Supporting the psychosocial needs of patients in general practice: the role of a voluntary referral service

Faulkner, Mark

doi:10.1016/s0738-3991(02)00247-1

Cited by 22 publications

(40 citation statements)

References 10 publications

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“…18–32 The designs included one RCT,18 one non-RCT,19 two qualitative studies,23 28 four uncontrolled before and after studies3 20–22 and eight descriptive reports of six evaluations, of which, five included some analysis of qualitative data 24–2729–32 Details of the included evaluations are presented in table 1.…”

Section: Resultsmentioning

confidence: 99%

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Social prescribing: less rhetoric and more reality. A systematic review of the evidence

et al. 2017

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ObjectivesSocial prescribing is a way of linking patients in primary care with sources of support within the community to help improve their health and well-being. Social prescribing programmes are being widely promoted and adopted in the UK National Health Service and so we conducted a systematic review to assess the evidence for their effectiveness.Setting/data sourcesNine databases were searched from 2000 to January 2016 for studies conducted in the UK. Relevant reports and guidelines, websites and reference lists of retrieved articles were scanned to identify additional studies. All the searches were restricted to English language only.ParticipantsSystematic reviews and any published evaluation of programmes where patient referral was made from a primary care setting to a link worker or facilitator of social prescribing were eligible for inclusion. Risk of bias for included studies was undertaken independently by two reviewers and a narrative synthesis was performed.Primary and secondary outcome measuresPrimary outcomes of interest were any measures of health and well-being and/or usage of health services.ResultsWe included a total of 15 evaluations of social prescribing programmes. Most were small scale and limited by poor design and reporting. All were rated as a having a high risk of bias. Common design issues included a lack of comparative controls, short follow-up durations, a lack of standardised and validated measuring tools, missing data and a failure to consider potential confounding factors. Despite clear methodological shortcomings, most evaluations presented positive conclusions.ConclusionsSocial prescribing is being widely advocated and implemented but current evidence fails to provide sufficient detail to judge either success or value for money. If social prescribing is to realise its potential, future evaluations must be comparative by design and consider when, by whom, for whom, how well and at what cost.Trial registration numberPROSPERO Registration: CRD42015023501.

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Section: Resultsmentioning

confidence: 99%

“…Three before and after studies20–22 and five descriptive reports23 26 28 30 32 reported on patient experience. Studies used semistructured interviews or survey questionnaires specifically designed for the project evaluation to assess participant experience.…”

Section: Resultsmentioning

confidence: 99%

Social prescribing: less rhetoric and more reality. A systematic review of the evidence

et al. 2017

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“…There were concerns about engaging sufficient demand due to a lack of referrals (Brandling et al, 2011) and because some patients did not engage with social prescribing (Faulkner, 2004 andMcMahon, 2013).…”

Section: Referral Ratesmentioning

confidence: 99%

Exploring the components and impact of social prescribing

Foster

O’Cathain²

2015

Journal of Public Mental Health

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Abstract:Purpose: Social prescribing are short-term intermediary services that facilitate patients with psychosocial needs to engage in non-clinical support. However little is known about the components and potential impact of social prescribing.Design/methodology/approach: A review was conducted to explore the evidence base on social prescribing including mapping its key components and potential impact. Database, internet and hand searching was utilised to identify relevant studies. Data extraction and narrative analysis was undertaken to explore the issues. Findings:Twenty-four studies met the inclusion criteria. The studies were diverse in their methodologies and the services evaluated. Stakeholders such as general practitioners and patients perceived that social prescribing increased patients' mental well-being and decreased health service use. However the quantitative evidence supporting this was limited. The only randomised controlled trial showed a decrease in symptoms and increase in functional wellbeing at four months. The other non-controlled designs had large drop-out rates limiting their value in determining effectiveness. Research limitations/implications:Further research is needed on the effectiveness and cost effectiveness of social prescribing using robust evaluative designs.Originality/value: This is the first review of generic social prescribing services focusing on the general evidence base.

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“…Whilst needing to be interpreted with caution, the finding that satisfaction was significantly greater for patients who contacted services implies that those services accessed were able to support the individuals' needs. Previous qualita- tive studies have also found patients to be generally satisfied [5,15].…”

Section: Comparisons With Existing Literaturementioning

confidence: 83%

“…This was despite the GPCMHW often contacting the organisation on the clients' behalf, and offering to support them in attending their initial meeting. Qualitative evaluations of other schemes have also commented on poor uptake of recommendations, but this is the first time this has been reported quantitatively [5,15]. Understanding why patients do not access recommended services, and adapting advice and support accordingly is likely to be very important in improving the impact of such schemes.…”

Section: Comparisons With Existing Literaturementioning

confidence: 99%

Facilitating access to voluntary and community services for patients with psychosocial problems: a before-after evaluation

2008

Primary Health Care

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Background: Patients with psychosocial problems may benefit from a variety of community, educational, recreational and voluntary sector resources, but GPs often under-refer to these through lack of knowledge and time. This study evaluated the acceptability and effectiveness of graduate primary care mental health workers (GPCMHWs) facilitating access to voluntary and community sector services for patients with psychosocial problems.

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Supporting the psychosocial needs of patients in general practice: the role of a voluntary referral service

Cited by 22 publications

References 10 publications

Social prescribing: less rhetoric and more reality. A systematic review of the evidence

Social prescribing: less rhetoric and more reality. A systematic review of the evidence

Exploring the components and impact of social prescribing

Facilitating access to voluntary and community services for patients with psychosocial problems: a before-after evaluation

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