Search Results (31)

Demand for mental health support has exerted unprecedented pressure on statutory services. Innovative solutions such as Green or Nature-Based Social Prescribing (NBSP) programmes may help address unmet need, improve access to personalised treatment, and support the sustainable delivery of primary services within a prevention model of population health. We piloted an innovative health economics-informed Social Return on Investment (SROI) analysis and forecast of a ‘Making Well’ therapeutic craft and horticulture programme for mental health between October 2021 and March 2022. Quantitative and qualitative outcome data were collected from participants with mild-to-moderate mental health conditions at baseline and nine-weeks follow-up using a range of validated measures, including the Short Warwick–Edinburgh Mental Well-being Scale, ICEpop CAPability measure for Adults (ICECAP-A), General Self-Efficacy Scale (GSES), and a bespoke Client Service Receipt Inventory (CSRI). The acceptability and feasibility of these measures were explored. Results indicate that the Making Well programme generated well-being-related social value in the range of British Pound Sterling (GBP) GBP 3.30 to GBP 4.70 for every GBP 1 invested. Our initial pilot forecast suggests that the programme has the potential to generate GBP 5.40 to GBP 7.70 for every GBP 1 invested as the programme is developed and delivered over a 12-month period. Despite the small sample size and lack of a control group, our results contribute to the evidence-base for the effectiveness and social return on investment of NBSP as a therapeutic intervention for improving health and well-being and provides an example of the use of health economic well-being outcome measures such as ICECAP-A and CSRIs in social value analysis. Combining SROI evaluation and forecast methodologies with validated quantitative outcome measures used in the field of health economics can provide valuable social cost–benefit evidence to decision-makers. Full article

The importance of social farming (SF) is known in the literature, yet there is a lack of suitable tools for evaluating and monitoring these practices. Moreover, there is also a lack of data and information about the outcomes of the experiences and the impact they have on various stakeholders. Consequently, it is difficult to understand the extent to which SF can contribute to the achievement of sustainability and rural development goals. This study proposes an integrated framework to evaluate social farming practices, combining different methodologies such as SWOT analysis, Business Model Canvas (BMC), Social Return on Investment (SROI), and Analytic Hierarchy Process (AHP). The research evaluated a regional initiative in Lazio Region (Italy), aimed at the socio-occupational integration of disadvantaged individuals through SF networks. Data collection involved 127 stakeholders through interviews and focus groups. Through the integration of SWOT analysis and BMC, the strong influence of the local contexts and project leaders on the impacts of SF is shown. In addition, the integration of AHP with SROI highlights how to address the limitations in quantifying social, economic, and environmental benefits, thus improving the accuracy of impact assessments. Finally, the results underline the need for policies that ensure the continuity and scalability of SF projects, highlighting the central role of the farm in sustainable socio-occupational inclusion. The study contributes to the advancement of SF evaluation methodologies and informs future policy development. Full article

Citizens Advice on Prescription (CAP), a Liverpool (UK)-based service, provides welfare advice and link worker social prescription support to people experiencing and at risk of experiencing financial or social hardship. CAP, which receives referrals from healthcare and third-sector services, aims to improve service users’ financial security, health, and wellbeing. A mixed-methods social return on-investment (SROI) analysis was used to evaluate this service. Between May 2022 and November 2023, a subset of service users (n = 538) completed the Short Warwick–Edinburgh Mental Wellbeing Survey (SWEMWBS) at baseline and a 2-month follow-up. Supporting quantitative and qualitative economic data were also collected (February 2023–February 2024) through semi-structured interviews (n = 16). Changes in social value were determined by comparing pre- and post-SWEMWBS scores. These scores were then mapped to monetary values using the Mental Health Social Value Bank (MHSVB). SROI ratios were then calculated by dividing the change in social value by the associated service provision costs. The mean social value change per person ranged from GBP 505.70 to GBP 697.52, and the mean service provision cost was GBP 148.66 per person. The overall study reported a positive SROI return range of GBP 1: GBP 3.40–GBP 4.69. The results indicate that non-clinical support services, like CAP, may be an effective intervention for addressing the wider determinants of health and wellbeing. Full article

Multidisciplinary collaboration is key to strengthening the evidence base for multifaceted illness prevention interventions. We bring together health economics and behavioral science to explore the well-being benefits and social cost–benefit of volunteer gardening at an accredited botanic garden, Wales, UK. A health economics-informed social return on investment (SROI) evaluation was combined with the assessment of volunteers’ basic psychological needs (autonomy, competence, and relatedness), connection to nature, and their interrelatedness in this innovative nature-based intervention study. Pre- and post-volunteering outcome data were collected using the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS), the ICEpop CAPability measure for Adults (ICECAP-A), the 12-item diary version of the Basic Psychological Need Satisfaction and Frustration Scale (BPNSNF), the Nature Connection Index (NCI), and a bespoke Client Service Receipt Inventory (CSRI). Results indicate that volunteer gardening can provide well-being benefits to participants and cost savings to the NHS. The well-being benefits observed were estimated to generate social value in the range of GBP 4.02 to GBP 5.43 for every GBP 1 invested. This study contributes to the evidence base that simple nature-based interventions such as volunteer gardening could offer low-cost supportive environments that deliver significant well-being benefits and associated social value to local communities, including a reduced burden on overstretched local healthcare services. Full article

Cities are facing challenges in adaptation to, and mitigation of climate change. Urban Green Spaces (UGS) have a pivotal role in this transformative process and are almost always coupled with digital tools. The deployment of digital solutions, encompassing Information and Communication Technology (ICT) and the Internet of Things (IoT), seeks to increase awareness of UGS benefits across a wider range of users. This study is part of a Horizon 2020 project that aims to measure the social impact of Visionary Solutions (VS), i.e., combined Nature Based Solutions (NBSs) and Digital Solutions (DSs), in UGSs located in seven European cities. The project proposes a novel application of the Social Return on Investment (SROI) methodology to forecast the impact of VS implementation in the case of an Italian demonstration. The three main objectives are: (i) establishing a causal chain for transformation through the Theory of Change (ToC) tool; (ii) quantifying the expected change by developing two monetary alternatives; and (iii) comparing these alternatives to assess which is more influential in stakeholders’ decision-making. The authors reviewed a range of financial proxies of social outcomes from other SROI case studies. The result of the Italian demonstration is that, for each euro invested in project solutions, two euros of social return are generated. The analysis reveals these monetized intangible outcomes. Full article

This paper explores the current state of the social impact measurement (SIM) field to better understand common practices in measuring the post-intervention social impact of a program or project and to identify strategies to improve measurement in practice. This study employed a systematic literature review. Articles were manually coded deductively and inductively in NVivo to complete a descriptive and thematic analysis of the literature. The thematic analysis provided an in-depth understanding of the SIM field. We found that similarities existed across the definitions of social impact (e.g., environmental impact is part of social impact). Additionally, social return on investment (SROI) is the most common measurement model and theory of change was identified as a core concept across SIM literature. Strategies are presented for practitioners to consider when measuring social impact, including: (i) engage stakeholders throughout the process, (ii) mobilize existing operational data, (iii) increase measurement capacity, and (iv) use both qualitative and quantitative data. This study reveals the nuances of SIM based on academic literature published across the globe over the span of a decade. It places emphasis on the post-intervention stage and identifies strategies to improve the application of measurement models in practice. Lastly, it outlines future research directions. Full article

Lack of transportation services in low-income communities greatly affects people’s health and well-being, creating barriers to social determinants of health (SDOH). One potential solution that has gained the attention of US decision-makers in recent years is microtransit, a transportation intervention aimed at addressing this issue. Despite promising results from prior microtransit implementation, the extent to which these programs deliver social benefits remains uncertain. This study presents a novel model called Social Return on Investment System Dynamics (SROISD) to forecast the social benefits of a microtransit program in Holmes County, Mississippi. The SROISD model identifies the scope and key stakeholders, maps outcomes, and gives outcomes a value. A causal loop diagram is developed next based on mapped outcomes and a literature review, thereby conceptualizing the processes through which social benefits are gained from the microtransit program. Three stock and flow diagrams are then created from the causal loop diagram to formulate the system and produce results. Outcomes mapped relative to three SDOH areas (1) accessing healthcare, (2) accessing employment, and (3) social participation indicate an overall positive return from investing in microtransit within the low-income community of interest. Additionally, ridesharing demonstrates a significant positive correlation with the SROI ratio. These findings offer support for the advantages of investing in microtransit. Additionally, the SROISD methodology offers decisionmakers a dynamically responsive approach that integrates traditional return on investment methodologies with system dynamics to explore social benefits across a variety of impact categories. Full article

Increased time spent in nature can enhance physical health and mental wellbeing. The UK Government’s ‘25 Year Environment Plan’ recommends extending the health benefits of contact with nature to a wider group of people, including those with mental health challenges. This study investigated whether nature-based interventions (NBIs) for people with mild mental health challenges could generate a positive social return on investment (SROI). Between May 2017 and January 2019, 120 participants at six outdoor sites in Wales participated in a 6 to 12-week NBI, which consisted of a weekly 2- to 4-h session. Quantitative data were collected from baseline and follow-up questionnaires identifying participant demographics and measuring mental wellbeing, physical activity, self-efficacy, and social trust. Wellbeing valuation generated a range of social value ratios by applying the Housing Association Charitable Trust (HACT) Social Value Calculator (SVC 4.0) and HACT Mental Health Social Value Calculator (MHSVC 1.0). Seventy-four participants (62%) completed follow-up questionnaires at 6 months. SROI ratios were calculated using the SVC for physical activity, self-efficacy, and social trust. The MHSVC generated social value ratios for mental wellbeing. The base case results revealed a positive social value ratio for participants, ranging from British Pound Sterling (GBP) 2.57 to GBP 4.67 for every GBP 1 invested, indicating favourable outcomes in terms of value generated. Full article

Companion animals play a central role in many families and are especially valued by those who are socially isolated. Crisis situations such as acute hospitalizations, homelessness, and natural disasters can make it difficult to preserve the human–animal bond and can result in animals being surrendered or euthanized. Social support programs like the RSPCA NSW Emergency Boarding and Homelessness program support people experiencing crisis situations with emergency pet boarding, access to veterinary treatment and individualized case management. This study aimed to estimate the social return on investment (SROI) for this program using the standard SROI methodology. In-depth interviews were conducted with 13 program stakeholders and questionnaire responses were received from 29 program clients. Outcomes were quantified for four stakeholder groups: program clients, client’s animals, RSPCA Inspectors, animal pounds, and shelters. Clients and their animals experienced the bulk of the benefit from the program, estimated to have a combined value of over AUD 5 million for the 2020–2021 financial year. The estimated social return on investment was AUD 8.21 for each AUD 1 invested. The study demonstrates that keeping people together with their companion animals or ensuring they are reunited as soon as possible can reduce stressors and improve outcomes for people and animals. Full article

There is growing interest in green social prescribing and connecting with nature-based activities to promote social cohesion along with improving levels of health, wealth and well-being. The Outdoor Partnership is a third sector organisation based in North Wales offering nature based social prescribing interventions. Individuals experiencing poor mental health and wellbeing are referred from GPs, community mental health services, and third sector organisations to the ‘Opening the Doors to the Outdoors’ (ODO) programme which is a 12-week outdoor walking and climbing green prescribing intervention. The purpose of the ODO programme is to provide a supportive environment to increase levels of physical activity among participants leading to improvements in overall health and mental wellbeing while promoting socialisation among peers. In this evaluation of a preventative green social prescribing intervention, a mixed method social return on investment (SROI) approach used quantitative and qualitative data from ODO participants. Data collection took place from April 2022–November 2022. Mental wellbeing data was collected at baseline and at 12 weeks using the Short Warwick Edinburgh Mental Wellbeing Scale, a social trust question, an overall health question, and the International Physical Activity Questionnaire- short form. Baseline and follow-up data was available for 52 ODO participants. Results indicate that for every £1 invested in the ODO programme, social values ranging from £4.90 to £5.36 were generated. Full article

In Wales, the prevalence of Type 2 Diabetes Mellitus (T2DM) has increased from 7.3% in 2016 to 8% in 2020, creating a major concern for the National Health Service (NHS). Social prescribing (SP) has been found to decrease T2DM prevalence and improve wellbeing. The MY LIFE programme, a scheme evaluated between June 2021 and February 2022 in the Conwy West Primary Care Cluster, aimed to prevent T2DM by referring prediabetic patients with a BMI of ≥30 to a diabetes technician (DT), who then signposted patients to community-based SP programmes, such as the National Exercise Referral Scheme (NERS), KindEating, and Slimming World. Although some patients engaged with SP, others chose to connect only with the DT. A Social Return on Investment (SROI) analysis was conducted to evaluate those patients who engaged with the DT plus SP, and those who connected solely with the DT. Relevant participant outcomes included ‘mental wellbeing’ and ‘good overall health’, which were measured at baseline (n = 54) and at the eight-week follow-up (n = 24). The estimated social value for every GBP 1 invested for participants who engaged with the ‘DT only’ ranged from GBP 4.67 to 4.70. The social value for participants who engaged with the ‘DT plus SP programme’ ranged from GBP 4.23 to 5.07. The results indicated that most of the social value generated was associated with connecting with the DT. Full article

Stroke is the third leading cause of death and disability overall worldwide. Upper limb impairment is a common consequence for stroke survivors, having negative impact on their quality of life. Robotic rehabilitation, through repetitive and monitored movements, can improve their status. Developed by a team of researchers at Politecnico di Milano, AGREE is an exoskeleton for upper limb rehabilitation at the stage gate between translational research and clinical validation. Since the cost of this device is particularly high, the present study aimed to provide a framework for assessing its value. The Social Return on Investment (SROI) method, able to grasp the economic, social and environmental impact of an activity, was applied, using expert opinions of a pool of clinical engineers and healthcare professionals from different Italian hospitals to obtain information. Environmental impacts were estimated through Life Cycle Assessment in terms of CO₂ emissions and incorporated in the analysis. Considering a 5-year period, the SROI for a single exoskeleton was 3.75:1, and the SROI for the number of exoskeletons projected to be sold was 2.868:1, thus resulting largely in value for money. This study provides a model for combining economic, social and environmental outcomes that, besides contributing to theory, could be useful for decision-making. Full article

In Andalusia, the right to maximum waiting times for healthcare clashes with the available supply, leading to an increase in demand in the form of waiting lists. To address this situation, the activity of private centers has been created for certain diagnostic tests. The Social Return on Investment (SROI) model evaluates an intervention from an economic and stakeholder perspective. However, there are no studies on the suitability of waiting lists using SROI, which is why it is intended to be studied as a decision-making tool for the clinical and healthcare management of waiting lists. This research protocol is designed to determine the quality of life gained, with the EuroQol-5D-5L questionnaire, and its social assessment, with the specific survey of the SROI method, and, thus, analyze the social return on investment and determine the suitability of the intervention (diagnostic endoscopy activity arranged in a contracted center). After the study, we will know the economic (cost in public health centers and the incremental cost of extraordinary health resources), social (quality of life with health), and environmental scenarios of the concerted activity intervention in order to adjust waiting list times. Full article

Hemiplegia is a form of disability that affects one side of the body and has a prevalence of 0.5–0.7 per 1000 live births. It has consequences not only at the medical level but also on psychological, cognitive, and social aspects, and it prevents children from social participation, especially in sports settings. The studies demonstrating the social impact of sports on the hemiplegic population and, in particular, children, are limited. In addition, previous evaluations of healthcare sports initiatives in the hemiplegic population are not available, and traditional methods of evaluation, which are mostly focused on economic outcomes, are not applicable. Thus, this article employs the social return on investment (SROI) methodology, which is able to determine the socio-economic impacts of an initiative, to evaluate the impact of an innovative ankle–foot orthosis (AFO) for hemiplegic children that was created to promote the possibility of “sports for all”. The model was designed with the involvement of stakeholders in all the phases and with mixed methods to assess the input, outcomes, and impact indicators. The final SROI, computed for a time horizon of three years and with a focus on the Lombardy Region, was equal to 3.265:1. Based on this result, the initiative turned out to be worthy of investment. Full article

In recent years, there has been a need for a shared methodology for evaluating social farming (SF) practices to verify not only their effectiveness but also their social and economic sustainability. The evaluation of SF has been highlighted using the methodology of the social return on investment (SROI) due to the potential of such approach regarding the quantification of social impact. The main purpose of this study is to provide an overview, through a systematic review, of the application of SROI to SF experiences to check the results comparability, both in terms of outcomes standardization and comparisons between SROI ratios. The results first show some similarities on the construction of outcomes that allow for the initial comparability of the results. Secondly, all the indicators calculated in the articles report a social return value of social farming projects that varies approximately from EUR 2 to EUR 3 per euro invested. Critical issues remain regarding the application of this methodology to SF practices, regarding the number of the applications of SROI to SF, the process of stakeholder engagement and the construction of outcome. There is a need for more studies that apply SROI to SF experiences in order to standardize the process of analysis. Full article