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A social prescribing model for tackling the health and social inequalities of people living with severe mental illness: a protocol paper

Leavey, G; Watterson, R; McAnee, G; Shannon, S; Boyd, K; Lloyd-Evans, B; Killaspy, H; ... Davidson, G; + view all (2025) A social prescribing model for tackling the health and social inequalities of people living with severe mental illness: a protocol paper. BMC Public Health , 25 , Article 3211. 10.1186/s12889-025-24075-3. Green open access

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Abstract

Introduction: Health care systems have failed to address the poor physical health outcomes of people living with severe mental illness. Interventions that focus on specific health behaviours and/or lack a co-design basis show little promise. There is a need for whole systems approaches that tackle the complex issues, including social isolation, discrimination, stigma, and low motivation, that influence poor health in this population. A social prescribing model that accommodates the needs and preferences may be a way forward. Methods: A mixed methods approach that assesses the CHOICE model (Challenging Health Outcomes Integrating Care Environments) in relation to (a) the social exclusion, loneliness and social support of a cohort of people living in the community; (b) participants’ experience of social prescribing and potential improvements to the intervention; (c) understanding the implementation factors, mechanisms and outcomes; (d) the engagement and sustainment of community partnerships; (e) institutional changes in policy and practice. Discussion: Codesigned and community-based participatory interventions may be crucial in tackling the health and social inequalities experienced by people with severe mental illness. However, given the complexity of such interventions, the social prescribing model that we describe in this paper, requires considerable implementation data prior to a full trial.

Type: Article
Title: A social prescribing model for tackling the health and social inequalities of people living with severe mental illness: a protocol paper
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12889-025-24075-3
Publisher version: https://doi.org/10.1186/s12889-025-24075-3
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Community assets, Severe mental illness, Social exclusion, Social prescribing, Humans, Mental Disorders, Social Support, Health Status Disparities, Social Isolation, Social Prescribing
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research
URI: https://discovery.ucl.ac.uk/id/eprint/10216090
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