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How is Dignity equipping their teachers to address suicidal ideation and tendencies amongst students? Would you recommend the same measures nationally?

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How is Dignity equipping their teachers to address suicidal ideation and tendencies amongst students? Would you recommend the same measures nationally?

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Among students, are there other outreach ways aside from to hotline numbers and centers as young people usually cannot travel or call on their own due to transport or device limitations?

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Among students, are there other outreach ways aside from to hotline numbers and centers as young people usually cannot travel or call on their own due to transport or device limitations?

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Is there any correlation between suicide and social media?

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Is there any correlation between suicide and social media?

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What is the effectiveness of suicide assessments on determining suicide risk?

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What is the effectiveness of suicide assessments on determining suicide risk?

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How to get out from suicidal thoughts? its becoming more prominent over time.

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Are there differences in suicide trends across cultures and religions? Many participants are from an ASEAN context, and talking about death and dying in this manner is so shameful. 

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Are there differences in suicide trends across cultures and religions? Many participants are from an ASEAN context, and talking about death and dying in this manner is so shameful. 

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You mentioned suicide is partly genetic. That frightens me. Is it more biological or due to exposure of it happening in the family? If I've had a family member who committed suicide, I would like to know how I can make sure it doesnt happen again...

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You mentioned suicide is partly genetic. That frightens me. Is it more biological or due to exposure of it happening in the family? If I've had a family member who committed suicide, I would like to know how I can make sure it doesnt happen again...

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Is there a way we can break the pattern from traumatised adults from harming others?

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Is there a way we can break the pattern from traumatised adults from harming others?

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What is the most effective way to treat depression?

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What is the most effective way to treat depression?

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Should we blame current society standards for the causes of suicide?

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Should we blame current society standards for the causes of suicide?

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Is there a relationship between  paraphilias that involve either the infliction or reception of pain and the concept of self-harm as an alarm bell for suicidal tendency?

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Is there a relationship between  paraphilias that involve either the infliction or reception of pain and the concept of self-harm as an alarm bell for suicidal tendency?

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If you are facing mental health issue (taking meds), can you advise another?

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Should vulnerable individuals be allowed to take a serotonin metabolism test (ELISA) or fluorescent MRI (commonly available to public) just to allow the patient to self-assess his/her situation and seek medical attention/professional help? Aware that suicide is more than just hormones :)

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Should vulnerable individuals be allowed to take a serotonin metabolism test (ELISA) or fluorescent MRI (commonly available to public) just to allow the patient to self-assess his/her situation and seek medical attention/professional help? Aware that suicide is more than just hormones :)

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I am a teacher, and many teachers are on this symposium. How should a school design its disciplinary procedures - as you mentioned that right at the top of events preceding suicide?

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I am a teacher, and many teachers are on this symposium. How should a school design its disciplinary procedures - as you mentioned that right at the top of events preceding suicide?

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How do I know if I am suicidal or when I need to start seeking help?

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How do I know if I am suicidal or when I need to start seeking help?

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Are introvert persons more prone to mental depression and thus suicidal thoughts?

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Are introvert persons more prone to mental depression and thus suicidal thoughts?

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Can threats of suicide be used as a form of genuine emotional manipulation?

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Can threats of suicide be used as a form of genuine emotional manipulation?

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What has been the main obstacle in preventing suicide among the drug abuser dependent people? 

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What has been the main obstacle in preventing suicide among the drug abuser dependent people? 

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Where can we find the current data as written on the slides?

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Where can we find the current data as written on the slides?

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Why there are people who appear to have a good balance of life (wealthy, happy family, good career) ended up with suicide?

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Why there are people who appear to have a good balance of life (wealthy, happy family, good career) ended up with suicide?

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How do we break the stigma of suicide in the organization setting? 

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How do we break the stigma of suicide in the organization setting? 

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Would decriminalising suicide help reduce suicides?

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Would decriminalising suicide help reduce suicides?

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How do we introduce psychoeducation in school? Is there an organisation a teacher can get in touch to arrange for this?

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How do we introduce psychoeducation in school? Is there an organisation a teacher can get in touch to arrange for this?

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Given that we will still be online for quite some time in schools, is there any virtual event ideas for the school community?

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Do our modern society views (individualistic life, rich as success, straight A's, etc) contributes to the attempt to commit suicide by the people who can't cope with that?

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Do our modern society views (individualistic life, rich as success, straight A's, etc) contributes to the attempt to commit suicide by the people who can't cope with that?

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Advocacy: What is Perkama’s stand on the Decriminilistion of attempted Suicide? (It’s an offence in Malaysia - penalty of jail or fines) 

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Advocacy: What is Perkama’s stand on the Decriminilistion of attempted Suicide? (It’s an offence in Malaysia - penalty of jail or fines) 

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Based on the empirical study done in Malaysia what do you think the best measure and detection to intervene and address the suicide issue. Especially dealing with the stressful systems that we are facing at current. Hamidah H

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Based on the empirical study done in Malaysia what do you think the best measure and detection to intervene and address the suicide issue. Especially dealing with the stressful systems that we are facing at current. Hamidah H

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Hello Ms. Larissa, how effective the penalty (sentencing or fining) you think it is on someone's suicidal behavior? By that sense, if a person has not committed suicide successfully and will be fined or sentenced after doing it, do you think the penal code causes people to kill themselves in a way where "they will surely die"? And what are your thoughts on that?

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Hello Ms. Larissa, how effective the penalty (sentencing or fining) you think it is on someone's suicidal behavior? By that sense, if a person has not committed suicide successfully and will be fined or sentenced after doing it, do you think the penal code causes people to kill themselves in a way where "they will surely die"? And what are your thoughts on that?

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Are there steps to be taken when undocumented individuals need medical attention after attempting suicide, considering on top of their status, suicide is still criminalised?

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Are there steps to be taken when undocumented individuals need medical attention after attempting suicide, considering on top of their status, suicide is still criminalised?

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How can we be a part of support system that provides support to suicidal people and their families?

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How can we be a part of support system that provides support to suicidal people and their families?

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This can be slightly controversial, what are your thoughts on microdosing of psychedelics as a treatment to reduce psychological stress and suicidal ideations?

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This can be slightly controversial, what are your thoughts on microdosing of psychedelics as a treatment to reduce psychological stress and suicidal ideations?

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Are medical professionals mandated to report suicide attempts? Are there situations when the authorities decide not to pursue prosecution? 

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Are medical professionals mandated to report suicide attempts? Are there situations when the authorities decide not to pursue prosecution? 

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Does the Section 309 Penal Code include children/juveniles as well? If not, are there any consequences for children attempts to suicide (children means under 18)?

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Does the Section 309 Penal Code include children/juveniles as well? If not, are there any consequences for children attempts to suicide (children means under 18)?

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In your opinion, what are the reason of criminalizing suicide attempts deterrence? (i.e the challenges and opposition we foresee in this journey)

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In your opinion, what are the reason of criminalizing suicide attempts deterrence? (i.e the challenges and opposition we foresee in this journey)

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What can we as mental health professionals realistically and PRACTICALLY do to help and push towards the decriminalization of suicide? (besides signing petitions)

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What can we as mental health professionals realistically and PRACTICALLY do to help and push towards the decriminalization of suicide? (besides signing petitions)

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Above all, name it holistic approach and etc. I believe  political will plays an important role at the current scenario and it must be supported by facts and figures that can be align to help everyone out there who is in need. But how far everyone is putting their efforts seriously in making things better. The school system, for instance is not conducive enough to teachers and students. Everyone aware of this but what is the ACTION in response to it? What's your insights on this Ms Larissa from your law background perspective. And what are your specific recommendations in this?

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Above all, name it holistic approach and etc. I believe  political will plays an important role at the current scenario and it must be supported by facts and figures that can be align to help everyone out there who is in need. But how far everyone is putting their efforts seriously in making things better. The school system, for instance is not conducive enough to teachers and students. Everyone aware of this but what is the ACTION in response to it? What's your insights on this Ms Larissa from your law background perspective. And what are your specific recommendations in this?

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How does Dignity evaluate the effectiveness of the measures the organisation has taken in preventing suicide? 

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How does Dignity evaluate the effectiveness of the measures the organisation has taken in preventing suicide? 

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What is the reach of mental health access around Malaysia? Would more organizations be placed outside the Selangor/KL areas?

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What is the reach of mental health access around Malaysia? Would more organizations be placed outside the Selangor/KL areas?

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What are the key areas of research that can be undertaken to shed light on the topic of suicide in marginalized groups?

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What are the key areas of research that can be undertaken to shed light on the topic of suicide in marginalized groups?

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How do we strengthen the collaboration between social worker and educator? How do we ensure counsellors at schools have access, support and ability to help students with suicidal thoughts?

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How do we strengthen the collaboration between social worker and educator? How do we ensure counsellors at schools have access, support and ability to help students with suicidal thoughts?

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What would be an appropriate intervention for people with urgent mental health issues that are not linked with hospitals (long waitlist etc)?

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What would be an appropriate intervention for people with urgent mental health issues that are not linked with hospitals (long waitlist etc)?

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The conversation about suicide is closely tied to assisted suicide or the topic of euthanasia (not permitted and likely never to be so in ASEAN countries). What does Camus (or other philosophers) have to say about this? 

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The conversation about suicide is closely tied to assisted suicide or the topic of euthanasia (not permitted and likely never to be so in ASEAN countries). What does Camus (or other philosophers) have to say about this? 

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What is a book that you would recommend for us to understand more about the pains, struggles and eventually hope in the topic of life and suicide?

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What is a book that you would recommend for us to understand more about the pains, struggles and eventually hope in the topic of life and suicide?

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Thank you for the insightful sharing Prof, it was enlightening.

1. Just curious, currently in Malaysia when someone has survived a suicide attempt, what are the available legal / social services / postvention that are available to assist them in navigating legal matters, mental health intervention services, support in reintegration to the family and society? How can one go about accessing them?

2. Presently, how can one become a certified clinical social worker in Malaysia?

Thank you!

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In terms of research, what are the areas of suicide to focus on that would help with better understanding suicide in Malaysia (e.g. studying culture differences, environment, education, prevention programs, family, adverse childhood experiences, social media)? 

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In terms of research, what are the areas of suicide to focus on that would help with better understanding suicide in Malaysia (e.g. studying culture differences, environment, education, prevention programs, family, adverse childhood experiences, social media)? 

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How can someone register for the psychological first aid course and other related mental health courses that you mentioned previously? 

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How can someone register for the psychological first aid course and other related mental health courses that you mentioned previously? 

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Hello Dr Robert, if I may ask, how do you view suicide? What meaning can suicide bring to a person's life (if any)?

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Hello Dr Robert, if I may ask, how do you view suicide? What meaning can suicide bring to a person's life (if any)?

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In your professional experience, how have your clients responded to adopting an approach of viewing psychological distress as an important means for growth? How do you combine practical applications to overcome suicide with this philosophical approach?

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In your professional experience, how have your clients responded to adopting an approach of viewing psychological distress as an important means for growth? How do you combine practical applications to overcome suicide with this philosophical approach?

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What are some of the main non-health sectors that we should be keeping accountable in terms of the policy reforms that impact suicide risks?

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What are some of the main non-health sectors that we should be keeping accountable in terms of the policy reforms that impact suicide risks?

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What would be a milestone for public health in terms of mental health? What would you envision Malaysia achieve in terms of public mental health?

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What would be a milestone for public health in terms of mental health? What would you envision Malaysia achieve in terms of public mental health?

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What are the current trends in policy reform advocacy (related to mental health) and how can we keep policymakers accountable?

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What are the current trends in policy reform advocacy (related to mental health) and how can we keep policymakers accountable?

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What possible actions can be taken to shine extra attention given to people with other illnesses, disabilities or other marginalized groups?

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What possible actions can be taken to shine extra attention given to people with other illnesses, disabilities or other marginalized groups?

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During this Pandemic, there are many children's problems that Mother doesn't know...
And many children need help there, including economic problems, which result in children having to take to the streets to find their own economy.
And many people do not accept the existence of children who make a living on the street.
The form of attention and a helping hand from those who can afford it is what is needed.
Please, if there is a forum, these problems, especially in Indonesia, can be handled properly.

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How can we overcome the shortage of mental health professionals in Malaysia? Barriers to entry for professions like clinical psychology and psychiatry are so high. Can we consider stepped-care and task-sharing approaches? Hui-En

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How can we overcome the shortage of mental health professionals in Malaysia? Barriers to entry for professions like clinical psychology and psychiatry are so high. Can we consider stepped-care and task-sharing approaches? Hui-En

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How can the people do to ensure that social work be highlighted and play a role in handling issues regarding suicides?

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How can the people do to ensure that social work be highlighted and play a role in handling issues regarding suicides?

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Do you provide SEL training for those outside of Dignity? If there isn't, is it possible for you to direct me to existing training provided by other organisations?

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Do you provide SEL training for those outside of Dignity? If there isn't, is it possible for you to direct me to existing training provided by other organisations?

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Can education system in Malaysia realign with the societal needs by including and talking about such topic with students in schools to raise awareness and educate them on help seeking behaviour? Thanks.

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Can education system in Malaysia realign with the societal needs by including and talking about such topic with students in schools to raise awareness and educate them on help seeking behaviour? Thanks.

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How do we begin to collect the data and information we need to mobilise the push for action for suicide prevention on a national level? 

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How do we begin to collect the data and information we need to mobilise the push for action for suicide prevention on a national level? 

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To Dr. Guibord, I do not understand your conclusion of your presentation about "How then shall we live? Neither we know the person (the attempt suicide?) approach the struggles for growth? nor they struggled to assimilate a new reality?.." does it mean we need to respect them as a way of struggles and one of the ways of approaching life?

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How else to help an adolescent who is suicidal and self-harm almost every day due to the disturbing thoughts that she has? (Note: she is diagnosed with MDD, Anxiety distress & BPD, gone through ECT, currently taking medicines, getting help from psychologist).

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The big issue with wanting to do research with those with past suicidal attempts is very much because it is considered a crime. What is your suggestion to assure participants so that they can be a part of research?

The point you made about the authorities compassion is so valid because at the end of the day - do they lack compassion if they choose to enforce the law and fine those who have attempted suicide?

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Training family medicine practioners in our local clinics is a good start, but not enough. Actually, mental health care is supposed to be integrated into all our primary care services already. However, these doctors and nurses are already overwhelmed with work. The same goes for teachers. 

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Training family medicine practioners in our local clinics is a good start, but not enough. Actually, mental health care is supposed to be integrated into all our primary care services already. However, these doctors and nurses are already overwhelmed with work. The same goes for teachers. 

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What we need is a new cadre of people - such as the social prescribers in the UK's NHS. These people are able to give time to listen to those with emotional or practical struggles and link them up with the needed resources or services. https://www.england.nhs.uk/personalisedcare/social-prescribing/ (Hui-En, Malaysian CARE)

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What is social prescribing?

Social prescribing is a key component of Universal Personalised Care. It is an approach that connects people to activities, groups, and services in their community to meet the practical, social and emotional needs that affect their health and wellbeing.

In social prescribing, local agencies such as local charities, social care and health services refer people to a social prescribing link worker. Social prescribing link workers give people time, focusing on 'what matters to me?' to coproduce a simple personalised care and support plan, and support people to take control of their health and wellbeing.

Social prescribing link workers also support existing community groups to be accessible and sustainable, and help people to start new groups, working collaboratively with all local partners.

Social prescribing is an all-age, whole population approach that works particularly well for people who:

have one or more long term conditions

who need support with low level mental health issues

who are lonely or isolated

who have complex social needs which affect their wellbeing.

You can find out more about social prescribing and the social prescribing link worker role in our frequently asked questions. Details about social prescribing link workers and how we are supporting with resources and through training and development can be found on our website.

A standard model of social prescribing has been developed by NHS England in partnership with stakeholders, which shows the elements that need to be in place for effective social prescribing to happen.

Social prescribing complements other approaches in a local area such as active signposting, where existing staff in local agencies provide information to signpost people to services, using local knowledge and resource directories.

The NHS and social prescribing

In the NHS Long Term Plan, NHS England committed to building the infrastructure for social prescribing in primary care and embed social prescribing and community-based approaches across the NHS.

This includes introducing social prescribing link workers into primary care networks (PCNs) so that every person in England can access a social prescribing service through their GP practice, starting with 1,000 new social prescribing link workers in place by 2020/21, and a goal that at least 900,000 people will be referred to social prescribing by 2023/24. This is part of the drive to universal personalised care that will see at least 2.5 million people benefiting from personalised care by 2023/24.

This is the biggest investment in social prescribing by any national health system and legitimises non-medical community-based activities and holistic support alongside medical treatment as part of a personalised care approach.

In 2022/23, an additional requirement for primary care networks to provide a proactive social prescribing service was introduced as part of the contract. This means that primary care networks must work with a population experiencing health inequalities to proactively offer social prescribing interventions.

Primary care networks can find more information about embedding social prescribing and social prescribing link workers in our PCN reference guide for social prescribing link workers.

NHS England delivers a support offer for social prescribing link workers and wider workforce. You can find more details of our support offer, including our Workforce development framework, how to access our online networks and community of practice, and other helpful resources.

Working with our partners

The NHS England social prescribing team works closely with national partners including the Department of Health and Social Care (DHSC), Department of Culture, Media and Sport (DCMS) and the National Academy for Social Prescribing (NASP).

NASP is an organisation dedicated to advancing social prescribing through championing social prescribing and the work of local communities in connecting people for wellbeing, and work to create partnerships cross-sector at a local and national level to achieve this.

NHS England works closely with NASP, including supporting programmes such as the Thriving Communities programme, a national support programme for voluntary, community, faith and social enterprise groups, supporting communities to ensure the vital work of social prescribing succeeds on a local level. The Accelerating Innovation in Social Prescribing programme, a partnership with NASP and Royal Voluntary Service, came to an end in March 2023. However, NASP will continue some of the work of the programme, including Skillshare and the webinar programme, and continue to work on social prescribing innovation with members of the community of practice.

The team also works closely with partners to deliver the cross-government Green social prescribing programme.

Resources

Contact details for further information

Email the NHS England social prescribing programme: england.socialprescribing@nhs.net

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Social prescribing is a key component of Universal Personalised Care. It is an approach that connects people to activities, groups, and services in their community to meet the practical, social and emotional needs that affect their health and wellbeing. In social prescribing, local agencies such as local charities, social care and health services refer people to a social prescribing link worker.