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. 

Interview
Change
Freedom of Belief
S&U interviews
9 min read

Don’t send us back, North Korean escapee tells China

Timothy Cho hopes to help those still trying to escape.

Belle is the staff writer at Seen & Unseen and co-host of its Re-enchanting podcast.

A conference speaker at a podium against a backdrop of blue.
Timothy Cho.
GSHRD.

The UN Secretary-General, Antonio Guterres, has recently stated that North Korea must be held responsible for the grave human rights violations that they have carried out, suggesting that such justice could be secured through the International Criminal Court. In the report, they detail serious human right violations which occurred between July 2023 and May 2024, many of which are tied to a serious escalation in the repression of freedom of thought and belief. Such repression makes North Korea that most dangerous country to be a Christian in 2024, sitting at number one on the World Watch List.   

I don’t know about you, but I find North Korea hard to get my head around.  

And so, I was utterly captivated, completely horrified, and generally left speechless by Timothy Cho’s story of escaping North Korea, at the age of just seventeen. Now, living in the UK and working for the religious charity, Open Doors, as well as lobbying cross-party parliamentarians, Timothy is able to shed a rare light on the realities involved in living in, and leaving, North Korea.   

Would you be able to tell me a little bit about how you managed to leave North Korea? 
I actually escaped twice and was imprisoned four times, three of those imprisonments were in China and one in North Korea. I was sent back, along with the seventeen other North Korean refugees, while we were trying to escape.  

During my first escape, I crossed the border to China and met a Christian missionary guy. He tried to help me cross into China safely, so I followed him to his house. I saw a Bible and a cross and realised that it was a Christian missionary’s house.  

That was very scary for me, I thought he was brainwashed. I believed that Christians were kidnapping North Korean children and selling them into trafficking. And so, when I saw a few children in that house, my legs were shaking. 

I thought the Bible was cursed. 

And so I escaped from the house. I did not regard meeting that man as an opportunity provided by God. I ran away from it.  

And I was then arrested at the Mongolian border with seventeen other refugees as we tried to cross into Mongolia. North Koreans, we’re born without a passport. We don’t know how to leave the country. We’re told that you should never leave the country, so, at the Mongolian border, all eighteen of us were arrested by Chinese military. There were two women in the group, a mother and a daughter, they quickly took something out of their backpack and buried it in the sand. I asked them later what it was, they told me that it was a Bible. It was too dangerous to be sent back to North Korea with it in their possession.  

And we were sent back to North Korea. 

I experienced horrific crimes; terrible things were happening right in front of my eyes. I still live with the trauma of it now. But I survived that horrific experience in the North Korean prison, I was the only one among the eighteen of us who got out of there.  

And then you attempted to escape a second time?  

Yes, by then I couldn't walk properly because of the terrible things that had happened in prison. It was tragic.  

I considered going to the Mongolian border again, but I was massively traumatised from the previous attempt. So, I went to Shanghai. I heard someone could help me to cross the fence into an American International School there, where I hoped I could get support and hopefully get out of China.  

So, I met with a few other North Korean refugees in Shanghai and we managed to get into the school with a piece of paper that read: ‘we are North Korean refugees. Please help us’. 

But the school couldn’t help us and the Chinese police arrived to forcibly remove us. In front of hundreds of students, we were beaten and dragged away.  
We were sent to the International Shanghai Prison.  

That was my fourth imprisonment. 

They were going to send me back to North Korea a second time. And there was no way I thought I would survive that. I would have been executed.   

So, what happened? 

In my cell were seven other inmates, all from different countries. As I was crying every night not eating properly, one of my inmates asked me - why are you crying every night?  

They had never met a North Korean person, of course. So, they were very curious about me. The guy who came to me and asked what was wrong was a South Korean gangster - so we spoke the same language, and I was able to explain to him that I was probably going to be executed.  
Everyone looked quite shocked - and they all asked me if they could pray for me. I said yes, but I didn’t actually know what prayer was. Every one of them had a different religion but the south Korean man brought me a Christian Bible and asked me, ‘have you ever read this book?’ 

Again, this was a book that I was terrified of, and so my legs were shaking. I told him that I had never read it, and that I didn’t want to read it. I told him that it was cursed 

But he said, ‘you probably have some time here in this prison – why don’t you read it. It might give you some comfort’.   
Then he told me that I could pray to God for my survival. I was so desperate, you can imagine – you’re in the darkest prison, thinking that you’re about to be killed. I had nothing to lose. But I didn't how to pray, so I asked him - How do you pray? And he told me that you simply say Amen at the end of your wishes. That's how I learned how to pray.  

So, my first ever prayer, right in that moment was ‘God, I don't want to be killed. Amen’.  
And I don't want to go back to North Korea. I want to get up from this prison. I prayed hundreds of these kinds of prayers. Very short. Very desperate. I wanted to survive.  
And, eventually, praying that many times a day gave me a feeling of comfort. I began to lean on it. I was holding it like a rope. I was desperately praying, with everything within me, for weeks and weeks. But nothing was happening. 

 At first, I kind of thought that God was a man, like a very powerful man. The kind who could arrive on a helicopter and destroy the prison building. Like in an action film, that’s the only reference of escape I had. But nothing was happening. So, I told the gangster who gave me the Bible that God obviously doesn't exist. He lied to me.  

Time was ticking. I was desperate.  

I was a 17 year old boy, I didn’t understand God at all, but all I wanted was to survive.  
About eight weeks later, two men visited me in the prison. At first, I thought they were from North Korea, finally forcing me back. But it turns out they were diplomats. One South Korean guy and one Westerner. They told me that China had made the very unusual decision to deport us to the Philippines with a diplomatic passport, not to North Korea.  

This was completely out of the blue. I never expected that this would happen. That was the first and the last time that China had officially deported a group of North Korean refugees to a third-party country instead of sending them back to North Korea. 

As it turns out, one of the school children at the International American school in Shanghai wrote to a local journalist about us because she was so traumatised at how she had seen us beaten and arrested. At the same time, other witnesses had written statements of what they witnessed and testified that what they saw in that moment was a crime against humanity.  

This then caught the attention of the BBC, Washington Post and CNN, media outlets in Germany, South Korea, Japan. They all told our story and campaigned on our behalf, pressuring the Chinese Government. Then, many Christian and human rights groups watched that news. They protested in front of Chinese embassies all over the world.  

I remember thinking - oh, this is how God has operated. I saw it straight away. Right in that moment, I needed to thank him.  

One of the Bible scriptures I still remember reading during that prison stay was – ‘I will not leave you as orphans. I will come to you.’  

I didn’t grow up with parents. They left, escaped to China when I was nine. I survived without parents, even though I was picking food on the floor and had no education. I suffered and struggled. And I complained about that a lot to God, even after he had rescued me and given me freedom. I had a lot of trauma, anger, hatred, all that. So many times I cried out to God, I shouted at him, I asked him – ‘why didn’t you leave me to die on the street? Then I wouldn’t have gone through all of this suffering.’ 
Every time when I prayed that to him, the only sentence he tells me in response is – ‘I love you, son’. 

That’s an astonishing story. Thank you for sharing that. Since you’ve become a Christian, left North Korea and gained your freedom, what have you subsequently learnt about the hidden, underground, Christians in North Korea? 

That my grandmother was a Christian, my father's mother. But she couldn’t ever share her faith with me.  

Also, that Korea had experienced a spiritual revival in 1907. Evangelism swept through Korea at that time, and millions on people gathered in Pyongyang, which is North Korea today. Missionaries came over, even Billy Graham’s father-in-law went there as a missionary. They came, built schools, hospitals, universities, they were teaching English. In fact, members of the royal family were baptised by Billy Graham’s father-in-law. 

My grandmother was a part of that revival generation of a Christians. The church has survived, underground, through decades of North Korean communist dictators.  

People start reading this book (the Bible), and they find treasure in there, our daily life is in there. There are stories of economic hardship, persecution, suffering, oppression, anger, hatred. But to be found with the Bible is incredibly dangerous. People who smuggle the Bible are executed. When I was eleven, I watched a public execution. When they’re executing someone, they force the entire village to come out and watch it, and they force you to take your children. In fact, children have to sit on the front row. So, the man I saw executed when I was eleven, he was shot – first in the eyes, then the stomach, then the knees. I remember, my friends and I went and collected some of the bullet shells that were left on the floor. We thought it was normal. That man was accused of being a spy because he was found with religious materials.  

They're very particularly against Christianity because the message liberates people. 

Finally, this recent report from the UN Secretary General – you say that his recommendations are ‘noble aims’ but that they don’t quite go far enough. What would you like to see happen to bring about increased safety for the people in, and trying to leave, North Korea? 

I’m now a Christian and human rights lobbyist, I encourage MPs to do something. The UK has always been influential in holding the flag for freedom of belief, in particular. So, what I suggest is that we have conversations with Chinese diplomats. China deported me to a third-party country; they can actually do that. They have the authority in their hands to make that decision. They don’t have to send people back to North Korea. They could even send them to South Korea.  

Instead, hundreds of thousands of people are arrested and sent back to North Korea, even though China knows that these people will end up in prison camps. If they’re Christians, they’ll be executed.  

So, I have a few recommendations. But this is something that the UK government can urge the Chinese government to do.