CASE STUDIES
Don’t just take our word for it
Community services
Mental Health Co-Responder Programs (Australia)
Application: Police and mental health clinician partnership teams
Scope: Brisbane metropolitan area
Results: Better outcomes for mental health consumers, reduced hospital transport, improved service efficiency
Evidence: Comprehensive qualitative implementation study using Consolidated Framework for Implementation Research
Community services
Mental Health Co-Responder Programs (Australia)
Application: Police and mental health clinician partnership teams
Scope: Brisbane metropolitan area
Results: Better outcomes for mental health consumers, reduced hospital transport, improved service efficiency
Evidence: Comprehensive qualitative implementation study using Consolidated Framework for Implementation Research
Education
The Blue Coat School, Oldham
Methodology: 4C's model-based curriculum using goal setting, imagery, positive self-talk, reframing, and relaxation
Results: Significant improvements in emotional control, confidence in abilities, and overall mental toughness
Impact: Enhanced well-being and academic performance preparation
Business
Novartis Pharmaceutical
Collaboration: AQR International with Peter Clough and colleagues (2011-ongoing)
Application: Mental toughness training related to safety and risk management
Outcome: Significant change in risk perceptions and risk-taking behavior
Scope: Multinational pharmaceutical company safety culture transformation
Emergency Services
NSW Police Mental Health Intervention Team
Program: Enhanced Policing Practice Model (EPPM)
Training: 3,000 officers trained in mental toughness and de-escalation
Collaboration: NSW Police, NSW Health, NSW Ambulance
Focus: Mental toughness for high-stress decision-making and psychological responses
Sport Applications
Elite Cricket Performance
Case Study: Individual elite cricketer using strengths-based coaching
Intervention: 4 private sessions using Appreciative Inquiry Coaching
Measurements: Self, coach, and peer ratings using mental toughness facets
Results: Significant improvements in self-belief and attentional control (maintained post-season)
Method: Personal construct psychology framework combined with MTQ assessment
Education
Right Track Project - Department of Education
Scope: 4,500 young people (school years 6, 9, 10, and 11) across UK
Intervention: Mental toughness assessments plus 10-week coaching program
Results: 49% of sample increased mental toughness (average 19% increase)>br>
Outcomes:
Desire to study full-time post-Year 11 rose from 17% to 28%
Students liking school increased from 53% to 60%
Perception of teacher negativity dropped from 40% to 29%
Education
Independent Schools Study
Participants: 9,057 pupils (Years 4-11), 105 staff
Assessment: MTQ48 and Junior Mental Toughness Indicator (JMT-i)
Findings: Independent school pupils achieved higher mental toughness scores than state school counterparts, particularly in Commitment and Challenge scales
Academic correlation: Mental toughness accounted for 25% of performance variation
Education
Leading European Business School
Population: Elite Masters program students (125 participants)
Challenge: 30% dropout/failure rate
Application: MTQ48 assessment at program start
Key Finding: Despite academic excellence, mental toughness scores were normal population levels, explaining the 30% who found the program "too tough"
Predictive Value: Mental toughness scores predicted program completion success
Education
Major English Local Authority
Context: Senior management group following restructuring
Focus: Performance and behaviour analysis during organisational change
Application: Occupational psychology intervention for leadership team effectiveness
Sport Applications
Scottish Rugby Union Elite/Semi-Elite Players
Methodology: Comprehensive doctoral research using MTQ48
Population: Professional and semi-professional rugby players
Findings: Mental toughness discriminated between elite and semi-elite performance levels
Intervention Development: Mindfulness Acceptance and Commitment (MAC) approach feasibility study
Applications: Video analysis of mentally tough behaviours correlated with MTQ48 scores
Health & Wellbeing
Key Cellular Nutrition - Cellular Health Accelerator Program
Organisation: Key Cellular Nutrition (Dr. Bill Cole)
Program: 16-week cellular health optimisation program
Participants: 198 clients (average age 57, 98.5% female)
Assessment: MTQPlus pre/post intervention
Key Findings:
Clients started with lower mental toughness (4.70) than general population (5.5)
Post-program scores reached near-normal levels (5.38)
Greatest improvements: Life Control (+0.65), Emotional Control (+0.64), Confidence in Abilities (+0.62)
Health Outcomes: Improved sleep, increased energy, weight loss, better emotional management, improved gut health
Sustainability: No significant difference between 4-month and 6-month follow-up scores
Community services
Mental Health Co-Responder Programs (Australia)
Application: Police and mental health clinician partnership teams
Scope: Brisbane metropolitan area
Results: Better outcomes for mental health consumers, reduced hospital transport, improved service efficiency
Evidence: Comprehensive qualitative implementation study using Consolidated Framework for Implementation Research
Employability & NEET Programs
Population: Further Education college students
Result: Pass rates increased from 81% to 88% post-mental toughness intervention
Knowsley Firm Foundations Program
Participants: 370+ Year 11 pupils
Assessment Period: November 2008 - January 2009
Intervention: Staff training plus MTQ48 assessment and intervention workbooks
Achievement: Knowsley schools moved above National Challenge benchmark of 30% achieving 5 A*-C grade GCSEs including English and Maths
Employability & NEET Programs
NEXT STEP Employment intervention (Denmark)
Target: Young people Not in Education, Employment or Training (NEET)
Method: Physical activity combined with employment intervention
Findings: 92% of Danish municipalities used employment interventions with physical activity for NEET young people
Evidence: Comprehensive feasibility study demonstrating effectiveness of holistic approaches
Occupational & Workplace Applications
Emergency Services
Beyond Blue Study
Scope: 21,000+ police and emergency services personnel across Australia
Duration: 2017-2020 (3-phase study)
Findings: Mental health issues more prevalent than general population
Intervention: Workplace mental health strategies based on evidence
Impact: National baseline measures established, policy recommendations implemented
Sport Applications
Sub-elite Junior Table Tennis Player
Duration: Several months sport-specific program
Framework: MTQ48 as guide for individualised coaching
Application: Mental preparation and performance enhancement
Method: Integrated mental toughness development within technical training
Additional Notable Applications
Institute of Leadership & Management (ILM)
Scope: UK's largest management body (90,000 annual qualifications)
Integration: MTQ48 available free to members
Application: Incorporated into multiple ILM courses and leadership programs
Recognition: Mental toughness assessment integrated into professional leadership development
Dubai Women's College
Achievement: Established Middle East's first mental toughness center for education (2011)
Function: Hub for mental toughness training and research in UAE
Scope: Regional center of excellence for 4C's framework application
Call of the Wild (UK)
Application: Adventure-based learning combined with mental toughness assessment
Integration: MTQ48 incorporated into leadership development programs
Method: Outdoor challenge activities designed to develop mental toughness components
Research Impact Evidence
The University of Limerick Impact Case Study demonstrates the global reach and practical impact:
MTQ48 usage: 2,700 test centre across 86 countries (as of 2013)
Sectors: Business, health, sport, and education
Validation: Over 100 peer-reviewed research papers
Applications: Performance prediction, wellbeing enhancement, educational achievement improvement
