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
Art
Change
Doubt
Spiritual formation
3 min read

Gallery-going has lessons if you're hesitant to cross a church’s threshold

Both welcome those seeking ideas or restoration.

Jamie is Vicar of St Michael's Chester Square, London.

Gallery-goers mingle around large paintings on a wall
The National Gallery/

People have been evangelical about the van Gogh exhibition at the National Gallery. Demand was high, with people sharing membership cards, and the gallery keeping its doors open all night on its final weekend. So off we went, except with a toddler and a baby (not for the late night session). 

Along with the disapproving looks at the noise generated, and the security guard telling me I couldn’t have my son on my shoulders, was also the kind lady in her 60s with her large print guide expressing sympathy and empathy. We stayed for about half the time I would have wanted, and even that time was divided attention to put it generously, but it was glorious. Our kids were utterly, blissfully ignorant and had no concentration span for such a high concentration masterpieces. I was also grateful that our baby didn’t join a protest by throwing her purée at the Sunflowers. 

It was less of an immersive experience than I might have had in another stage, and I wasn’t following the implicit and explicit rules of a very particular subculture. As a priest it pains me that this is so often the message transmitted by the church and how visitors can feel. 

David Cameron wrote in his memoirs about how his first encounter with the late Queen was as a schoolboy reading at a carol service, with the monarch in the front row. When he finished the reading, he walked off, before realising he hadn’t said the right words - 'thanks be to God' and then he panicked and swore. This can often reflect our impression of church: you’ve got to be neat, make sure you say the right thing, don’t say the wrong thing - with this authority and power figure there near you watching with a keen eye that you do everything just so. And that's before you consider how weird it can be to participate in a public meeting in a church in a format called a service. 

A church is not a gallery with perfect pictures. Lucian Freud said of the National Gallery: 'I use the gallery as if it were a doctor. I come for ideas and help.' Church should be a place where we are inspired, to have our 'hearts lifted' in the words of Thomas Cranmer, but also we would do well to think of it it more like a hospital. Where our right of entry is our weakness and need for help. Van Gogh himself said that 'Art is to console those who are broken by life.' Church should be a place where more than observing a master's work from a safe distance, we are in the presence of a master who made us and wants to restore us, all the while finding our company amusing and enjoyable. 

It mightn't feel like the hottest ticket in town, but I regularly hear people finding courses like Alpha a refreshing way to taste the essence of what church can be: where it is made explicit that no questions or thoughts are off limits, and you don't have to worry about standing up or sitting down at the right time. Belonging isn't performance art. 

And if we have the courage to come close to the colour and the texture - we find the possibility of understanding a little bit more about the artist behind it all. 

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