
Dedicated to advancing wellbeing, Step By Step, Inc. proudly provides Mental Health First Aid (MHFA)

#BETHEDIFFERENCE
Most of us would know how to help if we saw someone having a heart attack — we’d start CPR or call 9-1-1. But too few of us would know how to respond if we saw someone having a panic attack or showing signs of alcohol use challenge.
Just as CPR helps you assist an individual having a heart attack, Mental Health First Aid (MHFA) teaches you how to assist and support others who may be experiencing a mental health or substance use challenge. MHFA teaches people how to recognize and respond to signs of mental health or substance use challenges. The training covers how to respond to noncrisis and crisis situations and support people in need, whether they’re adults, youth or teens. Over the last decade, extensive research has shown how MHFA improves mental health outcomes across the U.S., transforming workplaces, classrooms, community programs and more.
What MHFA Covers
- Common signs and symptoms of mental health challenges.
- Common signs and symptoms of substance use challenges.
- How to interact with a person in crisis.
- How to connect a person with help.
- Expanded content on trauma, substance use and self-care.
MHFA is about spreading awareness, starting conversations and encouraging people to take care of their minds just as much as they care for their bodies. Step By Step, Inc. joins with the MHFA instructors across the US to ensure everyone in America has at least one First Aider in their close circle of friends, family and peers. Every 1 in 15 people should be certified to identify, understand and respond to signs and symptoms of mental health and substance use challenges.
Many people with mental health problems do not seek help or delay seeking help.
In the United States, only 41% of the people who had a mental disorder in the past year received professional health care or other services. Even when people decide to get help, it’s frequently after many years of waiting and putting it off. The longer a person waits to seek help, the more difficult their recovery can be. But research shows that people with mental health problems are more likely to seek help if someone close to them suggests it. That can be you.
There is a stigma associated with mental health problems.
People are often ashamed to talk about their mental health problems with family and friends because they’re worried about what others will think. This stigma can cause people to isolate themselves, internalize the stigma and begin to believe the negative things they hear other people say. With a better understanding of mental health and substance use, you can open the conversation and help reduce stigma and discrimination.
You learn an action plan.
When you take a Mental Health First Aid (MHFA) course, you learn not only how to recognize warning signs of a mental health crisis, but how to respond with the MHFA ALGEE Action Plan. Sometimes professional and other support services are not available in a crisis. When that happens, First Aiders like you can assist the person in an effective and safe way to get appropriate help and support.
1. Assess for risk of suicide or harm.
2. Listen nonjudgmentally.
3. Give reassurance and information.
4. Encourage appropriate professional help.
5. Encourage self-help and other support strategies.
Why Does Mental Health Matter?
Consider these statistics:
- 1 in 5 U.S. adults experience mental illness each year.
- 1 in 20 U.S. adults face serious mental illness annually.
- 1 in 6 U.S. teens have a mental health condition, but only half of them get treatment.
- 50% of mental illnesses start by age 14, and 75% by age 24.
- In 2023, 20% of high school students seriously considered suicide.
These stats are more than numbers. They represent real people — including friends, family, coworkers and classmates — who need support. Everyone deserves support, understanding and care when they’re struggling.
More information, Contact Tracy tciabattoni@stepbystepusa.com

Mental Health First Aid — Mental Health First Aid is a skills-based training that teaches people how to identify, understand and respond to signs and symptoms of a mental health or substance use challenge in adults ages 18 and over. The evidence behind the program demonstrates that it builds mental health literacy, providing an action plan that teaches people to safely and responsibly identify and address a potential mental health or substance use challenge. Mental Health First Aid, sometimes called Adult Mental Health First Aid, is available in English and Spanish.
Youth Mental Health First Aid — Youth Mental Health First Aid is a skills-based training that teaches parents, family members, caregivers, teachers, school staff, peers, neighbors and health and human services workers and any other citizen how to identify, understand and respond to an adolescent (ages 12-18) who may be experiencing a mental health or substance use challenge. Youth Mental Health First Aid is available in English and Spanish.
teen Mental Health First Aid — teen Mental Health First Aid is a skills-based training that teaches teens in grades 10-12, or ages 15-18, how to identify, understand and respond to signs and symptoms of a mental health or substance use challenge among their friends and peers. The program equips young people with the knowledge and skills they need to take care of their own mental health and to support each other, including how to get the help of a trusted adult.
Mental Health First Aid at Work — Mental Health First Aid at Work is a skills-based training program that teaches participants how to identify, understand and respond to someone who is experiencing a mental health or substance use challenge in a work environment and connect them with appropriate employee resources if necessary. The program can benefit businesses of all sizes and in all sectors by empowering employees with mental health awareness tools and skills.
Mental Health First Aid for Public Safety — Mental Health First Aid for Public Safety is a skills-based training for law officers and criminal justice staff that teaches how to de-escalate incidents and identify, understand and respond to someone who is experiencing a mental health or substance use challenge, without compromising safety. The program focuses on the unique experiences and needs of public safety personnel, and is a valuable resource that can make a difference in their lives, their coworkers’ and families’ lives, and the communities they serve.
Mental Health First Aid for Fire and EMS — Mental Health First Aid for Fire and EMS is a skills-based training that teaches firefighters and EMS personnel how to identify, understand and respond to someone experiencing mental health and substance challenges. The program focuses on the unique experiences and needs of firefighters and EMS personnel, including how to intervene in the field and among their peers.
Mental Health First Aid for Military Members, Veterans and Their Families — Mental Health First Aid for Military Members, Veterans and Their Families is a skills-based training that teaches people how to identify, understand and respond to a veteran or service member experiencing mental health and substance use challenges with a specific focus on the cultural factors related to military life.
Mental Health First Aid for Older Adults — Mental Health First Aid for Older Adults is a skills-based training that teaches participants how to identify, understand and respond to someone experiencing a mental health and substance challenge. The program addresses mental health challenges unique to people aged 50 and older.
Mental Health First Aid for Rural Communities — Mental Health First Aid for Rural Communities is a skills-based training that teaches participants how to identify, understand and respond to someone experiencing a mental health and substance use challenge. The program has a specific focus on cultural and environmental factors related to life in rural areas.
Mental Health First Aid for Higher Education — Mental Health First Aid for Higher Education is a skills-based training that teaches participants how to identify, understand and respond to someone experiencing a mental health and substance
use challenge. The program has a specific focus on the unique challenges faced by college students and is designed for students, professors and other faculty.
• Use the full program name, “Mental Health First Aid” or “Mental Health First Aid USA,” on first reference. Use “MHFA” or “MHFA USA” on second reference.
» DO NOT use a hyphen before “USA” when using the program title “Mental Health First Aid USA.”
Tone and style
• How we talk about mental health and substance use is just as important as what we are teaching.
• Mental Health First Aid USA conveys a positive, recovery, resiliency and strengths-based message. All language used in conjunction with describing the course or course content should be consistent with the curriculum. Always use person first language, such as, “a person with depression” instead of “a depressed person” or “a depressive.”
• Punctuation and style should be consistent with AP Style (reference the Associated Press Stylebook) and the National Council Style Guide and its addendums.
Talking About Mental Health First Aid
• What is Mental Health First Aid?
» Mental Health First Aid USA is an evidence-based training that teaches participants how to identify, understand and respond to someone who is experiencing a mental health or substance-use challenge. The adult course is available in English and Spanish. In addition to the Adult, Youth and teen training courses, Mental Health First Aid has modules for specific audiences, including police officers and criminal justice personnel, firefighters and first responders, veterans, higher education and rural populations.
• What is a Mental Health First Aider?
» A Mental Health First Aider, also called a First Aider, is a person who has successfully completed a Mental Health First Aid training. First Aiders have empathy for people living with mental illness and substance use problems. Their increased mental health literacy enables them to identify risk factors and warning signs for mental health and substance use challenges, confidence to provide strategies to help someone in crisis and non-crisis situations, and knowledge of where to turn for help.
MENTAL HEALTH FIRST AID DOES…
• Decrease mental illness and substance use stigma.
• Gives people an Action Plan to identify and respond to signs and symptoms
of mental health and substance use challenges, including suicide.
• Increase mental health literacy.
• Increase confidence to provide strategies to help someone in both crisis
and non-crisis situations, and knowledge of where to turn for help.
• Offer a safe place for participants to discuss their experiences.
• Teach participants how to assess for suicide and refer to care.
MENTAL HEALTH FIRST AID DOES NOT…
• Teach participants to diagnose or treat mental health problems.
• License participants as mental health professionals.
• Prevent suicide.
FIRST AIDERS ARE…
• Mental health stigma reducers.
• Caring community members.
• Part of a larger support system.
• Informed helpers.
• Resource knowledgeable.
FIRST AIDERS ARE NOT…
• Diagnosticians.
• Treatment providers.
• Trained interventionists.
• Long-term care providers.
What is Mental Health First Aid and what does it teach?
• MHFA is skills-based training that teaches people how to identify, understand and respond to signs and symptoms of a mental health or substance use challenge.
• Similar to physical First Aid and CPR, MHFA helps you assist someone experiencing a mental health or substance use crisis until professional assistance is obtained or the crisis is resolved.
• Mental Health First Aiders learn a 5-step Action Plan to recognize warning signs of a mental health or substance use challenge, provide help in crisis and non-crisis situations and understand where to turn for additional assistance.
» The 5-step Action Plan (ALGEE) is:
Assess for risk of suicide or harm;
Listen nonjudgmentally;
Give reassurance and information;
Encourage appropriate professional help;
Encourage self-help and other support strategies.
Through MHFA, more than 3 million people in the U.S. have been trained by thousands of certified Instructors to identify, understand, and respond to signs and symptoms of mental health and substance use challenges.
• Peer-reviewed studies have proven that trained Mental Health First Aiders are more knowledgeable and confident when it comes to identifying and helping an individual in distress.
• The new MHFA curriculum gives First Aiders working definitions for trauma and post-traumatic stress disorder (PTSD). It describes the types of crises associated with trauma and emphasizes the importance of early intervention following a traumatic event. First Aiders receive clear guidance for supporting someone immediately after a traumatic event, as well as over the time that follows. This added instruction on trauma will help First Aiders better assess and respond to situations where they encounter someone dealing with trauma related to COVID-19 or other events.
• The MHFA curriculum helps First Aiders understand what self-care is and the various forms it can take. The curriculum demonstrates how self-care is important to resilience and recovery, and then helps First Aiders develop their own self-care action plans that they can use to navigate traumas and stressors.
How do we know MHFA is effective?
• Many people know to call 911 or administer CPR for a physical health emergency but hesitate to start conversations about mental health and substance use. MHFA provides the tools a layperson needs to take action.
• Studies show that MHFA training reduces stigma, improves knowledge and increases first aid actions toward people experiencing mental health and substance use challenges.
• MHFA is proven to be effective in teaching adults how to recognize and respond to signs and symptoms of mental health and substance use challenges. Peer-reviewed studies from around the world show that individuals trained in MHFA:
» Expand their knowledge of signs, symptoms and risk factors of mental health and substance use challenges.
» Can identify appropriate types of professionals and self-help resources for individuals with a mental health or substance use challenge
» Have increased confidence in and likelihood to help an individual in distress.
» Show increased mental wellbeing themselves.
If you or a loved one are struggling,
help is a call, text, or messaged away:
Call 1-800-273-TALK(8255)
National Suicide Prevention Lifeline
Call 9-8-8
Text ‘PA’ to 741741
Crisis Text Line
Visit 988lifeline.org/chat
National Suicide Prevention Lifeline Online Chat
