Differences between Mental Health First Aid (MHFA) Programs in Australia and United States Betty Kitchener, Mental Health First Aid International 20 May 2015 Congratulations to Dr Subedi and colleagues for evaluating the MHFA USA course with a cultural community in the US. Unfortunately, the results were not as strong as those found in evaluations of the MHFA Australia course delivered to Vietnamese and Chinese immigrants. There are a number of differences that may acount for this. The MHFA Australia program: 1. is longer - 12 hours (2 days) compared to 8 hours in the US. 2. is tailored culturally, and 3. is delivered in the traditional language of the cultural group. Competing interests I am a co-author of the 2nd edition MHFA Australia course, which subsequently was modified by the MHFA USA consortium.