Five sessions are delivered, either in the GP surgery, or at an appropriate place in the community or virtually. Home visits are considered when appropriate and necessary to facilitate access and engagement. An important aspect of delivery is accessibility, so working in the individual's local GP surgery, or meeting them in a local community hub (e.g. religious building, charity venue or community building) is important. 

Each session lasts for 45 minutes:

Session one: Focuses on completing an assessment of the presenting problem and engaging the individual. Relatively limited background history is collected, with a focus upon the present. Information on risk, previous use of mental health services, and some history of the presenting symptoms is gathered.

Session two: Develops the formulation of the presenting problem(s) to achieve a collaborative understanding, containment and shared intervention goals. The formulation a structured one, with the well-known '5 P's' model most frequently used (5 P's: Predisposing factors, Precipitating factors, Presenting problems, Perpetuating factors and Protective factors), or the four-button model (focusing on thoughts, feelings, physical sensations and behaviours) is another option.

Sessions three and four: Utilise the most appropriate psychological approach is used to help the individual meet their goals. An important aspect of 'The MEND' approach is that of an eclectic one. Strategies used are informed by a number of different therapeutic modalities, including Cognitive Behaviour Therapy (CBT), Dialetical Behaviour Therapy (DBT), Motivational Interviewing (MI) and Solution Focused Therapy. The actual techniques used depend upon the individual participant and what they want to change. During supervision, the staff member discusses different options with their clinical supervisor, who is an accredited Psychological Professional. What is delivered is not therapy, it is a psychologically-informed intervention, so the staff member delivering the intervention does not require 'in-depth' knowledge of multiple therapeutic modalities.

Session five: The final session occurs 4 to 6 weeks later to check-in with the individual on progress, assess how they are feeling and revisit any techniques if needed. 

The approach is a psychologically informed intervention, it is not therapy.