scholarly journals Rehabilitating Healthcare: Therapeutic Landscapes as a Catalyst for Health, Well-being and Social Equity

2021 ◽  
Author(s):  
◽  
Chelsea Kershaw

<p>Aotearoa New Zealand is a society with inequality deeply embedded in its culture, and this translates to the health of vulnerable members of the community. In its current state, healthcare infrastructure and rehabilitative landscapes are isolated from one another, creating physical and mental barriers for achieving well-being. Therapeutic landscape research suggests outdoor spaces can facilitate rehabilitative healing, community support, and self-empowerment. This form of preventive and rehabilitative health may bridge the gap between treatment at the institutional level, and day-to-day living, to better support the well-being, of people in transition.  The under-utilized interface between the residential landscape and Kenepuru Community Hospital in Porirua is used as a design case study, for testing how hospital infrastructure, residential housing, and therapeutic landscapes may coexist for mutually beneficial health and well-being outcomes. Results suggest that careful design of the interstitial spaces bridging housing with healthcare can form an important service for the well-being of vulnerable people.</p>

2021 ◽  
Author(s):  
◽  
Chelsea Kershaw

<p>Aotearoa New Zealand is a society with inequality deeply embedded in its culture, and this translates to the health of vulnerable members of the community. In its current state, healthcare infrastructure and rehabilitative landscapes are isolated from one another, creating physical and mental barriers for achieving well-being. Therapeutic landscape research suggests outdoor spaces can facilitate rehabilitative healing, community support, and self-empowerment. This form of preventive and rehabilitative health may bridge the gap between treatment at the institutional level, and day-to-day living, to better support the well-being, of people in transition.  The under-utilized interface between the residential landscape and Kenepuru Community Hospital in Porirua is used as a design case study, for testing how hospital infrastructure, residential housing, and therapeutic landscapes may coexist for mutually beneficial health and well-being outcomes. Results suggest that careful design of the interstitial spaces bridging housing with healthcare can form an important service for the well-being of vulnerable people.</p>


Author(s):  
Kaelan Brooke ◽  
Allison Williams

AbstractTherapeutic landscapes are reputed to have a lasting repute for realizing healing. Traditional therapeutic landscapes have recognized natural environments as often sought after places for well-being. Such places promote wellness via their close encounter with nature, facilitating relaxation and restoration, and enhancing a combination of physical, mental, and spiritual healing. The physical environment of Iceland is explored through a case study approach, primarily employing data from the field notebooks of post-secondary students travelling in Iceland, as well as the authors’ ethnographic field experience in Iceland. Iceland is examined using both a traditional understanding of therapeutic landscapes, as well as the contemporary understanding of the coloured landscape. In addition to the colour white, reflected in the glacial ice, moving water, and geo-thermal steams, black and various other colours in combination are discussed.


Author(s):  
Jean-Baptiste R.G. Souppez ◽  
Ermina Begovic ◽  
Pradeep Sensharma ◽  
Fuhua Wang ◽  
Anders Rosén

The rules and regulations inherent to the design pressures and scantlings of high-speed powercrafts are numerous, and regularly reviewed. Recently, the new ISO 12215-5:2019 made notable changes to the way high-speed crafts are analysed, including extending the acceleration experienced up to 8 g in certain circumstances. Nevertheless, despite the multiple iterations and variety of regulatory bodies, the seminal work undertaken on planing crafts throughout the 1960s and 1970s remains the foundation of any rule-based design requirement. Consequently, this paper investigates an array of recently published rules though a comparative design case study, the current state-of-the-art across a number of regulations, and the ultimate impact on scantlings. The study reveals that, despite divergence in intermediate calculations and assumptions, similar requirements are ultimately achieved. Eventually, discussion on the comparison undertaken and future trends in high-speed marine vehicles is provided, tackling the relevance of classical planing theory in light of contemporary innovations.


Author(s):  
Mardie Townsend ◽  
Claire Henderson-Wilson ◽  
Haywantee Ramkissoon ◽  
Rona Weerasuriya

Evidence of declining well-being and increasing rates of depression and other mental illnesses has been linked with modern humans’ separation from nature. Landscapes become therapeutic when physical and built environments, social conditions, and human perceptions combine. Highlighting the contextual factors underpinning this separation from nature, this chapter outlines three Australian case studies to illustrate the links between therapeutic landscapes, restorative environments, place attachment, and well-being. Case study 1, a quantitative study of 452 park users near Melbourne, Victoria, focuses on place attachment and explored the links between pro-environmental behaviour and psychological well-being. Case study 2, a small pilot mixed-methods study in a rural area of Victoria, explores the restorative potential of hands-on nature-based activities for people suffering depression, anxiety, and social isolation. Case study 3, a qualitative study of users’ experiences of accessing hospital gardens in Melbourne, highlights improved emotional states and social connections.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S254-S254
Author(s):  
Patricia A Oh

Abstract Age-friendly communities promote active, healthy, socially connected aging. Opportunities for social connections are key for older residents to enjoy the best possible health and well-being. Communities that join the AARP Network of Age-Friendly States and Communities (AARP NAFSC) include an aging lens in eight areas of community life—social participation, respect and social inclusion, civic participation and employment, communication and information, housing, transportation, community support and health services, and outdoor spaces and buildings. By addressing factors in these eight areas, communities encourage residents to enjoy formal participation in activities and groups and informal contacts with friends, neighbors and other residents. The purpose of this exploratory study was to find out if communities that join the AARP NAFSC plan and implement changes to enhance social connectedness. A review of 62 AARP-approved action plans nationwide, showed that social connectedness was included in 74% of the mission statements and was a goal in 92% of the plans. The lack of resources in rural communities creates special challenges; many age-friendly initiatives depend on community volunteers to implement changes on a shoe-string budget. To learn how rural age-friendly communities promote social connections, an email survey was distributed to 46 AARP NAFSC communities in rural Maine. All the communities responded. Fostering social connectedness was an explicit goal for 88% of the communities. Areas of implementation included services and activities (83%), communication (61%), transportation (30%), programming to include isolated residents (26%), accessible public spaces (22%), and intergenerational volunteering (17%). Implications will be discussed.


2021 ◽  
Author(s):  
Bruno Marques ◽  
Jacqueline McIntosh ◽  
Hayley Webber

Current concepts of therapeutic landscape combine landscape with principles of holistic health and the interaction of social, affective and material factors. As social tensions widen the gap between the places of emotional retreat and healing from those of everyday sociability, concepts of therapeutic landscape are evolving to reflect society’s current values. This chapter examines how cultural place-based values affect and maintain physical, emotional, mental and spiritual health and well-being in the context of a therapeutic landscape. Five case studies from Australasia, Africa, Middle East and Latin America are analysed to understand better the interrelationships between land, culture and health that make an environment therapeutic. The case studies were selected based on their engagement with the cultural traditions of landscape architecture and how the boundaries of these cultural traditions are negotiated within a modern context. The chapter contributes to the knowledge base of landscape architects and academics interested in the role of culture in producing and maintaining therapeutic landscapes by presenting a cross-cultural analysis to illustrate a range of strategies for incorporating cultural traditions and customs into modern landscape architectural contexts to promote health and well-being.


2021 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
William Hatton

The meanings of place and the relationship between place and health have culturally specific dimensions. This is of particular importance for indigenous people and communities as often regarding landscape as part of a circle of life, establishing a holistic perspective about health and wellbeing. The indigenous Māori of Aotearoa/New Zealand contend that their relationship with the land shapes how the cultural, spiritual, emotional, physical, and social wellbeing of people and communities are expressed. Few studies have explored the influence of the cultural beliefs and values on health, in particular the intricate link between land and health. This chapter broadens the understanding of therapeutic landscapes through the exploration of specific cultural dimensions. It contributes to the expanding body of research focusing on the role of therapeutic landscapes and their role in shaping health, through the development of new research methods.


Topophilia ◽  
2017 ◽  
pp. 4-12
Author(s):  
Kazimir Haykowsky

This paper focuses on the emerging global market in medical tourism. The industry continues to expand and become increasingly profitable with greater popular support. This paper conveys the findings of a literature review on the origins, history and contemporary development of the industry. It explores the rationale and access of the medical tourist, and the purported benefits and costs to involved parties including patients, caregivers, citizens and governments. Ultimately it reveals that this phenomenon leads to lower costs, better care, discretion and leisure benefits to wealthy and mobile international clients while reducing available resources and quality of care for residents of host countries, which are mostly low and middle income countries and potentially costing source countries in aftercare. This paper examines the case study of international treatment for addiction in Spain and analyze two websites advertising the treatment for their use of promotional tactics, the importance of place and the relevance of Wilbert Gesler’s therapeutic landscape concept in marketing services. This reveals that international mobility allows businesses to profit from permissive legal environments and popular therapeutic landscapes abroad.


2020 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
William Hatton

The meanings of place and the relationship between place and health have culturally specific dimensions. This is of particular importance for indigenous people and communities as often regarding landscape as part of a circle of life, establishing a holistic perspective about health and wellbeing. The indigenous Māori of Aotearoa/New Zealand contend that their relationship with the land shapes how the cultural, spiritual, emotional, physical, and social wellbeing of people and communities are expressed. Few studies have explored the influence of the cultural beliefs and values on health, in particular the intricate link between land and health. This chapter broadens the understanding of therapeutic landscapes through the exploration of specific cultural dimensions. It contributes to the expanding body of research focusing on the role of therapeutic landscapes and their role in shaping health, through the development of new research methods.


2020 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
William Hatton

The meanings of place and the relationship between place and health have culturally specific dimensions. This is of particular importance for indigenous people and communities as often regarding landscape as part of a circle of life, establishing a holistic perspective about health and wellbeing. The indigenous Māori of Aotearoa/New Zealand contend that their relationship with the land shapes how the cultural, spiritual, emotional, physical, and social wellbeing of people and communities are expressed. Few studies have explored the influence of the cultural beliefs and values on health, in particular the intricate link between land and health. This chapter broadens the understanding of therapeutic landscapes through the exploration of specific cultural dimensions. It contributes to the expanding body of research focusing on the role of therapeutic landscapes and their role in shaping health, through the development of new research methods.


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