Social prescription presentation

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Social prescription presentation

  1. 1. Social Precribing Developing effective interventions in the Primary Care environment based on health and socioeconomic need. A Therapeutic Model
  2. 2. What is Social Prescribing? Social prescribing has been quite widely used for people with mild to moderate mental health problems, and has shown a range of positive outcomes, including emotional, cognitive and social benefits. Social prescribing may also be a route to reducing social exclusion, both for disadvantaged, isolated and vulnerable populations in general, and for people with enduring mental health problems (Bates 2002; Gask et al. 2000).
  3. 3. What are the advantages? Reduction in need for clinical or secondary care Reduced need for prescriptive intervention Develops patient autonomy Increases awareness of alternative care pathways using non-clinical approaches Acknowledges patients socioeconomic and comorbid health needs
  4. 4. When to prescribe? We all use assessment material to measure an individuals mental well being, PHQ 9 for example. But what other information lies beyond the numbers that are generated? Are we taking into account other factors that are impacting on their lives? Do we have the time? Do we have the skills to address these other factors, provide relevant information or know where to sign post them? Social Prescribing finds the issues that are underpinning and reinforcing these problems and finds non clinical pathways to address them.
  5. 5. Based on a US model of delivery Health Leads is part of the clinic team. With Health Leads, doctors, nurses, and social workers can focus on the complex clinical issues that they are uniquely trained to address. By providing an alternative workforce to connect patients with basic resources, Health Leads enables providers to deliver comprehensive patient care. In the States the model combines a paid worker who serves as the Social Prescribing Coordinator with a team of volunteers who are able to buddy with clients to guide them through alternative service pathways and support their individual or family needs.
  6. 6. Health Leads – ‘The Health Leads model had a positive impact on reducing unmet social needs for low-income families. This innovative multidisciplinary teambased model was able to connect the medical home with community-based resources, often a daunting task within the current primary care model’ Legal Utilities Food Employment Education Housing Benefits
  7. 7. Delivery Model Patient presents in primary care setting Provider screens for needs using PHQ 9 Post service review and primary care update Patient presents to Health Leads Desk Follow up by Social Prescriber or Advocate or Administrator Information moved to central administration Social Prescriber provides education and information
  8. 8. One to one therapy PHQ 9 increase –potential referral into secondary services i.e.IAPT Triage to address socioeconomic problems Social Prescription Home IT Anxiety Program Motivation Group Therapy Reassessed for Family Therapy Condition Specific Group
  9. 9. Future of Social Prescribing Service Client Diary Therapy Tools to access in the home Psychoeducation Tools to download iCloud Central System Access to assessment material Email exchange & contact facility Client Notes Central Booking System
  10. 10. What do US Physicians think? 4 out 5 of 1000 surveyed (690 from primary care 310 pediatricians) agreed with the following statements with regard to social prescribing; Unmet resource needs lead to worse health outcomes Are not confident in their capacity to address their patients needs Say that patients social needs are as important as their medical conditions. This is especially true for physicians (95%) serving patients in low-income urban communities Does the US model reflect UK need and the experience of clinicians working in the primary and secondary sector?
  11. 11. What would Social Prescription look like in the primary care setting? If the practice is committed to enabling social prescription throughout the patients primary care experience then this has to permeate through each tier of the primary care model. Dissemination of information and training of staff is key to enable sign posting of patients prior to referral to a clinician. The voluntary sector model of the use of volunteers to provide much of the service will be key; not only economically but this will enable individuals and families to navigate an often confusing system of health and socioeconomic care system without the intervention of traditional costly secondary services.
  12. 12. Conclusion It is clear that there is a growing need to provide a service which addresses the issues that are not evident within the clinical diagnostic environment yet are having a profound impact on individuals and families lives. It is also clear that clinicians time can be used more effectively if these non-clinical issues are met within primary care and support physicians to meet the complex demands that they are faced with. Social Prescribing can provide the evidence based effective service that meets the growing socioeconomic burden people are faced with each day of their lives. It is not a vehicle to relinquish personal responsibility when met with hardship; it recognizes that people need to be able to connect with services that improve well being and compliment clinical delivery and this burden of need has to be shouldered by all of those throughout the public, private and voluntary sector tasked with the provision of care.

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