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. 

Snippet
Change
Digital
Work
4 min read

This weekend, find something better than the busy-busy

Get the life-work balance the right way round.

Jack is a graduate of Peterhouse, University of Cambridge and Blackfriars, University of Oxford. He writes, and also works in local government.

Two people. sitting at a street cafe amid empty tables and chairs, are silhoutted.
Krisztina Papp on Unsplash.

It was 9.38pm and I was in the library connected to Pusey House, the Anglo-Catholic Chaplaincy where I have done much of my work over the last five years, when I submitted my pitch to write on ‘work-life balance’. 

‘Work-life balance’ has been up for debate recently after British businessman and investor James Watt, co-founder of BrewDog, posted a video on Instagram in which he claimed that the ‘whole concept’ was ‘invented by people who hate the job that they do.’ He went on, ‘if you love what you do, you don’t need work-life balance, you need work-life integration’. Unsurprisingly, trade unions and large swathes of the population who are not multi-million entrepreneurs disagree.  

For the record, I am not a multi-millionaire entrepreneur either. Yet I should say, I disagree too, even though lately I have taken on more paid work than I have ever taken on before – possibly, too much – and I am attracted by the notion that work and life should come together in some sense. In my life, they do. And the very fact that I pitched this piece late into the evening, having tended to several competing work commitments throughout the day, and feeling rather tired all told, would suggest that I am out-of-the-running to write a worthy-read about work-life balance traditionally conceived.  

I also love what I do. I am in public service.  

Nevertheless, I am uneasy about James Watt’s notion of work-life integration, and I certainly object to being told by him what I ‘need’ to thrive. Work-life integration is surely problematic if it suggests that they should be completely blended such that neither work nor leisure are afforded their proper place and given proper parameters. Watt is engaged to be married and, I would suggest, the right relationship between work and life-outside-of-work ought to be more like a marriage in which each is respected and persons involved are lifted onto an altogether higher plain.  

Some boundaries are crossed in this process. Others remain. Life is not lost but changed.  

This is why I do not work on Sundays. Sunday reminds me that work is surely an opportunity to go out to shape the world around us, serve it, or to ‘subdue it’ (to use a Biblical phrase). However, to subdue the earth is like as to tend the garden, in which we learn to restrain ourselves to produce greater bounty (life). The first man and woman were told by God, it is said, to ‘be fruitful and multiply’. So, multiplication – or integration – is not enough. And relatedly, there are some fruits in the Garden of Eden, in the story, which God tells Adam and Eve emphatically not to eat.  Most fruit trees bear more fruit than they can support. They need to be pruned. So too do our working lives from time-to-time. Work-life balance matters in this sense.  

Life-work balance, however, may be a more helpful phrase in so far as the ideal life entails work; work is not a distraction from it if approached in the right manner. In the twentieth century, two Christians I admire thought as much. C. S. Lewis wrote, ‘For most men Saturday afternoon is a free time, but I have an invalid old lady to look after [at home]’, a lady called Mrs Moore. He described himself as ‘Nurse, Kennel-maid, Wood-cutter, Butler, Housemaid, and Secretary all in one’. However, C. S. Lewis also wrote that ‘The great thing, if one can, is to stop regarding all the unpleasant things’, the work, ‘as interruptions of one’s “own” or “real” life.’ They nourish it. They change it for the better.  

That “great thing” requires serious effort, make no mistake. The writer Thomas Merton made a distinction between a contemplative life and a life of work and wrote this:  

“When I speak of the contemplative life [...] I am talking about a special dimension of inner discipline and experience, a certain integrity and fullness of personal development, which are not compatible with a purely external, alienated, busy-busy existence. This does not mean that they are incompatible with action, with creative work, with dedicated love. On the contrary, these all go together.  

They go together, but not in the way that Watt would have it because a busy-busy existence is exhausting, not fruitful. A life-work balance is. Life and work in this equation are not multiplied but respected as each offering our souls something they need: the opportunity to be loved and to love in how we engage with the world around us. 

I was glad to have an opportunity to reflect on this, however late in the day.  

Hating one’s job is certainly not a requisite for understanding this. If anything, I would suggest, it was invented by people, formed by Christian values, in the nineteenth-century who hated the common life they saw around them and went out their way to protect fellow men, women, and children from overwork. 

The concept of work-life balance, or life-work balance, rightly conceived, goes to the very fibre of our being, and I for one think that it should stay. 

Join with us - Behind the Seen

Seen & Unseen is free for everyone and is made possible through the generosity of our amazing community of supporters.

If you’re enjoying Seen & Unseen, would you consider making a gift towards our work?

Alongside other benefits (book discounts etc.), you’ll receive an extra fortnightly email from me sharing what I’m reading and my reflections on the ideas that are shaping our times.

Graham Tomlin

Editor-in-Chief