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 Platt

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.

Column

Change

Community

9 May 2024

4 min read

Reform votes: what really matters in the end

Two votes, three decades apart.

George Pitcher

George is a visiting fellow at the London School of Economics and an Anglican priest.

A grand dinner table set for a meal sits within a large room with paintings on the wall.

The dining room of the Garrick Club.

I was this week one of several hundred members of the Garrick Club, with many more attending online, crammed into a central London conference room to vote on whether women could be admitted as members for the first time since our founding in 1831.

We Garrick members rather fancy ourselves as a secret society – and it was a rich irony that our vote was held in the same block as the Freemasons’ Hall in Great Queen Street.

Actually, I rather like the tradition that what’s said and done in the Garrick stays in the Garrick. So this isn’t about our club’s internal wrangling and politics, beyond the now widespread news that women were voted as eligible for membership by a majority of 60 per cent.

Rather than go further into that, I want to compare it with another well-fought fight for women’s inclusion: The admission of the female gender to the priesthood of the Church of England, more or less exactly 30 years ago in 1994.

Much of what was going on in the Church then was being rehearsed again in London WC2 this week. You might call it long overdue dismantlements of patriarchal institutions, even if neither the Church nor our club would self-identify as such. No case could continue to be sustained for all-male preferment in our Church or in our club.

To their great credit, the vote was won for reform by those who decided to work together, without rancour or resentment, in preference to further division and bitterness.

There are two observations I would make of the Church precedent that may be of some comfort to my fellow club members, who may feel that nothing will ever be quite the same again. The first of these is quite a quick point. After a couple of weeks of women’s priesthood, almost everyone in the Church wondered what all the fuss had been about. Ordained women became a natural part of the priestly fabric of the Church really that quickly.

Yes, provision had to be made for those who in conscience couldn’t accept women’s ordained ministry, so the process was not without its pain. But three decades on, women priests (and subsequently and inevitably bishops) are so much part of the weave of that fabric that most church congregations feel they’ve always been there.

The second point I would make is that I know anecdotally of very many traditionalists opposed to women’s ordination who, at the General Synod, either voted for women or abstained when the result became inevitable. To have fought a last-ditch, hopeless defence could only have lastingly damaged the Church’s reputation and ministry.

To their great credit, the vote was won for reform by those who decided to work together, without rancour or resentment, in preference to further division and bitterness. My feeling is that a tranche of Garrickian votes were cast for similar reasons.

These were women at the top of their game. It’s just taken a couple of millennia for our churches and clubs to catch up.

The comparison of a gentleman’s club and gentleman’s church is an imperfect one. Members of a church could be male or female; only the clergy were strictly male. There were profound theological and ecclesiological arguments (though I don’t share them) made against the prospect of women priests by Anglo-Catholics, which aren’t available to fans of men-only clubs.

But the similarities between the institutions are founded on the principles of patriarchy nevertheless. The idea that men, in private circumstances, can behave and associate in the pretence that they are still in charge of everything, as they were in the nineteenth century, both at church and in clubland.

This doesn’t matter much when it comes to the likes of all-boy or all-girl sports teams – though it’s a delight to see Woodlanders Football Club, Lioness-cubs to a girl, beat the boys to win their cup.

It begins to matter very much indeed when the senior figures of professions and public institutions seek to associate only with their male colleagues. That’s as true of a boss who takes only the boys in the office to a rugby match at Twickenham as it is of gentlemen’s clubs. It may be patriarchy-lite, but it is rooted in the same hegemony that gave the Church its patriarchs.

It’s an irony as rich as the location of this week’s Garrick vote that the gospel is far from patriarchal in its narratives, even though the language of Father and Son so ostensibly is. The Nazarene, scandalously for his day, freely associates with women. The Jesus movement is radical in gender equality in a manner that its Church has failed down the centuries to emulate.

Jesus gives full messianic attention to a despised and shamed Samaritan woman; he saves an adulterous woman (code for prostitute) from stoning; he stops to address a bleeding woman who just wants to touch him; as the risen Christ, he gives a woman, Mary of Magdala, the greatest apostolic mission in history to tell his dispersed disciples what she has witnessed.

Little wonder women appear so prominently in the Acts of the Apostles. These were women at the top of their game. It’s just taken a couple of millennia for our churches and clubs to catch up.