Greenspaces of psychiatric clinics and patient perceptions: A mixed‐methods exploration

Author:

Schmid Hannah‐Lea1ORCID,Nowak Anna2,Oeljeklaus Lydia13,McCall Timothy1ORCID,Hornberg Claudia1,Caspers Barbara A.45ORCID,Zerbe Stefan67ORCID

Affiliation:

1. Medical School OWL Bielefeld University Bielefeld Germany

2. Bielefeld School of Public Health Bielefeld University Bielefeld Germany

3. University of Applied Labour Studies Mannheim Germany

4. Department of Behavioural Ecology, Faculty of Biology Bielefeld University Bielefeld Germany

5. Joint Institute for Individualisation in a Changing Environment (JICE) University of Münster and Bielefeld University Bielefeld Germany

6. Faculty of Agricultural, Environmental and Food Sciences Free University of Bozen‐Bolzano Bolzano Italy

7. Institute of Geography University of Hildesheim Hildesheim Germany

Abstract

Abstract Nature and natural elements have been proven to promote mental health and well‐being but there is a research gap regarding psychiatric environments, despite the importance of psychiatric hospitals for mental health. It is essential to understand the particular characteristics relevant for patients in these settings. We conducted semi‐structured in‐situ interviews with patients on greenspaces around two psychiatric hospitals in Germany to identify positive and negative perceptions of natural elements and amenities. The perceptions are embedded into the perceived sensory dimensions (PSD) concept and combined with mapping data to achieve in‐depth descriptions of the psychiatric greenspaces. The results show the importance of greenspaces for psychiatric patients and their positive sentiments towards those spaces. The greenspaces have to provide for diverse needs and support different uses of patients at various stages of recovery. User‐sensitive and multifunctional greenspace design can reconcile conflicts of interest and contribute to a therapeutic landscape. We propose that the PSD can complement the concept of Therapeutic Landscapes, especially when the focus is on natural environments. ‘Policy implications’: Multifunctional greenspaces around psychiatric clinics can help patients to relax, enjoy the connection to nature and other people, and further their well‐being. The spaces have to be carefully designed and can potentially have a therapeutic effect on people with mental‐health problems and simultaneously enhance nature conservation and biodiversity. Read the free Plain Language Summary for this article on the Journal blog.

Publisher

Wiley

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