Research Team Prof Helen Chatterjee, UCL Prof Paul Camic, Canterbury Christ Church Univ. Dr Linda Thomson, UCL Dr Bridget Lockyer, Canterbury Christ Church Univ. Funded by the Arts and Humanities Research Council Partners: Royal Society for Public Health and Arts Council England

Two parts to the project  Extensive review of social prescribing referral schemes in the UK and internationally ( )  Museums on Prescription intervention programmes ( )

What is ‘social prescribing’ ? ‘A mechanism for linking patients with non-medical sources of support within the community’ (CentreForum Mental Health Commission, 2014)  Perhaps better to alter this definition to ‘patients and others with mental health, physical and social needs’

Social Prescribing Review  Rationale  Method of the review  Locations  Results  Recommendations

Method  Extensive literature search of over 1500 entries in the UK and internationally.  We looked at ‘on prescription’ programmes in exercise, books, arts, computerised CBT, education, green gyms, museums, information prescriptions, social enterprise schemes, time banks, supported employment, volunteering

35 UK case study locations  Scotland1  Wales1  N. Ireland1  Northwest4  Northeast 2  Humber/Yorkshire4  West Midlands1  East Midlands3  Eastern3  Southwest5  Southeast3  London7

What was (or was not) evaluated?

Findings (slide 1 of 2)  Increases in self-esteem and confidence  Improvements in psychological wellbeing and positive mood  Reduction in anxiety and/or depression  Improvements in physical health  Reduction in GP and primary care visits  Range of complimentary care options for GPs

Findings (slide 2 of 2)  Increase in sociability and communication skills  Reduction in social isolation and loneliness, supported hard-to-reach people  Improved motivation and meaning in life, provided hope and optimism about the future  Acquisition of learning and new interests and skills

Recommendations- 1  Embed link workers in GP practices  Invite GPs to local community centres to spend time with link workers and talk to service-users who have benefited  Provide evidence to GPs about the effectiveness of social prescribing  Link to ‘care pathways’ relevant to specific problems/diagnoses  Emphasise advantages for GPs by putting patients in control of their own healthier lifestyles

Recommendations-2  Other referring sources Social services Charities Mental health services ○ Adult and Older Adult Services Clinical psychologists, mental health nurses, counsellors  Frameworks for setting up SP schemes  Clear on outcomes

Museums on Prescription : A social prescribing project for older, socially isolated adults  Museum partners deliver sustainable 10 week ‘interventions’  Referrals from NHS older adult services, primary care, Social Services, local public health, GP practices (link workers); Charities (AgeUK)  Central London and across Kent

Evaluation framework  Pre post outcomes  ‘Museum Passport’  End of programme interviews  3, 6 and 12 month follow-up  Cost-benefit analysis: nef

What we are hoping to achieve  Results of the interventions themselves during, at end of intervention and longer term follow-up  Examination of the referring pathways: what worked and what did not  How these programmes can be sustained, expanded and promoted