Growing spaces: an evaluation of the mental health recovery programme using mixed methods (original) (raw)
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International Journal of Environmental Research and Public Health
The UK government has invested £5.77 million in green social prescribing to prevent and tackle mental ill-health. Therapeutic community gardening, one type of green social prescription, provides a range of health outcomes. However, for increased accessibility, a greater understanding of how it impacts mental health and the facilitators and barriers to referral, uptake, and attendance by individuals with mental health problems is required. We conducted and thematically analysed interviews with thirteen stakeholders including social prescribing link workers and garden staff; and focus groups with twenty garden members. The mechanisms by which therapeutic community gardening were suggested to impact mental health were by engaging members with nature and the outdoors, providing hope for the future and facilitating social support and relationships. Factors facilitating referral, uptake, and attendance included a holistic and person-centred approach, which is flexible around health needs....
The influence of therapeutic horticulture on social integration
Journal of Public Mental Health, 2016
Purpose The purpose of this paper is to qualitatively evaluate the impact of therapeutic horticulture (TH) on social integration for people who have mental health problems. Design/methodology/approach A qualitative grounded theory approach captured the perceptions about TH from people with mental health problems. Data were collected using semi-structured focus group and interviews from a purposive sample (n=7) and were analysed using a constant comparative approach. Findings Four key themes emerged from the analysis: “a space to grow”, “seeing the person”, “learning about each other through nature” and “connecting to nature and others”. The findings suggest that TH enabled participants to integrate socially, engage with nature and develop confidence. Research limitations/implications TH is a potential approach that can help combat social isolation. The findings from this research have implications for people working towards supporting people who are socially excluded. However, this ...
Horticultural Therapy Program for People with Mental Illness: A Mixed-Method Evaluation
International Journal of Environmental Research and Public Health
Background. Horticultural therapy (HT) has long been used in the rehabilitation of people with mental illness, but many HT programs are not standardized, and there have been few evaluation studies. Aims. This study evaluated the process and outcomes of a standardized horticultural program using a mixed methodology, i.e., systematic integration (“mixing”) of quantitative and qualitative data within a study. Methods. Participants who have mental illnesses were assigned to a treatment (HT) and a comparison group (n = 41 for each group). The process and outcomes of the program, including stress and anxiety, engagement and participation, affect changes, mental well-being, and social exchange, were obtained using self-completed questionnaires, observational ratings of participants during the group, as well as through a focus group. Results. The study results supported the proposal HT is effective in increasing mental well-being, engagement, and the sense of meaningfulness and accomplishme...
Gardening as a mental health intervention: a review
Mental Health Review Journal, 2013
Purpose -The number of gardening-based mental health interventions is increasing, yet when the literature was last reviewed in 2003, limited evidence of their effectiveness was identified. The purpose of this paper is to evaluate the current evidence-base for gardening-based mental health interventions and projects through examining their reported benefits and the quality of research in this field. Design/methodology/approach -Studies evaluating the benefits of gardening-based interventions for adults experiencing mental health difficulties were identified through an electronic database search. Information on the content and theoretical foundations of the interventions, the identified benefits of the interventions and the study methodology was extracted and synthesised. Findings -Ten papers published since 2003 met the inclusion criteria. All reported positive effects of gardening as a mental health intervention for service users, including reduced symptoms of depression and anxiety. Participants described a range of benefits across emotional, social, vocational, physical and spiritual domains. Overall the research was of a considerably higher quality than that reviewed in 2003, providing more convincing evidence in support of gardening-based interventions. However, none of the studies employed a randomised-controlled trial design. Research limitations/implications -There is a need for further high-quality research in this field. It is important that adequate outcome measures are in place to evaluate existing gardening-based mental health interventions/projects effectively. Originality/value -This paper provides an up-to-date critique of the evidence for gardening-based mental health interventions, highlighting their potential clinical value.
For the past years, Ecuador has been transitioning away from a hospital-based model of mental healthcare to one that is community-centred. However, challenges associated with hospital-based models endure, notably financial burden faced by those with severe mental health problems (SMHPs) due to labour market discrimination. Employment access for this group is often disregarded in policy planning, despite evidence of its benefits on mental health. Huertomanías, an urban garden initiative in Ecuador founded in 2015, works with individuals with SMHPs, providing work, income, and social inclusion. A case study using a participatory approach was carried out to explore factors that impact the recovery of people with SMHPs. Twelve participants engaged in diverse stages of the research, where several participatory activities were conducted including cognitive mapping, a photovoice project, and interviews. The analysis employed a thematic approach leading to four categories of impact within the urban garden: autonomy (financial and personal), interpersonal relations and relation with the environment, mental health, and family dynamics. A final category of impact was established encompassing external factors (family support and public policy and healthcare services) that influence recovery. Findings suggest that the urban garden promotes autonomy and active participation within society, improves mental health, and transforms family dynamics. Further, this study highlights the importance of community-based mental healthcare (CBMHC), emphasising the need of public policies and healthcare in promoting autonomy through employment and community-centred services. Lastly, the study contributes insights into recovery experiences and CBMHC benefits, informing programme development and similar initiatives in Latin America.
This study aimed at gaining knowledge of users' experience of green care services (interventions using nature to improve health) for people with mental health or drug problems. Data were obtained from interviews with 20 participants in green care services and were analyzed qualitatively. Findings revealed that work in a social context close to nature and work with animals increased mastery and meaningfulness. Participation resulted in personal changes, new practical skills, improved social networks, and feelings of well-being. There appears to be powerful potential in using green care services as a recovery tool for people with mental health or drug-related problems.
Evaluation of a horticultural activity programme for persons with psychiatric illness
2010
To investigate the effect of applying horticulture activity on stress, work performance and quality of life in persons with psychiatric illness. Methods: This study was a single-blinded randomized controlled trial. Using convenience sampling, 24 participants with psychiatric illness were recruited to participate in a horticultural programme and were randomly assigned to experimental and control groups. Two participants dropped out from experimental groups after assignment. Ten participants in the experimental group attended 10 horticultural sessions within 2 weeks, while 12 participants in the control group continued to receive conventional sheltered workshop training. Participants were assessed before and after programme using Chinese version of the Depression Anxiety Stress Scale (DASS21) and the Personal Wellbeing Index (PWI-C), and the Work Behavior Assessment. Results: There was a significant difference in change scores of the DASS21 (p = .01) between experimental and control group. There were no significant differences in change scores of the PWI-C between the two groups. Conclusion: Horticultural therapy is effective in decreasing the levels of anxiety, depression and stress among participants in this pilot study, but the impact of the programme on work behavior and quality of life will need further exploration.
This article aims to make clearer, with supporting evidence, the clinical benefits of the nature-based rehabilitation program (NBRP) and the restorative values of visiting botanical garden for people with stress-related mental disorders. Background: Throughout the years, nature-based therapy has been acknowledged as a valuable rehabilitation practice that integrates specially designed natural environments and nature-related activities for people with mental health conditions. Subject and Methods: The comparative analyses of parallel conducted the NBRP at botanical garden and occupational therapy realised at the Day Hospital of the Institute of Mental Health in Belgrade included 27 participants divided into two groups. The data collection employed a mixed method combining a Clinical Global Impression (CGI) Scale and on-site observations. Results: The positive findings on the psychological recovery of the participants seem to be related to NBRP. The restorative potential of the garden was recognized through the observed interaction between participants and the natural entities employed through the various themed activities. The observed landscape elements especially solitary plant specimens or tall and single-form trees within the garden can be embraced as design guidelines for the development of an evidence-based practice that can support the recovery process of people with mental health conditions. Conclusion: Our findings endorse that ongoing