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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 />

15


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 />

16


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 />

17


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

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