinese and Euro-Canadian families. Transcultural Psychiatry. 2000, 37: 225-235. 10.1177/136346150003700207.CrossRef
14.
go back to reference Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P, Christensen H, Henderson S: Helpfulness of interventions for mental health disorders: Beliefs of health professionals compared with the general public. Br J Psychiatry. 1997, 171 (3): 233-237. 10.1192/bjp.171.3.233.CrossRefPubMed Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P, Christensen H, Henderson S: Helpfulness of interventions for mental health disorders: Beliefs of health professionals compared with the general public. Br J Psychiatry. 1997, 171 (3): 233-237. 10.1192/bjp.171.3.233.CrossRefPubMed
15.
go back to reference Phillips MR, Li YY, Stroup S, Xin LH: Causes of schizophrenia reported by patients' family members in China. Br J Psychiatry. 2000, 177: 20-25. 10.1192/bjp.177.1.20.CrossRefPubMed Phillips MR, Li YY, Stroup S, Xin LH: Causes of schizophrenia reported by patients' family members in China. Br J Psychiatry. 2000, 177: 20-25. 10.1192/bjp.177.1.20.CrossRefPubMed
16.
go back to reference Wong FKD, Tsui HKP, Pearson V, Chen EYH, Chiu SN: Family burdens, Chinese health beliefs, and the mental health of Chinese caregivers in Hong Kong. Transcultural Psychiatry. 2004, 41: 497-513. 10.1177/1363461504047932.CrossRefPubMed Wong FKD, Tsui HKP, Pearson V, Chen EYH, Chiu SN: Family burdens, Chinese health beliefs, and the mental health of Chinese caregivers in Hong Kong. Transcultural Psychiatry. 2004, 41: 497-513. 10.1177/1363461504047932.CrossRefPubMed
17.
go back to reference Chou KL, Mak KY: Attitudes to mental patients among Hong Kong Chinese: A trend study over two years. International J Soc Psychiatry. 1998, 44: 215-224. 10.1177/002076409804400307.CrossRef Chou KL, Mak KY: Attitudes to mental patients among Hong Kong Chinese: A trend study over two years. International J Soc Psychiatry. 1998, 44: 215-224. 10.1177/002076409804400307.CrossRef
18.
go back to reference Fung KMT, Tsang HWH, Corrigan PW, Lam CS, Cheng WM: Measuring self-stigma of mental illness in China and its implications for recovery. International J Soc Psychiatry. 2007, 53: 408-418. 10.1177/0020764007078342.CrossRef Fung KMT, Tsang HWH, Corrigan PW, Lam CS, Cheng WM: Measuring self-stigma of mental illness in China and its implications for recovery. International J Soc Psychiatry. 2007, 53: 408-418. 10.1177/0020764007078342.CrossRef
19.
go back to reference Wong FKD: Crucial individuals in the help-seeking pathway of the Chinese caregivers with relatives suffering from early psychosis in Hong Kong: Implications for social work practice. Social Work. 2007, 52: 127-138.CrossRefPubMed Wong FKD: Crucial individuals in the help-seeking pathway of the Chinese caregivers with relatives suffering from early psychosis in Hong Kong: Implications for social work practice. Social Work. 2007, 52: 127-138.CrossRefPubMed
20.
go back to reference Kung WW: Cultural and practical barriers to seeking mental health treatment for Chinese migrants. J Com Psychology. 2004, 32: 27-43. 10.1002/jcop.10077.CrossRef Kung WW: Cultural and practical barriers to seeking mental health treatment for Chinese migrants. J Com Psychology. 2004, 32: 27-43. 10.1002/jcop.10077.CrossRef
21.
go back to reference Parker G, Gladstone G, Chee KT: Depression in the planet's largest ethnic group: The Chinese. Am J Psychiatry. 2001, 158: 857-864.CrossRefPubMed Parker G, Gladstone G, Chee KT: Depression in the planet's largest ethnic group: The Chinese. Am J Psychiatry. 2001, 158: 857-864.CrossRefPubMed
22.
go back to reference Parker G, Chan B, Tully L: Depression and help-seeking in a Western sample of "highly acculturated" Chinese and controls. J Affective Disord. 2006, 239-242. 10.1016/j.jad.2006.03.012. Parker G, Chan B, Tully L: Depression and help-seeking in a Western sample of "highly acculturated" Chinese and controls. J Affective Disord. 2006, 239-242. 10.1016/j.jad.2006.03.012.
23.
go back to reference Chan B, Parker G: Some recommendations to assess depression in Chinese people in Australasia. ANZ J Psychiatry. 2004, 38 (3): 141-147. Chan B, Parker G: Some recommendations to assess depression in Chinese people in Australasia. ANZ J Psychiatry. 2004, 38 (3): 141-147.
24.
go back to reference Klimidis S, Hsiao FH, Minas IH: Chinese-Australians' knowledge of depression and schizophrenia in the context of their under-utilization of mental health care: An analysis of labeling. International J Soc Psychiatry. 2007, 53: 464-479. 10.1177/0020764007078357.CrossRef Klimidis S, Hsiao FH, Minas IH: Chinese-Australians' knowledge of depression and schizophrenia in the context of their under-utilization of mental health care: An analysis of labeling. International J Soc Psychiatry. 2007, 53: 464-479. 10.1177/0020764007078357.CrossRef
25.
go back to reference Wong FKD, Lam YKA, Poon A: Knowledge and Preferences Regarding Schizophrenia Among Chinese-Speaking Australians in Melbourne Australia. Soc Psychiatry Psychiatr Epidemio. 2009, DOI: 10.1007/s 00127-009-0122-5 Wong FKD, Lam YKA, Poon A: Knowledge and Preferences Regarding Schizophrenia Among Chinese-Speaking Australians in Melbourne Australia. Soc Psychiatry Psychiatr Epidemio. 2009, DOI: 10.1007/s 00127-009-0122-5
26.
go back to reference Kitchener BA, Jorm AF: Mental health first aid training for the public: evaluation of effects on knowledge, attitudes and helping behavior. BMC Psychiatry. 2002, 2: 10-10.1186/1471-244X-2-10.PubMedCentralCrossRefPubMed Kitchener BA, Jorm AF: Mental health first aid training for the public: evaluation of effects on knowledge, attitudes and helping behavior. BMC Psychiatry. 2002, 2: 10-10.1186/1471-244X-2-10.PubMedCentralCrossRefPubMed
27.
go back to reference Kitchener BA, Jorm AF: Mental Health First Aid Manual. 2002, Melbourne: Orygen Research Centre Kitchener BA, Jorm AF: Mental Health First Aid Manual. 2002, Melbourne: Orygen Research Centre
28.
go back to reference Kitchener BA, Jorm AF: Mental health first aid training: review of evaluation studies. Aust N Z J Psychiatry. 2006, 40 (1): 6-8.CrossRefPubMed Kitchener BA, Jorm AF: Mental health first aid training: review of evaluation studies. Aust N Z J Psychiatry. 2006, 40 (1): 6-8.CrossRefPubMed
29.
go back to reference Minas H, Colucci E, Jorm AF: Evaluation of Mental Health First Aid training with members of the Vietnamese community in Melbourne, Australia. International Journal of Mental Health Systems. 2009, 3: 19-10.1186/1752-4458-3-19. DOI:10.1186/1752-4458-3-19PubMedCentralCrossRefPubMed Minas H, Colucci E, Jorm AF: Evaluation of Mental Health First Aid training with members of the Vietnamese community in Melbourne, Australia. International Journal of Mental Health Systems. 2009, 3: 19-10.1186/1752-4458-3-19. DOI:10.1186/1752-4458-3-19PubMedCentralCrossRefPubMed
30.
go back to reference Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P, Christensen H, Henderson S: Helpfulness of interventions for mental disorders: beliefs of health professionals compared with the general public. Br J Psychiatry. 1997, 171: 233-237. 10.1192/bjp.171.3.233.CrossRefPubMed Jorm AF, Korten AE, Jacomb PA, Rodgers B, Pollitt P, Christensen H, Henderson S: Helpfulness of interventions for mental disorders: beliefs of health professionals compared with the general public. Br J Psychiatry. 1997, 171: 233-237. 10.1192/bjp.171.3.233.CrossRefPubMed
31.
go back to reference Liu X: Psychiatry in traditional Chinese medicine. Br J Psychiatry. 1981, 138: 429-433. 10.1192/bjp.138.5.429. 10CrossRefPubMed Liu X: Psychiatry in traditional Chinese medicine. Br J Psychiatry. 1981, 138: 429-433. 10.1192/bjp.138.5.429. 10CrossRefPubMed
32.
go back to reference Kleinman A: Social origins of distress and disease: depression, neurasthenia and pain in modern China. 1986, Yale University Press, New Haven Kleinman A: Social origins of distress and disease: depression, neurasthenia and pain in modern China. 1986, Yale University Press, New Haven
33.
go back to reference Corrigan PW, Kleinlein P: The Impact of Mental Illness. On the stigma of mental illness: practical strategies for research and social change. Edited by: Corrigan PW. 2005, Washington, DC: American Psychological AssociationCrossRef Corrigan PW, Kleinlein P: The Impact of Mental Illness. On the stigma of mental illness: practical strategies for research and social change. Edited by: Corrigan PW. 2005, Washington, DC: American Psychological AssociationCrossRef
34.
go back to reference Watson AC, Corrigan PW: Challenging Public Stigma: A Targeted Approach. On the stigma of mental illness: practical strategies for research and social change. Edited by: Corrigan PW. 2005, Washington, DC: American Psychological Association Watson AC, Corrigan PW: Challenging Public Stigma: A Targeted Approach. On the stigma of mental illness: practical strategies for research and social change. Edited by: Corrigan PW. 2005, Washington, DC: American Psychological Association
Metadata
Title
Mental health first aid training for the Chinese community in Melbourne, Australia: effects on knowledge about and attitudes toward people with mental illness
Authors
Angus YK Lam
Anthony F Jorm
Daniel FK Wong
Publication date
01-12-2010
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2010
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/1752-4458-4-18

Other articles of this Issue 1/2010

International Journal of Mental Health Systems 1/2010 Go to the issue