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Care
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2 min read

Who holds the vital ingredient as healthcare shifts from hospital to community?

The trusted anchor institutions that can provide pastoral care and more.

Esther works as a Senior Consultant for the Good Faith Partnership. She sits in the secretariat for the ChurchWorks Commission.

A social prescribing project in full swing.
A social prescribing project in full swing.
Theos.

On 11 November, the Good Faith Partnership, the National Academy of Social Prescribing (NASP) and the Bishop of London convened a roundtable discussion in the House of Lords to call for a collaborative relationship between faith groups and NHS social prescribing providers. 

Faith leaders from the major religions in the UK gathered alongside senior officials such as from the Department for Health and Social Care, NHS England and arm’s length bodies.  

‘There are lots of exciting opportunities with a new government in place,’ said Charlotte Osborn-Forde, CEO of NASP, adding that as part of her desire to see social prescribing available in NHS services beyond GP surgeries ‘there are huge and untapped assets in communities.’  

Marianne Rozario from Theos, the lead researcher on a groundbreaking new report on faith and social prescribing, elaborated, saying that faith groups are trusted anchor institutions in local communities that are well networked, offer resources in the form of buildings and volunteers, and have expertise in pastoral and spiritual care.  

Mark Joannides, Deputy Director for Community Health in the Department of Health and Social Care, added that: ‘Faith groups are going to have to be part of this,’ when referring to the government’s health mission and the three big shifts from hospital to community, analogue to digital, and sickness to prevention.  

The conversation focused on how this integration could take place, particularly through securing shared investment funds for faith groups, co-locating healthcare services into faith buildings, and integrating faith groups into the NHS 10-year healthcare plan. 

A range of ideas were shared by those present including the importance of investing in faith groups to provide palliative care, focusing on reducing health inequalities, and investing in local infrastructure.  

On 30 January, Good Faith Partnership and Theos will publish the first ever report into the role of faith communities in the social prescribing system. This timely report collates research into the role of faith groups in social prescribing and aims to facilitate further discussion on how collaboration between faith groups and the NHS can support the needs of the most vulnerable in our society. Alongside the report, two ‘How To’ guides will be published, providing faith leaders and social prescribing link workers with a step-by-step process for building relationships with one another.  

To hear more about the research recommendations, explore next steps and to access the practical ‘how-to’ guides register for a free hour-long webinar on 30 January using this link: 

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Culture
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4 min read

Deliverance in the dark: Springsteen’s Nebraska and the scars that shaped it

His starkest album emerged from a season of pain, where family, faith, and music collided

Giles is a writer and creative who hosts the God in Film podcast.

An actor playing Bruce Springsteen walks down a dark street, hands in jacket pocket.
Jeremy Allen White plays Springsteen.
20th Century Studios.

Springsteen: Deliver Me From Nowhere, starring Jeremy Allen-White as the titular rock star, follows Bruce Springsteen's attempt to make possibly his most unconventional album, Nebraska. This also happened to be one of the most difficult times of Springsteen's life, battling with mental health. Before the film's release, let's briefly explore some of the root causes of Bruce's depression, and find out what part family and the church had to do with it.

When it comes to Springsteen's discography, there's something of a disconnect between the casual fans' favourite and the album favoured by critics. Born in the USA is the monster hit album, with its era defining hits and blue-collar Americana. But Nebraska is the one that musicians and writers wax lyrical about. Written and recorded in a small bedroom in Colt's Neck, New Jersey, Nebraska is an album filled with acoustic melancholy folk tracks. With no conceivable singles and no chance of getting radio play, this was not the album that Columbia records wanted him to make, but it's the album Bruce felt he had to make.

"Nebraska was the pulling back of the bow, and Born in the U.S.A. was the arrow's release" writes Warren Zanes in his 2023 book, Deliver Me From Nowhere. In it, Zanes tracks with loving detail not only the technical problems of turning recordings that were only meant to be demos into songs that you could feasibly release, but also the mental health struggles that had driven Bruce to focus on such dark subject matter. It marked a moment of the artist unpacking his issues and answering the question: what do you do when you realise that the things you've loved most have begun to do you harm?

That harm can be traced back to Springsteen's early life in 1950s New Jersey. His father, Douglas 'Dutch' Springsteen, also suffered from mental health problems, at a time when there wasn't even the vernacular to describe such things. Dutch would grow to become jealous of the attention that his young son would get from the women in his family, which would exacerbate his existing paranoia. As well as being neglectful and demeaning, Dutch would also become violent towards his son. Springsteen describes in his autobiography how on one occasion, his father was teaching him how to box when Dutch threw a few open palm punches to his face that landed just a little too hard. "I wasn't hurt" Bruce writes "but a line had been crossed. I knew something was being communicated. […] I was an intruder, a stranger, a competitor in our home and a fearful disappointment". If this was young Bruce's experience at home, little respite was found in the outside world.

Springsteen grew up quite literally in the shadow of the Catholic church, and it permeated every aspect of his community. Bruce attended a Catholic school, where on one occasion he was hit by another student as a punishment from one of his teachers. This was compounded during his time as an altar boy, when the priest he was serving at a six am service gave him a public thrashing for not knowing his Latin. So before Springsteen started high school, he had been physically abused by his father, his school, and his religion. When these pillars of his life (who were meant to represent God to him) treated him this way, is it any wonder that young Bruce's take away from all this is that God is not a safe person to be around?

Years later, when Springsteen finally takes a break from the constant recording and touring cycle, he has no way to escape the damage done to him by the experiences of his early life. In Nebraska he illustrates the lives of down and outs, blue collar workers striving to get by, and even serial killers. The subject matter was so dark that when his manager Martin Landau first heard it, he started to worry about Springsteen's mental health. Thankfully, Springsteen would get the help he needed and forty years later, is a terrific example of someone who has done the work of tackling their own issues.

Where Bruce has landed on his relationship with God some forty years later is still quite hard to pin down. He's reluctantly adopted the adage of 'once a Catholic, always a Catholic' even if he admits he doesn't participate in his religion all too often.

There's no clear delineation point between him going from being a non-believer to a believer or vice versa, but that has not stopped him from creating some truly magnificent art with intense Christian themes. References to Jesus and the gospels pepper much of his musical output. Songs like Devils and Dust show the conflicted faith of a soldier in Iraq, whilst his song, The Rising, written in response to the terrifying events of September 11th, re-imagines the firefighters climbing the stairs of the twin towers as souls rising up to meet their maker. The finished product is a compelling anthem that would give even the most heartfelt worship song a run for its money.

It's quite possible that Bruce is interested in Christianity only in as much as it is woven into the thread of American life. How much the upcoming film will focus on his relationship with God or lack thereof is unknown, but the influence the church has had on him, for better or for worse, is undeniable.

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