Search results

The COVID-19 pandemic has affected psychotherapy practice. A common change is a move to online sessions over video calls. In their therapeutic community (TC) for those with personality disorders, the authors have used video calls but not all clients could work in this way. The authors decided to meet patients outside and walked with them while adhering to government guidelines. This study aims to present the authors’ experience with one client who was interviewed afterwards about the experience.

A total of 10 walking therapy sessions of 60-min duration were conducted with the patient. After the sessions, both the patient and therapist were interviewed about their experience. The resulting interviews with both patient and therapist were thematically analysed independently by both authors.

There were common themes to both the client and therapist’s account following thematic analysis. These were: modelling and normalising in the real world, replacing what COVID-19 had taken away from the TC experience, changes at home, therapist disclosure, outcomes and good endings and being outside of the clinical environment.

The authors have presented a single case of the patient and therapist experience of outdoor therapy sessions in a TC context response to the COVID-19 pandemic. The findings are not generalisable and can only provide a suggestion at the positive potential for working in this way. The authors hope that the positive effects of outdoor therapy noted here may inspire other clinicians to consider similar novel approaches in their work.

This study describes a novel way that a TC has adapted to the COVID-19 pandemic.

The purpose of this paper is to provide a comprehensive argument for nature-based therapy (NBT) for veterans with post-traumatic stress syndrome. It is the aim to generate an overview of the evidence for NBT to the target group. A review of available scientific literature within the field, has been comprehensively conducted. This work is the foundation for the recommendations to decision makers and politicians.

This paper provides a conceptual analyses and a general review of the literature. Following steps have been conducted. Based on the research question, relevant work (scientific papers) have been identified using search terms in English within the three areas the target group (veterans), the diagnosis (post-traumatic stress disorder, PTSD) and treatment (NBT). Study-quality and evidence level have been assessed and discussed.

The findings show a wide variation according to the interventions the nature setting, the length and frequency of the NBT session as well as the health outcome measures. The studies demonstrated a positive impact on the PTSD symptoms, quality of life and hope. None of the studies found negative impact of the interventions. Being in a group of other veterans facing the same problems was highlighted as well. Some studies measured the ability to return to workforce for the veterans and found NBT beneficial in that process.

The limitation of the research due to the methods of identifying studies. The purpose of this was to give an overview of existing literature, and there can be studies, that are not found in this process. Including qualitative and quantitative methods are useful in a process of understanding the impact of NBT for veterans with PTSD. The quantitative studies, which unfortunately are few, can give information of the extent to which the treatment affects the symptoms of PTSD. Seen in the perspective of the burden for the veterans suffering from PTSD and the economic burden for society, the process of synthesizing the research in the field in order to generate a fundament seems necessary.

This policy papers are useful in order to make recommendations for politicians and decision makers as well as practitioners.

The burden of suffering from PTSD is heavy for the veterans and their family. The society must drive forward the development of new and better evidence-based treatment programs for veterans with PTSD. NBT might be a step in the right direction of this.

It is well-known that there are an increase in the number of veterans diagnosed with PTSD. Generally the drop-out rate of the veterans is high in conventional treatment and it is found that veterans experience some side effects from medical treatment. NBT is, in existing research, found to have a positive impact on the veterans, and therefore, it should be part of future treatment programs for veterans with PTSD.

This review aims to identify the commonly used nature-based therapies, the cohorts that benefit from these interventions, and the potential environmental impact of nature-based therapies.

An integrative review methodology was taken. The literature was analysed and synthesised through thematic analysis.

Three themes emerged from the analysis: categories of nature-based therapies; benefits of nature-based therapies; and the gains from nature-based therapies are not universal. Evidence of physiological, psychological, social, vocational and quality of life benefits from participation in nature-based therapies was evident in the literature. However, there was insufficient empirical evidence of the benefits for the environment.

Occupational therapists assist populations across the life course. Consequentially, they can be found working in a diverse range of clinical contexts. This review asserts that nature-based therapies could be a positive addition in many of these contexts. Further, while engagement in activities in natural environments is frequently used by occupational therapists practicing within institution environments, there is evidence to support its use in community service models and potentially in public health strategies.

This integrative review brings together evidence on a diverse range of nature-based therapies, cohorts, associated benefits and factors that influence these. The lack of empirical evidence on the benefits of nature-based therapies for the environment is acknowledged as a gap in the literature

As Clinical Psychologists working in a tertiary Intellectual Disability (ID) service in the UK, this paper aims to address the impact of Covid-19 – and the subsequent transition out of Covid-19 restrictions – on individuals with an ID, and the clinicians working alongside them. Additionally, the paper reflects upon how Covid-19 has shaped and manipulated therapeutic communities and environments.

This paper is reflective in nature and reviews current evidence associated with how people with an ID experienced the impact of Covid-19. Clinicians reflect upon their shared experience in line with this evidence.

This paper highlights perpetuating inequalities and injustices on people with an ID as a result of Covid-19. Further, it is indicated that that there should be consideration of how people with an intellectual disability experience transitions back to their day-to-day environments and encourages clinicians to widely consider how to shape therapeutic communities and environments.

Multiple themes have been addressed in this paper, and the reflections add to an understanding of how those individuals specifically working in, or using intellectual disability services, have experienced the Covid-19 pandemic, though a critical lens.

Over the last few decades, the formal school curriculum in many countries has become increasingly prescribed and attainment orientated with an insistent pressure to measure progress in the name of ‘raising standards’. This form of constraint on educational practice has provoked counter trends in a desire to enrich the curriculum. Situating learning activities in the open air have become increasingly popular as a counter to formalised schooling. The UK, for example, has seen legislated outside spaces for early years and a growing interest in Forest Schools. The long tradition of activity centres, outside school visits and field trips—offering a valuable way to augment formal learning—has survived in many school settings. The claims for the benefit of taking learning outside are extensive. They range across claiming value for both individual and societal well-being, improving mental and physical health, as well as a way of sustaining inclusion, social cohesion and democratic practice (Nichol, Higgins, Ross, & Mannion, 2007). This article explores how aesthetics and the body may be seen to feature in outside educational experience. By drawing on the work of Richard Shusterman and his extensive work on somaesthetics, the purpose of the article is to augment or ground claims for the worth of ‘outside’ learning in embodied aesthetic experience and therefore help illuminate what is distinctively educational about moving learning beyond the walls of the school.

This paper aims to review research on mental health and well-being (MHW) in tourism, which the United Nations addresses in Sustainable Development Goal No. 3 (SDG 3). The authors also pinpoint future directions regarding how tourism can contribute to this goal from theoretical and practical standpoints.

The authors review the literature on MHW in tourism from the perspectives of tourists, residents and tourism workers.

Researchers have predominantly analysed tourists’ MHW outcomes through the lenses of positive psychology and tourism therapy; only a small number of studies have focused on MHW-related benefits and challenges in terms of tourism development for residents and tourism workers. Investigations of MHW in tourism require interdisciplinary approaches to reveal how tourism promotes diverse stakeholders’ mental health. Practically, there is an urgent need to incorporate tourism products and services into mental health care, and design tourism experience with positive psychology principles.

This study offers insights into fostering MHW through tourism. It specifically proposes theoretical and practical ways in which tourism might enhance MHW for various industry stakeholders, contributing to SDG 3.

本文基于联合国可持续发展目标中的第三个目标（SDG 3）, 对旅游中的心理健康和幸福感研究进行了回顾, 并就旅游如何助推这一目标的实现指明了未来的研究和实践方向。

本文从游客、居民和旅游从业者的角度对与旅游中的心理健康和幸福感相关的文献进行了回顾和评估。

当前研究主要从积极心理学和旅游疗法的视角分析了游客的心理健康和幸福感, 有关旅游业发展对居民和旅游从业者心理健康和幸福感的积极影响及挑战的研究尚不多见。因此, 需采用跨学科进路来揭示旅游业对不同利益相关者心理健康的促进作用。在实践方面, 亟需将旅游产品和服务纳入到心理健康护理体系中, 并依据积极心理学原理来开展旅游体验设计。

本文为通过旅游发展来促进心理健康与幸福感这一主题提供了见解。本文为旅游业如何提高各利益相关者的心理健康与幸福感提供了理论方面和实践方面的进路, 从而助推联合国可持续发展目标中第三个目标的实现。

Este artículo revisa los estudios y las investigaciones sobre la salud mental y el bienestar en el turismo (MHW por sus siglas en inglés, basándose en el Objetivo de Desarrollo Sostenible 3 (ODS 3) de las Naciones Unidas, y explora las futuras direcciones de investigación y práctica en el impulso del logro de este objetivo a través del turismo.

Se revisa la literatura relevante sobre la salud mental y el bienestar en el turismo desde la perspectiva de los turistas, residentes y trabajadores del sector turístico.

Actualmente, las investigaciones se centran principalmente en el análisis de la salud mental y el bienestar de los turistas desde la perspectiva de la psicología positiva y la terapia de turismo. Sin embargo, hay una falta de investigación sobre el impacto positivo y los desafíos del desarrollo turístico en la salud mental y el bienestar de los residentes y trabajadores del turismo. Por lo tanto, se requiere un enfoque interdisciplinario para revelar el papel del turismo en la promoción de la salud mental para diferentes partes interesadas. En cuanto a la práctica, se debe explorar activamente la integración de productos y servicios turísticos en el cuidado de la salud mental y diseñar actividades turísticas basadas en los principios de la psicología positiva.

Este estudio ofrece perspectivas sobre el papel del turismo en la promoción de la salud mental y el bienestar. Al proponer rutas teóricas y prácticas para mejorar la salud mental y el bienestar de las partes interesadas en el turismo, este artículo tiene como objetivo contribuir al logro del Objetivo de Desarrollo Sostenible 3 (ODS 3) de las Naciones Unidas.

The purpose of this paper is to delineate a clear definition of health tourism, and to explain it in two sub-categories, namely, medical tourism, and wellness tourism.

Grounded theory approach through an in-depth literature review and practical data from three different cities were researched to support the study.

Determinants of travelers’ decision making for the destination of health tourism, such as distance, cost, language, economy, competency of medical technology, and culture, in each classification of health tourism, were identified.

This study suggests an inductive research model to synthesize and structure a logical relationship of determinants that affect health tourists’ decision to visit specific health tourism destinations. The results of this study are quite revealing to governments, industrial practitioners, and potential customers of health tourism in terms of the context of health tourism and the behavior of health tourists.

The purpose of this study is to comprehend the traumatic experiences of intensive care unit (ICU) patients during the COVID-19 pandemic and the impact of the same post-discharge. It assesses the role of nature and open green spaces on the mental health and well-being of critically ill patients.

Using interpretative phenomenological analysis, this study highlights the major factors contributing to adverse mental health and well-being. The subjects were interviewed using semi-structured personal interview techniques. Thematic content analysis was adapted to derive the major themes apparent in the succinctly rich information gathered from the participants.

The findings cast light on the significant role of nature and open green spaces in psychotherapeutic healing post-discharge of intensive care survivors.

The study is novel and adds to the existing literature in an advanced manner. To the best of the author’s knowledge, no other study was witnessed, especially in the Indian context, confirming the relationship between humans and nature with ICU patients as a subset.

Understanding the antecedents of patient safety culture among medical staff is essential if hospital managers are to promote explicit patient safety policies and strategies. The factors that influence patient safety culture have received little attention. The authors aim to investigate the antecedents of patient safety culture (safety climate) in relation to medical staff to develop a comprehensive approach to improve patient safety and the quality of medical care in China.

The Chinese version of the Safety Attitudes Questionnaire (CSAQ) was used to examine the attitudes toward patient safety among physicians and nurses. This medical staff was asked to submit the intra-organizational online survey via email. A total of 1780 questionnaires were issued. The final useable questionnaires were 256, yielding a response rate of 14.38%. One-way analysis of variance (ANOVA) was employed to test if different sex, supervisor/manager, age, working experience, and education result in different perceptions. Confirmatory factor analysis (CFA) was used to verify the structure of the data. Then linear regression with forward selection was performed to obtain the essential dimension(s) that affect the safety culture (safety climate).

The CFA results showed that 26 CSAQ items measured 6 safety-related dimensions. The linear regression results indicated that working conditions, teamwork climate, and job satisfaction had significant positive effects on safety culture (safety climate).

Hospital managers should put increased effort into essential elements of patient-oriented safety culture, such as working conditions, teamwork climate, and job satisfaction to develop appropriate avenues to improve the quality of delivered medical services as well as the safety of patients.

This study focused on the contribution that the antecedents of patient safety culture (safety climate) make with reference to the perspective of medical staff in a tertiary hospital in China.