When Nafisa Nezam Omar was diagnosed with post-traumatic stress disorder, she got an unusual prescription: Tai Chi.
Several months after enrolling in the traditional style of martial arts, Omar, who lost her husband to a heart attack as well as a brother to gunfire and a sister to rocket shelling in Kabul, says she’s “finally being able to enjoy my life.”
“I’m now volunteering and doing well,” she said.
The Rexdale Community Health Centre, where her doctor is based, is among Ontario community health centres taking part in a pilot program that offers social and artistic remedies — including choir classes, fishing lessons, knitting and a visit to the Royal Ontario Museum — as an alternative treatment for certain health issues such as anxiety and loneliness.
The ROM announced Thursday it would be offering 5,000 free passes, each valid for four people, as part of the project.
“One of the things they’re trying to promote is a sense of belonging and empowering people to participate,” said Kate Mulligan, director of policy and communications for the Alliance for Healthier Communities, which represents 107 community-governed primary health care organizations and is leading the one-year program.
“It might be that the physician or nurse
practitioner sees that you’ve been coming in 10 times and a medical solution is not readily available for what’s bothering you.”
Among the most common complaints — gobbling up physician time and cost OHIP — is loneliness, Mulligan said.
She said through the program patients who meet the criteria are referred to a link worker, who walks them through a menu of treatment alternatives. The full menu of programs are free of charge to participants.
“The Rexdale program has focused on ROM-type things and getting people to participate in the community,” Mulligan said.
The concept of “social prescriptions” — where health practitioners prescribe artistic and social activities as alternatives to medication for people with mental health difficulties — started in the U.K., and has caught on in Montreal.
The Ontario program was launched this summer with a $600,000 grant from the provincial health ministry, targeting health needs of people who aren’t well-served by the mainstream health system, such as people who are racialized, LGBTQ, those facing employment barriers and Indigenous people, Mulligan said.“The money is not for us to hire staff at the centres or implement,” she said. “It’s more to do with how to evaluate this, so we can learn how it works and see if it improves health outcomes and reduces costs to the health system.”
Aided by a group of mentors parachuted in from the U.K. — where social prescribing shows promising results — the local team commenced designing Ontario’s first model for social prescribing in June.
An evaluation of a similar project in Gloucestershire, England, done by the University of West England in 2016, showed a 23 per cent decline in attendance and emergency admissions, decreasing dependence on primary care, and physician appointments declining by 21 per cent in the six months after a social prescription.