<p>Social prescribing (SP) has emerged as a strategy in primary care that enables clinicians to connect patients to services and programs in the broader community to address health and social needs. While social prescribing is becoming a more widely accepted practice and its evidence base is expanding, there remains a lack of research surrounding specific approaches used in the development of social prescribing programs. Community-based and participatory approaches in social prescribing involve collaborative efforts between the healthcare setting and the community to co-design programs. The objective of this scoping review is to understand the extent and type of evidence that exists in relation to community-based and participatory approaches in social prescribing. Following the Arksey &amp; O’Malley (2005) framework for scoping reviews, four relevant databases were searched. Reflexive thematic analysis was used to analyze data. 11&#xa0;articles met the inclusion criteria from which four key themes were developed: (1) Strengthening SP programs with service user insights (2) Leveraging existing community assets for SP programs, (3) Navigating the complexities of cross-sector collaboration, and (4) Consideration of limited capacities and resources. This review provides a foundation for further research concerning SP and the use of community-based and participatory approaches in SP program development. The findings from this research are significant to researchers, policymakers, practitioners and community organizations that are interested in gaining an advanced understanding of community-based and participatory approaches in SP. This research can also benefit prospective patients by contributing to the development of SP practice.</p>