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
Awe and wonder
Change
Community
Time
7 min read

The bells that awaken awe in the new year

We need new rhythms if we are to navigate the world as it is today.

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

Restored church bells lined up in a cathedral, as crowds mill around them.
Notre Dame bells.
Notre Dame de Paris.

The jackdaws flap and caw as they come in to roost. The sun sets behind the bare trees; its fiery farewell doing nothing to warm the cold air. The village church bell rings out 4pm. My young daughter stops what she is doing, says “ding dong”, then carries on. That’s what we all used to do: stop what we were doing and be called to something else, the bell’s rhythmic tolls cutting through our individuality and unifying us for a time. Perhaps we would go to church, or stop to pray, or remember the dead for whom the bell tolled. I have been thinking about that often-quoted poem by John Donne:  

No man is an island, 

Entire of itself. 

Each is a piece of the continent, 

A part of the main. 

If a clod be washed away by the sea, 

Europe is the less. 

As well as if a promontory were. 

As well as if a manor of thine own 

Or of thine friend's were. 

Each man's death diminishes me, 

For I am involved in mankind. 

Therefore, send not to know 

For whom the bell tolls, 

It tolls for thee. 

Now, church bells ring out the hours of the clock, and occasionally still ring out mourning and celebration too. They seem also to ring out a quaintness, a nostalgia, a past that is slipping away. I have been sitting by the old stone church listening to them, wondering what else they might be tolling for, what else might be slipping away. In Donne’s poem, he says the bell tolls not for them, but for us, because we are all connected. Each person’s death diminishes the whole from which they were a part, and so diminishes me. The bells used to remind us of that whole.  

The bell could be melancholy but I notice how it tilts me toward hope, even in this deep winter stillness; an audible distillation of light ringing through the dimness. I think it is the hope of mankind which Donne tells me I am involved in. These old bells seem to ring defiantly despite the many other chimes that ring just for me: digital pings, messages, notifications, news, an algorithm that tried to force me down my own lone path. But echoes of communal life persist. Now, I hear the bell say:  

Ding: listen 

Dong: lift your head 

Ding: look  

Dong: life is a whole  

Ding: face each other  

Dong: this is the only way we will meet the future 

A few days later, my daughter and I step into the village hall. We surface together from evening darkness into the light of song: it is the carol concert, we are late, and the music is about to start. The singers are decked in lights and earthy greens and rusty reds. They are a group from Exmoor who conserve and share traditional and local songs, as well as singing the songs we all recognise. My daughter’s cheeks are pink, her eyes blaze with delight. In a few days, the solstice will be here, and the earth will pause in its movement before turning back to face the light. Here in this old hall, the songs seem to reach towards that coming light: we are here, we are together, and we choose to lift our individual voices as one chorus of community.  

I think about the people in this hall gathering to mark other things — memories, celebrations, vision, care — and I wonder about the more figurative bells that draw them together to do so. What are the bells that keep us together now, when so much encourages us into isolation and individualism? — The bells that remind us we can never be the islands that we are so often encouraged to be: independent, tough, believing consumption will heal us, packaged into a personal brand; everything encouraging us to be seen, not known.  

I try to listen for these bells, to hear how to inhabit time reverently and with reciprocity, not with urgency and isolation. In many places the actual church bells are silent, but I think we still need the bells of communality: bells that call us into share rhythms, reminding us to pause in our individual movement, reminding us to gather, to mourn, to remember things and find the light and the hope in each other, just as the tilting of the earth pauses at the solstice before it turns to face the light.  

Nature’s cycle is one way of doing this: tuning in to the turn of the year that makes new life possible. The solstice and equinox; wassailing in January to bless the apple trees; noticing when migrating birds appear or leave; sharing planting and harvesting days. Liturgical calendars are a way that Christian communities kept and still keep time: advent, Christmas, lent, Easter. These rhythms become familiar, reminding us that time isn’t linear, much as the myth of infinite progress would have us believe otherwise. Time is cyclical, expanding and contracting; old events revisited regularly in new ways.  

Knowing that it is not just me looking at these stars, but people across the world and through time, brings me into a peace, a reverence that can be hard to come by.

And there are other things that can bring us together too: causes, hobbies, interests, protests. These can take on the role of bells perhaps, drawing us together around shared purpose – but shared purpose and shared existence, shared being, are not always the same thing.  

Perhaps we need new rhythms if we are to meet the world as it is today. Imagine if a bell tolled — literally or figuratively — not just for human funerals, but whenever a species went extinct, or a tree cut down. Imagine if neighbourhoods gathered to light candles and share stories and soul and care each week, offering a space that church used to provide to lots of people through the ages. And what if we resurrected old traditions for a new age: ‘beating the bounds’ as a way to mark not just the boundaries of land but the places that need restoring and regenerating now; harvest festivals not just as something for school children and rural churches, but as a way we can better connect with food and farming. What if we looked at old wisdom; the way the church calendar aligned with the farming calendar, asking us to remember that food and the soil it comes from are sacred things.  

Our friends were near the beach in Costa Rica. They noticed that at the end of the day, everyone stopped what they were doing — fishing, fixing, working — and watched the sunset. This moment of beauty seemed to bring people together into synchronicity. In his book Awe: The Transformative Power of Everyday Wonder, scientist Dacher Keltner shows us how experiencing awe can, amongst other things, help us to experience humanity, see patterns in life, and better collaborate with each other. He says: “The last pillar of the default self—striving for competitive advantage, registered in a stinginess toward giving away possessions and time—crumbles during awe. Awe awakens the better angels of our nature.” Perhaps putting ourselves in the way of awe might help us hear the bells — old and new — that ring in this current age, and that might bring us together and love each other well. If love only exists in relationship, and love is what helps us to see and to care, then protecting and restoring relationship seems to be vital work for our time.   

Now, the winter sky is dark and the stars shine brightly above. They shine with a clarity that matches the peal of the bells in the village. They call me beyond myself into something unified, something older, something necessary. They call me into wonder and awe. Knowing that it is not just me looking at these stars, but people across the world and through time, brings me into a peace, a reverence that can be hard to come by. I step back into the house but my mind faces outwards into the world.  

Church bells used to call people together to worship, bringing a sense of shared time and purpose. They still ring, but they can be hard to hear against the noise of individual time. I think they are calling us together again now. And if we can’t hear them, perhaps we need to set new bells ringing. May the bells that ring this New Year’s Day inspire us to do so. 

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