“We Went Through It Together”: Reflections on Community Strength in Green Social Prescribing

Our study explored how Green Social Prescribing (GSP) supports wellbeing among ethnically diverse communities. What emerged highlighted the essential role of trusted community organisations in creating safe, culturally attuned spaces for connection and support.
Like

Share this post

Choose a social network to share with, or copy the URL to share elsewhere

This is a representation of how your post may appear on social media. The actual post will vary between social networks

Explore the Research

BioMed Central
BioMed Central BioMed Central

Green social prescribing delivered by community organisations supports wellbeing among ethnically diverse communities in England - Discover Public Health

Social prescribing connects people to community activities and services to meet practical, social and emotional needs affecting their health and wellbeing. Green social prescribing (GSP) focuses on prescribed activities that are nature-based using green and/or blue spaces. GSP has the potential to address health inequalities faced by migrants and refugees. We aimed to understand how GSP activities impacted the health and wellbeing of individuals in ethnically diverse communities within Hull and York (England) working alongside community organisations (n = 6) to deliver the research. This study utilised a mixed methods design; A pre-post intervention study design (n = 103) and face-to-face, semi-structured interviews (n = 20). Participants were recruited from community organisations (n = 6). Our study identified that a high proportion of people participating in GSP activity were able to sustain or improve their overall wellbeing. After 6-months of engagement in GSP activity, slight improvements were observed in scores for all ONS4 questions however only the anxiety construct demonstrated a statistically significant change (Mean change: -0.7 (95% CI -1.4 to 0.01). Qualitative data indicated community organisations are seen as trusted providers who can support access and engagement with green space. The study provided evidence that GSP can help to maintain and improve wellbeing within underserved communities, even at times of social and economic stress. Community organisations have a strong reach to those suffering the most health inequalities and can play a significant role in supporting health and wellbeing when empowered and provided with the appropriate resources.

When we began our study on Green Social Prescribing (GSP) for ethnically diverse communities in Hull and York, our intention was to better understand how nature‑based activities might support wellbeing, address barriers to engagement, and strengthen pathways into community‑led support. What unfolded was a profound illustration of the relational, cultural and contextual factors that shape participation in GSP.

This project was co‑led by myself, a Clinical Psychologist and Researcher at Humber Teaching NHS Foundation Trust, and Anthony Hurd from  HEY Smile Foundation, with academic leadership and supervision from Dr Maureen Twiddy at Hull University (Health Sciences). Together with six community organisations in Hull and York (Welcome House, Bora Shabaa, BAMEEN, HACA, York St John Community allotments, Solidarity CiC) we carried out a mixed‑methods evaluation exploring how GSP was accessed, experienced, and understood by people from ethnically diverse, migrant, refugee and asylum‑seeking backgrounds.

Building Safety Through Community Leadership

The GSP activities delivered, gardening, walking groups and outdoor exercise, were facilitated by organisations embedded within the local communities. These groups were trusted not only because they provided practical access to nature, but because they understood the cultural, social and emotional contexts shaping people's lives.

Participants consistently reported that they learned about GSP through informal networks, such as WhatsApp groups, friends, family and local community events. This stood in contrast to traditional healthcare‑led referral pathways, which played no meaningful role in connecting people to activities.

The community organisations offered more than structured programmes; they created safe, culturally familiar and socially cohesive spaces. As Severine, one of the activity leads from Bora Shabaa Hull, expressed:

“Delivering the GSP has been one of the most meaningful experiences of my work… As someone who came to the UK as a refugee, I bring lived experience to this role, and the programme supported me personally as much as it supported the people I work with.”

The development of trust and connection formed a crucial foundation for engagement. Participants described feeling welcomed, understood and able to take part without fear of judgement, an essential condition for wellbeing interventions involving people who may have faced discrimination, displacement or trauma.

Collective Response to Grief and Loss

During the course of the programme, one of the GSP groups experienced the sudden death of a young mother who had previously participated in their activities. While I was not personally involved in this specific group context, our community partners and members of the wider research team reflected deeply on its impact.

Severine described the community’s response:

“Her passing deeply affected her family, her friends, and many of the women in the programme. In that difficult moment, I witnessed the strength and compassion of our community as people came together to comfort one another, share memories, and offer emotional and practical support.”

Lauren Beadle (Bora Shabaa), who worked to support the data collection, noted:

“Grief entered a space that had been one of comfort and growth. Yet what followed was a powerful reminder of the strength within this community… The support was instinctive and genuine.”

The nature‑based setting appeared to support this collective process. People described how being outdoors offered a quieter, gentler environment in which to reflect, sit alongside others, and navigate emotion without the pressure to verbalise it.

This incident highlighted an aspect of GSP that goes beyond conventional wellbeing frameworks: the capacity of community‑led nature-based activities to hold both celebration and sorrow, and to function as a locus for shared care during times of acute stress.

Wellness walks Credit Bora Shabaa
Wellbeing walks delivered by Bora Shabaa - Photo Credit Bora Shabaa

Understanding Wellbeing Beyond Standard Measures

Although the quantitative findings showed modest changes on standard measures such as the ONS4, the qualitative data revealed much richer narratives about the lived experience of wellbeing.

Participants described:

  • Relief from the confinement of hotel or shared accommodation
  • Reconnection with cultural heritage through food growing and outdoor activity
  • Opportunities for children and families to spend time together safely
  • Meaningful social contact that reduced isolation
  • Experiences of calm, sensory engagement and psychological release in natural settings

These reflections indicate that the wellbeing benefits of GSP extend far beyond traditional metrics. For many, GSP provided moments of autonomy, cultural affirmation, emotional regulation and relational belonging factors which may not map neatly onto numerical scales but are central to lived wellbeing.

Reflections on Learning and Collaboration

This project reinforced the importance of community‑led, culturally attuned approaches to health and wellbeing. It also highlighted the critical role of cross-sector collaboration: the expertise of community leaders, the practical experience of delivery partners like HEY Smile Foundation, and the academic guidance and methodological rigour provided by Dr Maureen Twiddy.

Working alongside these partners underscored the value of:

  • listening closely to lived experience
  • recognising multiple forms of expertise
  • adapting research approaches to cultural and linguistic needs
  • embedding trust and collaboration at every stage

The study demonstrated that effective GSP is not simply about providing access to nature it is about providing access through relationships that are safe, trusted and grounded in community knowledge.

Closing Reflection

Academic outputs distil complex experiences into structured findings, but behind each statistic in this study stood a person, a family, and a community navigating both adversity and resilience.  This work showed that nature is not a passive backdrop to wellbeing it is an active, meaningful resource that helps people connect, reflect, and support one another.

The insights gained through our collaborative research illuminate the profound ways that GSP can shape wellbeing, belonging and collective strength.

Wellbeing walk, photo courtesy of Bora Shabaa

 

Follow the Topic

Mental Health
Humanities and Social Sciences > Behavioral Sciences and Psychology > Clinical Psychology > Mental Health
Environmental Health
Physical Sciences > Earth and Environmental Sciences > Environmental Sciences > Environmental Health

Related Collections

With Collections, you can get published faster and increase your visibility.

Mental and Behavioral Health in Conflict-Affected Settings: Coping, Resilience, and Social Influences

Conflict-affected settings are characterized by chronic instability, economic hardship, and social disruption, all of which profoundly impact mental and behavioral health. In such contexts, individuals are often exposed to cumulative stressors that increase vulnerability to psychological distress, maladaptive coping strategies, and health-risk behaviors. Understanding the mechanisms that shape mental health outcomes in these environments is essential for developing effective public health interventions.

This Collection aims to advance knowledge on the psychological and behavioral determinants of mental health in conflict-affected populations, with a particular emphasis on personality traits, coping strategies, resilience, and social influences. These factors play a critical role in shaping how individuals perceive, respond to, and adapt to adversity. Personality traits may influence vulnerability or protection against mental health disorders, while coping mechanisms and resilience determine the capacity to manage stress and maintain psychological well-being. In parallel, social influences such as stigma, social norms, and perceived acceptability of behaviors contribute significantly to health-related decision-making and risk behaviors.

We welcome original research articles, systematic reviews, and methodological studies that explore mental and behavioral health outcomes in populations exposed to conflict, political instability, or socioeconomic crises. Studies employing observational, analytical, or longitudinal designs are particularly encouraged, as well as those introducing innovative approaches to measurement and analysis in public health.

By bringing together interdisciplinary research, this Collection seeks to provide a comprehensive understanding of the psychological and social processes underlying mental health in fragile settings. Ultimately, it aims to inform evidence-based interventions, support policy development, and strengthen mental health systems in regions affected by conflict and crisis.

This Collection supports and amplifies research related to SDG 3: Good health and Well-Being.

Keywords: Mental health; Behavior health; Refugees; Conflict-affected populations; Coping; Resilience; Social Influences; Well-being; Psychological distress

Publishing Model: Open Access

Deadline: Mar 05, 2027

Promoting Healthy Diets and Food Security across Global Public Health Systems

The interconnection between healthy diets and food security is a critical concern for global public health systems, particularly in the context of escalating population growth, climate change, and socioeconomic disparities. Proper nutrition is essential for overall health and well-being; however, millions worldwide face malnutrition in its various forms, including undernutrition, micronutrient deficiencies, and obesity. Food security encompasses not only the availability of food but also its accessibility, utilization, and stability. Addressing these complex challenges is vital for achieving sustainable development goals and improving health outcomes across diverse populations.

This Collection is motivated by the urgent need to strengthen the integration of health policy with healthy diet promotion and food security within public health frameworks. As nations work to build resilient health systems, innovative strategies that promote healthy eating and ensure food security are essential. This Collection aims to gather interdisciplinary insights and research that address these pressing issues, fostering collaboration among public health experts, nutritionists, policymakers, and community stakeholders.

The purpose of this Collection is to provide a platform for sharing research findings and practical solutions that enhance healthy diets and food security through effective health policies. We welcome contributions that explore policy interventions, community-based initiatives, and innovative programs focused on promoting nutrition education and improving food access. By highlighting diverse perspectives and successful models, this Collection seeks to inform future public health strategies and contribute to the development of effective, equitable food systems worldwide.

Topics of interest include, but are not limited to:

- Evidence-based community interventions to enhance food security

- The influence of health policy on food systems and public health outcomes

- Global case studies demonstrating effective food access and health promotion

This Collection supports and amplifies research related to SDG 2 and SDG 3.

Keywords: healthy diets; food security; nutrition promotion; malnutrition; public health; health policy; food access and availability

Publishing Model: Open Access

Deadline: Dec 05, 2026