PRIMARY LOGO USAGE OVERVIEW

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1 THE LOGO IS THE MOST RECOGNISABLE ELEMENT OF THE BRAND, A VISUAL STAMP TO IDENTIF Y AND UNIF Y ALL COMMUNICATIONS. C O N S I S T E N C Y MO AF L UE SS AHGE EL PI SS ETEHK EI NR GE FF OO RR E E S S E N T I A L. M E N TA L H E A LT H : A N U P D AT E MOVEMBER FOUNDATION RIMARY LOGO USAGE OVERVIE THE LOGO IS THE MOST RECOGNISABLE ELEMENT OF THE BRAND, A VISUAL STAMP TO IDENTIF Y AND UNIF Y ALL COMMUNICATIONS. CONSISTENCY OF USAGE IS THEREFORE ESSENTIAL. MOVEMBER FOUNDATION PRIMARY LOGO USAGE OVERVIEW C O L OC U OLR OUR PRIMARY LOGO THE MOV EMBER FOUNDATION PRIM A RY O N P R I M AL O RG OYI N C L U D E S F O U R M A I N E L E M E N T S : THE ROUNDEL, THE RIBBON, OUR NAME N E L E M E ANN DT TSH E: T A G L I N E C H A N G I N G T H E F A C E O F M E N S H E A LT H., OUR NAME LOGO USE BY THIRD PARTIES N G T H E FT HAE LCO GEO M U S T B E R E P R O D U C E D I N ES ITS CORRECT AND FULL FORM AS PROVIDED TO YOU, INCLUDING THE TRADEMARK SYMBOL, AS SHOWN BELOW. UNDER NO CIRCUMSTA NCE S S H O U L D T H E L OGO E V E R BE A LT E R ED O R M A N I P U L AT E D I N A N Y WAY. THE LOGO SHOULD BE INCLUDED IN ALL D U C E D I NCF OO LMLMO UWN TI CHAI ST I OO VN EMR AV TI EEWR I RA EL S. PPELCE TAFSUEL L Y. RM AS PROVIDED RADEMARK SYMBOL, NO CIRCUMSTA NCE S E A LT E R ED WAY. UDED IN ALL L. PLEASE E S P E C T F U L LY. MONO VERSION BL ACK ONLY (FOR WHITE BACKGROUND) COLOUR VERSION MOVEMBER BROWN (FOR WHITE BACKGROUND) MINIMUM SIZE MI Th mu ap cla at s pa Th log in w any Alw be The Movember Foundation log must be clear on all sizes and applications. To maintain optim clarity when reproducing the lo at small sizes, minimum width parameters are specified. The primary configuration of th logo has a minimum size of 18 in width. The logo is not to be any smaller that the set minimu Always refer to the dimensions below. key identifier of our logo, ColourColour is isaathekey identifier therefore preferred presentation of our logo, is in black or brown, on a white therefore thethepreferred background. logo should not presentation appear in any other additional is in black colours. or brown, on a white We understandthe that thelogo logo mayshould not background. appear in a variety of backgrounds. A reversed version is provided appear in any other additional to be used only in dark backgrounds to assist legibility and clarity, colours. and to provide maximum contrast. We understand C O L O U R P A L E T T Ethat the logo may The in Movember Foundation appear a variety oflogobackgrounds. colour palette include the four following colours: black, brown, A reversed version is provided white and grey. to be used only in dark backgrounds to assist legibility and clarity, and to provide maximum contrast. MINIMUM SIZE 18 M M D I A M E T E R CLEAR SPACE PARAMETE COLOUR PALETTE MOV E MBE R BROW N PM S 47 6 C 5 0 M7 0 Y8 0 K 7 0 R 6 0 G 3 6 B2 1 MOV E MBE R BL ACK PM S P RO CE S S BL ACK C 0 M 0 Y0 K10 0 R0 G 0 B 0 MOVEMBER WHITE C0 M0 Y0 K0 R255 G255 B255 MOVEMBER GREY PMS 423 C0 M0 Y0 K45 R 15 9 G 15 9 B 15 9 Keeping a clear area around the logo is essential to maintain consistent presentation. A mini space should isolate the Movem Foundation logo from surround text, illustrations or any other graphics. The correct amount of clear space is equal to one t of the width of the logo. The Movember Foundation logo colour palette include the four following colours: black, brown, white and grey. REVERSED VERSION W HITE ONLY (FOR DARK BACKGROUNDS) PARTNER LOCK UPS A lock up configuration has be designed to present the Movem Foundation logo alongside the logos of third parties, partn and stakeholders. The lock up a the unobstructed presentation o both brands, respecting clear1s parameters, as illustrated belo The two logos are seprated by a key line. The distance betwe the logos and the line is represe by x and equals a fifth of the width of the foundation log CL x N5x MOV E MBE R BROW PM S 47 6 C 5 0 M7 0 Y8 0 K 7 0 R 6 0 G 3 6 B2 1 x R BL ACK MOV E MBE PM S P RO CE S S BL ACK C 0 M 0 Y0 K10 0 R0 G 0 B 0 Ke the con

2 In Australia, as in other countries, there is ongoing concern about the low levels of service use by males with mental and substance use disorders. Recently implemented initiatives have sought to improve help-seeking and reduce the stigma associated with mental illness in the whole population, and among males specifically. However, their effect on service utilisation among males is unknown. The Movember Foundation commissioned a research team to provide updated estimates of the numbers of males using services for mental and substance use disorders, and to investigate factors associated with help seeking among males. The research team conducted a modelling exercise and analyses using data from a range of sources (see Box 1). BOX 1. DATA SOURCES USED IN THIS STUDY Population survey data Administrative data routinely collected by mental health services Regular census of general practices 7 Mental health program evaluations Annual population estimates 11

3 1. MALES ARE MORE LIKELY THAN FEMALES TO EXPERIENCE SOME DISORDERS, PARTICULARLY SUBSTANCE USE DISORDERS In a given year, around 20% of males and females in Australia will experience mental disorders (such as depression, anxiety or schizophrenia) or problems with drugs and alcohol that are clinically significant. Males are more likely than females to experience some of these disorders, and vice versa. For example nearly 10% of males will experience a substance use disorder each year compared with about 3% of females (see Box 2). BOX MONTH PREVALENCE OF MENTAL AND SUBSTANCE USE DISORDERS Males Females Mental disorders Substance use disorders Total (adjusted for comorbidity) Mental disorders Substance use disorders Total (adjusted for comorbidity) 14.6% 9.5% 20.4% 17.9% 3.2% 19.5%

4 2. THE NUMBER OF MALES WITH MENTAL OR SUBSTANCE USE DISORDERS USING MENTAL HEALTH SERVICES HAS INCREASED IN RECENT YEARS The percentage of males with mental or substance use disorders who used services for their mental health each year has increased significantly, from 32% in to 40% in Despite this increase, fewer males used services for their mental health compared to females: 45% of females did in and 55% did in The gender gap appears to be closing though. In the percentage of females using services was 41% higher than for males; in , it was only 37% greater (see Fig. 1). FIG. 1. PEOPLE WITH A MENTAL OR SUBSTANCE USE DISORDER USING SERVICES FOR MENTAL HEALTH, TO % USING SERVICES MALES FEMALES

5 3. THE INCREASE IN MALES USE OF SERVICES FOR THEIR MENTAL HEALTH IS MOSTLY DUE TO THEIR INCREASED USE OF SPECIALISED SERVICES PROVIDED THROUGH GOVERNMENT FUNDED PROGRAMS BOX 3. CATEGORIES OF MENTAL HEALTH SERVICES IN THIS STUDY Public sector specialised services Other specialised services GP but no mental health professional Other health professional only State or territory funded specialised mental health services. Mental health professionals (such as psychiatrists, psychologists, mental health nurses, and allied health professionals working in metal health settings), funded through: programs such as Better Access, ATAPS and MHNIP; Medicare rebates; private health insurance; or consumer payment. GP, where the individual has not also seen mental health professional. Another health professional only, such as other medical practitioners, allied health professionals in general health settings or complementary and alternative medicine providers. a Categories are hierarchically ordered and nonoverlapping. For example, people seen by public sector specialised services are counted only in that category even if they also used other categories of service. The increase in service use in males with mental and substance use disorders is mostly due to their uptake of specialised mental health services made available under new schemes including the Better Access initiative (the Australian Government initiative that provides Medicare rebates for specific mental health services delivered by eligible professionals, predominantly psychologists), the Access to Allied Psychological Services (ATAPS) program, and the Mental Health Nurse Incentive Program (MHNIP). These programs are included in the broader category of other specialised services (see Box 3). Males use of other specialised services grew by 93% between and However, females use of these services outgrew males, rising by 115%. There was a drop (around 18% for males and 35% for females, although these figures are subject to some uncertainty) in the percentage who saw a GP but no mental health professional in the same period. Figure 2 shows the estimated percentage of males and females who used various categories of services for mental health in FIG. 2: CATEGORIES OF MENTAL HEALTH SERVICES USED BY MALES AND FEMALES WITH A MENTAL OR SUBSTANCE USE DISORDER IN % MALES(M) FEMALES(F) Did not use services (M: 60%, F: 45%) Other health professional only (M: <1%, F: 3%) GP but no mental health professional (M: 10%, F:13%) Other specialised services (M: 20%, F: 31%) Public sector specialised services (M: 10%, F: 8%)

6 4. RELATIVELY FEWER MALES THAN FEMALES WITH SEVERE MENTAL DISORDERS SEEK PROFESSIONAL HELP While the availability of mental health services may influence how many people use services, other factors also need to be considered. Analysis of data from the 2007 National Survey of Mental Health and Wellbeing1 indicates that, after accounting for age, people with severe affective, anxiety or substance use disorders were more likely to seek professional help than those with moderate or mild disorders. Worryingly, however, males with severe disorders were 46% less likely than females with severe disorders to consult a health professional. In contrast, males with moderate and mild disorders were, respectively, 34% and 38% less likely to do so. Males with mental or substance use disorders were 35% less likely than females to consult a health professional for mental health. This did not necessarily mean that males were using other types of help; males were 24% less likely than females to rely solely on non-clinical support services (e.g., telephone counselling or internet support groups) or self-management strategies (e.g., help from family or friends, or reducing alcohol or drug intake).

7 5. MOST FACTORS INFLUENCING HELP SEEKING AMONG MALES ARE RELATED TO NEED Most factors influencing help seeking are related to need, regardless of gender, for example, greater severity of illness, greater disability (number of days the person s ability to carry out usual activities was affected), number of mental disorders, having a family member with a mental disorder, and self-assessed poor mental health. Importantly, however, some factors influence help seeking among males but not females. These include being unmarried, single parenthood, and reaction to a traumatic event in the past year. Also, among males, some factors are specifically associated with seeking help from a GP only (e.g., suicidality) while others are associated with seeking help from a mental health professional (e.g., reaction to trauma) (see Box 4). BOX 3. CATEGORIES OF MENTAL HEALTH SERVICES IN THIS STUDY HEALTH PROFESSIONAL CONSULTATION Greater severity of illness a,b,c Number of mental disorders a,c Suicidality in past year a,b a,c Reaction to trauma in past year Self-assessed poor mental health a,b,c Family history of mental illness a Age 30 years a,b,c Unmarried a Single parenthood a Reliant on government benefit a,c SUPPORT SERVICES OR SELF- MANAGEMENT ONLY Greater disability Greater severity of illness Unmarried Not reliant on government benefit Associated with consulting: a, any health professional; b, a GP but no mental health professional; c, a mental health professional.

8 IMPLICATIONS 1. IMPROVING ACCESS TO SERVICES SHOULD REMAIN A POLICY PRIORITY Recently-implemented programs have improved males access to mental health care. However continued policy and service development efforts are required to address factors that impede help seeking among males, some targeting the whole population, and some targeting males specifically. 2. A GENDERED APPROACH MAY BE BENEFICIAL A gender-specific approach to mental health policy may be beneficial because different factors influence help seeking for males and females, some of which are linked to traditional constructions of masculinity in which help seeking may be considered a weakness. Based on this study, some areas for focus in terms of males mental health needs might be: (1) addressing barriers to seeking professional help among males with more severe disorders; (2) promoting GPs as an appropriate avenue for seeking help for males; (3) developing strategies to assist GPs to enquire about mental health problems among males consulting for physical or mental health reasons; (3) ensuring GPs are equipped to manage suicidality; (4) researching the reasons for different service use patterns among males in certain socio-economic groups, and; (5) increasing efforts to enable partners, friends and colleagues to recognise mental health problems in males and encourage appropriate help seeking.

9 REFERENCES 1. Australian Bureau of Statistics National Survey of Mental Health and Wellbeing: Users Guide (Cat. No ). Canberra: ABS; NSW Ministry of Health. Mental Health Clinical Care and Prevention Model: A population health model. Sydney: NSW Ministry of Health; Australian Centre for Posttraumatic Mental Health. Evaluation of the Department of Veterans Affairs Mental Health Initiatives Melbourne: University of Melbourne; Australian Institiute of Health and Welfare. Mental Health Services in Australia. Canberra: AIHW; Mental Health, Drug and Alcohol Principal Committee. Council of Australian Governments National Action Plan for Mental Health : Final Progress Report covering implementation to Canberra: COAG; Steering Committee for the Review of Government Service Provision. Report on Government Services Canberra: Productivity Commission; Britt H, et al. A decade of Australian general practice activity to General practice series no. 34. Sydney: Sydney University; Bassilios B, et al. Evaluating the Access to Allied Psychological Services (ATAPS) component of the Better Outcomes in Mental Health Care (BOiMHC) program: Ten year consolidated ATAPS evaluation report. Melbourne: University of Melbourne; Healthcare Management Advisors Pty Ltd and Department of Health and Ageing. Evaluation of the mental health nurse incentive program. Final report, Adelaide: HMA; Meehan T & Robertson S. Clinical profile of people referred to mental health nurses under the Mental Health Nurse Incentive Program. International Journal of Mental Health Nursing 2013; 22: Australian Bureau of Statistics. Australian Demographic Statistics, Dec Canberra: ABS; Suggested citation: Harris M, Pirkis J, Diminic S, Baxter A, Reavley N, Leske S & Whiteford H. Males help-seeking for mental health: an update. Brisbane: The University of Queensland; Supported by the Movember Foundation and the NHMRC Centre for Research Excellence in Mental Health Systems Improvement.