Non-clinical community interventions: a systematised review of social prescribing schemes

• Published in: Arts & health Vol. 10; no. 2; pp. 97 - 123
• Main Authors: Chatterjee, Helen J., Camic, Paul M., Lockyer, Bridget, Thomson, Linda J. M.
• Format: Journal Article
• Language: English
• Published: Abingdon Taylor & Francis 04.05.2018; Taylor & Francis Ltd
• Subjects: arts on prescription; Community referral; mental well-being; non-clinical intervention; physical health
• ISSN: 1753-3015; 1753-3023
• DOI: 10.1080/17533015.2017.1334002

Background: This review focused on evaluation of United Kingdom social prescribing schemes published in peer-reviewed journals and reports. Schemes, including arts, books, education and exercise "on prescription" refer patients to community sources of non-clinical intervention. Method: A systematised review protocol appraised primary research material evaluating social prescribing schemes published 2000-2015. Searches were performed in electronic databases using keywords, and articles were screened for evaluation of patient data, referral process, assessment method and outcomes; non-evaluated articles were excluded. Results: Of 86 schemes located including pilots, 40 evaluated primary research materials: 17 used quantitative methods including 6 randomised controlled trials; 16 qualitative methods, and 7 mixed methods; 9 exclusively involved arts on prescription. Conclusions: Outcomes included increase in self-esteem and confidence; improvement in mental well-being and positive mood; and reduction in anxiety, depression and negative mood. Despite positive findings, the review identifies a number of gaps in the evidence base and makes recommendations for future evaluation and implementation of referral pathways.