Therapeutic landscapes

The Hero’s Journey as Healing Journey – Guest post by Dan Mallach

Bartram's Yellowwood. Photo by Dan Mallach

Bartram’s Yellowwood. Photo by Dan Mallach

Landscape Architect Dan Mallach contacted me after he finished his MLA thesis, “The Folktale Journey in Healthcare Facility Landscapes,” and I suggested that he write a guest blog post on the subject. If you’re interested in the thesis, please leave a comment!

“The Hero’s Journey as Healing Journey: A Transformational Path for Healthcare Facility Landscapes” by Dan Mallach, RLA

“A healing is a spiritual journey” – Lewis Mehl-Madrona

In order to promote mental relaxation and physical recovery, many therapeutic gardens at healthcare facilities feature sense-pleasing designs with achievement/reward paradigms. While such designs have been shown to improve clinical outcomes, a design framework based on the landscape features of the archetypal Hero’s Journey of folktales may heighten their effectiveness, such that an individual may achieve a state of health that has been described by the World Health Organization as “a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.”

Joseph Campbell and others have described the successive “stages” common to the folktale journey. Protagonists travel a metaphoric road, and in doing so, encounter a world that reflects, and stimulates, a transformative process of inner travel.

In a typical story, the Hero begins his or her journey in a familiar location such as the village square. Following an interpersonal conflict or other communal challenge, the Hero becomes lost in the forest. The Hero wanders, and may meet a guide who points to a literal path forward, and may offer advice to help resolve the prime conflict. The Hero must travel to a mountaintop– but first a river must be crossed and other tasks completed.

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Environments for Aging is just around the corner!

TX wildflowers. By Naomi Sachs

Texas bluebonnets and Indian blanket flower. Photo by Naomi Sachs

The fantastic Environments for Aging conference is just around the corner…chronologically (April 9-12) and for me, geographically–it’s in Austin, TX! What a beautiful, fun, vibrant city for a conference. Not sure if the bluebonnets will still be blooming, but I’m sure other wildflowers will be. In fact, if you can take an extra day and go see the Ladybird Johnson Wildflower Center, you will thank me.

I’ll be presenting with Susan Rodiek and Eric Bardenhagen on Sun, Apr 10 from 2:00 – 3:00 PM on “Planning, Designing, and Evaluating Outdoor Spaces to Optimize Usage” – see description below. And here are some other sessions I’m looking forward to attending. Hope to see you there!

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Labyrinths for Healthcare: Approach with Caution

Labyrinth at St. Joseph Memorial Hospital. Photo by Clare Cooper Marcus

St. Joseph Memorial Hospital, Santa Rosa, CA. This labyrinth is appropriate for a healthcare setting since the walking route is relatively short (7-circuit); there are no overlooking windows, and vegetative screening ensures privacy; it is shaded; and a simple explanatory sign explains its use. Photo by Clare Cooper Marcus

This post might invite more invective or controversy than usual (which is usually none, so we’ll see), but it’s something important to discuss: Labyrinths are not always appropriate for healthcare gardens. When they are used, they need to be sited and designed to best benefit garden users. Clare Cooper Marcus and I discuss this issue in our book Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces and some of the text below is excerpted from Chapter 6 (p. 78).

Please understand: I have nothing against labyrinths per se. In fact, in the right place and context, I think they are wonderful and I very much enjoy walking them. The TLN has a page on labyrinths. In our chapter on Gardens for Veterans and Active Duty Personnel, we discuss how labyrinths are used in the therapeutic process (p. 210-211).

First, what is a labyrinth?
The classical labyrinth consists of a continuous path that winds in circles into a center and out again. This basic form dates from antiquity and is intended for contemplative walking. A labyrinth is sometimes erroneously referred to as a maze, which consists of a complex system of pathways between tall hedges, with the purpose of getting people lost. The aim of a maze is playful diversion, whereas the aim of the labyrinth was, and is, to offer the user a walking path of quiet reflection. See this earlier TLN Blog post for more on the distinction between labyrinths and mazes.

Labyrinth at St. Paul’s Anglican Church, Thunder Bay, Ontario, Canada

Labyrinth at St. Paul’s Anglican Church, Thunder Bay, Ontario, Canada

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The first therapeutic garden in Romania!

Planting in Romania healing garden

Landscape engineer Nicsanu Marcela recently posted a photo on our TLN Facebook page with an image of raised flower beds and this caption: “First therapeutic garden in Romania!” That was pretty exciting. I emailed her to ask whether she’d like to do a guest blog post, and she agreed. Here is her post:

The first therapeutic garden in Romania opened its doors in June 2014, at Mocrea Psychiatric Hospital in Arad County. This first garden opened the way for horticultural therapy, a healing method used in almost some psychiatric hospitals in Western Europe and the USA.

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Coming soon! ‘Therapeutic Landscapes’

Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces

Publication date is October 21st!

Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces
by Clare Cooper Marcus and Naomi A. Sachs, with Foreword by Roger S. Ulrich and chapters by Marni Barnes and Teresia Hazen

This comprehensive, authoritative, beautifully illustrated guide offers an evidence-based overview of healing gardens and therapeutic landscapes from planning to post-occupancy evaluation. It provides general guidelines for designers and other stakeholders in a variety of projects, as well as patient-specific guidelines covering twelve categories ranging from burn patients, psychiatric patients, to hospice and Alzheimer’s patients, among others. Sections on participatory design and funding offer valuable guidance to the entire team, not just designers, while a planting and maintenance chapter gives critical information to ensure that safety, longevity, and budgetary concerns are addressed.

For a preview; more information about the authors; and to pre-order a copy, visit http://www.amazon.com/gp/product/1118231910/?tag=wwwwileycom-20. You can also buy through Indie Bound or a number of other book sellers through the Wiley website: www.wiley.com/buy/9781118231913. The Wiley website also lists the Table of Contents.

 

Therapeutic Landscape Colloborations Forum

Harvey Zarren Healing Gardens

Harvey Zarren Healing Gardens at North Shore Medical Center’s Union Hospital, Lynn, MA

October 17 forum on evidenced-based design

What distinguishes a garden from a healing garden?  The main difference is the way in which a healing or therapeutic garden caters to its targeted users such as cancer, rehabilitation, psychiatric, or eldercare patients.

At an upcoming forum at Union Hospital in Lynn, Mass., designers, researchers, and healthcare providers will gather to discuss landscapes in healthcare settings that promote health and well-being. “Therapeutic Landscape Collaborations: Successful Evidence-Based Design” will take place October 17, 9 am -12:30 pm, at the North Shore Medical Center’s Union Hospital.

This presentation pairs healthcare providers, researchers and designers that focus on creating healing spaces and restorative landscapes to promote health and well-being. The experts include physicians, therapists, designers, architects and landscape architects whom will demonstrate down to the cellular level why gardens heal, and explore how different aspects to a healing garden can promote healing in different user groups. Examples of healing gardens will be shown and participants will tour the Dr. Harvey Zarren Healing Garden at the site as a case study. The program is sponsored jointly by The Landscape Institute and The Underground in cooperation with the North Shore Medical Centers Plant Operations Department.

Panelists include Harvey Zarren, M.D., F.A.C.C; Christine Wojnar, Feng Shui Institute of American; Elizabeth Ericson, FAIA, LEED AP; Deborah Gaw, Owner, Garden Scapes Landscape Design; Lisa Bailey, ASLA, Bayleaf Studio; David Jay, ASLA, LEED AP, O+M Weinmayer/Jay Associates; and Anna Pelosi, Lead HRO, NSMC Inpatient Psychiatry Services and Manager of Patient and Family Relations Department.

To learn more about the October 17 forum and to register, send an email to pce@the-bac.edu or visit http://the-bac.edu/news-and-events/events/therapeutic-landscape-collaborations-2013.

To learn more about the Harvey Zarren Healing Garden, visit the NSMC website – you can link from there to a nice photo gallery.

 

Center for Health Design ICONS & Innovators Webinar Series

Center for Health Design webinar

Therapeutic Landscapes Network Director Naomi Sachs, along with her fabulous colleagues Alberto Salvatore and Jerry Smith, will be part of the ICONS and Innovators Webinar Series next week on the action-packed day of Thursday, March 14. Theirs is one of three webinars that provide an interactive experience with an exclusive line-up of healthcare thought leaders offering fresh perspectives to inform work strategies. All three webinars are listed below:

Healing Spaces: The Science of Place and Wellbeing: Implications for Designing Healthy Spaces for Healthcare Settings
Dr. Esther Sternberg
Can stress make you sick? Can belief help healing? Does the place and space around you affect your health? These are the questions that Dr. Sternberg explores.
9:00 am PDT/12:00 pm EDT.
For a TLN interview with Esther Sternberg, click here.

The Case for Access to Nature
Naomi Sachs, ASLA, EDAC
Alberto Salvatore, AIA, NCARB, EDAC
Jerry Smith, FASLA, EDAC, LEED AP
Discover the proposed revisions to the Guidelines for Design and Construction of Health Care Facilities that will allow regulatory agencies to more strongly support the inclusion of meaningful outdoor spaces in future projects.
11:00 am PDT/2:00 pm EDT.

The Impact of Color – Research Reviewed and Redefined
Rosalyn Cama, FASID, EDAC
Eve Edelstein, MArch, Ph.D, AssocAIA, FAAA
Sheila Bosch, Ph.D, LEED AP, EDAC.
Become familiar with research about color and lighting with perspectives from the neuroscience of vision, the psychology of perception, and include sociocultural and functional effects that have impact on design and user outcomes.
1:00 pm PDT/ 4:00 pm EDT

TUITION PER WEBINAR:
Individual:  $90.00, Organization:  $180.00

WEBINAR SERIES DISCOUNTS:
purchase 5 webinars –   get 10% off
purchase 10 webinars – get 15% off
purchase 15 webinars – get 20% off

For information and to register for one or all webinars here. Hope you can join us!

 

The Warrior and Family Support Center – A green haven in San Antonio, TX

Warrior and Family Support Center, San Antonio, TX. Photo by Naomi Sachs

Last month, I had the privilege of seeing the Warrior and Family Support Center (WFSC) in San Antonio, Texas. Three other Texas A&M classmates (an MArch student and two MLA students) and I drove the 3.5 hours from College Station to visit the WFSC and the Center for the Intrepid (CFI), both on the Fort Sam Houston campus. The Center for the Intrepid offers the full spectrum of outpatient care for veterans and “wounded warriors” – active military personnel – who have returned from Iraq and Afghanistan with severe injuries such as limb loss, burns, and traumatic brain injuries (TBIs). Patients are also treated for post-traumatic stress disorder (PTSD). The three missions of CFI include patient care, education and training, and research. Like all major military medical centers, the Brooke Army Medical Center at Fort Sam Houston includes Fisher Houses, a place for the entire family to stay while patients are going through treatment and rehabilitation.

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Chicago Botanic Garden seminar: “Gardens for veterans & children with sensory processing & spectrum disorders.”

Chicago Botanic Garden. Photo by Allen Rokach, http://www.allenrokach.com/

Chicago Botanic Garden. Photo by Allen Rokach, http://www.allenrokach.com

Chicago Botanic Garden Healthcare Garden Design Seminar Program:
Healing Through Nature: Healthcare Gardens for Veterans and Children with Sensory Processing and Spectrum Disorders

July 20 – 22 2012
Glencoe, IL

This is going to be SUCH a good seminar.

Returning veterans and children with sensory processing and spectrum disorders [such as Autism Spectrum Disorder] are two growing segments of the population that share a common root in disrupted neurological processing, which impacts all areas of life.

Post-traumatic stress disorder (PTSD) is increasingly a public health crisis. The number of cases is expected to grow, ultimately exceeding 500,000 in the United States, according to a study by researchers at Stanford University. Autism spectrum disorders are estimated to affect one in every 110 children. The unique challenges facing both of these special populations, their families, and their communities necessitates discussion on how to best serve and create garden environments of care where education, treatment, and recreation take place.

This three-day seminar offers a broad approach for discussion on how healing gardens and therapeutic spaces can be instrumental in recovery, treatment, and stress reduction for special populations. The program will draw on the expertise of medical professionals, researchers, and practitioners to discuss the complexities of diagnosis and treatment. These sessions will be combined with case studies led by landscape architects currently working to implement healing spaces, along with discussions about design features and guidelines for therapeutic gardens that serve these special populations.

Visit www.chicagobotanic.org/school/certificate/hgd_seminar for more details.

For past TLN Blog posts related to these topics, visit the following:

ASLA 2012 – Several events related to health and well-being

Banner Good Samaritan Health Center. Photo by Brice Bradley

Banner Good Samaritan Health Center. Photo by Brice Bradley

Time flies, and it seems to fly even faster in the summer. Fall is just around the corner, and seems to be a big conference season, so stay tuned for more blog posts on events. Many thanks to Filiz Satir who has been helping with these events postings.

Over the past few years, we have seen an increase in the number of education sessions, tours, and even keynote speakers (e.g., Dick Jackson AND Esther Sternberg in 2010) at ASLA conferences (and Healthcare Design, and Environments for Aging, etc.). I think it’s an encouraging indication of the growing interest in landscapes for human health and well-being, and also a credit to leaders and members of ASLA’s Healthcare and Therapeutic Design Professional Practice Network.

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