Article
Care
Change
Mental Health
4 min read

Social prescribing for whole person care

Responding to an anxiety epidemic, there’s a growth in social prescribing with a spiritual wellbeing element. Esther Platt explores how it's working out locally.

Esther works as a Senior Consultant for the Good Faith Partnership. She sits in the secretariat for the ChurchWorks Commission.

Two people sit at a table with their hands resting on top of it. One speaks to the other
Photo by Christina @ wocintechchat.com on Unsplash

Since 2001, Mental Health Awareness Week has been marked once a year in May. This year, the theme was anxiety - an increasingly relevant topic in a country that has endured three years of world-changing crises and the soaring cost of living. Research from the Mental Health Foundation has found that 1 in 10 UK adults feel hopeless about financial circumstances and more than one-third feel anxious. 

For centuries, it has been recognised that spiritual well-being is closely tied to mental well-being. By spiritual wellbeing, I don’t mean organised religion. I mean our sense of relationship to a higher-power or reality beyond our own, and our sense of purpose and meaning in life, as Craig Ellison outlines it as in his paper Spiritual Well-Being: Conceptualization and Measurement. 

In Man’s Search for Meaning holocaust survivor Victor Frankl compellingly makes the case that in a world of suffering, our survival depends on our sense of purpose, meaning and hope. Frankl coined the term ‘the self-transcendence of human existence’ by which he explained that human beings look for meaning beyond themselves, either in a cause, a person to love, or a higher power.

With an increased understanding of the holistic nature of wellbeing, and the value of spirituality, a new way of looking at health is emerging. 

While modern psychologists are still building a clinical-grade evidence base on the value of spirituality, there is clear agreement that spiritual wellbeing is crucial for a good quality of life, especially for those who are facing adverse life events, as you can read on the US National Library of Medicine web site. Traditionally, health provision in the UK has focused exclusively on the physical, and more recently the mental. However, with an increased understanding of the holistic nature of wellbeing, and the value of spirituality, a new way of looking at health is emerging.  

Social prescribing is one way in which this is being done, and across the country. 

In social prescribing, local agencies such as charities, social care and health services refer people to a social prescribing link worker. Social prescribing link workers give people time, focusing on ‘what matters to me?’ to coproduce a simple personalised care and support plan. This involves ‘prescribing’ individuals to local community groups such as walking clubs, art classes, gardening groups and many other activities. 

Churches are playing a crucial role making social prescribing happen. St Mary’s Church in Andover, offer a wellbeing course to members of the community who have been directed to them through the local GP surgery.  

Members of Revival Fires Church in Dudley have been trained to offer Listening and Guidance support to those who are referred by a GP.  

Beyond social prescribing, St John’s Hoxton in London offer the Sanctuary Mental Health course to their community which gives people an opportunity to share their experiences and find solidarity in their struggles.  

Church provides a space where the breadth of our wellbeing, our desire for purpose, community and hope can be supported in a way that the NHS does not have capacity or experience to deliver. As the Archbishop of Canterbury, Justin Welby, writes  

"The issue of mental health is one that requires a holistic approach on an individual basis, incorporating as appropriate psychiatric, medical and religious support’.  

Olivia Amartey, Executive Director for Elim, an international movement of Pentecostal churches adds,  

‘I am convinced that there is no other organisation on earth that cares for the whole person, as well as the church. Its engagement with the statutory authorities, focussed on individuals’ well-being, provides an invaluable opportunity for a synchronised partnership to the benefit of all our communities.’ 

Jesus told his followers, ‘I have come so that you can have life and have it to the full’. This is the hope that animates churches. Christians find meaning and purpose in the hope of life, peace and justice that Jesus gives. Church can be a space where the complexity of hurt and suffering is acknowledged, and where we can find solidarity and support in the presence of those who can help us find purpose and meaning.  

At ChurchWorks, a commission of leaders from the 15 biggest church denominations in the UK, we are excited by the prospect of more churches providing this space. On 18th May we held ChurchWorks for Wellbeing, in which we gathered over 300 church leaders to explore how the church can bring hope to our communities in this time. We shared stories of small and simple conversations, where offering a listening service, an art class or a food pantry enabled churches to give people in their community space to be, to grieve, to process and to grow. From the conference, it is our hope that we will see hundreds more churches start to engage in social prescribing and welcome their communities to access holistic wellbeing support.  

At a time when anxiety is rife, and it is so easy to feel despair and hopelessness, the church offers a vital resource to us: a place where our spiritual wellbeing can be nurtured, where we can find purpose, where we can find community, where we can find hope. 

Article
Care
Culture
Economics
Generosity
4 min read

Parenthood Inc: high burn rate, infinite upside

Raising kids is the ultimate moonshot, with returns measured in love, not cashflow

Imogen is a writer, mum, and priest on a new housing development in the South-West of England. 

A baby sleeps curled up.
Sorena.
Hessam Nabavi on Unsplash

Even before they are born, they demand things – a bed or two, Babygros, the cute paraphernalia, like the baby bath used for a few months then outgrown. And, as they grow, they only get more expensive.  

Children apparently cost us over £14,000 a year. According to the Child Poverty Action Group's annual survey, children cost couples £260,000 to raise to adulthood, while the bill rises to £280,000 for a single parent. That is a lot of money. The spread of these costs is heavily weighted towards the early years of a child’s life. Initial set-up, as with many new ventures, is expensive and the list of seemingly essential items is extensive. Childcare during the pre-school years can also up the household bills by £200 per week, causing many parents to question whether work is ‘worth it’. 

It seems though, that it is not only returning to work that is uneconomical. In fact, having babies full stop doesn’t appear to be an economically attractive option. Over the last 15 years, birth rates in the UK have significantly declined. In 2024 the average number of live children a women would have during her life was down to 1.41. UK fertility is low. People are just not having babies. 

There are many reasons for this. Access to contraception, women’s increased equality and opportunity in the workplace, and concerns about finances mean that couples wait longer to begin a family than in previous generations. People in their twenties are perhaps more interested in financial stability rather than family procreativity and women want to get ahead in their chosen career paths before taking time out to have children. Everything has got more expensive, including having children. The world is a big place and desire for travel, adventure, and exploration means couples do not want to be ‘tied down’ with children while they are young.  

The impact of having a child on a woman’s career has been shown to be significantly greater than her male counterpart. I observe mothers, anecdotally and statistically, to be more likely to take time out of work, move to part-time employment, and work in lower-income jobs, than fathers. This is not only something observable in the UK, but it is a universal feature of motherhood. Perhaps becoming a mother is just not ‘worth it’.  

Many concerns about declining birth rates often come down to economics. Without the next generation of workers, our welfare state is headed for stormy seas. An aging society risks a nation flooded with retired dependants without the balance of the tax-paying, working population to support them. Although children are expensive, they are of integral economic value to our functioning society. Even on a micro level, children are increasingly keeping aging parents afloat, supporting them by contributing to the living, housing, and caring costs.  

 Opinions inevitably differ and cause controversy, but for me, the rational economics of parenthood does not contribute to my desire to have children. I do not see our children as a financial investment awaiting a hefty return. I have not embarked on procreation as a means to a stable retirement. Rightly or wrongly, I have not undertaken a cost-benefit analysis of having children. However, I understand it to have great value beyond the numbers. 

To play a part in raising the next generation is one of my life’s greatest joys. To slow down and witness our boys learning the world day by day is an act of resistance against those rational laws of economic productivity and market capitalism. Much of my time does not appear to be ‘well spent’, but in the giggles, the endless mealtimes, the repeated instructions of ‘sit down’, ‘be gentle’, and ‘listen’, there are deep wells of meaning and significance. While some choose to focus on the pouring of economic resources into their children, I choose to focus on the outpouring of my heart. As I give of myself, they grow. I love them, feed them, teach them, wash them at bathtime, and tell them stories of the world, of faith, and of life. As I am poured out, they are formed as tiny humans of unquantifiable value.  

This kind of value, I think, reflects more accurately the value we have before God. Our value as children of God. There is a story about a man who sees a pearl. The pearl is super expensive. This man wants the pearl so much that he sells his possessions, giving everything up so he can have it. Perhaps the pearl is God’s Kingdom, perhaps it is the message of Jesus, or perhaps, as my son once thought, it is us. We are the pearl of infinite, unquantifiable value to God and he gave up everything for us. 

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