scholarly journals Green care in psychiatry

2020 ◽  
pp. 1-2
Author(s):  
Sharon Cuthbert ◽  
Alan Kellas ◽  
Lisa A. Page

Summary Engagement with natural environments is associated with improved health and well-being in the general population. This has implications for mental healthcare. Implementation of targeted nature-based interventions (green care) meets recovery needs and would enable research to develop, clarifying what works best for whom.

2020 ◽  
Vol 12 (4) ◽  
pp. 1360 ◽  
Author(s):  
Robert D. Brown ◽  
Robert C. Corry

More than 80% of the people in the USA and Canada live in cities. Urban development replaces natural environments with built environments resulting in limited access to outdoor environments which are critical to human health and well-being. In addition, many urban open spaces are unused because of poor design. This paper describes case studies where traditional landscape architectural design approaches would have compromised design success, while evidence-based landscape architecture (EBLA) resulted in a successful product. Examples range from school-yard design that provides safe levels of solar radiation for children, to neighborhood parks and sidewalks that encourage people to walk and enjoy nearby nature. Common characteristics for integrating EBLA into private, public, and academic landscape architecture practice are outlined along with a discussion of some of the opportunities and barriers to implementation.


Author(s):  
Melissa R. Marselle ◽  
Sarah J. Lindley ◽  
Penny A. Cook ◽  
Aletta Bonn

Abstract Purpose of review Biodiversity underpins urban ecosystem functions that are essential for human health and well-being. Understanding how biodiversity relates to human health is a developing frontier for science, policy and practice. This article describes the beneficial, as well as harmful, aspects of biodiversity to human health in urban environments. Recent findings Recent research shows that contact with biodiversity of natural environments within towns and cities can be both positive and negative to human physical, mental and social health and well-being. For example, while viruses or pollen can be seriously harmful to human health, biodiverse ecosystems can promote positive health and well-being. On balance, these influences are positive. As biodiversity is declining at an unprecedented rate, research suggests that its loss could threaten the quality of life of all humans. Summary A key research gap is to understand—and evidence—the specific causal pathways through which biodiversity affects human health. A mechanistic understanding of pathways linking biodiversity to human health can facilitate the application of nature-based solutions in public health and influence policy. Research integration as well as cross-sector urban policy and planning development should harness opportunities to better identify linkages between biodiversity, climate and human health. Given its importance for human health, urban biodiversity conservation should be considered as public health investment.


2021 ◽  
Vol 13 (10) ◽  
pp. 5419
Author(s):  
Sanaz Memari ◽  
Mahdieh Pazhouhanfar ◽  
Patrik Grahn

Natural environments have been shown to promote health, and are, therefore, important for achieving social sustainability in cities. As cities grow and become denser, it is important to develop knowledge about the characteristics of natural environments that work to promote health. Perceived Sensory Dimensions (PSDs) is a tool that defines eight different cultural ecosystem services. They correspond to different human needs (rest, exercise, socialising, pleasure, or security) resulting in rehabilitation and health and well-being promotion. An experiment was conducted to study the potential of PSDs to restore people who experienced stressful accidents. One hundred and fifty-seven participants were recruited and asked first to watch a film clip of serious accidents, then to look at the pictures, depicting one particular type of PSDs, while listening to its respective audio recording. Their stress levels were measured before exposure to the stressor (baseline), after exposure to the stressor (pre-test), and after exposure to a particular type of PSDs (post-test). The results show that all eight PSDs effectively provide mental recovery, but there are statistical differences in their potentials. As such, it is proposed that the combined potential of the PSDs is needed, and should be used to increase the capacity and supply of health-promoting urban green areas.


2018 ◽  
Vol 42 (2) ◽  
pp. 146 ◽  
Author(s):  
Mark Hughes

Objectives The aim of the present study was to examine the health and well being of older lesbian, gay, bisexual, transgender and intersex (LGBTI) people, the health issues that concern them, the services they use and challenges accessing services. Methods This study comprised a survey of the health and well being of 312 LGBTI people aged 50 years and over in New South Wales. The survey included the Short-Form 12 (SF-12) measure of health-related quality of life, the Kessler 10 (K10) measure of psychological distress, and the three-item Loneliness Scale. Results Higher levels of psychological distress, lower mental health and greater loneliness were found among this sample than is typically found in the general population. Mental health was lower among carers and those not in a relationship, while psychological distress was greater among those living alone and those experiencing higher rates of loneliness. The most commonly accessed health service was a general practitioner (GP), with most respondents reporting that they were open about their sexuality to their GP and that they had a regular GP. Some reported difficulties accessing health services because of their gender or sexual diversity. Conclusions Although many older LGBTI people are well, both physically and mentally, they do appear to face increased risk of certain health issues compared with the general population. What is known about the topic? Overseas research indicates that older LGBTI people may be at greater risk of certain physical and mental health conditions than the general population. What does this paper add? This paper provides Australian data, using well-validated instruments, on the health and well being of older LGBTI people. It provides evidence of the health issues that older LGBTI people are most concerned about and the barriers they face in accessing services. What are the implications for practitioners? It is important for health practitioners to be aware that older LGBTI people appear to be at increased risk of certain physical and mental health issues, such as loneliness and psychological distress. Providing opportunities for clients to identify their gender or sexual diversity may assist in monitoring risk factors and enable referral to promote healthy aging.


2021 ◽  
pp. 217-239
Author(s):  
Rina Knoeff

AbstractThe eighteenth century was obsessed with the physiology and pathology of respiration and the necessity of clean air and strong winds for health and well-being. Air referred not only to the air we breathe, but also to the natural environments that produce (i.e., breathe) and determine the quality of air. Knoeff’s essay is concerned with the question of how the (psycho) pathology of respiration is bound up (conspires) with natural environments, not only in the literal sense (in urban spaces as well as the countryside) but also as represented in the material and visual culture of households, most notably in landscape paintings in living rooms. It was thought that the viewing of spacious landscapes would stimulate the imagination and literally give breathing space.


Author(s):  
Matilda van den Bosch

Human beings are part of natural ecosystems and depend on them for their survival. In a rapidly changing environment and with increasing urbanization, this dependence is challenged. Natural environments affect human health and well-being both directly and indirectly. Urban green and blue areas provide opportunities for stress recovery and physical activity. They offer spaces for social interactions in the neighborhood and places for children’s play. Chronic stress, physical inactivity, and lack of social cohesion are three major risk factors for noncommunicable diseases, and therefore abundant urban greenery is an important asset for health promotion. Through numerous ecosystem services natural environments play a fundamental role in protecting health. Various populations depend on nature for basic material, such as fresh water, wood, fuel, and nutritious food. Biodiverse natural areas are also necessary for regulating the environment and for mitigating and adapting to climate change. For example, tree canopy cover can reduce the urban heat island effect substantially, preventing excess morbidity during heat waves. This natural heat-reducing effect also lessens the need for air conditioning systems and as a consequence decreases energy spending. Urban trees also support storm-water management, preventing flooding and related health issues. Air pollution is a major threat to population health. Urban trees sequester pollutants and, even though the effect may be relatively small, given the severity of the problem it may still have some public-health implications. The evidence around the effects of natural environments on health and well-being is steadily increasing. Several pathways and mechanisms are suggested, such as health services through functional ecosystems, early life exposure to biodiverse microbiota, which is important for the immune-system development, and sensory exposure, which has direct neurobiological impact supporting cognitive development and stress resilience. Support for several pathways is at hand that shows lower mortality rates and prevalence of cardiovascular and respiratory diseases, healthier pregnancy outcomes, reduced health inequalities, and improved mental health in urban areas with greater amounts of green and blue space. Altogether, the interactions between healthy natural environments and healthy people are multiple and complex, and require interdisciplinary attention and action for full understanding and resilient development of both nature and human beings.


2021 ◽  
Author(s):  
Amelia Eisenstadt ◽  
Shaun Liverpool ◽  
Elisa Infanti ◽  
Roberta Maria Ciuvat ◽  
Courtney Carlsson

BACKGROUND Among the general public there appears to be a growing need and interest in receiving digital mental health and well-being support. In response to this, a number of mental health apps (MHapps) are becoming available for monitoring, managing and promoting positive mental health and well-being. Thus far, the evidence supports positive outcomes when users engage with digital interventions. However, there is high variability in the theoretical base informing MHapps and the features incorporated. Such differences can have implications for the efficacy of the apps and the level of engagement among specific target population groups. Moreover, such heterogeneity may influence the extent to which the data from various MHapps can be pooled to assess the strength of the evidence. OBJECTIVE We aimed to systematically review the available research on MHapps that promote emotion regulation, positive mental health, and well-being in the general population aged 18-45. More specifically, the review aimed at providing a systematic description of the theoretical background and features of MHapps while evaluating any potential effectiveness. METHODS A comprehensive literature search of key databases; MEDLINE (via Ovid), EMBASE (via Ovid), PsycINFO (via Ovid), Web of Science, and the Cochrane Register of Controlled Trials (CENTRAL) was conducted until January 2021. Studies were included if they described standalone mental health and well-being apps for adults without a formal mental health diagnosis. All studies were quality assessed against the Mixed Methods Appraisal Tool. In addition, the Cochrane risk-of-bias tool (ROB-2) was used to assess randomized control trials (RCTs). Data were extracted using a modified extraction form the Cochrane Handbook of Systematic Reviews. A narrative synthesis and meta-analysis was then undertaken to address the review aims. RESULTS In total, 3156 abstracts were identified. Of these, 52 publications describing 48 MHapps met the inclusion criteria. Together the studies evaluated interventions across 15 countries. Thirty-nine RCTs were identified that suggested there is some support for the role of individual MHapps in improving and promoting mental health and well-being. Regarding pooled effect, MHapps, when compared to controls, showed a small effect for reducing mental health symptoms (k = 19, g = -0.24, 95% CI [-0.34, -0.14], p < .05) and improving well-being (k = 13, g = 0.17, 95% CI [0.05, 0.29], p < .05), and a medium effect for emotion regulation (k = 6, g = 0.49, 95% CI [0.23,0.74], p<.05). There is also a wide knowledge base of creative and innovative ways to engage users in techniques, such as mood monitoring and guided exercises. Mindfulness and Cognitive Behavioural approaches appear to be the most common among MHapp developers. Studies were generally assessed to contribute unclear or high risk of bias, or be of medium to low methodological quality. CONCLUSIONS The emerging evidence for MHapps that promote positive mental health and well-being continue to show some evidence of promise. Despite a wide range of MHapps, there are not many that specifically promote emotion regulation. However, our findings may position emotion regulation as an important mechanism for inclusion in future positive mental health and well-being MHapps. A fair proportion of the included studies were pilot or feasibility trials (k = 17, 33%), and full scale RCTs reported high attrition rates and non-diverse samples. Given the number and pace at which MHapps are being released, further robust research is warranted to inform the development and testing of evidence-based programs. CLINICALTRIAL Mia Eisenstadt, Elisa Infanti, Shaun Liverpool. Characteristics and effectiveness of mobile apps that promote emotion regulation and well-being in the general population: a systematic review protocol. PROSPERO 2020 CRD42020213051 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020213051


2016 ◽  
Vol 70 (1) ◽  
pp. 40-62 ◽  
Author(s):  
Karina Nielsen ◽  
Mariella Miraglia

A debate has arisen out of the need to understand true intervention outcomes in the social sciences. Traditionally, the randomized, controlled trial that answers the question of ‘what works’ has been considered the gold standard. Although randomized, controlled trials have been favoured in organizational intervention research, there has been an increasing interest in understanding the influence of context and intervention processes on the outcomes of such interventions. In the present critical essay, we question the suitability of trials and meta-analyses to evaluate the effectiveness of organizational interventions and we suggest that realist evaluation that seeks to answer the questions of what works for whom in which circumstances may present a more suitable framework. We argue that examining the content and process mechanisms through which organizational interventions are effective, and the conditions under which these are triggered, will enable us to better understand how interventions achieve the desired outcomes of improved employee health and well-being. We suggest that organizational intervention content and process mechanisms may help bring about the desired outcomes of improved employee health and well-being and that contextual factors determine whether these mechanisms are triggered.


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