Built Works

New Article from InformeDesign’s Newsletter

Quan Yin Statue at the Huntington Garden’s 
Photo by Naomi Sachs

A new article from InformeDesign‘s latest issue of Implications, by Jeff Rosenfeld, Ph.D., “Senior Housing Globalized,” discusses changes, trends, and recent developments in senior housing in China, Japan, India, and elsewhere in the Pacific Rim. 


The article includes some great images and discussion of outdoor spaces in senior housing, a useful bibliography, and even a list of related research summaries. 

“Therapeutic Gardens of the Delaware Valley,” ASLA Field Session

Medford Leas CCRC, Medford, NJ (Design for Generations)
Once again, P. Annie Kirk of the Acer Institute and Jack Carman of Design for Generations have put together what looks to be an excellent educational field session in Philadelphia, PA, site of this year’s ASLA (American Society of Landscape Architects) annual meeting. 
Organized through ASLA’s Healthcare and Therapeutic Design Professional Practice Network, the field session will be on October 3rd; if you’re attending the meeting and you haven’t signed up yet, do it soon – the field session sold out ahead of time last year!
From the Acer Institute site, where you can go to get more information and images:
“The on-site, interactive tour will engage design professionals, residents, staff, administrators, and historians. We will explore issues, trends, resources, and successful collaborations in design, implementation, and programming of therapeutic gardens.”

Healing Gardens in Prisons

Prison garden at Elmore County Correctional Facility, AL 
Photo courtesy Alabama Department of Corrections
Amy Lindemuth, who submitted her thesis for the Therapeutic Landscapes Database References page (see previous post), also recently published an article in the Journal of Mediterranean Ecology on healing gardens in prisons: “Designing Therapeutic Environments for Inmates and Prison Staff in the United States: Precedents and Contemporary Applications.” This is a really interesting area of the field of landscape and healthcare design that I would like to delve into more, maybe eventually giving it its own page on the TLD. The prison industrial complex, as Angela Davis calls it, has grown astronomically in recent decades, and access to gardens and gardening has been found to have a positive effect on those “inside.” 

Last year, Clare Cooper Marcus wrote a great piece about UC Berkeley Landscape Architecture students’ work on a prison hospice garden in Vacaville, CA (first published in Frameworks, the UC Berkeley College of Enviornmental Design Alumni Magazine, Fall 2006, pp. 10-15) which was reprinted in the ASLA Healthcare and Therapeutic Design Professional Practice Network 2007 Newsletter. Scroll to page 6 to read that article.

After a quick search on the web, I found two interesting articles to include here. 

One is from the Human Flower Project, titled “Flowers in Purgatory,” from July 2006. That’s where the above photo is from. 

The second is from the TKF Foundation website, one of their Sacred Space Locations: The Metropolitan Transition Center in Baltimore, MD.

And finally, if you’re interested in this subject, the book Doing Time in the Garden: Life Lessons Through Prison Horticulture, by James Jiler, should definitely be on your reading list. 

Gainesville Times article on healing gardens

Healing garden at The Oaks at Limestone nursing home, designed and installed by Fockele Garden Co.

Here are some excerpts from the Gainesville Times article, by Debbie Gilbert of Gainesville, GA (link to the article to read the whole thing and to hear a brief interview with Naomi Sachs, Director of the Therapeutic Landscapes Resource Center)

Healthy Monday: Greenery good for patients, health facilities

Sometimes, nature is the best medicine.

More health care facilities are using the outdoor environment as a way to help both patients and visitors feel better. Known as “healing gardens” or “therapeutic landscapes,” these green spaces have proven to be so beneficial that hospitals and nursing homes have begun incorporating them into their construction plans.

Northeast Georgia Medical Center’s two upcoming additions to its main campus, the Women & Children’s Pavilion and the North Patient Tower, both include healing gardens in their design. And at least one local nursing home, The Oaks at Limestone off Limestone Parkway, has been using a therapeutic garden for several years. There’s a bubbling fountain in the interior courtyard, and colorful native flowers planted throughout the grounds. Strategically placed bird feeders almost guarantee a display of wildlife throughout the day.

“The families really, really love it,” said administrator Dorothy Foster. “The water fountain is really soothing. When residents are able to go outside, they love just sitting and enjoying the sound of the water.” Foster said the nursing home’s employees also find it a relaxing place to take a break.

Naomi Sachs, executive director of the Therapeutic Landscapes Resource Center in New York, said studies have shown that when patients have a view of the outdoors, they need less pain medication and have shorter hospital stays. This knowledge has brought about a revolution in health care design, Sachs said. “In the 1960s, when hospitals got air conditioning and began closing their windows, they kind of turned their backs on the outdoors,” she said. “(But) a lot of research has been done by environmental psychologists, starting in the mid-1970s. It shows that people respond to a wealth of greenery, a really lush environment (rather than to just a few boxed plants).”

“In a hospital setting, where people are very much not in control of their own bodies and their own routines, and there is a huge lack of privacy, naturalistic settings can be an antidote to that,” Sachs said. “It’s a distraction to whatever problem the patient or visitor or caregiver may have.”

While the gardens are beautiful, they’re far more than just a pleasant amenity. “Savvy hospitals are realizing that it helps their bottom line,” Sachs said. The environment also may play a role in why people choose one facility over another. If they had a positive experience, whether as a patient or as an employee, they’re likely to recommend that place to others. “The fact that people are happier can become a marketing tool,” Sachs said. “More and more health care centers are starting to catch onto that.”

“Isn’t every garden a healing garden?” Part I


According to my definition, a Landscape for Health could be a garden designed specifically for healing, like for a hospital or nursing home (see above), and it could also be any number of other landscapes, designed or “natural,” as long as they make people feel good (in technical terms, Landscapes for Health bring “positive outcomes” that reduce negative factors like stress, high blood pressure, and anti-social behavior, and instead encourage positive and restorative factors like fascination, wonder, healthy social interaction, relaxation and/or physical activity, and a general sense of well-being). A stretch of beach; a clearing in the woods; a park in a city (Central Park being a supreme example); a community garden; a backyard sanctuary; Francie’s fire escape in Betty Smith’s A Tree Grows in Brooklyn; a memorial; an indoor atrium that stays green and lush even when it’s -30 degrees and sleeting outside. Get the picture?  


Central Park, NY, NY

Couldn’t that be just about any landscape, the slightly vexed reporter asked? This is similar to my most-frequently-asked question, which is “isn’t every garden (or landscape) a healing garden?” to which I unfortunately have to answer no. There are plenty of landscapes, both designed and undesigned, that are not conducive to our health and well-being. A few examples that spring to mind would be (see below) most parking lots; many urban and suburban landscapes, including streetscapes; most quarries, clear-cut sections of forests, superfund sites, and other damaged landscapes (brownfields); most of New Mexico in March when the juniper pollen renders anyone even slightly allergic into a tired, sniffling, eye-watering, blubbering mess; and, sadly, many designed gardens, sometimes even ASLA award-winning, magazine-published spaces (yup, just because it looks good in print doesn’t mean it feels good to be there). 



Photo of California foothills housing by Alex Maclean – 

There are plenty of landscapes, and even gardens, that at best are not salutary, and at worst are actually harmful to our physical, emotional, and even spiritual health. So, smarty-pants, you may be wondering, how do you differentiate Landscapes for Health from “healing gardens?” Stay tuned, I’ll try to answer that one tomorrow.

The Highest Praise: A Patient Recommends Woodwinds Health Campus

I got an email last week from someone recommending that Woodwinds Health Campus be added to the Therapeutic Landscapes Database Gardens page. I often get email of this nature, from the landscape architect or someone in marketing, but this was from a patient! Here’s what he wrote:

“I just stumbled upon your web site. I live in Minnesota and my area hospital, Woodwinds Health Campus, is situated in a beautiful wooded area surrounded by SIX “healing gardens” with walking paths and places to stop and meditate. It should certainly be part of your list! And no, I’m not an employee! Just a patient. It feels more like a resort there than a hospital…”
If that’s not high praise for a healthcare facility’s healing garden, I don’t know what is.

I’ll be posting again with more specifics on their gardens soon, (their website gives more information than most healthcare facilities, but I want to know and tell you more) so stay tuned for Woodwinds, Part II. 

Field Trip! Open Garden Days, Oregon Burn Center

When people ask me for good examples of healing gardens, I always cite the gardens at Legacy Health System‘s health centers in Portland, OR. Their Oregon Burn Center garden is no exception, but unlike some of the other gardens, this one is not usually open to the public.

So, here’s your chance: Open Garden days in July and August. If you can visit, do! If I didn’t live 3,000 miles away, I’d be there in a New York minute. Here’s their press release, just sent to me by Teresia Hazen, Legacy’s amazing horticultural therapist:

“Join us for Open Garden at the Oregon Burn Center on Monday, July 14, 2008 and Monday, August 25, 11:30 – 1:00. Watch the growth of this four-year-old award-winning garden. We will celebrate the recent story of the garden in Landscape Architecture Magazine, April 2008. http://www.legacyhealth.org/documents/Gardens/OBCgarden.pdf

Enjoy garden tours, gardening education, nature craft activities and more. Bring a picnic lunch to enjoy in the garden. Bring your camera for great photos.

Garden is located at 3001 N. Gantenbein on the Emanuel Hospital campus. Enter through the two garden gates marked with balloons. This is a secured garden and only open to the public for these two special event dates.

For more information, please call 503-413-6507.”

Landscape Architecure Magazine published an article about the garden in April, written by UC Berkeley Professor Emerita (and my mentor) Clare Cooper Marcus: “For Burn Patients, A Place to Heal.” The garden was designed by Landscape Architect Brian Bainnsonof Quatrefoil, Inc. and Horticultural Therapist Teresia Hazen.

Herbarium: Healing Garden and Horticultural Therapy in Santiago, Chile

One of the coolest things about running the Therapeutic Landscapes Database and Blog is hearing from people all over the world. Marie Arana-Urioste, HTR, emailed me recently from Santiago, Chile with information about the Herbarium, “a non profit organization and a therapeutic garden dedicated to Horticultural Therapy for all in need. We are the first (and only at the moment) HT Certificate dictated in Spanish and in Latin America. We work with people with disabilities using the garden and gardening as a tool. The Herbarium (since 1989) is  also a Herb Nursery, we grow organically.” Most of their website has been translated into English (and I’m linking directly to the English-translated site), but If you speak Spanish, click on the Spanish flag at the bottom of the menu. Sounds like a great model; if anyone out there knows of comparable places elsewhere in the world (including the U.S.), I’d love to list more.

Ferns Unfurling


There is something irrefutably life-affirming about spring. We’re well into it now, but a couple weeks ago at Stonecrop Gardens, evidence of spring’s emergence (and winter’s retreat! hurrah!) was everywhere. Ferns unfurling, hostas uncurling, tulips laughing out loud. 

My great-aunt, who is 92 and was visiting from Atlanta, braved the chilly day to admire our northeast flora. She is lucky to live in a CCRC (Continuing Care Retirement Community) that has lovely gardens, an evenly paved path that winds around a pond (four times around the pond is a mile, and she walks it almost every day), and access to the trails at Stone Mountain. They also have a greenhouse and a few raised beds that always have a waiting list. Some residents plant flowers, others herbs and vegetables. A year ago I helped her plant perennials that she could use as cut flowers, and she reports that they are all alive and well, providing plenty of blooms for her vases or to share with friends. It’s a great model; alas, like many CCRCs, they don’t have a website that I can refer you to. Do they think that elders and their children don’t use the web, or what? Lots of other other good examples, though. Will post some in the future. 

Agave at the Huntington

I took this photograph at the Huntington Library Botanical Garden in March, when I was in L.A. for my lecture at Cal Poly Pomona. Agave is such a beautiful plant, one that I don’t get to use in New York. I love its strength and grace, its architectural structure, and the way it both absorbs and reflects sunlight. If you haven’t been to the Huntington, go! I first went in 1998 and it made such an impression that I had to go back on my one free day in L.A. Their new Chinese garden is stunning; on the Sunday that I visited, it was packed with people of all ages and nationalities, exploring and enjoying. My very broad definition of a Landscape for Health is any outdoor space that facilitates health and well-being for its users. In this case, the Huntington would definitely qualify!