FF2163 - Lancs Mind - Facing Up - Brochure - Final 13.09.18
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Fac ng <strong>Up</strong><br />
Full Time Report<br />
& Recommendations<br />
for better mental health
Introduction from<br />
Councillor Brian Taylor<br />
Blackburn with Darwen Mental Health Champion<br />
As the Mental Health Champion for<br />
Blackburn with Darwen Borough Council,<br />
I am honoured to write an introduction to<br />
this report on the <strong>Facing</strong> <strong>Up</strong> men’s project.<br />
Brian Taylor<br />
Executive Member for Public<br />
Health and Adult Social Care<br />
Mental Health Champion for<br />
Blackburn with Darwen BC<br />
Mental health is one of the major challenges<br />
facing Britain now and for the foreseeable future.<br />
Just one significant statistic is that middle-aged<br />
men are the largest group to die from suicide and<br />
East Lancashire has one of the highest rates in<br />
the UK. Anything that can identify and mitigate<br />
these challenges must be welcomed.<br />
The work that this project has done in the<br />
borough to change attitudes, improve awareness<br />
and strengthen local provision for men is of the<br />
up-most importance.<br />
Long may the Champions and stakeholders of the<br />
project continue their outstanding contribution and<br />
commitment to men’s mental health.
<strong>Facing</strong> <strong>Up</strong> Contents<br />
Page 4<br />
About us<br />
Page 5<br />
Why We Do It<br />
Page 6<br />
Who accessed <strong>Facing</strong> <strong>Up</strong><br />
Page 7<br />
Peer Support<br />
Page 8<br />
Work Shops<br />
Page 9<br />
Individual Support<br />
Page 10<br />
Volunteers<br />
Page 11-12<br />
Partnership Work<br />
Page 14-18<br />
<strong>Final</strong> Report Recommendations<br />
3
About Us<br />
The development of <strong>Facing</strong> <strong>Up</strong> started back in 2012 at Lancashire<br />
<strong>Mind</strong>’s Information and Wellbeing project in Blackburn with Darwen,<br />
where it was noted that 70% of the people accessing the service<br />
were men.<br />
The men who accessed frequently spoke about being reluctant to speak out and that it had taken them a long time<br />
to reach out for support and how helpful they found it to speak to other men in similar situations. Working with<br />
the men involved in the project the <strong>Facing</strong> <strong>Up</strong> project was developed based on their views to reach men earlier to<br />
improve mental wellbeing.<br />
Following a successful application to the National Lottery Reaching Communities programme,<br />
<strong>Facing</strong> <strong>Up</strong> launched with five years funding in October 2013 with the following planned outcomes:<br />
1 Reduce isolation through an<br />
Reduced number of men<br />
increase in men talking and<br />
experiencing mental health<br />
supporting each other’s mental<br />
distress through increased range<br />
health and wellbeing.<br />
of support and coping strategies.<br />
3 Men having increased confidence<br />
Increased self esteem,<br />
and information to seek out and<br />
confidence and interpersonal skills<br />
engage in personal development<br />
of men through active community<br />
opportunities through workshops.<br />
involvement and volunteering.<br />
2<br />
4<br />
The project is aimed at any man above the age of 16 regardless of situation. The project has been run by a<br />
full-time project coordinator and a team of passionate and dedicated volunteers. In the five years of running the<br />
project, <strong>Facing</strong> <strong>Up</strong> as reached over 4000 men across all areas of Blackburn with Darwen.<br />
4
Why we do it<br />
Suicide is the single biggest killer of men aged under 45 in the UK,<br />
with 76% of all suicides in 2014 being men (ONS, NISRA, GRO 2014).<br />
Despite this, men are less likely to seek support with only 36% of<br />
referrals to psychological services (IAPT) for men.<br />
Men and woman suicides aged under 45 in the UK, with 76% being men & 24% being woman:<br />
In May 2018 government statistics have<br />
revealed that Blackburn with Darwen has<br />
had the highest number of suicides in East<br />
Lancashire in the last 14 years, with a very<br />
high percentage of these cases men.<br />
Only 30% of men that ended their own lives from the<br />
government statistics in May 2018 seeked help:<br />
The same reports stated that It is known that around 70% of<br />
those ending their own lives will have had no contact with<br />
health or help services. This is where <strong>Facing</strong> <strong>Up</strong> steps in…<br />
to increase the chances that men will engage with services<br />
and thus seek support.<br />
Male statistics<br />
Healthy life expectancy at birth (male):<br />
Age<br />
65<br />
60<br />
55<br />
50<br />
57.5 63.3<br />
Difference of<br />
5.8 years<br />
72.5% of men think there is<br />
stigma attached to Mental<br />
Health Issues in men:<br />
27.5%<br />
72.5%<br />
87% of rough sleepers are men:<br />
13%<br />
95% of prisoners are male.<br />
90% have a mental health problem.<br />
5%<br />
5%<br />
45<br />
40<br />
Blackburn<br />
with Darwen<br />
England<br />
87%<br />
90%<br />
Male prisoners with<br />
mental health problems<br />
Male prisoners without<br />
mental health problems<br />
Female prisoners<br />
More than two thirds of drug related deaths occur in men:<br />
70% 30%<br />
Men are nearly<br />
50%<br />
more likely than women<br />
to be detained & treated compulsorily<br />
as psychiatric inpatients.<br />
There are many studies that seek to explain men’s<br />
reluctance to speak out about mental health. These range<br />
from men having behaviours that are ‘hard wired” into<br />
their genetic make-up, through to social influences and<br />
life experiences that diminish the likelihood of seeking<br />
support.<br />
Our local experience shows that the cultural expectations of<br />
local men around being ‘hard’ and ‘not showing weakness’ are<br />
the biggest barriers to them speaking out. The key to making<br />
<strong>Facing</strong> <strong>Up</strong> a success has been to recognise these factors and<br />
use constant creative and sometimes unorthodox methods<br />
to ensure the men of Blackburn with Darwen, regardless of<br />
background or cultural attitudes, have the tools and awareness<br />
to keep their mental health on track.<br />
5
Who accessed <strong>Facing</strong> <strong>Up</strong><br />
During its period of delivery, the project has reached over 4000<br />
men, ranging from stressed students to frustrated job seekers<br />
through to millionaire businessmen.<br />
Issues presented range from low level stress all the way to bereavement and everything in-between.<br />
The age range of men has been broad from 16 through to late 80s as figure 1 shows.<br />
The ethnicity profile of men accessing the project to date has also been reflective of the local population, showing the<br />
benefit of engaging men within their communities as shown by figures 2 and 3.<br />
Figure 1<br />
<strong>Facing</strong> <strong>Up</strong> age range<br />
Figure 2<br />
<strong>Facing</strong> <strong>Up</strong> ethnicity profile<br />
Figure 3<br />
BwD ethnicity profile<br />
Stress levels<br />
80<br />
60<br />
40<br />
20<br />
0<br />
21% 58% 21%<br />
Under 25 25-54 55+<br />
Age<br />
69.2% White<br />
13.4% Indian<br />
12% Pakistani<br />
2% Bangladeshi<br />
1% Other<br />
69.2% White<br />
13.4% Indian<br />
12.2% Pakistani<br />
1.2% Mixed Race<br />
1.1% Other Asian<br />
1% Bangladeshi<br />
0.8% Other<br />
0.6% Black<br />
0.5% Chinese<br />
What we did<br />
Co-produced with local men the project involved<br />
three main activities all underpinned by the Five<br />
Ways to Wellbeing, five daily actions evidenced to<br />
improve wellbeing (New Economics Foundation, 2008).<br />
Activities included peer support groups to build connections, workshops to develop coping tools and individual support to help<br />
men overcome barriers to accessing group or formal support. Alongside this main delivery was <strong>Facing</strong> <strong>Up</strong>’s mission is to<br />
change attitudes, drive out stigma and ensure that all barriers to men looking after their mental health are crushed by promoting<br />
men’s mental health through campaigns including social media and radio and TV interviews.<br />
We continued throughout the<br />
project to collect data and<br />
the following outcomes have<br />
been achieved based on the<br />
4000 plus men who came<br />
into contact with us:<br />
0%<br />
100%<br />
80%<br />
60%<br />
40%<br />
20%<br />
79%<br />
88%<br />
68%<br />
60%<br />
37%<br />
79% of men feeling more supported<br />
88% of men have increased awareness of coping strategies<br />
68% men report had reduced mental health distress<br />
60% men report increased confidence to engage with personal<br />
development opportunities including seeking further support<br />
37% men engaging in personal development opportunities including<br />
seeking further support<br />
6
Peer Support<br />
Peer support is widely accepted as a great tool for looking<br />
after your mental wellbeing and increasing your resilience and<br />
confidence; however there has been reluctance by men to attend<br />
traditional peer support in the past.<br />
<strong>Facing</strong> <strong>Up</strong> addressed this by rebranding peer<br />
support, calling groups ‘Off Loads’, simply<br />
places to get things off your chest. Offloads<br />
have also developed with local men to include<br />
activities such as snooker, table tennis,<br />
curry clubs, gardening, walking football and<br />
computer chats.<br />
Using these activities as a hook means that men<br />
are more likely to attend and whilst at the group<br />
support each other without having the ‘unease’ and<br />
‘awkwardness’ of a traditional talking group. Over<br />
1000 men accessed our Off-Load groups. We set up<br />
12 offload groups in Blackburn with Darwen, all based<br />
within local community assets including libraries, cafes<br />
and community centres.<br />
Peer Support Case Study<br />
Bill, a married man from Blackburn who had worked all his life had recently been<br />
made redundant and being in his late fifties he felt ‘on the scrapheap’.<br />
Bill attended a <strong>Facing</strong> <strong>Up</strong> ‘one to one’ at Blackburn Job Centre where we came up with a wellbeing plan together. Part of the<br />
plan was to attend one of our Off-Load groups. After attending for a few months Bill went on to volunteer at the group, helping<br />
with the practical stuff and importantly befriending new members. From this Bill went on to further volunteering opportunities.<br />
Bill<br />
From Blackburn<br />
I would have never gone to a group<br />
before let alone volunteer at one. I was in<br />
a bad place after being made redundant,<br />
at that age you feel worthless and your<br />
confidence is completely gone. I am so<br />
glad that I went along to the group. I<br />
gained new friends and a sense of self<br />
worth came back. As for the volunteering,<br />
it is the best thing I’ve ever done!<br />
7
Workshops<br />
<strong>Facing</strong> <strong>Up</strong> workshops were developed for men<br />
who don’t like workshops.<br />
Feedback from the guys in the development team suggested a number of reasons for this from ‘feeling embarrassed’, ‘having<br />
to do stuff in front of others’, ‘nervous of meeting new people’, and ‘it’s like being back at school, I’m not a kid’. Working with<br />
the steering group we developed two conversation based workshops, one based on the Five Ways to Wellbeing to increase<br />
confidence, resilience and mental wellbeing and the second workshop to tackle anger.<br />
With the changes from traditional delivery, 1932 men have attended workshops!<br />
Five Ways to Keep on Track<br />
Using the Five Ways to Wellbeing the workshop challenges<br />
men to look at their lifestyle and implement goals that will<br />
have a positive effect on their mental wellbeing.<br />
Five Tools to a Calmer You<br />
In response to requests for anger management, this<br />
workshop provides simple tools and tips to help men<br />
to manage their anger and keep on track.<br />
Be<br />
Active<br />
Take<br />
Notice<br />
Keep<br />
Learning<br />
Workshop Case Study<br />
Abdul accessed our Five Ways to Wellbeing workshop<br />
when we delivered at Blackburn College University Centre.<br />
“I am not originally from Blackburn and coming here to study meant that I had no friends. The stress of my university work<br />
and having nobody to chill with after can really take its toll. My confidence was gone, and I wanted to leave university it<br />
was that bad” Abdul sustained his new lifestyle choices and became a key member of his cricket team, also helping at the<br />
club. His studies continued successfully, and he went on to pass his degree.<br />
Abdul<br />
From Blackburn<br />
The workshop was awesome, I always<br />
thought that you couldn’t do anything about<br />
your own mental health until this. The tips<br />
I learned were so simple and obvious but<br />
really worked. After attending it inspired me<br />
to join a cricket team where I met new people<br />
who are still my friends today, and I had the<br />
confidence to go the gym and swimming in<br />
the evenings, I’m a different man now.<br />
8
Individual Support<br />
<strong>Facing</strong> <strong>Up</strong>’s individual support is delivered in two ways; the first being a<br />
structured wellbeing plan called an MOT and the second a non structured<br />
approach.Which is a confidential non judgemental listening ear that can<br />
be a conduit to getting further support if needed.<br />
The MOT is a wellbeing plan based around The Five Ways to Wellbeing that help people to set goals to carry out activities to<br />
enhance their mental wellbeing. As part of the plan men also review their mental wellbeing to take stock of where they are.<br />
Men who complete the plan are also contacted for a follow up to check in with their goal progress. Goals can be small steps<br />
such as socialising more all the way up to larger goals such as volunteering or going to university.<br />
The average wellbeing<br />
score pre MOT:<br />
The average wellbeing<br />
score post MOT:<br />
31 55<br />
Individual Support Case Study<br />
Darwen man Paul accessed <strong>Facing</strong> <strong>Up</strong> after being referred to us by <strong>Mind</strong>sMatter where<br />
he gained support including medication and talking therapies for depression and anxiety<br />
following his large business going bankrupt.<br />
Paul in his own words was “a millionaire with Ferraris and nice holidays but it all went.” This had a tremendously negative<br />
impact on Paul as he saw himself as a “failure” and was “embarrassed to see old friends”. Paul had become withdrawn and<br />
his wellbeing was low as well as his confidence. “I felt shattered, zero confidence, I had never dreamed that my mental health<br />
would ever be at risk but it goes to show it can happen to anyone”. <strong>Facing</strong> <strong>Up</strong> worked with Paul on a one to one basis giving<br />
him a listening ear and creating a MOT.<br />
Paul<br />
From Darwen<br />
It is the best thing I have ever done, I love<br />
how you can just get things off your chest<br />
with no agenda, the MOT worked too,<br />
particularly the exercise bit, I’m at the gym<br />
nearly every day, you have made a real<br />
difference to my life and I am nearly back to<br />
where I was before<br />
9
Volunteers<br />
Volunteers are at the heart of <strong>Facing</strong> <strong>Up</strong>’s services and without<br />
their time, local knowledge and enthusiasm we wouldn’t be able to<br />
continue the vital work that we do.<br />
Volunteer roles include facilitating peer support and delivering workshops and alongside this main delivery they are also<br />
champions of men’s mental health spreading the positive mental wellbeing message across the borough. Recruiting local men<br />
has been a tremendous success with their invaluable knowledge of our local communities, their position of trust and their<br />
inimitable way they can support their fellow men.<br />
Over 30 men have<br />
volunteered with <strong>Facing</strong> <strong>Up</strong><br />
since 2013, here is a little<br />
more about three of them:<br />
John Gettins is a 52-year-old local man living in the Highercroft area of Blackburn.<br />
John has lived experience of mental health conditions and now manages his mental<br />
wellbeing through being involved in peer support. He accessed <strong>Facing</strong> <strong>Up</strong> for a one to<br />
one and showed interest in starting a peer support group which we helped him set up.<br />
John’s passion for his work is incredible and he is making a real positive difference to<br />
the men of the borough and his community. “After having relationship problems a few<br />
years ago and other personal problems I ended up in hospital after taking an overdose.<br />
Thankfully I recovered but my mental health has been an issue since with depression<br />
still affecting me. I am on medication which works but I also help out in my community<br />
which is a tonic in itself” John has run the group for three years and it is still going<br />
today highlighting his dedication and passion for men’s mental health.<br />
Lee Jones approached <strong>Facing</strong> <strong>Up</strong> after seeing us at the Blackburn<br />
College Fresher’s Fair where we were promoting men’s mental<br />
health. Lee owned his own successful building firm and had<br />
accessed counselling himself and really benefited from it and<br />
“wanted to give something back”. Lee has facilitated the Hopwood<br />
Court group since its inception and has been a constant positive<br />
presence. His passion and down to earth manner are key to the<br />
groups’ success. Lee went on to be successful at university and is<br />
now a skilled counsellor.<br />
Lee Jones<br />
From Blackburn<br />
I just love doing it,<br />
it is the best thing<br />
I have ever done,<br />
some things in<br />
life aren’t about<br />
money, I get more<br />
out of this than<br />
earning big cash.<br />
Helping to support<br />
other men has<br />
been enormously<br />
beneficial to me in<br />
terms of experience<br />
and also my own<br />
mental health.<br />
John Gettins<br />
From Highercroft,<br />
Blackburn<br />
Kenny Cooper<br />
From Blackburn<br />
Kenny Cooper is a local lad who came through Lancashire <strong>Mind</strong>’s Wellbeing Coach service after struggling<br />
with depression. An experienced and hardworking engineer by trade his mental health suffered due to<br />
the stresses of work and life. Kenny benefitted enormously from the wellbeing service and it inspired him<br />
to want to go into counselling. Kenny approached the <strong>Facing</strong> <strong>Up</strong> Project to ‘give something back’ and to<br />
gain some experience in the field of mental health. The passion, knowledge and experience of Kenny is<br />
phenomenal, and he has made a huge difference to men’s mental health in the area. He has done this by<br />
constantly campaigning and being a champion for the cause. Being involved with <strong>Facing</strong> <strong>Up</strong> and the Time to<br />
Change campaign has given Kenny the experience and confidence to pursue his dreams, and he is now at<br />
university studying counselling and volunteering for local projects.<br />
Peer support means<br />
a lot to me as I am<br />
very passionate about<br />
it but the main thing<br />
about this project is<br />
that it is delivered<br />
and attended by<br />
people from the same<br />
background, sharing<br />
tips and experiences<br />
with each other.<br />
My motto is ‘don’t be<br />
ashamed of yourself,<br />
face up, be honest<br />
and seek help just like<br />
I did cause that’s the<br />
only way forward’<br />
Projects like <strong>Facing</strong><br />
<strong>Up</strong> are essential if<br />
we are going to get<br />
men to open up and<br />
get support. Changing<br />
attitudes on a local<br />
level can really make<br />
a difference.<br />
10
Partnership Work<br />
One of the key aspects of ensuring that men have as many<br />
opportunities as possible to access our service is our<br />
partnership work.<br />
We have some fantastic partners who do tremendous work and make a real difference to our community. Working with<br />
partners has helped to embed <strong>Facing</strong> <strong>Up</strong>’s ethos and a focus on men’s mental health across the community.<br />
Here are some of the examples of who we work with and where we deliver.<br />
Blackburn with Darwen<br />
Age UK’s statistics show that as men get older<br />
they can start to become socially isolated and<br />
consequently their mental wellbeing can be greatly<br />
affected. With this in mind <strong>Facing</strong> <strong>Up</strong> and Age<br />
UK came together to deliver men’s peer support<br />
groups with an emphasis on building social<br />
connections, instilling resilience and raising men’s<br />
mental wellbeing.<br />
Age UK are an invaluable partner who share our passion for<br />
the wellbeing of our community. Aligning our services has seen<br />
us deliver extremely successful Blackburn and Darwen based<br />
peer support groups that are continually very well attended and<br />
constantly receive amazing feedback.<br />
Mark Wood<br />
From Age UK<br />
The <strong>Facing</strong> <strong>Up</strong> men’s group which meets weekly<br />
at Hopwood Court continues to go from strength to<br />
strength with an average of 10 men attending each<br />
week. Much of the success of this group is due to our<br />
strong relationship with Lancashire <strong>Mind</strong>. We have<br />
had such positive feedback from participants and<br />
because we strongly believe the <strong>Facing</strong> up Project<br />
plays an important role in providing much needed<br />
support to men including those 50+ we have been<br />
pleased to expand our meeting room and activity<br />
equipment. Having the group onsite enables us to<br />
refer in directly and to offer support with staff and<br />
volunteers to ensure the groups sustainability.<br />
11
One of the early issues that came up as we developed <strong>Facing</strong> <strong>Up</strong><br />
was the resistance of young males to reach out for support.<br />
Our feedback has shown that the young men were not recognising poor mental health or were reluctant to speak out.<br />
Even when issues were raised and referrals were made to services there was a high chance of non attendance. To tackle<br />
this problem <strong>Facing</strong> <strong>Up</strong> alongside the Safeguarding Team at Blackburn College and University Centre set about creating a<br />
male mental wellbeing package consisting of promotion around mental wellbeing, workshops, a drop-in, and one to one’s all<br />
delivered on site. This has been hugely successful and has seen high participation and attendance.<br />
Francesca Keough<br />
From College Safeguarding team<br />
The project has worked really well, and we know<br />
that working with <strong>Facing</strong> <strong>Up</strong> has enabled us to offer<br />
the early help and support to young men before<br />
they get to crisis point. We know that being able to<br />
refer them to the service on site means that they are<br />
much more likely to attend as they are in familiar<br />
surroundings which has been evidenced in the low<br />
amount of DNA’s. Our feedback from the students<br />
has been very positive so we know that we are<br />
offering the right service.<br />
Blackburn & Darwen Job Centre’s<br />
<strong>Facing</strong> <strong>Up</strong> delivers<br />
individual support and<br />
also offers workshops<br />
in both of the boroughs<br />
job centres.<br />
We create MOTs and<br />
signpost to wider mental<br />
health services where<br />
more support is needed.<br />
Dawn O Rourke<br />
From Blackburn Job Centre<br />
Looking for work can be a<br />
stressful time and for us to be<br />
able to offer support within the job<br />
centre is a real benefit for the job<br />
seeker. There can be numerous<br />
detrimental effects being out of<br />
work can have including low<br />
self esteem and social isolation.<br />
Having <strong>Facing</strong> <strong>Up</strong> on site to help<br />
propose personal development<br />
opportunities that could enhance<br />
the job seekers wellbeing is a real<br />
asset to our organisation.<br />
12
for better mental health<br />
Be thankful for what you are<br />
now, and keep fighting for what<br />
you want to be tomorrow.<br />
13
<strong>Final</strong> Report Recommendations<br />
One of the early issues that came up as we developed <strong>Facing</strong> <strong>Up</strong><br />
was the resistance of young males to reach out for support.<br />
Gender specific services and approaches have been around a while for women, however male specific services are still<br />
relatively rare. Throughout the project we captured accounts and experiences of men of what they thought of the current<br />
support model and why they are so apprehensive to engage with services or to look after their own health and wellbeing.<br />
These recommendations cover these problems at length; not in an academic way but through real findings and conversations.<br />
Some of the language is direct and is reflective of the true thoughts of local men. This information therefore is vital if any<br />
service or organisation is considering increasing their reach to engage more men.<br />
The recommendations include findings around having true partnership with community and private assets which are an open<br />
door – it highlights that it doesn’t have to be complicated but about simple consistent messages spread through the right people<br />
to the right people.<br />
Since <strong>Facing</strong> <strong>Up</strong>’s launch, Blackburn with Darwen has significantly increased its male provision; this was done by the men<br />
accessing <strong>Facing</strong> <strong>Up</strong> subsequently having the confidence to go on to get further support, and by services implementing the<br />
strategies we learnt.<br />
Men often have mental health needs that<br />
are distinct from those of women and<br />
which are particularly associated with<br />
the lived experience of being male.<br />
14
Making services simple to engage<br />
All evidence and word of mouth conversations with the men of<br />
Blackburn with Darwen pointed to it being ‘too complicated’ or<br />
‘too much hassle’ to participate in looking after your own mental<br />
wellbeing or accessing support where needed. This section looks<br />
at the solutions to the problems that local men stated.<br />
Recommendation 1<br />
Bring services to male dominated spaces<br />
When <strong>Facing</strong> <strong>Up</strong> was in its development stage it was imperative that<br />
we consulted local men to see what they really needed and what<br />
would make them engage with a project such as ours.<br />
This led us to ‘get out there’ and visit male dominated spaces such as pubs and working<br />
men’s clubs and workplaces e.g. construction sites. We were surprised to hear from the<br />
men that this was the first time any service of any kind (including physical health) had<br />
gone to them. This was a key part of our initial learning and shaped the way the project<br />
developed. With this in mind we successfully engaged men in their own environment. We<br />
also found that delivering in ‘Safe male spaces’ such as the pub and building sites gave us<br />
an increased uptake in numbers engaged, and feedback from activities such as workshops<br />
was significantly better than when delivered in more traditional settings.<br />
Recommendation 2<br />
Create a ‘Man Package’ with partners<br />
Men, we found, tended only to engage with a service if they<br />
were at crisis point or if it was compulsory that they attend an<br />
appointment e.g. at the Job Centre.<br />
This is a great opportunity to ensure messages can be spread and cross referrals<br />
can be made. This is particularly important where mental health is considered as it is<br />
often the lowest priority. Creating strong partnerships with as many local services as<br />
possible is key. Consider working with partners to have a package where services are<br />
intrinsically linked e.g. housing, job seeking and GP’s. We have also found evidence that<br />
having mental health services / messages in tandem with physical or practical services<br />
‘normalises’ and creates parity for looking after your mental health.<br />
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Recommendation 3<br />
Deliver on site where possible<br />
A great example of this is the work that ensued with the local job<br />
centres. Talks with the job centre staff highlighted a need for an<br />
easy to access mental wellbeing service for them to refer to for<br />
male customers who were needing support.<br />
This need was highlighted due to men not turning up to traditional services when referred. Talking<br />
to the customers we found that they were apprehensive to visit services ‘off site’. Reasons cited<br />
included “I’m not keen going to unfamiliar places for the first time”, “How am I supposed to get<br />
there? I don’t drive” and “I can’t afford to get there”. With this in mind, <strong>Facing</strong> <strong>Up</strong> initialised a<br />
contract with the two main job centres’ in the local area to have a weekly presence at each for a<br />
full day. This worked excellently as advisers could point men in our direction immediately or refer<br />
to a familiar accessible place. Delivering in the workplace is also a good idea. We delivered our<br />
workshops in factories and on building sites across the borough ensuring men were exposed to<br />
positive mental health messages without having to change their routines.<br />
Recommendation 4<br />
Rethink referral processes<br />
Our research with local men provided some key insights into why they did not engage with<br />
further support or services even when they had been highlighted to them. We found there were<br />
three key points to making referrals a success.<br />
SPEED<br />
‘Strike whilst the irons hot’ was one mans way of<br />
putting it. This links in to other recommendations<br />
around partnership working. Once a man has<br />
engaged with a service it is at this point where<br />
he is in a place mentally to ‘sort things out’.<br />
This could be attending a smoke cessation<br />
clinic and then being told about other offers<br />
around physical health i.e. gym offers or more<br />
pertinently mental wellbeing provision such as<br />
the ‘Five Ways’ or more serious support offers<br />
such as IAPT.<br />
ANONYMITY (due to existing stigma)<br />
This suggestion can be of particular worry to<br />
traditional services as data etc. needs to be<br />
understandably collated. However, when we<br />
consider how low the figure is of men accessing<br />
any service at all, it needs to be considered.<br />
<strong>Facing</strong> <strong>Up</strong> offered a ‘no name needed’ approach<br />
as a ‘Trojan Horse’ to get men to at least get<br />
on the ladder to support. This increased our<br />
engagement and provided a platform for men<br />
just to off-load and get everything off their chests<br />
without having to be part of a process. This also<br />
allowed us to alleviate fears of engaging with<br />
further support.<br />
PAPERWORK<br />
Feedback throughout the project delivery<br />
continually suggested that paperwork was a<br />
barrier to engagement. There were multiple<br />
reasons to this including “I haven’t got time to fill<br />
out loads of stuff, I just need sorting”, “I haven’t<br />
used a pen since school mate, it’s embarrassing<br />
if I can’t write properly”, “Why do they ask you<br />
all these questions? I don’t know where my info<br />
is going”. A suggestion to alleviate this problem is<br />
keeping forms or data collection to only what is<br />
absolutely necessary.<br />
Recommendation 5<br />
Services must be flexible<br />
Men today are more varied in their lifestyles than ever before and<br />
services must recognise this. Working hours, occupations, family roles<br />
and even the nuances of class can be a major issue to a structured<br />
approach to engagement.<br />
Suggestions to solving this problem have appeared through our project delivery. Times of delivery<br />
i.e. drop in’s, one to one’s, information stands, or peer support groups must be held within and<br />
outside of traditional working hours. These deliverables must also (as was covered earlier) be taken<br />
to where men are i.e. pubs or their workplace.<br />
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Making your service appealing to men<br />
This section is looking at the age-old problem of men’s negative attitude to looking<br />
after themselves. It covers advertising and promotion but more importantly service<br />
design. Feedback we have received suggests that weak or untargeted promotion<br />
does not work and thus men have low awareness of services or health messages<br />
that are relevant for them. How the provision is designed must also be considered<br />
central to the development of services if they are going to appeal.<br />
Recommendation 6<br />
Co production<br />
Having local men involved in developing your service is an<br />
excellent way of ensuring the provision is relevant for its<br />
intended audience.<br />
This gives you an accuracy of product that will reflect the community of delivery and will ensure<br />
interest and take up through acceptance. The key way to make sure your service appeals to men<br />
is to work with them not only in development, but also where possible to deliver the offer.<br />
If the service has been designed and is delivered by blokes I’d be much more<br />
likely to get involved; what do women know about what blokes want.<br />
An example of co-production leading to more successful delivery and uptake is the workshops we developed. Traditional workshops were seen<br />
as long winded and had an image of ‘like being back at school’. The men who helped us shape the workshops and attend them said amongst<br />
other great feedback “Workshops we’ve been on that took all day could have told us all the info in half an hour” and “Make it more of a laugh<br />
and less professional”. The feedback was taken on board and workshops became shorter and snappier. Also implemented was a deliver on<br />
site policy where the workshop was delivered in non-classroom style environments such as workplace canteens, social settings, and even<br />
outdoor spaces. The recommendation here is to have a project designed from the ground up by men and delivered by men in a very male or<br />
neutral environment.<br />
Recommendation 7<br />
Recruit locally for staff and volunteers<br />
Volunteers and champions recruited from within the<br />
local community will act as role models in getting<br />
men to better look after their mental health.<br />
There can also be a trust issue in some areas where<br />
the local men have stated suspicion of the ‘outsider’<br />
particularly if they think they are being patronised by<br />
someone more ‘educated’ or from a ‘posher’ part of<br />
the world who doesn’t know the local community and<br />
the issues they may have faced. There has also been<br />
feedback in some communities concerning men having to<br />
‘respect’ someone if they are going to embrace a service.<br />
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Recommendation 8<br />
Mainly Marketing<br />
<strong>Facing</strong> <strong>Up</strong>’s marketing material was not a tweaked version<br />
of existing resources; it was designed from scratch.<br />
The first things to not be included from traditional resources were ironically the words<br />
‘Mental Health’ and ‘Wellbeing’. Consulting with local men and finding out what works<br />
led us to the following recommendations…<br />
1<br />
4<br />
Use humour where possible even<br />
when conveying serious messages.<br />
This could be humorous but topical<br />
Tweets or promotional material.<br />
Keep it simple and non –<br />
professional. Not all men<br />
know the lingo and acronyms<br />
of professional services.<br />
5<br />
2<br />
Use men’s language. Don’t be afraid<br />
to use local bloke type phrases in<br />
resources and when staff deliver.<br />
Try to create male specific material<br />
as much as possible too. Feedback<br />
suggests gender neutral material is<br />
perceived as aimed at women.<br />
Use champions to carry the message.<br />
Men who are knowledgeable and<br />
passionate about the cause can be<br />
vital to spreading the word.<br />
6<br />
3<br />
Keep messages short and sweet.<br />
Too much information can be<br />
overwhelming and can put off<br />
further engagement.<br />
Use celebrities where possible as role<br />
models to influence men. This could<br />
be simply asking for retweets on<br />
Twitter from local football players.<br />
Recommendation 9<br />
Male targeted delivery<br />
Feedback received throughout our project has<br />
pointed towards the fact that men would not have<br />
bothered to engage with us if the project wasn’t<br />
male specific. When the reasons were explored<br />
the answers were revealing...<br />
Most of my problems that have caused<br />
my mental health issues are because of<br />
women, I don’t trust them anymore.<br />
I don’t like going to a service that is for women as well as blokes.<br />
Services are always in a GP’s or a public building, they are full<br />
of women and kids, there are also toys and women’s magazines<br />
everywhere, that makes me feel really uncomfortable.<br />
Whilst the above may be challenging to read, it reflects the fact there is a gap in male specific delivery and spaces. The recommendation here<br />
is twofold. Firstly, the creation of male specific spaces in existing services. This could be GP surgeries having a male only evening or services<br />
opening Saturday morning for males only. This was seen and worked well in the local children’s centre’s where <strong>Facing</strong> <strong>Up</strong> organised male<br />
only Saturday morning Dad’s Club’s where fathers could bring their children in to play and the dads could meet other similar men and support<br />
each other. Secondly, it is advisable to have men at access points where men might engage and the deliverer of your services to be male. This<br />
ensures that you can easier gain trust and respect and make men feel understood.<br />
Recommendation 10<br />
Piggyback national campaigns<br />
Men’s health has never been on the radar as<br />
much as it is now. This is due to the fantastic<br />
work by organisations such as The Men’s<br />
Health Forum, The Movember Foundation and<br />
Time to Change.<br />
Having national campaigns gives our cause a real push. The gravitas<br />
in the media (including social) ensures more men are aware of the<br />
messages around health when campaigns such as ‘Time to Talk’ day<br />
or Movember are on. It is essential to campaign at the same time<br />
and use their resources, which in many cases are free. The various<br />
campaign health weeks and days (such as Men’s Health Week) that<br />
are spread through the year have recently been picked up by the<br />
media and thus are a good chance to get a spot on the radio or TV<br />
to give your service or message some free promotion.<br />
Times are changing; what is<br />
happening in men’s mental<br />
health is really good news. I<br />
see it all the time these days<br />
with football players and male<br />
role models opening up. This is<br />
changing the way we look at the<br />
issue and therefore more blokes<br />
will speak out earlier. I think<br />
it is definitely due to the big<br />
campaigns and the local stuff<br />
that goes on coming together.<br />
18
for better mental health<br />
We’re not right good at talking us blokes.<br />
Stress, money, job issues, fed up, alone, angry,<br />
break-ups and the rest. The ‘<strong>Facing</strong> <strong>Up</strong>’ project<br />
is here to give you the time and the tools to get<br />
stuff sorted and get back on track.<br />
Being silent isn’t being<br />
strong. Face <strong>Up</strong>!<br />
19
Mental Wellbeing for all<br />
We are more than a mental health charity. We’re a passionate movement leading<br />
the mental wellbeing revolution in Lancashire. We campaign to make your mental<br />
wellbeing a local priority. We help you find the tools you need to stay on track,<br />
and when needed, get back on track. We work across Lancashire to shape a<br />
generation that won’t treat people differently based on their mental health. We<br />
don’t just stop there. It’s big, bold and ambitious. A whole population approach<br />
that works for people at every level of mental health. Together, we can achieve<br />
it. Let’s make Lancashire the beacon county for mental wellbeing.<br />
www.lancashiremind.org.uk<br />
B A D<br />
@lancsmind @lancashiremind Lancashire <strong>Mind</strong><br />
80-82 Devonshire Rd, Chorley, PR7 2DR<br />
Charity Number: 1081427 Company Number: 3888655