B2-From Social Prescribing to Ecological Prescribing: Reframing Health Through the Lens of Affordances
Social prescribing is gaining recognition as a valuable strategy for promoting mental health, social connection, and community-based care. However, many current interpretations limit the meaning of “social” to human relationships alone. This often leads to a narrow focus on connecting people to others, without fully considering the activities, environments, and cultural practices that shape how people live and recover.
In this presentation, we introduce the idea of ecological prescribing as a richer and more accurate way to understand how non-clinical interventions support health and wellbeing. Drawing on ecological psychology, we describe health as something that emerges from the ongoing relationship between a person and their environment. These environments offer affordances: real opportunities for action, interaction, and meaning. This includes social affordances, such as opportunities for shared activity, dialogue, and care, as well as physical and cultural affordances that support purpose, agency, and restoration.
We argue that many successful programs often described as social prescribing, such as nature walks or creative community workshops, are effective because they offer access to environments that invite participation and re-engagement with the world. These programs work not only through social connection, but through the full ecology of people, places, and practices.
We propose ecological prescribing as a way forward. This approach encourages practitioners and policymakers to look beyond referrals and relationships, and to consider the broader landscape of opportunity that surrounds each person. It has practical implications for assessment, program design, evaluation, and the training of link workers and care teams.
By moving from a focus on people alone to a focus on the person-in-environment, ecological prescribing offers a more complete and effective pathway for helping individuals recover, reconnect, and thrive.