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Co-producing a Social Model of Well-being with SamenWelzijn

In the SamenWelzijn research project we aim to strengthen the connection between the social intervention, ‘Welzijn op Recept’ and the local community. In doing so, we want to contribute to a transition towards a social model of well-being. We work together with general practitioners, other primary care providers, wellbeing coaches, social workers, local residents' initiatives, and the municipality.

Well-being on Prescription for better well-being
Individual wellbeing is to a large extent socially determined by the culture and local environment in which someone finds themselves. To improve wellbeing, it is therefore important to recognise and tap into the central role of the local context and community in which someone lives. That is what Welzijn op Recept (a Dutch intervention related to social prescribing) aims to achieve.

Welzijn op Recept is a cross-domain collaboration between healthcare and social work, in which in which general practitioners refer people with psychosocial complaints - that cannot be linked to an identifiable biomedical cause - to a wellbeing coach. The wellbeing coach then works with the patient to find suitable activities and social contacts in the neighbourhood to improve wellbeing. This broad approach to wellbeing shifts the focus from healing and care to the role of social support (see infographic in Dutch).

In practice, it is challenging to firmly connect Welzijn op Recept  and its healthcare and welfare professionals  with the local community and residents' initiatives. In part, because these initiatives tend to be many and diffuse in nature. More insight into what aspects contribute or hinder wellbeing in the local community, and what initiatives play a part in this, can help to solidify the connections between health and wellbeing professionals and these initiatives, thereby amplifying their benefit through Welzijn op Recept.

Joining forces in the neighborhood
The objective of this project is to improve local cooperation and mutual connection between Welzijn op Recept and residents' initiatives in the neighborhood and thus contribute to a transition towards a social model of wellbeing: an approach for wellbeing in which the interaction between individual well-being and local (resilience) power is recognised and utilised.

Systemic approach
We do this through systemic participatory research. The emphasis is on joint exploration and learning about wellbeing in the neighbourhood between partners who have a stake in it. This approach focuses on understanding the shared context, valuing different perspectives on well-being, jointly formulating goals, and developing appropriate actions.

Research approach
Through in-depth interviews, working visits and working sessions (Living Labs), we jointly build a qualitative local understanding of wellbeing, of what the neighbourhood can do, and needs, to strengthen local wellbeing, and of the operation of Welzijn op Recept. Furthermore, we collaborate with computational scientists to work on agent-based modeling and visualising the interaction between well-being and local factors from a quantitative viewpoint. This provides further input for discussions about starting points for change.

More information

  • Team

    The project team consists of:

    • Dr. Lieselot Vandenbussche (Athena Institute, Vrije Universiteit Amsterdam)
    • Gianna Marsman (Athena Institute, Vrije Universiteit Amsterdam)
    • Dr. Koen Bartels (Department of Public Administration and Policy, University of Birmingham)
    • Marieke Koot (National Partnership for Active Residents)
    • Dr. Lasse Gerrits (Institute for Housing and Urban Development Studies, Erasmus University Rotterdam)
    • Dr. Miriam Heijnders (National Knowledge Network Wellbeing on Prescription)
    • Dr. Debraj Roy (Computational Science, University of Amsterdam)
    • Dr. Tjerk-Jan Schuitmaker-Warnaar (Institute for Interdisciplinary Studies, University of Amsterdam)
    • Eric Dignum (Computational Science, University of Amsterdam)
  • Research activities

    We are conducting this research in two neighbourhoods where general practitioners work with Welzijn op Recept and where local resident initiatives are already active around care and wellbeing. Various phases can be distinguished in this project:

    Autumn of 2023: exploring and getting to know the neighbourhood
    We make working visits to local partners that have something to do with wellbeing, such as general practitioners, other primary care providers, wellbeing coaches, local resident (initiatives) and the municipality. We also conduct in-depth interviews with them. Focusing on their perspectives and experiences surrounding wellbeing in the local neighbourhood, experiences with and involvement in Welzijn op Recept ,and the opportunities and complexities therein.

    Spring - summer 2024: designing a development and change path
    The emphasis in this phase is on jointly determining questions, sharing knowledge and developing actions and interventions to strengthen the local mutual connection between Welzijn op Recept  and local initiatives. We shape this joint learning and working by organising various joint work sessions (Living Labs).

    Autumn 2024 - autumn 2025): implement developed actions and interventions
    In this phase we make working visits, with the aim of discussing together what is going well and what still poses challenges. Linked to this there are also intervision discussions.

    Fall 2025 – Spring 2026: formulating lessons
    In this phase we jointly formulate lessons regarding the local collaboration and connection of Welzijn op Recept with the local community, and more broadly: lessons for a transition towards a social model of wellbeing. We do this again in work sessions (Living Labs). We also discuss how these lessons can be institutionalised for the future.

    During all these phases we work with agent-based modeling. This method helps provide insight into the interactions between individual wellbeing and local resilience, and the role of Welzijn op Recept in this and in local initiatives. We work with these models in the Living Labs and actively use them to determine so-called 'leverage points': starting points for activating positive interactions.

  • Intended lessons and outcomes

    In local Transition Roadmaps we formulate actions and interventions aimed at strengthening and deepening local connections between Welzijn op recept, the local community, and local resident initiatives.

    We are also developing an agenda to sustainably anchor the actions and interventions developed so that connections between Welzijn op recept and the neighbourhood can remain strong and thus maintain and further develop a joint local approach to well-being in the neighbourhood.

    The project further results in a systemic Transition Roadmap that includes more systemic lessons and findings on how local parties can work together to improve well-being and facilitate a transition towards a social model of wellbeing. 

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