MSU Extension Addressing Mental Health in Non-Clinical Settings

What is Mental Health?
Mental health is just one component of our overall health. The term mental health refers to the state of our emotional, psychological, and social well-being. Our mental health is directly related to our cognitions (thoughts), emotions (feelings) and behaviors (actions). Mental health helps us determine how we relate to others, handle stress, and make healthy choices.
Mental Health and Stress
Mental health and stress are linked. Small amounts of manageable stress can be good for us. For example, stress can help us improve our resilience, which is our ability to recover and move forward despite setbacks. However, when we experience a great deal of stress, or when stress is chronic (it remains over a long period of time), it can be a source of mental health problems. Learn more about stress here.
What are mental health problems?
Mental health problems can be thought of as challenges or difficulties pertaining to your mental state. Some examples include:
- Feelings of sadness or hopelessness that make it difficult to enjoy daily life
- Inability to concentrate on work due to constant worrying or anxiety
- Increasing use of substances to manage unpleasant emotions or thoughts
When mental health problems become severe enough, or last long enough, it is possible for these problems to become a diagnosable disorder.
Can mental health change over time?
Just like how you can make improvements to your nutritional health (by eating more micronutrients) or to your cardiovascular health (by getting more exercise), you can also make improvements to your mental health. It is important to remember that your state of mental health is fluid, and can be impacted by life events, fluctuating economic conditions, and life stages. For example, caring for an ill parent or child, experiencing economic hardship, and working long hours can all impact your mental health.
However, your capacity to cope with certain mental health challenges can change (and improve!) over time too.
How can I improve my mental health?
Some things that affect mental health such as genetics, environment, and life events cannot be changed. However, building and maintaining strong supportive relationships, working with a professional to achieve a balance between positive and negative emotions, and establishing strong coping skills can protect against some of the negative effects of poor mental health and chronic stress. Learn more about coping with stress here.
What is Mental Illness?
Mental illnesses, also called mental disorders and psychological disorders, can only be determined by a qualified professional, such as a medical doctor, nurse
or therapist. Some people may need prescription medication to help manage their mental
illnesses.
It is important to know that mental illness is common. Approximately one in five adults in the United States has a mental illness (NAMI,
2019). The World Health Organization estimates that at some point in their lifetimes, approximately
half of all people in the United States will experience mental illness.
More information about mental health, mental problems and mental illnesses can be found at the following sites.
More information on Mental Health
- NAMI Mental Illness Facts and Information
- NAMI: Know the Warning Signs of Mental Illness
- NAMI: Mental Health by the Numbers (infographics)
- NAMI: Mental Health Fact Sheet Library
Find Mental Health Support Services
If you are unsure about the different types of mental health providers and how they can help you or a loved one, this MontGuide might help: Understanding and Finding Mental Health Providers in Montana (MSU Extension Montguide)
Mental Health Promotion and Prevention Programs Offered by MSU Extension
MSU Extension-Youth Aware of Mental Health Program
Youth Aware of Mental Health (YAM) is a universal intervention (delivered to all youth of a group/class) mental health promotion program that aims to raise mental health awareness about risk and protective factors associated with suicide, including knowledge about depression and anxiety, and to enhance the skills and emotional resiliency needed to deal with stress and crisis. The format of the YAM intervention empowers youth to think, verbalize, and discuss important mental health issues, such as depression, anxiety, and coping strategies, in a context that is meaningful to them.
Leadership and coordination of YAM programming is provided by Dr. Jayne Downey and Kelley Edwards at the MSU Center for Research on Rural Education (CRRE) and delivered by Extension in close partnership with CRRE. More information about YAM can be found here: https://www.montana.edu/crre/youthawareofmentalhealth.html.
Question, Persuade, Refer (QPR)
QPR Gatekeeper Training is an evidence-based suicide prevention program. In this 60-90-minute training, participants learn about common causes of suicidal thoughts and behavior, warning signs of suicide, and how to get help for someone who may be in crisis using three steps (question, persuade, and refer). MSU Extension QPR instructors are listed below with their contact information. These instructors completed the instructor certification training using funds from an outreach small grant from the Western Regional Agricultural Stress Assistance Program (WRASAP; farmstress.us ). WRASAP is supported by the USDA Farm and Ranch Stress Assistance Network under agreement number 2020-70028-32731, proposal number 2020-07631.
View, print or download the most recent MSU Extension QPR Impact Report on this page:
http://health.msuextension.org/fcs_impact_reports/mhfa_impact_report.html
To request a QPR training, contact an instructor directly or complete the request form at the bottom of this page.
- Dr. Alison Brennan
Associate Professor and MSU Extension Mental Health Specialist
316D Herrick Hall Bozeman, MT 59717-3540
(406) 994-4148
alison.brennan@montana.edu -
Jesse FulbrightMSU Extension Agent, Liberty County111 First St E, PO Box 607, Chester, MT 59522406-759-5625
- Kayleen Kidwell
MSU Extension Agent, Deer Lodge County
800 S Main St Anaconda, MT 59711-2950
(406) 563-4035
kayleen.kidwell@montana.edu - Kellie Kahtani
MSU Extension Agent, Silver Bow County
305 W Mercury St Ste. 303 Butte, MT 59701-1659
(406) 723-0217
kellie.kahtani@montana.edu - Josie Evenson
MSU Extension Agent, Richland County
1499 N. Central Ave
Sidney, MT 59270
(406) 433-1206
jevenson@montana.edu - Wendy Becker
MSU Extension Agent, Roosevelt County
307 Broadway PO Box 416 Culbertson, MT 59218-0416
(406) 787-5312
wbecker@montana.edu - Wendy Wedum
MSU Extension Agent—FCS, Pondera County
20 4th Ave SW Ste. 123 Conrad, MT 59425-2385
(406) 271-4052
wendy.wedum@montana.edu - Shelby Jones-Dozier
MSU Extension FCS/4-H Agent—Teton County
1 Main Ave. S., P.O. Box 130, Choteau, MT 59422
(406) 466-2491
shelby.jonesdozier@montana.edu - Veronica BacaMSU Extension FCS/4-H Agent—Park County
119 S. 3rd, Livingston, MT 59047(406) 222-4156veronica.baca@montana.edu - Brenda Richey
MSU Extension Agent, Flathead Reservation
701-B 1st St E
Polson, MT 59860
(406) 471-3810
brenda.richey@montana.edu
Mental Health First Aid and Youth Mental Health First Aid
Mental Health First Aid (MHFA) is an evidence-based, 8-hour mental health literacy course developed in Australia. MHFA prepares participants to respond with greater knowledge, confidence and compassion when an adult is experiencing a mental health problem or is having a mental health crisis. Youth Mental Health First Aid is similar, but the focus is on training adults to respond to youth, with attention to issues that are specific to youth (developmental considerations, risk factors, etc.). Both versions train participants to use a five-part action plan to provide aid. For more detailed info about these programs, go to: https://www.mentalhealthfirstaid.org
View, print or download the most recent MSU Extension Mental Health First Aid Impact Report on this page:
http://health.msuextension.org/fcs_impact_reports/mhfa_impact_report.html
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MHFA Version - Adult
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MHFA Version - Youth
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Alison Brennan Associate Professor/ Extension Mental Health Specialist |
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Mandie Reed |
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Mental Wellness Conversations Project
The MSU Extension Mental Wellness Conversation Curriculum (MWCC) is a research-based mental health promotion tool originally developed for use with adults, particularly farmers and ranchers, in rural communities. The MSU Extension project team developed and published the MWCC in 2023 as an outreach and education project sponsored by the Western Regional Agricultural Stress Assistance Program with funding from a series of federal grants under the regional USDA Farm and Ranch Stress Assistance Network.
Using a customized standard deck of playing cards, each MWCC card rank features a specific wellness theme, promoting positive stress management and coping strategies. The project team began production of a series of recorded videos for each of the themes in early 2025. The video series facilitates broader access to information, strategies, techniques, tools and resources embedded within the MWCC.
For detailed information on the MWCC and a list of facilitators within Montana and across the Western Region visit this webpage: https://www.montana.edu/extension/wellness/stress-management/mt_farm_stress_clearing_house/mwcc.html
To access the video series, click this link: https://www.montana.edu/extension/wellness/stress-management/mt_farm_stress_clearing_house/mwcc_video_series.html
Changing Our Mental and Emotional Trajectory (COMET)
COMET equips community members to initiate a conversation with someone who is experiencing stress and difficulties with mental health. COMET is not a crisis intervention; rather, it can help prevent a crisis by helping a person shift their mental health trajectory back towards wellness. The focus is on supportive interactions that involve active listening and application of concepts from motivational interviewing. COMET was developed by the High Plains Research Network (HPRN) Community Advisory Council (University of Colorado School of Medicine) specifically for use in rural, agricultural communities. Community training is implemented as a single session, 90-120 minutes in duration. MSU Extension currently has 8 COMET trainers:
- Michelle Grocke-Dewey, Associate Professor and Extension Health & Wellness Specialist, Department of Human Development and Community Health (Bozeman campus), michelle.grocke@montana.edu
- Alison Brennan, Associate Professor and Extension Mental Health Specialist, Department of Human Development and Community Health (Bozeman campus), alison.brennan@montana.edu
- Lisa Terry, Agent, Glacier County (Cut Bank), lterry@montana.edu
- Erin Gregory, Agent, Yellowstone County (Billings), erin.gregory@montana.edu
- Kellie Kahtani, Agent, Silver Bow County (Butte), kellie.kahtani@montana.edu
- Valerie Evans, Program Coordinator, Nutrition Education Program (Bozeman campus), valerie.evans@montana.edu
- Lydia Maunz, Associate Specialist, Local Government Center (Bozeman campus), lydia.maunz@montana.edu
- Shelby Jones-Dozier, Agent, Teton County (Choteau), shelby.jonesdozier@montana.edu
Request a Course in QPR, MHFA, MWCC, or COMET
denotes required fields.
For more information:
Alison Brennan, MS, PhD
Assistant Professor / Extension Mental Health Specialist
MSU Extension & Human Development & Community Health
Herrick Hall 316
Phone: 406-994-4148
alison.brennan@montana.edu
Montana State University
PO Box 173540
Bozeman, MT 59717-3540