Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle-Upon-Tyne, UK.
Occup Ther Health Care. 2023 Jan;37(1):40-53. doi: 10.1080/07380577.2021.1926046. Epub 2021 May 19.
is a process of helping people to access non-medical activities and services which address health and wellbeing needs. The process is frequently (although not exclusively) initiated by primary health care professionals and often involves prescribing activities or initiatives provided by community and voluntary organizations. To occupational therapy, the links between activity, social-connectedness and health are clearly not new, although there are emerging international examples of social prescribing initiatives, and examples of newly developed roles, processes and funding opportunities, all of which are creating momentum behind the agenda.In this commentary, we draw upon the theory of to examine how the language of "prescription," and the purposive action of policy-makers and practitioners, is shaping thinking and action in relation to activity and health. Arguably, this language has helped to translate the recommendation of activity to meet a range of health needs in to an accessible and implementable concept. However, it has also potentially contributed to positioning the concept within a medical model of health, upholding medical dominance, and leaving occupational therapy on the margins of the debate.
社会处方是帮助人们获得满足健康和福祉需求的非医疗活动和服务的过程。这一过程通常（尽管并非专门）由初级保健专业人员发起，并且通常涉及规定社区和志愿组织提供的活动或倡议。对于职业治疗师来说，活动、社交联系和健康之间的联系显然不是什么新鲜事，尽管现在有一些社会处方举措的国际范例，以及新开发的角色、流程和资金机会的范例，这些范例都为这一议程提供了动力。在这篇评论中，我们借鉴了 的理论，探讨了“处方”这一语言以及政策制定者和从业者的有目的的行动如何塑造与活动和健康相关的思维和行动。可以说，这种语言有助于将开展活动以满足一系列健康需求的建议转化为一个可访问和可实施的概念。然而，它也可能将这一概念定位在健康的医学模式内，维持医学的主导地位，使职业治疗处于辩论的边缘。
