Why Organisations Use Psychological First Aid

Traumatic events are an unavoidable part of human experience. Accidents, sudden loss, workplace incidents, and crises do not wait for the right moment, and when they happen, the people closest to those affected are rarely trained professionals. Psychological First Aid (PFA) bridges this gap. Rather than leaving response solely in the hands of clinicians, PFA equips everyday people, colleagues, managers, and peers, with the skills to offer meaningful support in the critical moments that follow a distressing event.

How It Works

Psychological First Aid is not a clinical intervention, nor does it attempt to be. Its power lies in its accessibility: it can be applied by anyone, in any setting, without requiring a medical background. PFA training builds the capacity to reduce the immediate stress and distress caused by potentially traumatic events through a set of clear, evidence-informed principles:

• Promoting safety from the very first moment of contact;

• Establishing an empathetic human connection that acknowledges distress without judgment;

• Providing physical and emotional comfort tailored to the person's immediate needs;

• Encouraging adaptive functioning and healthy coping in the short and medium term;

• Strengthening internal resources, helping individuals draw on their own resilience;

• Together, these elements create an early protective response, one that can significantly alter a person's psychological trajectory following a crisis.

Why It Matters

Most organisations default to a reactive model: something happens, and then support is mobilised. Psychological First Aid shifts this dynamic toward preparation and prevention. While no organisation can eliminate traumatic events entirely, every organisation can reduce their impact, by creating safer environments, and by ensuring that the people within them know how to act, not just react.

This distinction is critical. A prepared responder who can offer calm, competent support in the immediate aftermath of an incident is not a substitute for professional care — but they are often the reason someone seeks it.

What Organisations Stand to Gain

The business case for PFA is well-supported. Interventions grounded in Psychological First Aid principles consistently demonstrate:

• Reduced anxiety symptoms in individuals who have experienced traumatic events;

• Improved resilience, self-efficacy, and coping capacity over time;

• Better quality of life outcomes for affected employees;

• Greater help-seeking behaviour, meaning people are more likely to access professional support when they need it;

• Reduced stigma around mental health, fostering a more open and psychologically safe culture;

• These are not marginal gains. They represent a measurable shift in how an organisation experiences and recovers from adversity.

Real-World Evidence

Psychological First Aid is still an emerging practice in Portugal, but elsewhere, leading organisations have been building these capabilities for years, with results that speak clearly.

Unilever (UK & Ireland) | Through its Mental Health Champions programme, Unilever trained 4,000 volunteer employees as mental health first aiders, collectively contributing over 2,000 hours of peer support conversations per year. The outcomes were substantial: a 25% reduction in absenteeism related to mental health, an 80% increase in employees feeling supported and engaged, and a 12% rise in productivity across key departments.

WHSmith | The UK retailer set an ambitious benchmark: to train as many psychological first aiders as physical health first aiders. Launched in 2016 with 1,100 front-line managers, the programme has continued to expand. Results include a 352% increase in employee knowledge about how to initiate mental health conversations, with 81% of employees reporting they knew where to access mental health support, and 74% feeling safe to speak with a line manager about their wellbeing.

Delta Air Lines | Delta's Mental Health First Aid at Work programme is scaled to reach all 90,000 of its employees. The initiative has helped Delta earn recognition as #2 on Indeed's Workplace Wellbeing 100 list, achieve an employee engagement score of 83 out of 100 in its 2025 survey, and build measurably greater confidence among staff in recognising and responding to mental health crises. The programme sits at the heart of Delta's broader commitment to a culture of integrity, engagement, and mutual respect.

The Long-Term Perspective

The World Health Organisation estimates that depression and anxiety alone cost the global economy approximately US$1 trillion each year in lost productivity. For individual organisations, the implications are significant, not just in financial terms, but in the human cost of preventable suffering.

Investing in Psychological First Aid is not a reactive measure, it is a strategic commitment to the long-term health of an organisation's people, and by extension, to the organisation itself. When employees know they will be supported in their most vulnerable moments, the result is a culture of trust, resilience, and sustained performance.

The question is no longer whether organisations can afford to invest in psychological preparedness. The evidence suggests they cannot afford not to.

References 

Delta Air Lines. (2025). People Overview. Delta. Retrieved May 25, 2026, from https://esghub.delta.com/content/esg/en/2025/people.html

European Institute of Management and Finance (n.d.). Integrating Mental Health and Wellbeing into Corporate Strategy. EIMF. Retrieved May 25, 2026, from https://eimf.eu/integrating-mental-health-and-wellbeing-into-corporate-strategy/

MHFA England (n.d.). WHSmith. MHFA England. Retrieved May 25, 2026, from https://mhfaengland.org/mhfa-centre/case-studies/whsmith/

Ordem dos Psicólogos Portugueses. (2020). Primeiros Socorros Psicológicos. https://www.ordemdospsicologos.pt/ficheiros/documentos/primeiros_socorros_psicologicos.pdf

Oaklander, M. (2020). How Companies Teach Their Employees First Aid for Mental Health. TIME. Retrieved May 25, 2026, from https://time.com/5783009/first-aid-mental-health/

Unilever UK & Ireland (n.d.). Health & Wellbeing. Unilever UK & Ireland. Retrieved May 25, 2026, from https://www.unilever.co.uk/sustainability/health-wellbeing/

Wang, L., Norman, I., Edleston, V., Oyo, C., & Leamy, M. (2024). The Effectiveness and Implementation of Psychological First Aid as a Therapeutic Intervention After Trauma: An Integrative Review. Trauma, violence & abuse, 25(4), 2638–2656. https://doi.org/10.1177/15248380231221492