Victorian Social Prescribing Survey Invitation to contribute to a state-wide survey on Social Prescribing Your organisation has been invited to participate in a Victoria wide survey on social prescribing activity. A growing number of social prescribing services and related activities are available across Victoria. It is being recognised, including by the Royal Commission into Victoria’s Mental Health System, as a powerful tool in improving people’s health and wellbeing outcomes. The survey is open to any service or organisation from a range of sectors, who are • currently providing, a social prescribing service OR activity that facilitates social connection. The survey seeks to gain a baseline understanding of social prescribing activity with a view towards identifying current, past and future work, potential enablers, barriers, and needs across Victoria. What is social prescribing? While social prescribing is an considered an emerging service offering in Victoria, Social Prescribing has been described in the following ways: 1. Social prescribing is a process enabling GPs, nurses and other health professionals to refer people to a range of local, non-clinical services to improve their physical, mental, social and/or spiritual health and wellbeing outcomes. Most programs involve a link worker or navigator who works with people to access suitable activities and support. People may, for example, be referred to exercise classes or group activities to help increase their social connections. Modified from Neighbourhood Houses Victoria 2. Social prescribing is a means of connecting people to a range of non-clinical services in the community to improve their health and well-being. Modified from WHO Social Prescribing Toolkit 3. Social prescribing connects people to practical and emotional community support, through social prescribing link workers. Social prescribing links them to a range of activities that are typically provided by voluntary and community sector organisations, for example, volunteering, arts activities, group learning, gardening, befriending, cookery, healthy eating advice and a range of sports. Modified from National Academy for Social Prescribing UK
Your participation in this survey is voluntary, many questions are optional and you can pull out of the survey at any time. The answers to the survey will be stored in a REDcap database which is secure and your name or any information will not be provided to third parties. You and the service will not be identified and the report will provide a generalised understanding of social prescribing work across Victoria based on deidentified grouped responses. Do you wish to receive a copy of the final report? If you have any questions, please contact the survey co-ordinator Kay Ryan at k.fiddes@alfred.org.au Yes
No
Do you wish to proceed with the survey? Please note that you can pull out of the survey at any time. Yes
No
Thank you for time.
3. ORGANISATION/WORKPLACE
4. DEPARTMENT OR SERVICE NAME only enter if applicable
5. Which best describes the organisation's current status of social prescribing work or social prescribing related activity?
CURRENTLY PROVIDING
USED TO PROVIDE BUT NOW FINISHED
PLANNING ON PROVIDING - SCOPING
INTERESTED IN PROVIDING, BUT NO CONFIRMED PLAN YET
CURRENTLY PROVIDING
USED TO PROVIDE BUT NOW FINISHED
PLANNING ON PROVIDING - SCOPING
INTERESTED IN PROVIDING, BUT NO CONFIRMED PLAN YET
6. Which best describes the organisation's social prescribing related work?
A SOCIAL PRESCRIBING SERVICE Solely dedicated to social prescribing usually with a link worker, funded worker, connector and/or volunteer (can operate within an organisation providing other services eg. council, neighbourhood house, community health etc)
A SOCIAL PRESCRIBING RESEARCH TRIAL
A SOCIAL PRESCRIBING ACTIVITY (eg. Mens Shed, Neighbourhood House activity, art class, support group, dementia café, online)
PART OF USUAL PRACTICE (eg. general practice, care coordination, social work)
OTHER
A SOCIAL PRESCRIBING SERVICE Solely dedicated to social prescribing usually with a link worker, funded worker, connector and/or volunteer (can operate within an organisation providing other services eg. council, neighbourhood house, community health etc)
A SOCIAL PRESCRIBING RESEARCH TRIAL
A SOCIAL PRESCRIBING ACTIVITY (eg. Mens Shed, Neighbourhood House activity, art class, support group, dementia café, online)
PART OF USUAL PRACTICE (eg. general practice, care coordination, social work)
OTHER
7. Which best describes the service?
AN ONGOING SERVICE
PILOT OR PROJECT
FORMAL RESEARCH (UNIVERSITY)
FINISHED SERVICE/FINISHED PILOT
AN ONGOING SERVICE
PILOT OR PROJECT
FORMAL RESEARCH (UNIVERSITY)
FINISHED SERVICE/FINISHED PILOT
8.Which organisation best describes where the social prescribing service is/was managed from?
COMMUNITY HEALTH COUNCIL NEIGHBOURHOOD HOUSE/COMMUNITY CENTRE HOSPITAL GENERAL PRACTICE SOCIAL SERVICE AGED CARE SERVICE MENTAL HEALTH SERVICE NATIONAL DISABILITY INSURANCE SCHEME (NDIS) NOT FOR PROFIT SOCIAL ORGANISATION OTHER COMMUNITY HEALTH
COUNCIL
NEIGHBOURHOOD HOUSE/COMMUNITY CENTRE
HOSPITAL
GENERAL PRACTICE
SOCIAL SERVICE
AGED CARE SERVICE
MENTAL HEALTH SERVICE
NATIONAL DISABILITY INSURANCE SCHEME (NDIS)
NOT FOR PROFIT SOCIAL ORGANISATION
OTHER
9.Which best describes the service staffing?
ALL VOLUNTEERS
ADMINISTRATION STAFF PLUS VOLUNTEERS
A FUNDED PERSON/S (eg. Link worker, wellbeing coordinator, community connector etc.)
COMBINATION OF FUNDED PERSON(S) AND VOLUNTEER(S) (eg. link worker and volunteers)
ALL VOLUNTEERS
ADMINISTRATION STAFF PLUS VOLUNTEERS
A FUNDED PERSON/S (eg. Link worker, wellbeing coordinator, community connector etc.)
COMBINATION OF FUNDED PERSON(S) AND VOLUNTEER(S) (eg. link worker and volunteers)
PLEASE PROVIDE THE NAME OF THE FUNDED POSITION
PLEASE SELECT WHICH OF THE FOLLOWING BEST DESCRIBES THE FUNDED POSITION'S WORK BACKGROUND
LAYPERSON LIVED EXPERIENCE OR PEER WORKER CLINICAL PERSON SOCIAL CARE PROFESSIONAL
WHAT IS THE FUNDED PERSON'S TOTAL HOURS PER WEEK
10.Which best describes the target demographic? (choose all that apply)
PEOPLE WHO ARE EXPERIENCING LONELINESS AND/OR SOCIAL ISOLATION
OLDER PERSONS
YOUNG PEOPLE
YOUNG PEOPLE AT RISK
PEOPLE WITH MENTAL HEALTH ISSUES EG ANXIETY, DEPRESSION
PEOPLE WITH COMPLEX MENTAL HEALTH ISSUES EG SCHIZOPHRENIA
PEOPLE WITH ALCOHOL AND OTHER DRUG ISSUES
COMPLEX AND MULTIPLE CHRONIC MEDICAL CONDITIONS
CHRONIC MEDICAL CONDITION SELF-MANAGED
COMPLEX SOCIAL CIRCUMSTANCES EG HOUSING, ECONOMIC, FAMILY
CULTURALLY AND LINGUISTICALLY DIVERSE BACKGROUNDS
FIRST NATIONS PEOPLE
PEOPLE WITH DISABILITY
GENDER DIVERSE PEOPLE
ALL OF THE ABOVE
OTHER
PEOPLE WHO ARE EXPERIENCING LONELINESS AND/OR SOCIAL ISOLATION
OLDER PERSONS
YOUNG PEOPLE
YOUNG PEOPLE AT RISK
PEOPLE WITH MENTAL HEALTH ISSUES EG ANXIETY, DEPRESSION
PEOPLE WITH COMPLEX MENTAL HEALTH ISSUES EG SCHIZOPHRENIA
PEOPLE WITH ALCOHOL AND OTHER DRUG ISSUES
COMPLEX AND MULTIPLE CHRONIC MEDICAL CONDITIONS
CHRONIC MEDICAL CONDITION SELF-MANAGED
COMPLEX SOCIAL CIRCUMSTANCES EG HOUSING, ECONOMIC, FAMILY
CULTURALLY AND LINGUISTICALLY DIVERSE BACKGROUNDS
FIRST NATIONS PEOPLE
PEOPLE WITH DISABILITY
GENDER DIVERSE PEOPLE
ALL OF THE ABOVE
OTHER
IF OTHER, PLEASE DESCRIBE E.G., DEMENTIA
11. Please describe the service in the box below OR OR Any other information documents or referral forms can be attached in the UPLOAD FILE button below (optional).
12.How long has the service or program been operating?
IN PLANNING STAGE
1-6 MONTHS
7-12 MONTHS
13 MONTHS-2 YEARS
>2-5 YEARS
>5 YEARS
FINISHED. NO LONGER RUNNING
IN PLANNING STAGE
1-6 MONTHS
7-12 MONTHS
13 MONTHS-2 YEARS
>2-5 YEARS
>5 YEARS
FINISHED. NO LONGER RUNNING
How long did the service run for?
13. How is the service or program funded?
WITHIN HOME ORGANISATION'S OPERATIONS
UNIVERSITY RESEARCH FUNDING
GRANT FUNDING
PILOT FUNDING
OTHER
PREFER NOT TO SAY
WITHIN HOME ORGANISATION'S OPERATIONS
UNIVERSITY RESEARCH FUNDING
GRANT FUNDING
PILOT FUNDING
OTHER
PREFER NOT TO SAY
choose all that apply
For University Research funding, please enter the date due to finish
Today D-M-Y
For Grant funding, please enter the date due to finish
Today D-M-Y
For Pilot funding, please enter the date due to finish
Today D-M-Y
14. How do participants access the service or program? (choose all that apply)
SELF-REFERRAL GP PRACTICE NURSE COUNCIL ALLIED HEALTH PHARMACIST HOSPITAL eg. TCP, HARP SOCIAL SERVICE COMMUNITY HEALTH SUPPORT GROUP SIGN POSTING / LOCAL NEWSPAPER ITEMS etc WALK IN COMMUNITY ORGANISATIONS SUCH AS NEIGHBOURHOOD HOUSES, COMMUNITY GROUPS OTHER SELF-REFERRAL
GP
PRACTICE NURSE
COUNCIL
ALLIED HEALTH
PHARMACIST
HOSPITAL eg. TCP, HARP
SOCIAL SERVICE
COMMUNITY HEALTH
SUPPORT GROUP
SIGN POSTING / LOCAL NEWSPAPER ITEMS etc
WALK IN
COMMUNITY ORGANISATIONS SUCH AS NEIGHBOURHOOD HOUSES, COMMUNITY GROUPS
OTHER
15. What is the process for people to be referred or access the service? (choose all that apply)
ELECTRONIC REFERRAL SYSTEM
PRINTED REFERRAL LETTER
TELEPHONE CALL
WALK-IN
OTHER
ELECTRONIC REFERRAL SYSTEM
PRINTED REFERRAL LETTER
TELEPHONE CALL
WALK-IN
OTHER
16. Does the service receive referrals for activities not provided by the service ? (eg. coordinating medical appointments, assisting with crisis needs if this is not part of the service scope) NEVER
SOMETIMES
FREQUENTLY
17. What is the approximate number of people who participate in the service per month? (Can be an estimate) OR Please upload if you have any reports by clicking on the FILE UPLOAD button below
optional
18. What type of training is provided to the service or program staff/volunteers? Please write N/A if no training
19. Is the service or program evaluated or measured? Includes program measures such as number of people in service
Yes No
A. Please note the type of measures used to evaluate This may include a range of measures from: participant satisfaction, number of participants, number of activities or contacts, mental health and wellbeing scales, Quality of Life scales etc.
write N/A if not applicable
20. When does a participant's involvement in the SP service finish?
NOT APPLICABLE
WHEN THE PERSON IS COMFORTABLE IN AN ESTABLISHED ACTIVITY OR GROUP
SELF DISCHARGE
AT AN ESTABLISHED TIMEFRAME e.g., time limited such as a 6-week program, a 3-week contact program.
OTHER
NOT APPLICABLE
WHEN THE PERSON IS COMFORTABLE IN AN ESTABLISHED ACTIVITY OR GROUP
SELF DISCHARGE
AT AN ESTABLISHED TIMEFRAME e.g., time limited such as a 6-week program, a 3-week contact program.
OTHER
choose all that apply
21. What are the BARRIERS to providing a social prescribing service? This may include INTERNAL barriers (e.g. staff turnover, people not ready or would prefer not to engage, limited time) and EXTERNAL barriers (e.g. lack of service awareness)
optional
22. What are the ENABLERS to providing a social prescribing service? This may include INTERNAL enablers (e.g.funded position) and EXTERNAL enablers (e.g.a referral pathway with GP or other health system services, directory of activities, word of mouth via participants)
optional
23. What other information should be considered for social prescribing services?
optional
24. Does the service use a service directory? Yes No
25. Please state name of directory?
Please note location of the service activity/work
REGIONAL
METRO
STATE WIDE
[MAPPING as per Victorian Public Health Unit boundaries]
If REGIONAL, (Please note the location of the service activity/work)
BARWON SOUTH WEST
GIPPSLAND
HUME (ALBURY/WODONGA)
HUME GOULBURN VALLEY
LODDON MALLEE
GRAMPIANS
BARWON SOUTH WEST
GIPPSLAND
HUME (ALBURY/WODONGA)
HUME GOULBURN VALLEY
LODDON MALLEE
GRAMPIANS
[MAPPING as per Victorian Public Health Unit boundaries]
If METRO, (Please note the location of the service activity/work)
WEST METRO
NORTH EAST METRO
SOUTH EAST METRO
WEST METRO
NORTH EAST METRO
SOUTH EAST METRO
[MAPPING as per Victorian Public Health Unit boundaries]
If STATE-WIDE, (Please select one of the options below)
STATE WIDE FACE TO FACE eg. Bush Adventure Therapy
STATE WIDE TELEPHONE
STATE WIDE ONLINE
OTHER
STATE WIDE FACE TO FACE eg. Bush Adventure Therapy
STATE WIDE TELEPHONE
STATE WIDE ONLINE
OTHER
[MAPPING as per Victorian Public Health Unit boundaries]
If BARWON SOUTH WEST , Please note the Area/Suburb(s)
If GIPPSLAND , Please note the Area/Suburb(s)
If HUME (ALBURY/WODONGA) , Please note the Area/Suburb(s)
If HUME GOULBURN VALLEY, Please note the Area/Suburb(s)
If LODDON MALLEE , Please note the Area/Suburb(s)
If GRAMPIANS , Please note the Area/Suburb(s)
If WEST METRO , Please note the Area/Suburb(s)
If NORTH EAST METRO , Please note the Area/Suburb(s)
If SOUTH EAST METRO , Please note the Area/Suburb(s)
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