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A prescription for

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Title: A prescription for


1
A prescription for healthy living
Dr Simon Lennane GP, Alton St Surgery,
Ross-on-Wye Mental Health GP lead, Herefordshire
CCG
2
Isolation separation from social
contact Loneliness subjective experience of
isolation
3
Lonely patients attend GP twice as often Health
risks similar to that of smoking Loneliness can
become self-reinforcing loop of negative thoughts
behaviours More stigmatising than mental health
4
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5
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
6
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
CBT
7
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8
Bibliotherapy
9
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10
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
CBT
medication
11
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
housing
CBT
employment
medication
debt
12
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
physical health?
CBT
social interactions?
friends?
13
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
exercise
CBT
friends?
14
47M. separated. moved here 3y ago. not worked
since breakdown 5y ago. signed off depression.
on sertraline 100mg. couples counselling in
past. exercise dog walking
physical health?
exercise
CBT
employment
friends?
how do we move forward?
15
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16
A space This space beneath the
stairs Where no light can come Reminds me of the
time When I found you crying Remember how you
felt alone, bereft It wasn't yesterday, or every
day before Your loneliness on show For those who
cared to look I saw it just because I'd been
there too Paul
17
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20
Social prescribing the use of non-medical sources
of support
21
Social prescribing
yoga class
tai chi
22
Social prescribing
astronomy clubs
walking groups
yoga class
tai chi
orchard maintenance / coppicing
23
Social prescribing
astronomy clubs
walking groups
yoga class
volunteering
tai chi
lunch club
charity shops
orchard maintenance / coppicing
24
Social prescribing
astronomy clubs
walking groups
yoga class
U3A
timebanking
LETS
volunteering
tai chi
lunch club
charity shops
orchard maintenance / coppicing
25
what next?
central directory of services updated by
providers, intro, dates, contact details ability
to search by postcode and activity
26
No assumptions National Voices
http//www.mindandsoul.info/
27
Thank you
simon.lennane_at_nhs.net
28
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