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The purpose of this paper is to provide an overview of the application of therapeutic community (TC) method in non-TC environments.

Milieu treatment is defined and differentiated from TC “proper”. Literature is reviewed covering attempts to use TC methods in inpatient wards, across hospitals, and more recently in the criminal justice system and more widely through the enabling environments initiative.

It is unclear whether TC milieu treatments proved helpful in acute ward environments in their heyday in the 1950s, 1960s and 1970s, in particular those involving people suffering from acute psychosis, and the changing landscape of psychiatric provision may make further investigation difficult. The reasons for this, and for the difficulties reaching a firm conclusion, are outlined. In contrast, TC milieu interventions appear to be demonstrating usefulness more recently in less mixed populations without the implementation of full TC “proper”.

Much of the research is old and the methodology poor, which limits the conclusions that can be drawn.

Recent innovations pick up in a more accessible way principles of therapeutic communities that can inform and improve care in a variety of contexts. They are sufficiently well defined to lend themselves to research, which should now be a priority.

After a gap in developments in the field, recent innovations are reintroducing elements of TC functioning to new contexts including criminal justice settings, inpatient wards, homeless shelters and city communities.

The benefits of green space and nature are increasingly recognized and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta Parks in collaboration with the Ministry of Tourism Parks and Recreation in Western Canada. This study was designed to examine the experiences of participants in two such government-supported inclusive nature activities, including day trips and more extensive week-end or week-long nature experiences for adults with disabilities and caregivers.

Two phases of qualitative data collection occurred as part of a pilot project. The first phase was comprised of eight semi-structured interviews (four adults with cognitive, developmental, emotional/mental health or physical disabilities and four caregivers). In a second phase 27 participants (also adults with a range of disabilities and paid, voluntary or family caregivers) engaged in a semi-structured reflective writing process during the existing nature activities (day trip, week-end or week-long inclusive nature experiences).

This is one of the first studies in the field to embrace the benefits of adopting both a human capabilities approach, emphasizing that human diversity is fundamental to equality and development, and an ecopsychological view, with a concern for individual perspectives and well-being as fundamentally interconnected to the environment.

Three dominant qualitative themes of inclusive nature experiences emerged: ‘Sensory Activation’, ‘Reimagined Social Relations’ and ‘Reinvented Self’. Inclusion in nature for both caregivers and adults with disabilities holds promise as an activity that can support mental well-being through a reimagining and equalizing of relationships and one’s experience of self in the physical environment.

Such evidence is important for decision-making and programme development among collaborative partners, including not-for profit disability-related recreation organizations and both public health and parks departments of government. In particular, the findings highlight areas for further activity development targeting those with sensory impairment and relationship disharmony.

The purpose of this paper is to investigate individuals’ lived experience of camping, and to explore the effects of camping on relationships.

The research adopted a descriptive phenomenological approach (Langdridge, 2007). Guided interviews were carried out with four participants, recalling their most memorable camping experience, with the aid of photographs to elicit memories. Analysis followed Colaizzi's (1978) seven-stage analysis and findings were discussed in relation to Duck's model of relationship dissolution (1981).

Findings concern how camping is a great opportunity for couples, and friends, to re-connect with each other, reinforcing existing bonds and strengthening weakened ones. Other findings included enjoyment of the tranquillity and relaxation the natural environment provided, and for some the sense of adventure was encouraged, and the idea of “being away” from the usual surroundings was reported to be of relational benefit.

The discovery of the benefit for camping on relationships is a unique and valuable contribution in this field because it has shown that camping can maintain, and evolve, relationships. As such, camping could be used as a bonding or relationship support intervention.

The purpose of this paper is to discuss the health and well-being benefits of outdoor, cold water swimming.

This paper describes the personal experience of one cold water swimmer. It also explores some of the research literature suggesting there is evidence of the benefits to the health and well-being of people of all ages.

The paper explores literature suggesting there is evidence of the benefits of “blue therapy” to the health and well-being of people of all ages.

This paper describes the personal experience of one cold water swimmer. However, a growing body of published literature suggests there is value in “blue therapy” informing future social prescribing programmes.

The purpose of this paper is to qualitatively evaluate the impact of therapeutic horticulture (TH) on social integration for people who have mental health problems.

A qualitative grounded theory approach captured the perceptions about TH from people with mental health problems. Data were collected using semi-structured focus group and interviews from a purposive sample (n=7) and were analysed using a constant comparative approach.

Four key themes emerged from the analysis: “a space to grow”, “seeing the person”, “learning about each other through nature” and “connecting to nature and others”. The findings suggest that TH enabled participants to integrate socially, engage with nature and develop confidence.

TH is a potential approach that can help combat social isolation. The findings from this research have implications for people working towards supporting people who are socially excluded. However, this was a pilot study with a small sample size of seven people with mental health problems, whilst four key themes emerged, the saturation of concepts rather than the sample size were saturated to provide an emic perspective of the phenomena.

TH provides a person centred approach that enables people with mental health problems to re-engage and connect with their fellow human beings. Using TH could help improve the public health and well-being of local communities through re-connecting people to the environment and reduce social isolation.

TH embody the principles of empowerment, person centeredness and can support people with mental health problems to integrate socially.

There is limited evidence about the influence that TH have on mental health and social integration. The use of TH is an area that is gathering evidence and this small study highlights the perceived potential benefits of this approach.