Redevelopment of mental health first aid guidelines for substance use problems: a Delphi study

Area of Science:

• Public Health
• Mental Health Interventions
• Substance Use Disorder Treatment

Background:

• Substance use problems significantly impact individual, family, and community health.
• Early intervention is crucial for improving recovery and treatment outcomes.
• Previous guidelines for alcohol and drug use problems were developed separately in 2009 and 2011.

Purpose of the Study:

• To synthesize and update existing mental health first aid guidelines for substance use problems.
• To reflect current evidence and best practices in supporting individuals with substance use issues.

Main Methods:

• Utilized the Delphi expert consensus method for guideline redevelopment.
• Developed a questionnaire incorporating existing statements and literature reviews.
• Engaged three expert panels (lived experience, support people, professionals) in online surveys.
• Included statements endorsed by at least 80% of each panel.

Main Results:

• 103 panellists completed three survey rounds.
• 469 statements were rated, with 300 endorsed for inclusion.
• The redeveloped guidelines are broader and more comprehensive.

Conclusions:

• New guidelines offer enhanced detail on recognizing and supporting substance use problems.
• Focus includes harm reduction, community support, and professional help, with less emphasis on physical first aid.
• These updated guidelines will inform future training courses by Mental Health First Aid International.