The Changing Room Initiative: tackling the stigma of poor mental health in men through sport

It’s shocking that 12.5% of men in the UK are suffering from one of the common mental health disorders (estimated by The Men’s Health Forum). And men are as much as two and a half times more likely than women to die by suicide each year, with one of the most at-risk groups being men in their 40s to early 50s.

Other key statistics which show the scale of the problem include:

  • three in four deaths by suicide are by men
  • the highest suicide rate in England is among men aged 45 to 49
  • men living in the most deprived areas are ten times more at risk of suicide than those living in the most affluent areas.

Despite this, men are significantly less likely to access mental health services than women. The Mental Health Foundation found that 28% of men had not sought medical help for the last mental health problem they experienced, and 35% of men had waited over two years or have never disclosed a mental health problem to a friend or family member. Another survey, from the Men’s Health Forum, found a majority of men would take time off work to seek medical help for physical symptoms, but less than one in five said they would do the same for anxiety (19%) or feeling low (15%).

It’s clear, then, that there are strong cultural barriers facing men in relation to mental health diagnosis. Perceived stigma and ideas of masculinity can cause them to avoid seeking help or fail to acknowledge mental health issues.

Changing attitudes in changing rooms

We’ve written previously about the success of Men’s Shed projects in providing a safe, social space for men’s mental health issues to be addressed. We were interested, therefore, to hear about another scheme which is also using a community-based approach to explore men’s health.

The Changing Room Initiative is a two year pilot project which sees the Scottish Professional Football League (SPFL) Trust and Hibernian (Hibs) football club working in partnership with the Scottish Association for Mental Health (SAMH) to engage men in their community around issues of mental health and wellbeing. The project uses football and sport as a tool to encourage men to discuss their mental health and wellbeing and to help direct them to additional support and services within their community.

The initiative is part of a wider program from SAMH which is using sport to improve equality and reduce stigma around mental health. In February 2018, SAMH launched Scotland’s mental health charter for physical activity and sport. Signatories of the charter include Sport Scotland, SPFL Trust, Jog Scotland and Glasgow Life.

In October 2018, following the success of the initial pilot scheme, SAMH announced a second changing room initiative was due to be rolled out at another Edinburgh football club, Heart of Midlothian FC (Hearts).

Using sport to engage and improve mental health

There is a lot of research available which highlights the links between positive mental health and physical activity. Even low-level physical activity has been found to have a positive impact on our mood and general wellbeing. Activities like walking, cycling or gardening have been shown to reduce stress improve self-esteem and have a significant positive impact on depression and anxiety. However, research has also shown that people with mental health issues are also more likely to have poor physical health, and often face additional barriers to participating in sport and becoming active.

The Get Set to Go programme was launched with the support of Sport England and the National Lottery in July 2015 to help people with mental health problems benefit from being physically active. An evaluation of the project published in 2017 showed that physical activity has an important role to play in building resilience, enabling and supporting mental health recovery and tackling stigma and discrimination.

New support networks

There is a continuing push among healthcare and third sector professionals to stress that mental health is just as important as physical health. However, funding for mental health is comparatively low and research shows people are far more willing to acknowledge or accept help for physical illness.

With the roll-out of projects like the Changing Room Initiative to promote mental health in familiar environments, it’s hoped that those struggling with poor mental health will receive the support and treatment they need.


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“Shifting into reverse” – the global gender gap

Gender equality

Image by GDJ via Creative Commons

By Heather Cameron

“Gender parity is shifting into reverse” – this was the finding of the World Economic Forum’s (WEF’s) most recent annual Global gender gap report, published last month.

This is the first time progress, albeit slow, towards gender parity has stalled since the WEF started measuring it in 2006.

Widening gap

On current trends, the overall global gender gap can be closed in exactly 100 years, compared to 83 years reported in last year’s report.

The economic situation is even worse.

Last year, we reported on the gender pay gap, which highlighted the WEF’s 2016 findings that the global economic gender gap will take 170 years to close. This year’s WEF report indicates that women may now have to wait over 200 years to achieve equality in the workplace:

“given the continued widening of the economic gender gap already observed last year, it will now not be closed for another 217 years.”

According to the report, the gaps between women and men on economic participation and political empowerment remain wide. Just 58% of the economic participation gap has been closed – a second consecutive year of reversed progress and the lowest value measured by the Index since 2008 – and about 23% of the political gap, unchanged since last year against a long-term trend of slow but steady improvement.

For the other indicators, the 144 countries covered in the report have closed 96% of the gap, on average, in health outcomes between women and men, unchanged since last year, and more than 95% of the gap in educational attainment, a slight decrease on last year.

Overall, an average gap of 32.0% remains to be closed worldwide in order to achieve universal gender parity, compared to an average gap of 31.7% last year.

The most challenging gender gaps remain in the economic and health spheres.

Country-level

The situation is more nuanced at the country and regional level, however. And the report highlights that a number of regions and countries have crossed “symbolic milestones” for the first time this year.

Countries that improved the economic gender disparity included France and Canada. The UK was one of the most improved this year in general, up five places on last year to 15th place. The report also notes that the UK has made notable progress on political empowerment and women in ministerial positions.

Despite this, the UK still performed more poorly than many other developed countries in a number of categories and things still need to be improved on economic and political participation in the UK.

The lack of any of the G20 nations within the top 10 has also been noted, suggesting that economic power does not necessarily equate to better gender equality. The WEF estimate that the UK could add $250bn to its gross domestic product (GDP) by achieving gender parity.

Final thoughts

Clearly, the importance of gender parity cannot be ignored, not only because it’s unfair but because it can also lead to better economic performance.

The WEF report argues that a key avenue for further progress is the closing of occupational gender gaps, which will require changes within education and business sectors and by policymakers.

It still appears to be the case that higher earning jobs are more commonly held by men. And with recent research suggesting that there is gender bias in job adverts across the UK, such changes can’t come soon enough.


If you enjoyed reading this, you may also like our other posts on the gender pay gap and the place of women in the ‘changing world of work’.

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The Men’s Sheds revolution spreading around the world

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by Stacey Dingwall

Last week I attended ‘Men’s Sheds: the movement in Scotland and the big picture internationally’, an event, organised by the Centre for Research & Development in Adult and Lifelong Learning (CR&DALL) at the University of Glasgow.

Our blog on the Men’s Sheds movement was one of our most popular last year. The movement originated in Victoria, Australia in the 1990s, as a place for men to socialise and take part in practical activities. 23 years later, there are now close to 1,000 such spaces in Australia. Sheds have also proven popular in Ireland (350 Sheds and counting) and Scotland (at least 38 up and running, with 30 in the start-up phase).

Research has indicated that loneliness and isolation are a particular issue for certain groups of men, which is reflected in higher suicide rates. Evaluations of Men’s Sheds have found participation to have a range of positive effects for these groups of men, predominantly in terms of their mental health and wellbeing.

The movement in Scotland …

The first speaker of the day was Willie Whitelaw, Secretary of the Scottish Men’s Sheds Association (SMSA). Willie highlighted two key points, which were themes throughout the rest of the afternoon:

  • The importance of Sheds not being regulated by outside agencies, e.g. government – this was something that those involved in Sheds felt particularly strong about. As noted by Professor Mike Osborne, the Director of CR&DALL, at the start of the afternoon, the reduction in government support for adult education has created a need for people to organise themselves in order to access lifelong learning opportunities. Thus, those who attend Sheds feel strongly about preserving the independence of the space, as well as its democratic dynamic.
  • How to ensure the sustainability of Sheds, and community projects in general – Willie described how the SMSA can support Sheds across Scotland by offering advice on applying for funding, how to keep things like rental costs low, and using mechanisms such as the Community Empowerment Bill and Community Asset Transfers to their advantage. Noting the difficulty that many community projects face in sustaining themselves long-term, Willie highlighted the Clydebank Independent Resource Centre (CIRC), which has been running for over 40 years, as a rare but good example of how sustainability can be achieved.

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…and the big picture internationally

The second speaker of the day was Professor Barry Golding from Federation University Australia. Barry is the most prolific researcher in the area of Men’s Sheds, and published The Men’s Shed Movement: The Company of Men last year. Barry described the origins of the movement in Australia, and suggested it took off due to its provision of the three key things that men need: somewhere to go, something to do, and someone to talk to.

Barry also emphasised the importance of not formalising Men’s Sheds, and particularly not promoting the spaces as somewhere where men with health issues go (not a very attractive prospect to an outsider!) This point was also picked up by David Helmers, CEO of the Australian Men’s Shed’s Association. David described the experience of one Australian Shed who had a busload of patients arrive after being referred by health services. The point of the Shed is to create a third space for men (other than home or work) where they can relax and socialise with their peers. Any learning or health improvements that arise from this is coincidental and not forced.

Barry and David were followed by John Evoy of the International Men’s Shed Organisation (IMSO). John focused on the experience of Sheds in Ireland, noting the impact of the recession as a particular reason why the movement has taken off in Ireland. The IMSO’s aim is to support a million men through Sheds by 2022.

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Strengthening the movement and using evidence

To finish the afternoon, two panels comprising Shed members and researchers considered the questions of how to strengthen and sustain the Men’s Sheds movement, and how research might be beneficial to this.

Shed members on the panel and in the audience suggested that changing the stereotype of Sheds as spaces for older men with health (particularly mental) issues is important. In fact, men of any age are welcome to attend their local Shed, and current members are particularly keen to encourage this in order to support the intergenerational transmission of practical skills that are otherwise at risk of being lost.

In terms of available evidence, it was noted that research on Men’s Sheds is still scarce, and focused on the Australian experience. Catherine Lido, a lecturer in psychology in the university’s School of Education, discussed the pros and cons of carrying out a systematic evaluation of the movement in the UK. Again, the importance of the democratic nature of Sheds was raised – allowing outside agencies, particularly government, to come in and carry out research would involve the loss of some control. Any research conducted would have to be participatory, in order that Shed members did not feel like they were the subject of an ‘experiment’. Barry Golding highlighted, however, that there is currently almost no data on UK Sheds available; rectifying this could strengthen Sheds’ chances of being successful in applications for funding to support their running costs.

If you enjoyed reading this, you may also be interested in our previous blog on ‘makerspaces‘, which have drawn comparisons with the Men’s Sheds movement.

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Increasing participation in sport and physical activity

by Stacey Dingwall

Our latest member briefing focuses on increasing participation in sport and physical activity in the UK, looking at successful examples of increasing activity and ways in which policymakers are trying to overcome the barriers to participation in sport and physical exercise. You can download the briefing for free from the Knowledge Exchange publications page.

Physical activity levels in the UK

Despite the longstanding and valued position in British society of sport, getting people of all ages involved in sport and physical activity has become increasingly challenging. While current UK guidelines for aerobic activity recommend that adults aged 19 and over should spend at least 150 minutes per week in moderately intensive physical activity, the latest statistics on physical activity from the British Heart Foundation indicate that:

  • Only 67% of men in England and Scotland report meeting recommended levels of physical activity, and only 59% in Northern Ireland and 37% in Wales;
  • Women are less active than men in all UK countries, with 58% reporting meeting recommended levels in Scotland, 55% in England, and 49% in Northern Ireland and 23% in Wales;
  • Physical activity levels vary by household income; in England in 2012, 76% of men in the highest income quintile reached recommended levels, compared to 55% of men in the lowest income quintile.

The implications of inactivity

Low levels of physical activity not only have health implications, but also economic – in the UK, inactivity has been estimated to cost the NHS £1.1billion (Allender, 2007) with indirect costs to society bringing this cost to a total of £8.2billion.

Government action

Our briefing highlights the range of policies and interventions implemented by the UK and devolved governments to try and increase participation in sport and physical activity among the population. These include the Department of Education’s £150m per year Primary PE and Sport Premium Fund; and Scotland’s sport strategy for children and young people, Giving Children and Young People a Sporting Chance.

Good practice – home and abroad

In addition, the briefing profiles successful interventions at the community level, such as Let’s Get Fizzical, a physical activity programme for young people delivered by StreetGames in collaboration with Birmingham City Council. International examples of good practice are also highlighted, including the Active Healthy Kids Canada programme and the North Karelia Project in Finland.


 

The Knowledge Exchange specialises in public and social policy. To get a flavour of the commentary it offers, please explore our publications page on the Knowledge Exchange website.

To find out more on how to become a member, contact us.

Shedding light on a serious issue: how Men’s Sheds are tackling social exclusion

by Stacey Dingwall

Promoting awareness of health and social issues among men, and particularly older men, has always been a tricky challenge. According to research, the longstanding stereotype of men who actively avoid visiting the doctor is true: significant numbers of older men may be experiencing loneliness and isolation due to their reluctance to join clubs for older people, a fact which may explain why suicide rates are higher among middle-aged and older (white) men.

One initiative that has tried to tackle this issue is the Men’s Sheds movement, which originated in Australia in the 1990s after concerns were raised over the lack of opportunities for older men to socialise and discuss any issues they were having with their peers. This led to the emergence of numerous Men’s Sheds across the country, in the form of workshops where men could come together to engage in traditional shed-orientated activities such as woodwork, as well as form new social connections and access health information.

The benefits of Men’s Sheds

Evaluations of Men’s Sheds have identified a range of benefits for the men who participate in them, as well as for the wider community. Older men and social activity: a scoping review of Men’s Sheds and other gendered interventions published in Ageing and Society in April 2015 identified a range of positive effects of the initiative on older men, particularly in terms of improvements in their mental health and wellbeing status. While limited evidence was found of a positive impact on the men’s physical health, the review did find that belonging to a Men’s Shed provided participants with both a personal and social sense of accomplishment – through learning and sharing skills and contributing to their local community – as well as a sense of purpose, through social engagement with their peers which enabled opportunities for fun and camaraderie.

Men’s Sheds in the UK

Between 2010 and 2012, Age UK ran a ‘Men in Sheds’ pilot project, initially limited to Kendal, Bildworth and South London. The popularity of the pilot saw it covered in the national press and other ‘Men in Sheds’ projects soon opened in other areas, with one participant expressing his regret that the initiative had not been established in his area years ago.

In 2013, the UK Men’s Sheds Association was launched. They provide information on how to start a new Men’s Shed, or develop an existing organisation, and have helped form regional networks of Sheds.

One of these networks is in Glasgow, which is now home to the Glasgow Area Men’s Sheds (GAMS) group. We spoke to current GAMS secretary Charlie, who became involved in Men’s Sheds after illness led to him experiencing unemployment and social isolation. After coming across the UK Men’s Sheds Association website, he met up with six other men who were also interested in starting a Shed in Glasgow. Fast forward a year, and there are now at least six separate Sheds in the Glasgow area, at which Charlie estimates there are around 80 regular attendees. For Charlie personally, involvement with Men’s Sheds has allowed him to “build a portfolio of work experience, gain possible references, meet new people, go to new places and do new things”.

Charlie also pointed to research published by the Joint Improvement Team (JIT) in February 2015 which highlights the rapid spread of Men’s Sheds throughout Scotland over the last two years, with Sheds now in 18 of the country’s 32 local authority areas. The report also looks at the development paths of Men’s Sheds, as well as drawing out lessons for other community capacity building initiatives and outlining the local and community support needed to develop a Shed.

What about the women!

According to GAMS, the question of why the Sheds are men-only affairs is a common one. Their response is that “Men’s Sheds address specifically male issues involving male social isolation, men’s health both physical and psychological, re-defining of masculinity in modern society […] women have much more and highly developed socialising group opportunities”.

As well as highlighting a tendency towards loneliness among older men, research has also indicated another trend – the decline of men’s social networks as they age, particularly after the death of a partner. Thus, the importance of Men’s Sheds in “promoting social engagement and healthy, active ageing among older men” is perfectly demonstrated.


The Idox Information Service can give you access to a wealth of further information on active and healthy ageing. To find out more on how to become a member, contact us.

Further reading:

The experiences of older male adults throughout their involvement in a community programme for men, IN Ageing and Society, Vol 35 No 3 Mar 2015, pp531-551

Tackling men’s health: implementation of a male health service in a rugby stadium setting, IN Community Practitioner, Vol 84 No 4 Apr 2011, pp29-32

One hundred not out: resilience and active ageing

Active ageing: live longer and prosper – realising the benefits of extended healthy life expectancy and ‘disability compression’ in Europe

Ageing, health and innovation: policy reforms to facilitate health and active ageing in OECD countries

Sharing the caring – tackling the cultural and financial barriers to Shared Parental Leave

Baby hand in father's palmBy Donna Gardiner

New Shared Parental Leave legislation came into force in England, Scotland and Wales on the 1st December 2014.

The legislation provides much greater flexibility in regards to how parents care for their child over the first year of his or her life. Specifically, a new mother can opt to curtail her maternity leave (subject to a minimum of two weeks), and have the child’s father or her partner take any of the remaining weeks as Shared Parental Leave.

Anticipated uptake and impact

The aim of the legislation is to encourage more men to share childcare, drive greater gender equality in the workplace, and eliminate discrimination around maternity leave. The government estimates that around 285,000 couples will be eligible to share leave from April 2015, and that take up will be around 8%.  However, it is not clear whether significant numbers of fathers will take up Shared Parental Leave in practice.

On one hand, there does appear to be evidence that fathers will welcome the new proposals. Research conducted by Working Families found that many fathers wanted to increase the amount of time they spent at home with their children. Indeed, many fathers, particularly those in the 26-35 age group, felt resentful towards their employers because of their poor work-life balance.

These findings are echoed by the IPPR, which found that one in five fathers wanted to change their working patterns, and another one in five wanted to spend more time with their baby, but couldn’t because of financial or workplace reasons. Another report found that over half (57%) of fathers working full time wanted to reduce their hours to spend more time with their children.

Cultural and financial barriers

However, despite the apparent desire among fathers to spend more time with their children, considerable barriers remain. Continue reading