1.     National has learned that 9th grade health education is an optimal time to train teens in tMHFA and have expanded training to grades 9-12, or ages 14-18 instead of Grades 10-12.

2.   Instead of tMHFA required to be taught to an entire grade level of teens, they are offering a more flexible approach that allows schools and youth-serving organizations to implement tMHFA incrementally. For example, sites may offer a course that all teens take during their high school career, rather than a grade level-specific course.

3.    Instead of requiring 10% of staff to take Youth Mental Health First Aid (YMHFA), now only 5% are required but sites are still encouraged to provide YMHFA training to 10% of staff, if possible.