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
Change
Community
Hospitality
6 min read

In an age of disconnection, I want to belong

Old rituals offer reasons to stay linked together even when the world is trying to pull us apart

Elizabeth Wainwright is a writer, coach and walking guide. She's a former district councillor and has a background in international development.

Wassailers emerge from a shed beside a wood
Wassailing at Bourne Woods, Lincolnshire.
Bob Harvey, CCL, Geograph.

Once, I went to a ‘wassail’ on the edge of the city I lived in. A Wassail, from the Old English phrase meaning "be in good health", is a ceremony that involves toasting apple trees and scaring away evil spirits to ensure a good harvest, and it dates back to Anglo Saxon times. A man dressed in green and brown layers and leaves led the ceremony, passing around cups and cider for us to offer to the trees. We listened to stories, shared food. The event was ticketed. I was curious. But I felt out of place; a fraud stepping into this old ritual with no prior connection to these particular apple trees or this bit of land they were on, or to the people who surrounded them – trying to convince myself and others that I belonged. To what? To who? At the end, we all went back to our separate homes across the city, no more responsibility for those trees, nothing to link us to each other anymore.  

I’ve been advertised many events like this. Places to be celebrated through feasting, music and dance, entering into “ancient traditions connecting us to nature” – beating the bounds, toasting the land, enjoying seasonal feasts, listening to old stories. Photos advertising these events are like something styled for Country Living magazine, placing heritage rituals in high-end consumer settings; signalling intentionally or not that they are curated lifestyle experiences available to those who can afford them. They are part of the growing ‘return to the land’ movement that I often come across online, mediated through brands and influencers, curated retreats, Instagrammable countryside.  

I look outside the window towards our rural Devon village. It is grey and drizzly, and it will probably be grey and drizzly at harvest time. There will be no Instagrammable moments, but there will be deep roots that have grown slowly and are tended all year round.  

Perhaps these events signify an ache for a particular kind of rootedness. I have this ache. I am envious of friends who farm in landscapes their ancestors have inhabited for hundreds of years, of people who feel a clear sense of home and belonging. In the past, these feelings were often linked to community and to the faith and work traditions that bind community together: harvest home, Lammas, Rogation, saints’ days, midsummer. They weren’t boutique experiences open to anyone who could pay for them; they were communal and local, woven into survival, farming, faith, community. I am trying to carve out these feelings too. 

I have been wondering what we lose when old celebrations and rituals are curated, commodified, or disconnected from the deeper soil of faith and tradition that once sustained them. How do we celebrate the longing for rootedness without flattening it into a lifestyle accessory, stripping it of faith, memory, obligation, and mystery? How might old rituals help us to feel deeply hopeful and rooted in an environmentally and socially fragmented age?  

I think it can help to place these rituals in the context of place; of community; of faith. These contexts offer reasons to stay linked together even when the world is trying to pull us apart, even when I’d rather walk away. Without some kind of infrastructure of belonging, I think old rituals can become about consumption and lifestyle rather than connection to people and place. They become weekend events, or expressions of self, or a nice vibe – not a life’s ordering. Real ritual, I am coming to realise, requires weight; a tie to story, belief, and responsibility — not just aesthetic revival. A harvest festival in a rural, overlooked parish like mine may be small, strange and inefficient. It will not be photogenic, but it will connect me and others to a stream of 2,000 years of worship here, and before that to millennia of agricultural rhythm-marking. It introduces me to people and farms, to old stories that have lain dormant like relics in the soil, to possibilities for my own faith and belonging.  

I have been reading Paul Kingsnorth’s new book, Against the Machine. By ‘machine’ he means the nexus of power, wealth, ideology and technology that has emerged; a project of modernity “that is to replace nature with technology, and to rebuild the world in purely human shape, the better to fulfil the most ancient human dream: to become gods.” I suspect Kingsnorth would see the commercialisation of ancient rituals as a consequence of machine culture. Disconnecting the rituals from their origins and landscapes and relational ecosystems is to render them floating experiences, available to be purchased and claimed and bent to anyone’s will. A machine-friendly spirituality that strips mystery and, importantly, the cost of that spirituality – commitment, belonging, sacrifice, inconvenience.  

Kingsnorth shows that the razing of old stories, communities, and traditions created a blank canvas that allowed for the success of the industrial revolution, and so today’s materialistic and economically-driven culture. And so I see hope in the interest and resurgence of old traditions, in our hunger for roots, in the reclaiming of stories that were once trampled and forgotten. But I think it matters whether they are resurrected as machine-friendly buyable experiences, or as ways of being that seek continuity with something older and truer, something outside of today’s dominant paradigms.  

Anthropologist Victor Turner explored the ideas of liminality and communitas. Liminality refers to an ambiguous ‘between’ state where individuals are stripped of their usual social roles and statuses. Communitas is the unstructured social bond that emerges among people in this liminal state, creating a sense of equality, directness, and shared humanity that challenges formal social structures. Perhaps – in this time of climate change and AI and an increasingly unknowable future – we are all in a liminal space. Perhaps the revival of old rituals allows for direct human connection. Perhaps the wassail event, and others like it, encourages human connection in a fractured time. Perhaps they make the countryside into a sanctuary in unknowable times, and perhaps that is enough.  

The Christian story does these things too, but I think it goes deeper still – it sanctifies time itself, embedding the rituals and seasons in liturgy, creating a steady rhythm that can hold community together without being dependent on trends or tickets. It is a story grown from a sacred supper, shared feasts, prayer, fasting, seeds, and rituals of death and new life. It is a story that binds together its hearers into relation and rhythm-making.  

Christianity is not a neat ‘answer’ to the rootlessness and unbelonging of our time. But it offers old and tested examples of depth, continuity, and gratitude in ritual. It has of course long absorbed and re-shaped older rituals, born of older communities – like the Celts, who knew that place and time and land and people, animated by something beyond, could combine to create particular patterns and poetry which, when taken seriously, could deepen identity and togetherness with each other and the Earth. Christianity recognised this and built on it (and squashed it in places, but that is another story). I think that picking and choosing and bending old traditions, detaching them from time and place and cultural significance, even if just to remove religious baggage, reduces that old poetry to prose. It is no longer sustained by its original social and spiritual infrastructure.  

Such an infrastructure, built over generations, connects us to a through-line of celebration, gratitude, lament, and renewal. Following this through line – which whether I’ve liked it or not has linked me to new and old expressions of the Christian faith – is what is helping me to find belonging and participation. The wassail I joined signified to me that I’m still on the search for belonging. I want to go to a Wassail event again, but I want to do it outside of the ‘machine’, in a place I am putting roots into, with trees that I help tend, lifting bread around a harvest table with others I am working to know. I still feel a tug to these old rituals, as if assessing their ability to provide orienting infrastructure to my life and to the life of community. But in this age of disconnection – of industrial food, global supply chains, loneliness – what I want is less curated experience and more real belonging. I hope to find a bit more of that at harvest time.  

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