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The purpose of this paper is to examine the perceptions of private and public sector managers in Barbados regarding the concepts of mental health and illness at work. It also explored their interactions and experiences with persons with mental illness at work and various forms of support and resources needed to improve the overall management of these persons within the organisational setting.

This qualitative study used an exploratory research design based on two focus groups of private and public sector managers.

The findings revealed that both private and public sector managers understood the distinction between the concepts of mental health and mental illness. However, managers believed that high levels of stigma and discrimination exist in both private and public sector workplaces due to a lack of understanding of mental illness, cultural norms, and socialisation in Barbados regarding mental illness and negative stereotypes. However, workplace education and promotion, associated workplace policies, and employee assistance programmes (EAPs) were identified as key strategies for effectively addressing issues of mental health stigma and the management of persons with mental illness at work.

Due to the qualitative approach used and small sample selected based on non-probability sampling, generalising the findings to larger populations is heavily cautioned.

Organisations in both private and public sectors should emphasise workplace mental health interventions such as mental health education and awareness, the development and implementation of supportive and flexible policies, and EAPs. These strategies are likely to help destigmatisation efforts and enhance managers’ understanding of mental health and the management of persons with mental illness.

This study provided a rich and in-depth understanding of mental health and illness from the perspective of private and public sector managers in a small developing country in the Caribbean. The Caribbean region possesses a dearth of empirical research concerning issues of mental health and illness at work.

“GoodYarn” is a skills-based workshop that focusses on building mental health literacy in rural communities, members of which are known to experience geographic, attitudinal and service configuration barriers to accessing mental health services. The purpose of this paper is to evaluate the impact of the GoodYarn project on raising mental health literacy in the rural community.

GoodYarn is primarily for farmers, their families and farm workers, as well as the “farmer facing” workforce. The focus on mental health literacy aligns with the mental health promotion approach of using methods that foster supportive environments. By raising the mental health literacy of those not directly needing help, but in positions to help those that do – such as employers, rural professionals and rural support industries who are well placed to perceive stressors in farmers – GoodYarn builds a community with the knowledge and skills to identify and approach those experiencing mental distress or illness, and direct them to appropriate support and services. All participants in the GoodYarn workshops (n=430) were invited to complete a questionnaire at the end of the workshop. All participants answered the questionnaire, with over 80 per cent answering all questions.

Participant feedback affirmed the utility of GoodYarn as an effective vehicle to facilitate the discussion of mental illness in rural farming communities of New Zealand. GoodYarn had a significant positive impact on the three immediate workshop indicators of awareness, confidence and knowledge (p<0.001 for all three indicators). Further, the high level of concordance in workshop outcomes across various organisations’ delivery indicates programme consistency and quality has been maintained throughout the upscaling of the programme.

The uptake of the GoodYarn programme by rural organisations and communities at a national level, and the positive evaluation results, provide encouragement that building mental health literacy in the rural workforce is a promising mental health promotion strategy.

The high prevalence of mental illness within the prison population necessitates innovative mental health awareness provision. This purpose of this feasibility study with 75 males (47 intervention; 28 control) was to evaluate State of Mind Sport (SOMS), originally developed as a community based mental health and well-being initiative, in a notoriously challenging prison setting.

A mixed 2 (group) × 2 (time) factorial design was adopted. Questionnaires tested for effects on knowledge of mental health, intentions to seek help, well-being and resilience. For each outcome measure, main and interaction effects (F) were determined by separate mixed factors analysis of variance. Two focus groups (N = 15) further explored feasibility and were subjected to general inductive analysis.

A significant group and time interaction effect were shown for mental health knowledge, F(1, 72) = 4.92, p = 0.03, η_p² = 0.06, showing a greater post-programme improvement in mental health knowledge score for the intervention group. Focus group analysis revealed an increase in hope, coping efficacy and intentions to engage more openly with other prisoners regarding personal well-being as a result of the SOMS programme. However, fear of stigmatisation by other inmates and a general lack of trust in others remained as barriers to help-seeking.

The implications of this study, the first to evaluate a sport-based mental health intervention in prison, are that a short intervention with low costs can increase prisoner knowledge of mental health, intentions to engage in available well-being opportunities and increase a sense of hope, at least in the short term.

The purpose of this study is to examine the effect gender has on the public perceptions of offenders with mental health issues. The authors aim to understand how offenders with mental illness are viewed by the public so future information and practices can be implemented to further educate on the topic of mental illness. Research has shown that mental health education can be a pivotal part of reducing risk and crime among the mentally ill population.

This study applies a quantitative design using vignettes. There were four scenarios, two as controls, and two experimental variables to examine how responses differed depending on gender and mental health. Twenty statements then followed each vignette and participants were asked to share how much they aligned their opinions with each statement on a five-point Likert scale. The sample was comprised of 80 participants.

The findings of this study largely support the relevant literature on the topic of gender and mental illness in offenders. Overall, the public was the least supportive of female offenders with mental illness, followed by male offenders with mental illness, then male offenders and lastly the most support was directed towards female offenders. Therefore, the present study’s initial hypotheses are also supported in that female offenders will garner a more sympathetic reaction than their male counterparts. However, if female offenders have mental health issues, they are viewed more negatively than males.

For future replication of this study, the authors consider that a larger and more gender-balanced sample size would increase the ecological validity of the findings. Despite this, the findings of this study do fall in line with the relevant literature. Therefore, suggesting perhaps that the gender of the sample does not affect the overall outcome of the results.

Education regarding mental health for the public should be implemented as research has found this effective in de-stigmatising and helping to create protective factors to reduce offending. More training is needed for professionals within the criminal justice system, including police personnel, to ensure they are better equipped to consider the needs and behaviours of mentally ill individuals. The authors suggest that mental health awareness should be taught as part of the education system in the UK to help de-stigmatise and share helpful resources. The prison system in the UK needs to be able to provide better treatment programmes for inmates with mental health issues as research shows this is the most effective form of treatment at reducing recidivism.

The social implications of this study are that it aims to understand perceptions of mental illness, gender and offending and, therefore, use the conclusions drawn to inform what is needed to improve perceptions if necessary. De-stigmatising and acknowledging mental illness can allow for better access to appropriate treatment. Facilitating reintegration back into society, and, therefore, increasing peer support which has been shown to reduce reoffending rates within the mentally ill population.

There are very few research studies looking at the impact of both gender and mental illness on how offenders are perceived. Most relevant research tends to either pick one or the other and therefore the present study is unique. In addition, most established research looks at the perception of a specific population. Whereas the present study has used a small but broad UK participant sample which is likely to be more generalisable. Finally, the results of this research have been able to both meet the aims of the study and accept the proposed hypotheses.

The World Health Organization estimates that millions of people across the world experience mental health problems, yet traditionally athletes have been poorly supported to manage their mental health. The purpose of this paper is to apply the Theory of Planned Behaviour to determine the effect of a mental health awareness programme on sports coaches’ knowledge and intentions to offer support to athletes who experience mental health problems.

Adult coaches (n=244) were recruited to attend the Mood Matters in Sport Programme mental health awareness intervention or act as a control. A 2 (group) × 2 (time) quasi-experimental design was adopted. All participants completed the Mental Health Knowledge Schedule and Reported and Intended Behaviour Scale at the beginning and end of the programme. Two months postprogramme delivery focus groups were conducted.

A mixed analysis of variance showed a significant interaction effect wherein there were improvements in mental health knowledge and intentions to offer support compared to the control group. Focus group findings provided further detail on how to support mental health awareness in sport clubs.

Knowledge and intentions to offer support can be enhanced through a short mental health awareness programme. The already established social networks available in sport clubs can provide a natural environment for delivering mental health awareness programmes. The programme facilitated discussion on mental health issues and highlighted that future programmes should contain more sport-related examples (i.e. case studies, videos, etc.).

This is the first study to apply the Theory of Planned Behaviour to mental health awareness programmes in a sport setting.

High school students are a common target group in initiatives addressing discriminatory attitudes towards people with mental illness. However, these initiatives are rarely evaluated and documented. The aim of our paper is to evaluate the effectiveness of a school-based educational intervention for improving adolescents' attitudes and reducing the desire for social distance from people with mental illness living in their community. A total of 161 students aged 16-18 years old were questioned at baseline assessment and 86 of them received a three-workshop educational intervention while 75 students comprised the control group. A follow-up assessment 1 month post intervention evaluated its impact. Attitudes and the social distance were assessed through the Community Attitudes towards the Mentally Ill scale and a 10-statement questionnaire based on the Self-report Inventory of Fear and Behavioural Intentions, respectively. Data from 140 subjects were analyzed. All attitude dimensions and half of the measured social distance statements were significantly improved in the intervention group at follow up assessment compared to controls. However, the statements measuring more intimate types of social relationships did not change significantly post intervention. In conclusion, short educational interventions can be effective to some extent in reducing discriminatory attitudes towards people with mental illness. However, effective interventions to address deeply held negative stereotypes will require further research.

The purpose of this paper is to propose a focus for mental health training efforts to better equip officers to provide interventions and supports to help facilitate improved outcomes for people experiencing mental health crises.

A reflection on key evidence relating to mental health training programmes delivered to police, focussing on Australia, the USA and Canada.

While there are a number of similarities in the core content of mental health training programmes offered internationally, the availability and uptake of training across jurisdictions remains piecemeal and idiosyncratic. Police officers report a strong preference for hands-on experiential learning; this has immediate and direct relevance to their operational duties, and is consistent with core principles of andragogy. While all police employees require mental health training, specialised mental health training programmes should clearly be reserved for a select group of officers who volunteer after acquiring sufficient operational experience.

Priorities should centre on measuring the effectiveness of mental health training packages and discerning the active elements associated with changes in police skills and confidence, as well as identifying elements that support improved outcomes for people who experience mental illness and who have contact with the police.

Police need to continue to need to seek legitimacy with respect to their guardianship role as mental health interventionists. Training should tap into practice-based wisdom. Training should be practical, applied and reinforced through wider knowledge-based learning and workplace reinforcement. Training is needed for everyone, but specialised training is not for all. Police need to focus on the partnerships and expend time, energy and resources to maintain and grow them. Specialist (and other forms of) training needs to be evaluated so we understand what works?

There may be opportunities to streamline the delivery of knowledge-based aspects of mental health training and focus much more on experiential learning, both in specialised training courses as well as shorter mental health awareness sessions.

It has been identified that mental health literacy among the public is poor, with stigmatising attitudes persisting. The public frequently encounter people experiencing mental distress in the workplace, in their families and communities, and may be ill‐equipped to provide appropriate support. Mental Health First Aid is a 12‐hour mental health awareness programme that seeks to address this. The course aims to train the wider public, and staff in both statutory and nonstatutory sectors, in the knowledge and skills needed to engage with someone experiencing mental health problems. ‘Mental Health First Aid’, first developed in Australia, has now become an international training programme, and is currently being rolled out across the UK. This paper summarises the development and existing research of the programme, and its present position in the four UK regions.