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States that it seems self‐evident that a hospital should be a healing environment, a healthy place to work, should not harm the health of the environment and should contribute to and be a source of health in the community, but argues that hospitals have not paid a great deal of attention to many of these issues until recently. Suggests that in recent years, a new and broader understanding of health promotion has led to a re‐examination of the ways in which hospitals can be both healthy and health‐promoting. Begins by exploring the broader concepts of health promotion that lay the foundation for the creation of healthy and health‐promoting hospitals and provides some examples of how these approaches are being applied.

The purpose of this paper is to review the topic “urban green space” focusing on its social benefits and measure techniques in terms of monetary value and accessibility. It suggests potential research direction by using an integrated valuation and measurement framework, and concludes that urban green space valuation in the providers’ perspective as well as accessibility analysis in the consumers’ perspective are useful tools that provide significant measure techniques in urban green space planning.

The paper uses a systematic approach to build up a conceptual framework that quantifies social benefits of green space from provider and consumer perspectives. The literature review indicates some limitations of existing techniques of valuation and accessibility analyses, which entails an integrated model of measurements.

The paper explores social benefits of urban green space, which includes recreational opportunities, aesthetic enjoyments, adjusting psychological well‐being and physical health, enhancing social ties, and providing educational opportunities. To analyze existing evaluation and measure techniques of urban green space, the paper points out that a single measurement only evaluates certain aspects of urban green space, which may not always be suitable to comprehensively assess social benefits from both providers’ and consumers’ perspectives. Considering this limitation, the paper offers an integrated model to measure urban green space that may deal with current limitations.

The originality of the study resides in designing an integrated model including valuation and measure techniques. It certainly offers an important avenue to evaluate social benefits of urban green space.

The purpose of this paper is to explore the perceived wellbeing benefits of the unstructured camping experience for young adults.

This is a cross-sectional descriptive phenomenological study. Young adults between the ages of 21 and 30 years with recent experiences of camping were invited to participate in the study. A descriptive phenomenological approach was taken, involving photograph-guided semi-structured interviews and Colaizzi’s seven-stage analysis framework. Ethical approval was granted by the university where the study was managed.

Four female participants were interviewed; each interview lasted approximately 60 minutes in duration. Unstructured camping holidays were perceived to heighten general perceptions of health and wellbeing. Five themes emerged: “Getting away”, “Appreciation of the Natural Environment”, “Relationship Maintenance”, “Tranquility and Relaxation” and “Freedom and Adventure/Exploration”. The unstructured nature of the activity encouraged participant’s freewill to appreciate the natural environment and to engage in physical activity. Escape from everyday stressors to a tranquil environment provided the space and time to think and talk, relax and be active.

Green care initiatives could use the unstructured camping experience, or what the authors have framed as the “back to basics” model of camping, as a tool to promote general health and wellbeing in clinical and non-clinical young adult populations. Further research is needed to substantiate the evidence base, especially to probe further around the benefits of the spontaneity of the “back to basics” camping experience, in contrast to the structured group camp experiences the authors advocate in the UK and overseas for children’s leisure or health purposes.

The purpose of this paper is to report on an action inquiry (AI) evaluation of the Natureways project, a time-limited collaboration between an NHS Trust Vocational Service and a voluntary sector horticulture-based community interest company (CIC).

Natureways produced positive employment outcomes and an AI process – based on co-operative inquiry with trainees, staff, and managers – explored how these had been achieved.

Natureways’ efficacy was based on features of the setting (its supportiveness, rural location, and workplace authenticity), on its embeddedness (within local care-planning pathways, the horticultural industry, and the local community), and on effective intersectoral working. The inquiry also generated actionable learning about creative leadership and adaptability in the changing landscape of service provision, about the benefits of the CIC's small scale and business ethos, about the links between trainees’ employability, social inclusion and recovery, about horticulture as a training medium, and about the role of AI in service development.

The inquiry highlights how an intersectoral CIC can be an effective model for vocational rehabilitation.

Community-embeddeness is an asset for mental health-orientated CICs, facilitating social inclusion and recovery. Social and therapeutic horticulture settings are seen to be conducive to this.

This case study suggests that AI methodology is not only well-suited to many practitioners’ skill sets, but its participatory ethos and focus on experiential knowledge makes it suitable for bringing a service user voice to bear on service development.

Service members of the US Department of Defense (DoD) have alarmingly high rates of depression, anxiety, probable stress disorders and suicidality, all of which are negative health conditions exacerbated by various external stressors. High-stress work conditions – to include shift work, hazardous territories, high-stakes mission sets and generally disconnected sites – require a work environment that facilitates, rather than inhibits, stress reduction and mental well-being. This paper aims to present “salutogenic design” as an innovative approach: Salutogenic design offers demonstrated architectural solutions that improve health and well-being.

This paper describes salutogenic design strategies beginning with the need for such an approach, the call to action to implement strategic and tactical solutions and the challenges and financial impacts of such a broad and innovative strategy to improve workplace health, well-being and performance in the DoD and beyond. Examples of these strategies, via biophilic design solutions, are presented in the central Table 1 as an easy-to-reference tool and supported by the voluminous literature as referenced, in part, through this research paper.

Salutogenic design strategies offer innovative, financially viable solutions to help mitigate stress and improve workforce well-being while maintaining the highest level of building security requirements in access-controlled spaces and disconnected sites, such as military installations and government compounds.

Issues of mental and physical health are complex and multi-faceted, and they require complex and multi-faceted solutions. Salutogenic design is presented as one facet of that solution: a tangible solution to an often-intangible issue. Further, as a novel approach to address a critical DoD issue, Table 1 bridges the common gap between high-concept design theory and practical construction-application solutions, with positive value to the health, performance, quality-of-life and well-being of service members.

To the best of the author’s knowledge, this paper is the first to approach the DoD’s imperative to reduce service members’ mental stress with “salutogenic design.”

The challenges arising from the reform of the social and healthcare sector call for efficient, effective and novel processes in both public and private health and medical care. Facilities need to be designed to suit the new processes and to offer usable workspaces at different levels of healthcare services. Along with traditional construction, modular facility innovations could be one solution to these pressures. The paper aims to discuss these issues.

This case study analyzed the different usability characteristics of the work environment in modular and non-modular healthcare facilities (HCFs). The qualitative research method was based on semi-structured interviews of employees and observations of the case buildings.

According to the results, the usability characteristics were divided into four main categories: functionality, healthiness, safety/security and comfort. The main differences between the modular and non-modular facilities appeared to be room size, soundproofing, safety issues and the utilization of colors and artwork, which were all perceived as better realized in the non-modular facilities. The staff highlighted functionality as the most important characteristic in their work environment. They even considered functionality as a feature of a comfortable work environment.

This paper presents new knowledge and a detailed description of the opinions and experiences of healthcare professionals concerning a user-centric, usable environment in the context of modular and non-modular HCFs.

Drawing on the author's multi‐method research on the viability of specific ecotherapy practitioner training and curriculum design, this paper debates how the use of ecotherapeutic approaches can provide a two‐pronged system to achieve both individual health (at micro level) and public and environment health outcomes (at macro level). The research sought the views of service users, practitioners and educationalists through use of interviews, focus groups, a nominal group, and an ethnographic case study group. This research raised other considerations: namely, that people seeking personal recovery also, through stewardship of green spaces, may achieve unanticipated social capital and natural capital outcomes and thereby meet current multi‐disciplinary policy targets. This added social value has not been previously considered as an important dimension in people's well‐being and recovery from ill health or social exclusion. Such outcomes emerge from the idea of green spaces becoming a ‘product’ delivered to the community by people whose pursuit of personal recovery also directly contributes to improved public mental health.

The purpose of this chapter is to discuss the impact of COVID-19 on the invisible incarcerated women population who are convicted of a crime and serving a sentence in a residential correctional facility in the United States (US). Even though correctional populations have been declining in the past years, the extent of mass incarceration has been a significant public health concern even before the pandemic. Moreover, the global spread of COVID-19 continues to have devastating effects in all the world's societies, and it has exacerbated existing social inequalities within the US carceral complex.

We base our findings on data collection from two comparative clinical sociological garden interventions in a large Southeastern women's prison and a Midwestern residential community correctional facility for women. Both are residential correctional facilities for residents convicted of a crime. In contrast, in prison, women are serving longer-term sentences, and in the community corrections facility, women typically are housed for six months. We have developed and carried out educational garden programming and related research on both sites over the past two years and observe more closely the impact of COVID-19 on incarcerated women and their communities, which has aggravated the invisibility and marginalization of incarcerated women who suffered a lack of programming and insufficient research attention already before the pandemic.

We argue that prison gardens' educational programming has provided some respite from the hardships of the pandemic and is a promising avenue of correctional rehabilitation and programming that fosters sustainability, healthier nutrition, and mental health among participants.

Residential correctional facilities are distinctively sited to advance health equity and community health within a framework of sustainability, especially during a pandemic. We focus on two residential settings for convicted women serving a sentence in a prison or a residential community corrections facility that offers rehabilitation and educational programming. Women are an underserved population within the US carceral system, and it is thus essential to develop more programming and research for their benefit.

Discusses the nature of schizophrenia. Suggests it may be a heterogeneous condition and that many different bodily diseases may share common psychiatric symptoms such as thought disorder, hallucinations, paranoid delusions and irrational anger. Further suggests that, in every case, bodily causes for psychiatric symptoms should be sought. Presently, neuroleptic drugs are the only treatment for schizophrenia. These have many adverse effects, making patients feel like zombies, because of their anaesthetizing property. Were causes to be found, rational treatment could be given and, for some patients, their schizophrenia would be cured enabling them to live normal lives with no particular employment problems. Schizophrenics are the pariahs of society. They are often imprisoned for criminal acts committed solely because of their disturbed brain chemistry. Of the 953 patient members of the Schizophrenia Association of Great Britain, 46 per cent were quite unable to work. Their prospects are bleak. No effort should be spared in trying to get patients well. In the meantime, suitable enjoyable outdoor work should be provided part time or full time. This would be therapeutic as well as a productive occupation.