NATIONAL CENTER FOR FARMWORKER HEALTH
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Mental Health Resource HuB

Welcome to NCFH’s Mental Health Resource Hub!

NCFH has developed this Mental Health Resource Hub to address the need for information on behavioral health integrated services and mental health with Migratory and Seasonal Agricultural Workers (MSAWs). We also seek to provide this population greater access to culturally appropriate mental health services across the country.
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The Mental Health Resource Hub provides patient education materials, mental health screening tools, and national resources that support mental health outreach and advance integrated behavioral health interventions utilized with the MSAW population. It also features screening tools gathered from guest speakers and health resources and patient education materials developed by NCFH with input from the​ Mental Health Learning Collaborative (MHLC), a collaboration supported by HRSA to the build the capacity of health center staff within Migrant and Community Health centers in successfully integrating behavioral health services with primary care for their MSAW patients.

The MHLC included learning sessions focused on understanding mental health conditions prevalent among MSAWs; occupational and environmental risk factors that contribute to mental health conditions; challenges and barriers in providing integrated mental health services; and the overall impact of COVID-19 on mental health service delivery. 
 
Staff who participated in the MHLC included clinical supervisors and coordinators, Community Health Workers (CHWs), mental health providers, and other Health Center staff involved in the implementation and/or delivery of integrated behavioral health services.
 
Special thanks to our participating  MHLC Members and guest speakers!
Cohort participants:
  • Beaufort Jasper Hampton Comprehensive Health Services
  • Cherokee Health Systems Talbott
  • Tri-Cities Community Health
  • Shenandoah Community Health
  • Golden Valley Health Center
  • Finger Lakes Community Health
  • HealthLinc Community Health Center
  • Sea Mar Community Health Centers
  • Premier Community Healthcare Group
  • Yakima Valley Farmworkers Clinic
  • Avenues Counseling LLC
  • North Carolina Health Center Association 
Guest speakers:
Salud Family Health Centers                
Vecinos Farmworker Health Program   
Florida State University College of Medicine
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Scroll through the tabs below to find the mental health resources you need.
  • FOR AGRICULTURAL WORKERS
  • FOR THE LATINX COMMUNITY
  • SCREENING TOOLS
  • NATIONAL RESOURCES
  • COVID-19 SPECIFIC RESOURCES
  • MATERNAL MENTAL HEALTH
  • ​LGBTQ MENTAL HEALTH
  • SUBSTANCE USE & MENTAL HEALTH
  • ​WORKFORCE MENTAL HEALTH
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AgriStress Helpline: a free and confidential crisis and support line for agricultural communities available in Connecticut, Missouri, Pennsylvania, Texas, Virginia, and Wyoming 24/7 with interpretation services provided in 160 languages. Call or text now: 833-897-2474  ​​
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Mental/Behavioral Health Issues:  a list of resources recommended by AgrAbility for addressing farm stress and mental health issues amongst agricultural workers.

Integration of Behavioral Health within Agricultural HealthCare: information and resources by AgriSafe for farmers and ranchers to raise awareness and offer guidance in the midst of difficult situations.

Rural Response to Farmer Mental Health and Suicide Prevention: a list of resources recommended by Rural Health Information Hub in response to farmer worker mental health and suicide prevention.  ​
Seasons Change | You Remain (SM) Mental Health Toolkit & Resources: a social media toolkit with messaging promoting mental health topics and resources for agricultural workers during the various seasons.

Salud Mental y el Impacto en el Bienestar de Las Familias de Agricultores (Spanish): a resource in Spanish from AgriSafe related to mental health and the impact it has on the wellbeing of agricultural worker families. 

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Sanarai: a Spanish online platform that connects the Latinx community to mental health professionals in Latin America to provide culturally sensitive, Spanish-language emotional support at accessible prices.  
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Farmworker Safety Card Tool and Informational Sheet: a new safety card tool and accompanying informational sheet for farmworkers and for the professionals who work with them, on intimate partner violence, health care access, and relationship support from Health Partners on IPV + Exploitation, a project of Futures Without Violence, and Alianza Nacional de Campesinas. ​
NCFH Health Resources and Patient Education Materials:
  • Fact Sheet: Ag Workers and Mental Health
  • Addressing Mental Health Amongst Ag Workers: A tip sheet for Health Care Workers to engage in conversations about mental health with agricultural workers. 
  • Tips to Have Less Stress: A patient education material to share with agricultural workers when identifying ways to reduce stress.​
    • ¡Consejos para tener menos estrés!
  • Preparing for Your Mental Health Visit: Tips to prepare for your first visit with your mental health provider.​ 
    • Preparándose para su cita de salud emocional.
  • Let’s Talk About Anxiety: an easy to understand teaching tool that explains different causes of anxiety and different treatment options.  
    • Hablemos sobre la ansiedad 
  • Let’s Talk About Depression: an easy to understand teaching tool that explains different causes of depression and different treatment options 
    • Hablemos sobre la depresión 
  • Let’s Talk About Mental Health: an easy to understand teaching tool that explains different mental health situations and different help options. 
    • Hablemos sobre la salud mental 
  • Como Superé Mi Depresión /How I Over Came My Depression: a bilingual digital story about Angel, a man who shares his account of dealing with depression, the challenges he faced, and tips on how to succeed.
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National Hispanic and Latino Mental Health Technology Transfer Center Network (MHTTC): a network that supports the implementation of evidence-based and promising practices to enhance service delivery, promote the growth of a diverse, culturally competent workforce and bridge access to quality behavioral health services.  

  • Engaging Mexican Indigenous Families, Children, and Youths in Mental Health Treatment
  • Unpacking What it Means to Work with Latinx Clients and their Families
  • Suicide Attempts and Culturally Responsive Approaches for Latinos
  • Trauma-Informed Model for Immigrant, Hispanic, and Latino Clients
  • Tips to Engage in Mental Health Treatment the Indigenous Populations from the Northern Triangle
  • Stress Management During a Quarantine for Mental Health Providers serving Latino Clients
  • Tips When Working with Unaccompanied Minors From Guatemala, Honduras, and El Salvador
  • COVID-19 and the Impact of Intimate Partner Violence in Latinx Communities
  • Improving the Emotional Well-Being of Latinx Students Throughout the COVID-19 Pandemic: Tips for School Personnel and Caregivers
  • Behavioral Health Implementation Guide for the National CLAS Standards in Health and Health Care: a collaboration between SAMHSA and HHS OMH, this guide provides concrete, feasible implementation strategies for the health and behavioral health care community to improve the provision of services to all individuals, regardless of race, ethnicity, language, socioeconomic status, and other cultural characteristics.

Latinx/Hispanic Communities and Mental Health: a report from Mental Health American on the Latinx/Hispanic community and how mental health impacts this population. 

Depression and Addiction Resource Guide: this comprehensive guide from BOCA Recovery Center provides information about depression and addiction, how they intertwine, and provides dual diagnosis treatment programs for optimal support.  
​For adults:
  • Veterans Crisis Line: a confidential and free 24/7 lifeline providing support to Veterans, service members, National Guard and Reserve members, and those who support them. *Access by phone at 1-800-273-8255 (TALK) and Press 1. Text at 838255. 
    • Línea de Crisis para Veteranos: Apoyo también disponible en español. 
  • ​Mini-Cog©: screening for cognitive impairments in older adults. 
  • Patient Health Questionnaire (PHQ) Screeners: to assess for presence and severity of depression symptoms and their impact on daily functioning.​
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  • Depression Screening Tool Kit: a toolkit from Accountable Health Partners that provides resources on PHQ2/9 screenings, screening results action plans, medication management, patient education and crisis intervention resources.  
  • Generalized Anxiety Disorder Assessment (GAD7): to assess for presence and severity of generalized anxiety and impact on daily functioning. 
    • English
    • Spanish
  • Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): to identify respondents with probable post-traumatic stress disorder (PTSD).
  • Alcohol Use Disorders Identification Test (AUDIT): to identify hazardous or harmful alcohol consumption.
  • Drug Abuse Screening Test (DAST-10): a quantitative index for the degree of consequences related to drug abuse.
Safety Assessments:
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Domestic Violence/ Intimate Partner Violence
  • National Domestic Violence Hotline: a confidential and free 24/7 hotline providing support and resources to those impacted by domestic violence and intimate partner violence. *Access by phone at 1-800-799-SAFE (7233) or TTY at 1.800-787-3224.   
  • Create a Safety Plan - The Hotline: an in-depth safety planning resource.
  • Create a safety plan | love is respect: an interactive guide to safety planning that helps those experiencing abuse create a safety plan.
  • ​Plan de Seguridad - Recursos de planificacion en espanol para ayudarle a alcanzar su seguridad de La Linea Nacional sobre Violencia Domestica. ​

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Suicidal Ideation
  • 988 Suicide & Crisis Lifeline: (formerly known as the National Suicide Prevention Lifeline) offers 24/7 call, text and chat access to trained crisis counselors who can help people experiencing suicidal, substance use, and/or mental health crisis, or any other kind of emotional distress. People can also dial 988 if they are worried about a loved one who may need crisis support.​​
    • Live crisis center calling services available in English and Spanish and Language Line Solutions able to provide translation services in over 250 additional languages. Text and chat are currently available in English only.
    • Call or text 988
    • TTY Users: Use your preferred relay service or dial 711, then 1-800-273-8255
    • Chat also available at: https://988lifeline.org/chat/​​
  • ​​Suicidal Thoughts and Autism: Resources & How to Help
  • SAFE-T Pocket Card: Suicide Assessment Five-Step Evaluation and Triage for Clinicians: a downloadable five-step plan to identify risk factors and protective factors, conduct a suicide inquiry, determine risk level and interventions, and document a treatment plan.
  • National Institute of Mental Health (NIMH) Suicide Risk Screening Tool: a brief tool to screen for suicide risk with ALL ages
    • English
    • Spanish
  • Suicide Prevention Resources: wallet cards available to download and share with your patients.
  • Suicidal Thoughts and Autism: Resources & How to Help: this resource from Elemy, (formerly known as Sprout Therapy) explains how to recognize warning signs in those that are Neurodivergent, as well as suicide risk factors and prevalence. Additional important topics such as treatment options and advice for parents and parents are also covered. ​

Human Trafficking
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  • National Human Trafficking Hotline: if you or someone you know has experienced human trafficking and needs support, contact this free, confidential hotline available 24/7 and with over 200 languages.
    • Call 1-888-373-7888
    • Text 233733
    • TTY: Dial 711
    • Email help@humantraffickinghotline.org
    • Chat online at: Home | National Human Trafficking Hotline
      • Disponible en Espanol.
    • The Hotline’s Referral Directory also connects users to anti-trafficking organizations and programs that offer emergency, transitional, or long-term services.
For Children and Adolescents:
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  • Pediatric Symptom Checklist (PSC-17): to identify and assess behavioral and emotional changes in children.  
  • Screen for Child Anxiety Related Emotional Disorders (SCARED): to assess for symptoms of anxiety in children 8-18 years old.
  • Patient Health Questionnaire for Adolescents (PHQ-A) ​: version of PHQ-9 for adolescents to assess for presence and severity of depression symptoms and their impact on daily functioning.
    • PHQ-A (version 3.6.05) ​
  • CRAFFT:  an assessment to identify substance use and substance-related risk in patients ages 12-21 years.​  
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American Psychological Association (APA) 
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American Foundation for Suicide Prevention 
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NAMI: National Alliance on Mental Illness 
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Mental Health America  
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​​HRSA's Mental and Behavioral Health page
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Mental Health.gov
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National Association for Behavioral Healthcare
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CDC's Mental Health page
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National Institute of Mental Health
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Psycom
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Disorders.Org
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Mental Health Practitioner Hub
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  • SAMHSA’s Disaster Distress Helpline: a confidential and free 24/7 national hotline dedicated to providing support to immediate crisis counseling for people experiencing emotional distress related to natural or human-caused disasters. *Access by phone or text at 1-800-985-5990. 
    • En Español: Llame a la línea directa y presione "2". 
  • NCFH COVID-19: Information and Resources related to COVID-10 for Agricultural Workers, Health Centers, and Farmworker-Serving Organizations.
  • CDC’s COVID-19: Information, resources, and data from the Centers for Disease Control and Prevention (CDC) related to COVID-19.
  • HRSA’s COVID-19 Information: Information and resources from the Health Resources and Services Administration (HRSA) related to COVID-19
  • COVID-19 Pandemic: Information, resources and research from the World Health Organization (WHO) related to COVID-19.
  • OSHA COVID-19 page: Information and resources on COVID-19 from the Occupational Safety and Health Administration (OSHA) U. S. Department of Labor
  • ​COVID-19 Mental Health and Addiction: Resources from ARK: Behavioral Health on COVID-19 Mental Health and Addiction
  • Tips for Healthcare Professionals: Coping with Stress and Compassion Fatigue: An English tip sheet from the Substance Abuse and Mental Health Services Administration (SAMSHA) for healthcare professionals on dealing with stress and compassion fatigue resulting from the COVID-19 pandemic.
  • COVID Coach Mobile App: An app was created for everyone, including Veterans and Service members, to support self-care and overall mental health during the coronavirus (COVID-19) pandemic.
  • Consejos para sobrevivientes de una pandemia: Control del estrés: A Spanish tip sheet from the Substance Abuse and Mental Health Services Administration (SAMSHA) that describes some of the common reactions to a pandemic and other disasters, and ways to deal with them. ​
  • OCD and COVID-19: site with information about obsessive-compulsive disorder (OCD) and how people with OCD have been impacted during the COVID-19 pandemic.​
  • HRSA’s National Maternal Mental Health Hotline: a confidential, toll-free hotline for expecting and new moms experiencing mental health challenges. *Access by phone or text at  ​1-833-9-HELP4MOMS (1-833-943-5746).  
    • Línea Nacional de Asistencia de Salud Mental Materna para Mamas Primerizas y Embarazadas: Apoyo también disponible en español. 
    • TTY Users to: Use a preferred relay service or dial 711 and then 1-833-943-5746​
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  • ​NCFH Factsheet: Maternal and Child Health Factsheet
  • Depression During and After Pregnancy- information and resources from the Centers for Disease and Control and Prevention (CDC) on depression during and after pregnancy.
  • Maternal Mental Health | MHA- information on Maternal Mental Health from Mental Health America (MHA).
  • Maternal and Child Mental Health- statistics and information from the World Health Organization (WHO) on maternal and child mental health.
  • What are MMH Disorders?- statistics and information from the Blue Dot Project on Maternal Mental Health (MMH) Disorders.
  • Maternal Mental Health Program | HWHI- information about the Hoag Maternal Mental Health Program, which is dedicated to helping women experiencing mental health conditions before, during, and after pregnancy.
  • Mom’s Mental Health Matters- information about the National Child and Maternal Health Education Program.
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  • Preventing Maternal Mortality Resource Kit- a toolkit developed by Relias to help organizations identify, understand, and reduce maternal death and harm in clinical settings.
  • Postpartum Support International- an organization whose purpose is to increase awareness among public and professional communities about the emotional changes that women experience during pregnancy and postpartum.
  • Perinatal Mental Health Disorders: Supporting Latinxs: a factsheet from MHTTC that provides relevant information on cultural considerations for mental health providers working with Latinx populations experiencing or at risk for Perinatal Mental Health Disorders (PMHDs).
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  • LGBTQ+ Communities and Mental Health | MHA- statistics and information on how mental health impacts Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ)+ Communities from Mental Health America (MHA).
  • The Mental Health Coalition Resource Sheet: A listing of different organizations and resources dedicated to LGBTQ mental health. 
  • The Trevor Project: A youth-specific organization aimed at supporting the mental health and well-being of LGBTQ youth.
    • Supporting Black LGBTQ Youth Mental Health: A guide from the Trevor Project specifically for Black youth, who face additional layers of discrimination and may need more and different support. 
  • LGBTQI | NAMI- statistics, information, and risk factors about how a person’s sexual orientation and gender identity relates to mental health from the National Alliance on Mental Illness (NAMI).
  • Lesbian, Gay, Bisexual, and Transgender (LGBT) Health- information and resources from the Centers for Disease and Control and Prevention (CDC) on Lesbian, Gay, Bisexual, and Transgender (LGBT) Health.
    • LGBT Youth Resources- Resources specifically for LGBT Youth and their Friends/Supporters from the CDC.
  • Mental Health and the LGBTQ Community- an information handout on LGBTQ Youth and Mental Health from the Human Rights Campaign Foundation 
  • LGBT Resources- Resources on the LGBT population from the Substance Abuse and Mental Health Services Administration (SAMHSA) including national survey reports, agency and federal initiative, and related behavioral health resources.
  • LGBTQ Mental Health and Suicide Prevention- information and resources on LGBTQ mental health and suicide prevention from the American Foundation for Suicide Prevention.
  • Sexual and Gender Minority Health- information and resources on Sexual and Gender Minority Health from the American Psychological Association.
  • LGBT Mental Health Resources- a “get-started” guide to LBGBT Mental Health resources from PRIDE.
  • Fenway Health- an organization whose mission is to enhance the well-being of the LGBTQIA+ community and all people in our neighborhoods and beyond through access to the highest quality health care, education, research and advocacy.
  • Nursing Care for Transgender Patients: This guide aims to help nurses better understand the transgender and gender nonconforming (GNC) community, the hurdles they might face in healthcare, and helpful steps on working with transgender and GNC patients.
  • LGBTQ Youth Resources: Bridging the Digital Divide: An article with list of online communities and resources to keep LGBTQ+ youth connected.  
  • Mental Health and LGBTQI+ Resources for Kids and Families: Information and resources from the Health Resources and Services Administration (HRSA). ​
  • Tips and Resources for Parents of LGBTQ+ Youth: tips and resources from Goranson Bain Ausley Family Law to parents of LGBTQ+ Youth needing support. 
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  • Talking Total Farmer Health: Alcohol Use in Agriculture: A podcast episode from AgriSafe addressing alcohol use in agriculture.
  • Start Your Recovery: offers people who are dealing with substance use issues, as well as their family members, friends, and co-workers, a single source of reputable, objective information about signs, symptoms, conditions, treatment options, and resources. 
  • Live Another Day: Extensive information on mental health and substance use resources for people of color.
  • Alcohol and Substance Use: Information and resources from the Centers for Disease and Control and Prevention (CDC) on alcohol and substance use.
    • Teen Substance Use & Risks: Information and resources from the Centers for Disease and Control and Prevention (CDC) for parents on teen substance use and risks.
  • Alcohol Rehab Guide: An informational web source dedicated to supporting and helping anyone battling alcoholism or co-occurring behavioral and mental health disorders.
  • AddictionResource.net: A referral service that provides information about addiction treatment practitioners and facilities.
  • The Recovery Village and Alcohol Rehab: A program that delivers comprehensive treatment services for substance abuse and co-occurring mental health disorders.
  • Substance Abuse and Mental Health Services Administration (SAMSHA): The agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation, and whose mission is to reduce the impact of substance abuse and mental illness on America's communities.
    • Advisory Review: Prescription Stimulant Misuse Among Youth and Young Adults: A review from the SAMSHA Advisory on the evidence of prescription stimulant use among youth and young adults.
    • Preventing Marijuana Use Among Youth: A guide from SAMSHA that provides a review of the literature on prevention of marijuana use among youth, distill the research into recommendations for practice, and provide examples of the ways these recommendations can be implemented.
    • Treating Concurrent Substance Use Among Adults: A guide from SAMSHA that intends to educate clinicians and other stakeholders about the harms of using more than one substance and consideration for addressing concurrent substance use (CSU) and concurrent substance use disorders (CSUD).
    • Public Messages: Public messages from SAMSHA that offer information and videos to support the agency’s mission to reduce the impact of substance abuse and mental illness on America's communities.
  • Drug Rehab Resources: Information and resources from Addicted.org for individuals and families looking for a drug rehabilitation center to overcome and/or prevent substance use.  
  • Telehealth for Opioid Use Disorder Toolkit: a toolkit from the Providers Clinical Support System and SAMSHA that provides guidance to support high-quality substance use disorder/opioid use disorder care.  
  • Autism and Addiction: Understanding the Link: a comprehensive guide from DetoxRehabs describing the connection of people with untreated autism and substance use disorders. 
  • Garden State Treatment Centers: this comprehensive website provides information about the process of medical detoxification and behavioral therapy and rehabilitation programs available in the state of New Jersey to treat substance use disorders. ​
  • IL Recovery Center: a comprehensive website that provides information about addiction and recovery programs to those seeking substance use treatment in the state of Illinois. 
  • Southeast Addiction Center: top 50 resources for Black men who are struggling with substance use and/or their mental health.
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  • Five Key Strategies to Help Health Centers Protect Against Staff Burnout: a resource from NCFH that provides information about burnout, how it impacts the mental health of health center employees and offers strategies to prevent it by promoting employee wellness and creating healthy work environments. ​
  • Healthcare Professionals & Suicide: A Guide to Awareness & Prevention: a guide from EduMed that helps current aspiring healthcare workers prepare for the potential mental toll that comes with working in the field. 
  • Mental Health & Compensation Equity Factsheet: a factsheet from the Association of Clinicians for the Underserved’s (ACU) STAR2 Center that provides health center leadership with a better understanding of the mental health struggles their workforce may face. It also identifies strategies related to compensation equity and inclusive benefits to address these challenges. 
  • STAR² Center Talks Workforce Success: a podcast series factsheet from the Association of Clinicians for the Underserved’s (ACU) STAR2 Center that provides engaging and informative chats with health center leaders and experts about the different core components that make up a robust health center workforce as it is the fuel for your organizational mission. 

  • Self-Care Start Kit: resources from the University of Buffalo School of Social Work useful for students and working professionals alike. 
  • Self-Care Resources for Your Whole Health: resources from the U.S. Department of Veterans Affairs on employee whole health. 
  • Creating Healthy Places Worksites: a grant-funded program to help employers develop tailored, sustainable worksite wellness programs for all employees. 
  • The 2022 State of Workforce Mental Health: an article from Corporate Wellness Magazine with insights into the current state of workforce mental health. 
  • The Rise of the Whole Employee: annual U.S. Employee Benefit Trends Study 2022 from Metlife.  
  • Center for Workplace Mental Health: an organization that sets the standard for mentally healthy workplaces by leading on best practices and innovation, leveraging strategic alliances, and developing and disseminating high impact tools and resources. 
  • Wellness Resources & Tools: Resources and tools from the National Wellness Institute to support individuals from a variety of disciplines in promoting whole-person wellness. 
  • Bell Seal for Workplace Mental Health: a national certification program from Mental Health America (MHA) to recognize employers committed to creating mentally healthy workplaces. 
  • WHO Guidelines on Mental Health at Work: a resource from the World Health Organization that provides evidence-based recommendations to promote mental health, prevent mental health conditions, and enable people living with mental health conditions to participate and thrive in work. The recommendations cover organizational interventions, manager training and worker training, individual interventions, return to work, and gaining employment. 

Health Outreach Partners (HOP): 
  • Self-Care: Taking Care of Ourselves So We Can Take Care of Others: a resource describing self-care and that shares self-care practices, its benefits, and strategies to build a culture of self-care so that health centers can recruit, motivate, support, and retain staff. 
  • Organizational Self-Care: a resource that builds on self-care strategies and focuses on how Health Center organizations can build organizational practices that can foster a work environment that supports staff satisfaction and retention. 

The Centers for Disease Control and Prevention (CDC): 
  • Mental Health in the Workplace: an issue brief outlining mental health disorders and the stress affect working-age Americans. 
  • Taking Care of Your Emotional Health: information and resources on emotional health care. 
    • Spanish version 
  • Workplace Health Resource Center: a site with sound, actionable information, vetted by the CDC and experts, to help employers launch or expand a workplace health promotion program.  ​
The Mental Health Resource Hub is a compilation of resources from NCFH, national organizations, and contributing partners. Inclusion on this resource hub does not indicate that partners have collaborated on, reviewed, or endorsed the materials.

For more information, reach out to carrillo@ncfh.org
​


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This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,916,466 with 5% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government
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    • COVID-19 Promising Practices
    • Demonstration Project Grants
    • Farmworker COVID-19 Community Assessments
  • EspaƱol