A "social prescription" [is] a referral to nonpharmaceutical, community-based resources and activities, like art classes and cycling clubs. Instead of a recommendation to exercise or socialize, a social prescription is tailored to that patient's specific interestswhat brings them joy, purpose, awe, flow and childlike curiosity. It's a medicine based on what matters to a patient, instead of just what's the matter with them. More than 80 percent of our health outcomes are driven by social factors in our environments, while only 16 percent are related to clinical care. In other words, to be healthy, we need access to basic resources"clean air, nutritious food, stable housing, freedom from violence and discrimination, and psychological resources"outlets that help us cope with stress, activities that give us a sense of purpose, people we can call at 3 A.M. in a crisis. Social prescriptions addressing both kinds of these social needs should be a no-brainer addition to the menu of options that American docs, therapists and social workers can prescribe. I've seen firsthand how social prescriptions can not only alleviate symptoms of sickness but also create lasting wellness"from the woman whose prescription for a sea-swimming prescription severely reduced her antidepressant dosage and helped "her life become bright again," to the man whose prescription for a cultural excursion group helped him overcome his social anxiety and "feel like himself again."
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