London Friend

Our CEO Monty Moncrieff discusses the new European Drug Report 2015, and increasing concerns about chemsex

The annual European Drug Report has just been published. It offers interesting insights into trends and development in drug supply, use and treatment across the EU. As well as lots of information about well-established drug problems related to heroin and crack, this year’s report provides more confirmation of trends with newer drugs and specific populations. Chemsex is being increasingly observed in European cities, with an increase in presentations to treatment for methamphetamine use.

The report doesn’t provide data broken down by sexual orientation or gender identity but does explicitly state the growing concern of ‘slamming’ and chemsex parties with challenges for public health relating to drugs, sexual health and HIV transmission. It adds to last year’s British data from the Crime Survey for England and Wales which found levels of drug use in the past year three times higher for gay & bisexual men than their heterosexual counterparts. The levels for lesbian & bisexual women were over four times greater than for straight women, although this level of need is all too frequently left out of public health debate.

The evidence of increasing use once more calls into question the need for effective treatment services and support for users. Here the European report identifies a gap we have been campaigning to highlight for years: the need for targeted treatment. The report concludes that access to specialist services, e.g. homeless users, older users or LGBT people, is limited across the continent, despite many countries reporting a need for this kind of provision.

We have plenty of evidence that LGBT people report negative attitudes from mainstream health service providers. In focus groups our own service users tell us about the barriers they have faced accessing drugs treatment: services have little experience of the newer drugs they’re using, and don’t understand the way they’re being used. Drug services are great at understanding a heroin user, and provide a range of familiar treatment interventions, but are less aware of how Grindr and other apps are being used to find chemsex parties and locate the nearest chill out with mephedrone on tap all Sunday long.

We’ve done work with hundreds of frontline drug workers and sexual health staff to increase awareness of chemsex and the new drug market for gay and bisexual men. We’ve also contributed to Project NEPTUNE, new clinical guidance on the treatment of emerging club drugs and other novel psychoactive substances (NPS). I’m constantly impressed by the desire to learn and to engage with this group, and I’m pleased our Antidote service has contributed to skilling up our treatment workforce. However a high proportion of LGBT people still cite a preference for LGBT specialist services, yet here we’ve seen little advance.

The approach to commissioning services at a local level leaves little resource for specialisms, especially as public health budgets are further squeezed. In a city like London this means than services are being planned and delivered as 33 separate approaches – but who really thinks of this great city as 33 smaller towns rather than as one? The dilution of resources away from a city-wide, coordinated, and cost-effective approach is doing our LGBT populations a disservice. I’d love to see commissioners coming together to plan for their LGBT communities in a different way. The opportunity for integrated services that tackle drugs, alcohol, sexual health and mental wellbeing across the capital is surely too exciting to miss?

Our 2014 report Out Of Your Mind contains an evaluation of drug and alcohol treatment for LGBT people, and our recommendations for Public Health England, local commissioners, providers and front line staff. It comes with a set of practical toolkits for commissioners, managers and practitioners to assess their practice and develop improvement plans to improve their LGBT competence. We’ve also been working with the Care Quality Commission to ensure their new duty to inspect substance misuse services includes consideration of their work with minority populations. Applying a coordinated approach to planning, delivering and evaluating services for LGBT people can have an enormous impact on improving their treatment outcomes.

Monty

London Friend’s Antidote service is the UK’s only LGBT specific drug & alcohol treatment agency staffed by LGBT people. We can provide training on all aspects of working with LGBT service users in health and care settings, including workshops on club drugs and NPS. You can support our work by making a one-off or regular donation or by joining our LGBT volunteer team.

London Friend will be taking part in this year’s Pride Parade on Saturday 27^th June. Come and join us in our walking group. We’re walking in Section A near the head of the Parade. We’d like to invite all our friends, partners, current and former service users, volunteers and supporters to join us on the day.

As we need to assemble as a group please RSVP to Rita, our volunteer coordinator, on office@londonfriend.org.uk and we can tell you where we’ll be. We’re also meeting for breakfast beforehand so let us know if you’d like to join us for that too.

We look forward to seeing you on the day!

A series of new trans health factsheets has been produced by the National LGB & T Partnership. These factsheets have been prepared by members of the National LGB&T Partnership in collaboration with cliniQ, Mermaids, TransForum Manchester, with support from Public Health England.

The Factsheets have the following objectives:

• To promote the health and wellbeing of trans people
• To provide trans people with basic information about key aspects of good health and wellbeing and how secure it
• To signpost sources of information and support

They have been prepared with the interests and wellbeing of all members of the trans community in mind, including young people under the age of 17. They should also be helpful to families and friends as well as to service providers and employers.

We understand that trans people self-identify in many ways. We therefore use the term “trans” as an inclusive term which embraces, trans, trans*, transgender, gender nonconforming, gender variant, gender queer, non-binary, non gender and neutrois identities amongst others. Further we do not seek to lecture or judge behaviour. Our intention is simply to raise awareness of the importance and benefits of good health and wellbeing for trans people and how to go about securing them.

Fact sheets on the following topics are currently available:

Introduction

Accessing Adult Gender Services in England

Ageing – Rising to the challenge

Alcohol, Drugs & Tobacco

Exercise and Nutrition

Mental Health and Wellbeing

Sexual Health

Trans Children, Teens & their Parents

This week is mental health awareness week, an opportunity to discuss how mental health affects our lives, and to help remove the stigma of living with a mental health issue. Recently our CEO Monty Moncrieff gave a talk to Let’s Talk About Gay Sex and Drugs, a regular event in London organized by LGBT activists to engage our communities in discussion about our health and wellbeing. This is a transcript of his talk, highlighting our experiences of LGBT mental health, in particular in relation to chemsex.

Let’s Talk About Chemsex

As an LGBT charity when describing the work we do – and most importantly why we have to do it – we have to be able to provide evidence of inequality. I’m not going to just talk tonight about the statistics on mental health within LGBT populations though. We have plenty of evidence that shows us our communities experience poorer mental health than society as a whole. We’re more likely to experience depression, anxiety, stress and other common mental health issues than straight and cisgender people. When we add drugs and alcohol into the mix it can become even more complicated.

I’m the Chief Exec of London Friend. We’re a charity that’s been working to help LGBT people experience better health and wellbeing for over 40 years. We run one of the biggest LGBT specific counselling services in the UK and we have a huge demand for that service. When I talk to people who ring up to refer themselves in there’s a few issues that keep coming up time and time again, and we can probably group most of our referrals as people seeking support around their identity as LGBT people.

For some of them that might be support about coming out. It might be the first time they’re exploring their identities, and they want to come along and talk things through. What does it mean to be gay, bisexual or trans? How do I ‘be’ LGB or T? What will life be like for me?

We don’t just work with people who are starting to inhabit their LGBT identities though: a lot of people come to us because something more stressful is going on in their lives even once they’re out: their families aren’t supportive, or they’re having trouble at work from someone harassing them. Maybe they've been brought up in religious or socially conservative households and they've always struggled to be who they are. Sometimes people have experienced abuse, or been the victim of a hate crime. Sometimes it's the cumulative effect of having been told we're second class for years, only recently having won full legal protections and the right to form the same legal relationships as mixed sex couples - if we want to.

What’s still common though is how this relates to how they feel about their LGB or T identity. Or perhaps more accurately how they’re made to feel about it through the attitudes and actions of other people. So often the golden thread running through all of our work is that we've been brought up to question our rights to be LGBT people, and this for me is probably the biggest reason why we have disproportionate levels of mental health problems within our communities.

But we’re here to think specifically about how this relates to gay sex and drug use.

Our Antidote project is a treatment service providing support when drug use has got out of hand. People generally come in because they're experiencing some kind of crisis: their health is deteriorating; they've been newly diagnosed HIV positive; their job is at risk, or they've lost it; their relationship is suffering; or sometimes they've been arrested.

Whatever that trigger is, when we start to peel back the layers we've always seen that same link with identity and self-worth when people come in to seek support. It's not really possible for us to separate out problematic use from poor mental health because the two sit so snugly alongside one another. Which of course isn't to say that everyone who uses will have poor mental health, or that drugs will cause it. But there does definitely appear to be a link between drugs becoming a problem and people struggling with their identity and esteem.

One thing that is noticeable is that a lot of guys tell us that what they really want is more emotional intimacy in their sexual relationships. When people come in looking for help they're often fed up with not just dealing with the physical and emotional come downs but also with only ever finding casual sex when they'd ideally like it to be more emotionally connected. It does feel sometimes that people are going for what they can get, because what they actually want doesn't feel like it's on offer.

Since we started seeing people coming for support around what we would now call chemsex the link with mental health has been even more noticeable. We're now more likely to see people experiencing paranoia, delusions, drug induced psychosis. We're more likely to see people needing a psychiatric assessment. There's a still small but noticeable increase in people who are being detained under the mental health act. For me this is linked to the switch in drugs to stronger stimulants like crystal meth and less researched drugs with much harsher come downs like mephedrone. We often get calls to our helpline on a Monday or Tuesday with people experiencing horrendous comedowns and essentially asking to be talked through it. And once they've started to feel ok again they're often dealing with other negative mental health feelings like shame, guilt or embarrassment at what they might have been doing when they were high.

Despite the difficulties we see with drugs and mental health we're not in the business of demonising them. To do so only risks demonising people who use drugs and adds to the stigma they might already feel of being gay, being HIV positive, or feeling they're not worthy. It's not the drugs, alcohol or apps themselves, but how confident we feel about ourselves using them in a healthy way.

What we would like to see is people feeling they have more choice about whether they use or don't, and having more ability to control their weekends, their sex, and their emotional health. We'd much rather there wasn't a need for a service like ours. But, given there is, we really want to make it easier for people to feel they can ask for help and they don't have to try to deal with it on their own. We hear so often the bravado of "oh I'll be alright", or "I can handle my drugs" and feeling that this is what you should be like can stop you asking for help when you need it.

Monty

Antidote provides support for LGBT people using drugs and alcohol. You can self-refer through one of our walk-in clinics or outreach in GUM clinics.

You can support our work by making a regular or one-off donation here, or donate by text. To donate £10 text LDNF15 £10 to 70070. To donate a different amount just change the figure, e.g. £5, £25.

The festive season can be a lot of fun, but for some people it’s a time of heightened anxiety. It’s the season to be jolly, but sometimes that can tip over into excess. Here’s some information to keep you safer over the Christmas and New Year period.

If you’re partying know your limits. Everyone likes to let their hair down at Christmas but that morning glass of fizz can catch up with you if you’re still going by the evening, and parties do tend to last longer and be more frequent at this time of the year. You can find our tips for cutting back and pacing your drinking here. If you’re going to be partying using drugs you can find lots of information about reducing the risk here. Remember to look out for your friends, and if anyone at your party overdoses call 999.

If you’re having sex, or hoping to see the New Year in with a (gang) bang remember to stock up with plenty of condoms and lube. Gay & bisexual men will find plenty of safer sexual health advice over at the website of our friends at GMFA. If you think you may have picked up an unwanted gift due to having an HIV risk you can seek advice & PEP (within no more than 72 hours) from a GUM clinic such as 56 Dean Street, Mortimer Market Centre or Burrell Street in central London. If these are closed you can access PEP through your local A&E.

If you feel alone this Christmas and want to talk to another LGBT person our friends LLGS will have their helpline open daily 10am – 11pm. If you are at risk of abuse or violence at home, Broken Rainbow has published some tips along with details of their Christmas opening times, including Christmas Day and Boxing Day. The charity Crisis has opened its Christmas centres for homeless people and will run until December 30^th. If you feel suicidal you can call Samaritans 24 hours a day. In an emergency go to your local A&E.

London Friend will be closed from 24^th December and will re-open on 5^th January. Our Antidote drug & alcohol drop-in will run on that day 11-1 in Kings Cross.

We wish you a happy, safe Christmas and a healthy 2015.

London Friend

Last week the Government announced its plans for the future of the national HIV Prevention programme HIV Prevention England. This programme was due to run until the end of March 2015 – it will now be extended for another year but faces a massive 50% cut in budget to just £1.2million. This comes at a time when Public Health England reported the highest ever number of new HIV diagnoses amongst gay & bisexual men, with new infections continuing to rise.

The cuts come against a backdrop of ongoing stigma and significant gaps in public understanding of HIV as highlighted in a new report launched on World AIDS Day by the National AIDS Trust. NAT also found that local authority spending on HIV Prevention was less than 0.1% of public health spending in high prevalence areas. The Pan-London HIV Prevention Programme has also reduced its scope in recent years.

The cuts are worrying, and whilst they are being contested there is currently no indication of what involvement – if any – local delivery partners in the programme such as London Friend may have from April. This places at risk our unique role in the programme delivering specific HIV prevention interventions to men at increased risk due to drug use and chemsex. Currently the programme funds our specialist work in GUM clinics to identify HIV and drug risks early and provide interventions such as information, advice, and one to one counselling to help reduce HIV transmission.

This week the Chief Executives of leading HIV charities THT and the National AIDS Trust slammed the decision as “simply staggering”.  London Friend adds its support to calls for a rethink on this decision. Our Chief Executive Monty Moncrieff said “Many of our service users tell us they feel they became HIV positive due to sex they had whilst using drugs, which are widespread within our communities. Services such as our Antidote drug & alcohol project are in high demand because LGBT people feel old-style drug treatment services don’t understand chemsex and the drugs that are used for this, so it’s essential we incorporate joint HIV prevention and drug support into our work. This decision puts the innovative work we have done in sexual health clinics – where gay men say they want to access this support – at risk. This decision makes no sense at all.”

You can find out more about the campaign calling for the cuts to be halted and for a funding commitment over the coming year to be agreed here, and add your name to the petition.

You can support London Friend's work by texting LDNF15 £5 to 70070 or making a one-off or regular donation here.

Today is Giving Tuesday, an initiative to encourage people to support the work of charities and other good causes. It’s an opportunity to make a donation to your favourite cause, or to consider an offer of time through volunteering or organising a fundraising event.

For LGBT charities giving is a vital lifeline. Services like London Friend rely on the generosity of givers to be able to provide the support we do to over 3000 LGBT people each year. Our work is regularly supported by over 100 volunteers who help to run our coming out and social groups, our helpline, our counselling service and Antidote, our LGBT drug & alcohol service. Volunteering is a way of giving back to your community, and supporting fellow LGBT people who are experiencing a difficult time.

We rely too on monetary donations, as a one-off gift, as the result of a fundraising event, or as a regular monthly donation. No amount is too small: £5 will help us answer a helpline call. £10 will buy the coffee & biscuits for one of our drop-ins. £40 will help us provide a counselling session. £100 will help us to train our volunteers.

As a sector LGBT charities are significantly underfunded. Despite LGBT people making up at least 2.5% of the population (at even the most conservative estimates) our sector receives just 0.04% of the total funding to voluntary sector organisations – just 4 pence in every £100. A recent report from the TUC suggests that this tiny under-investment may be under even greater threat as funders see cutting diversity as easy savings, mainstreaming this work into generic services.

A recent review of income in the LGBT sector found that LGBT charities were more reliant on precarious public sector grants, which account for almost two thirds of sector income, as opposed to just a third of the voluntary sector as a whole. With further squeezes on spending this places specialist services at risk. The same review found that LGBT charities receive less in individual giving than charities as a whole, just 21% of our income versus 42% in the wider sector. This is why individual giving and initiatives like Giving Tuesday are so important to us.

Losing funding or the support of volunteers would lose the quality that specialist LGBT organisations bring. Our service users routinely tell us they value specialist support as this makes them feel safe, welcome, and understood. It’s important that the value of specialist diversity organisations is not lost, and through Giving Tuesday we can highlight the importance of supporting this essential work.

You can make a regular or one-off donation to support London Friend’s work here. You can donate your time as a volunteer – find out more about volunteering with us here. You can find out more about fundraising for us by holding your own event or sponsored activity here.

It’s HIV Testing Week! Do you know your status?

This week is National HIV Testing Week. There’s never been a better time to test. Knowing your status allows you to take control of your own health and choices.

One in eight gay, bisexual or other men who have sex with men (MSM) living in London are now HIV positive. However around 16% of MSM don’t know they have the virus.

Treatment is most effective where HIV is identified early so initiatives like HIV Testing Week aim to encourage men to test more regularly. Current UK guidance recommends that MSM test at least annually, but more often if they are having sex with new or casual partners.

Although we still have no cure for HIV, treatment is highly effective. It can stop HIV attacking the body and keep the level of the virus under control. People whose viral load becomes undetectable are at extremely low risk of passing on HIV.

You can find out more about HIV and safer sexual health on the great website from our partners GMFA.

Gay, bisexual and other MSM can test at one of our clinics in partnership with NHS sexual health services. We’re with the Mortimer Market Centre every Monday morning (9-12) and at Code Clinic at 56 Dean Street every Tuesday (5-7). Trans people can test with our specialist service cliniQ every Wednesday at 56 Dean Street (5-7). Alternatively you can find out where to test locally in the UK here.

For support around drug and/or alcohol use come to one of these clinics, or to our Antidote drop-ins – Monday morning in Kings Cross (11-1) or Thursday evening in Soho (6-8.30). We also work in partnership with the Club Drug Clinic.

Public Health England recommend that MSM test for HIV every 12 months, more regularly if you’re having sex with multiple, new or casual partners.

London Friend is a local delivery partner with the national HIV Prevention England campaign. During HIV Testing Week we’ll be promoting the campaign throughout our services, our partnership clinics and through outreach.

You can support London Friend by making a regular or one-off donation here or by volunteering with us here.

Today is the 2014 International Trans Day of Remembrance, a day to mark the lives of the many trans people who are murdered or take their own lives each year. It’s also a time to reflect on the harassment, aggression and violence that trans people still face on a daily basis.

I’ve blogged before on the importance of the day last year and in 2012. Since then a further 226 trans people have been killed: a list of them, and their fates, makes harrowing reading.

To mark this year our partners Pace have released some early data from their RaRE study, a significant piece of LGBT mental health research that looks at risk and resilience. The distressing finding is that almost half (48%) of young trans people under 26 had attempted suicide, 30% in the last year. The news has been reported in today’s Guardian along with a comparative statistic that just 6% of 16-24 year olds as a whole have made a similar attempt.

The Guardian too features a stark commentary by Paris Lees, the trans journalist and campaigner who topped 2013’s Pink List urging us to remember those trans people who have taken their own lives, and reminding those of us still here – trans and non-trans alike – to embrace the fleetingness of life and try to maximise its potential.

The Transgender Tipping Point

One of the quotes of the year in relation to trans people came on the cover of the mainstream American current affairs magazine Time. With a photo of actress Laverne Cox the headline proclaimed us to be at The Transgender Tipping Point, heralding in the next civil rights frontier. It caught a zeitgeist which is tangible in trans activism right now: something in the past year does seem to have changed with regard to trans visibility and awareness. Within our community organisations trans issues have been better embraced: The Lesbian & Gay Foundation announced this year they would now work to an LGB and T remit, and Stonewall is currently conducting a range of consultation events to see how they can best support trans people. Local grass-roots groups have set up self-directed initiatives like the London-based swimming group TAGS. cliniQ, the trans sexual health & wellbeing service we work with as a partner was announced as the winner of a Nursing Times Award for improving patient dignity. There’s a palpable new confidence.

Trans issues feel more broadly addressed within LGB media such as Diva, GT and Attitude, as well as online outlets Pink News and Gay Star News (although the latter dropped a clanger this week in what felt like a well-intentioned attempt to celebrate trans men). There seems a shift too in the mainstream media, where although we still see the routine before and after photos and names the overall tone of articles seems to have become generally more empathic. This week the BBC broadcast the story of 13 year old trans teen Leo and his attempt to get a passport which reflected his male identity – not in a post-watershed adult documentary slot but at 6pm on their children’s channel CBBC. The great work of organisations like Trans Media Watch and All About Trans has been instrumental in leading some of this change.

Health and wellbeing

As a health charity we often hear stories about trans people’s access to care on the NHS which is – at best – patchy. We know that delays in gender treatment can have a detrimental impact on people’s emotional wellbeing and that people feel better about their wellbeing once they have recognised their gender identity or transitioned. We know too that suicidal thoughts and self-harming reduce significantly once trans people have been able to access support.

NHS England has recognised the difficulties in accessing specialist gender treatments; here too trans issues have taken on a new significance this year heading right to the top of the organisation with a resolution by the NHS England Board to commit to actions. Work is still ongoing to address some significant concerns raised this year about access to surgery, and NHS England continues to work with a stakeholder group and establish a new policy and commissioning plan for specialist gender care. We have been supporting this process on behalf of the National LGB & T Partnership.

There’s still some way to go, as Pace’s data tell us, before young trans people have the same confidence in their futures as young people as a whole, but I’m optimistic that trans people will increasingly have the confidence to speak up, to become more visible and to shape evolving attitudes towards trans people (including improving the right to privacy around previous gender history for those who simply wish to get on with their lives). The recent Trans Youth Network Conference in Manchester indicates there’s no shortage of young trans people brimming with the enthusiasm to do so.

I’m hopeful too that many more of us within LGB communities and organisations can become effective allies to trans people. Let’s not just hope that the number of trans people added to the remembrance list each year continues to fall, let’s commit ourselves to speaking out and challenging transphobia, and encouraging others to learn more about the issues our trans friends face.

The main London Trans Day of Remembrance event takes place this evening, with information here. Other events, including international, can be found here.

Monty

London Friend provides a range of support services aiming to improve the health and well-being of all lesbian, gay, bisexual and trans people, supported by trans volunteers. We are a partner provider with cliniQ, a trans sexual health and well-being service in central London. Our own trans social group, T on Tuesday, runs on the second and fourth Tuesday of each month.

You can support London Friend by making a regular or one-off donation here or by volunteering with us here.

It was a surprise to learn, in the early hours of Sunday morning, that I was 37^th on the Independent on Sunday’s annual Rainbow List, which champions those the paper believes to be the most influential LGBT people in the UK. Ok, so it wasn’t entirely a shock as I’d been included in last year’s Pink List, the predecessor to the newly named, and hopefully more diverse list, but it was certainly a surprise to have moved up rather than down, or out.

I can’t deny that being included is highly flattering, and it’s lovely to feel that the work you do has such an impact that people wish to acknowledge it. Naturally that work isn’t just a solo project, but the collective output of a fantastic team of staff and volunteers here at London Friend who really should be being applauded for the very real difference they make to hundreds of LGBT lives each year through our support services. I hope that whilst the Rainbow List acknowledges me they can also feel very much a part of this honour.

Of course such lists always provoke much discussion. Are they needed? Are they relevant? Are they elitist? You can probably answer ‘yes’, ‘no’ or ‘maybe’ to all of those, but they’re certainly not without their benefit. This year’s Rainbow List number three, Christian broadcaster and musician Vicky Beeching argued eloquently on Sunday morning’s Sky News how such a list adds to the visibility of LGBT people, which in turn adds to the confidence of those who have not come out to consider doing so. You can, of course, make a compelling argument that we shouldn’t need to be singled out by our sexual orientation or gender identity, but you can make an even more compelling one for the need to improve the visibility of LGBT people in public life which means one will continue to trump the other until we achieve a more equal balance.

Greater diversity

The discussion around the list too prompts us to consider the diversity within our own communities. Just a few years ago lists like these tended to be dominated by the (mostly) male flamboyant celebrities whom the nation had deemed the acceptable face of gayness. The Independent has chosen – wisely – to shunt some of these perennial stars onto a National Treasures list, kind of a back-slapping lifetime achievement club, and instead focus more on more unsung campaigners for LGBT equality with a healthy dose of charity workers, journalists, bloggers and activists amid the more well-known names the list needs as a hook.

The diversification of the list is most noticeable in the top 10 with 7 of the entrants being female, at least two publicly women of faith. Trans people too feature far more prominently now, with a 50% increase since 2013’s Pink List, and a deliberate rebranding to reduce the stereotyping of the former Pink epithet. Perhaps it’s this that is most impressive, quietly heralding the greater integration of trans people and their issues into a truly diverse LGB and T population. I’m sure that the increasing trans representation has helped more trans people find the confidence to speak up, to campaign, and achieve greater visibility, just as the early years of the Pink List helped lesbian, gay & bisexual people to.

For me, whilst being on the list will bring me some jokey bragging rights with my colleagues who also feature (many from the National LGB & T Partnership through which we collectively engage with Government, the NHS and Public Health England), as well the gentle ribbing of my friends, ultimately the best outcome is to boost and highlight the work we all do to advance LGB and trans equality, the pieces of the jigsaw that we each coordinate. Already at work the conversation is more energised and the pride in what we do is increased with this recognition and that of our National Diversity Award earlier this year. Behind the discussions of the merits of this list there’s a network of highly committed individuals and organisations, a wealth of volunteers and unsung heroes, who all deserve a moment to be thanked for what they contribute. They’re the ones who populate my own Rainbow List, and this one runs to many more than just 101.

Monty

For more information about London Friend’s work visit our website. To support our work with a regular or one-off donation click here. To find out about volunteering with us click here.