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‘Social prescribing’ has doctors writing scripts for nature walks and art classes. It’s working.
The loneliness epidemic has reached a critical mass, with the Surgeon General warning that social isolation can have dire health consequences. Tons of research backs it up: Being lonely can make us sick.
For many years, patients have been screened for loneliness and offered only a few limited options: Therapy and medications that treat symptoms of loneliness like insomnia, depression, or heart problems.
But recently, doctors have been taking a far more radical approach: What if they actually treated the loneliness itself?
“Social prescribing” trend takes off
Doctors cant befriend their patients, but more and more they’ve been leaning on a concept called “social prescribing.” It’s a way of treating the whole patient and not just the symptoms.
How? By writing prescriptions for things like nature walks, art classes, book clubs, singing lessons, and more. All of these activities are shown to boost mental health, decrease loneliness, and create a domino effect of positive health outcomes.
It’s not just loneliness that can be treated by social prescribing. Depression, anxiety, and chronic pain can all benefit from community-based, real-world activities.
How social prescribing works
A person dealing with loneliness might be asked to take part in a community class, volunteer, or even use a service that helps them make friends.
Depression patients might be asked to spend more time in nature through a birdwatching group or nature-walk group They may also be enrolled in art classes.
Doctors frequently tell people to exercise more, but social prescribing sees them direct chronic pain patients, for example, to specific group exercise classes.
Prescriptions for art classes can really make a difference. Photo Credit: Canva Photos
It can be even simpler than that, too. Someone who’s isolated because they’re a caretaker for a family member might be asked to simply go to a coffee shop a few times per week. A person who’s feeling down and disconnected due to remote work might get a social prescription for joining a group or social club. Someone who’s dealing with stress and anxiety related to finances might be assigned to meet with a debt management specialist.
How it works from a logistical standpoint depends on the doctor and where you live. In the UK, social prescribing has officially been adopted by the NHS. Patients in need will be referred by their doctor to a “link worker” whose sole job is to connect them to the right community resource.
In America, social prescribing is still in more of a fledgling state. Fortunately, though, more and more local pilot programs are popping up around the country to provide the same support. Experts believe that even in the United States’ heavily privatized model, it can still be effective.
Social prescribing actually works
Going for weekly nature walks to help depression and loneliness is a cute idea, but is it actually effective?
A majority of research says Yes. One study found that patients who received a social prescription were less likely to visit their doctor for other consultations or go to the emergency room. Participants showed not only reductions in anxiety and depression, but major boosts to self-confidence, self-esteem, and overall wellbeing.
Beyond what’s reflected in the numbers and studies, doctors who practice social prescribing say they’ve seen the impact it can have firsthand.
Scientific American writes, “The most memorable gains from social prescribing come through in its before-and-after stories. Whether its patients sharing how social prescriptions have provided a ‘reason to wake up in the morning,’ or doctors sharing how it feels like ‘prescribing beauty in someone’s life,’ social prescribing just feels right.”
The practice is not without its critics, though. Some researchers say that the positive gains from social prescribing only last as long as a healthcare worker is facilitating the activities, but fade away quickly when patients are left to their own devices. They argue that the root causes of loneliness, depression, and anxiety run far deeper in our cultures and require more precise intervention.
Still, it’s hard to argue with the idea behind social prescribing. Therapy and medications have their place, but human beings have always needed community, connection, and time spent in nature. What’s most surprising about the trend is that it took us this long to give it a try.
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