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Case Study

NACADIA HEALING FOREST GARDEN, THE ARBORETUM IN HØRSHOLM, UNIVERSITY
OF COPENHAGEN, DENMARK

Description: This is primarily a research project to assess the    A meadow of brightly coloured f lowers offers
efficacy of nature-based therapy in treating stress disorders.     an open, exposed environment for patients
In 2007, as part of her work with University of Copenhagen,
Ulrika Stigsdotter, a landscape architect with expertise in        ©at Nacadia Healing Forest Garden
health design, established an interdisciplinary group to             Natalia Pantelidou, www.nataliapantelidou.com
ensure validity of research, including landscape architects and
experts in psychology and medicine. The aim was to develop         Audience research: Applied research in the form of evidence-
a therapy garden, using evidence-based design (see page 6).        based design runs through this project, from its very beginning.
After investigating several potential sites, it was decided that   As far as the approach is concerned, the focus is threefold:
Hørsholm Arboretum possessed the required qualities and            1) carrying out a comparative study between two treatments
the project leaders began to collaborate with it and with          for PTSD (‘mindfulness inspired nature based therapy’ and
the arboretum supervisor, who personally contributes to the        CBTtreatment), 2) a longitudinal study with the participants
programme. Research began in 2007 and the garden was               and the impact of the treatment on their lives one year after
planned out in 2011, after which there was six months of           the project completion, and 3) a qualitative study to examine
training with horticulture therapists. In 2013, clinical research  the extent to which the garden played its role as a supportive
trials began with veterans suffering from post-traumatic stress    environment. The latter involves observations, log books
disorder (PTSD) and people with work-related stress, mainly        and interviews.
women aged 30 to 40. To date, 40 people have been given
therapy, which consists of 10 weeks treatment, during which        Funding: The project is funded by four family-run and national
time participants visit three times a week for three hours.        foundations and the University of Copenhagen. After funding
Treatment includes spending time in the specially designed         ends in June 2015, the aim is to develop further research
areas of the garden and in gardening activities.                   applications as well as a Master’s course that will use the
                                                                   garden as a site for education.
Focus of the project: The aim is to tackle mental health issues
by providing therapy and a connection to nature. It has brought
media coverage to the university and arboretum and increased
visitor numbers, as well as providing funding to improve
infrastructure.

Engagement approach: To ensure that therapy is appropriate
the treatment is designed by an expert medical researcher, in
collaboration with a clinic linked to the University of Aarhus.
The therapy takes an open approach, based on evidence of
what works well for these groups in terms of activities and
landscape design. Patients are referred for treatment by their
doctors, with whom the research group also has a relationship.
Consultations with the target audience were carried out to
explore their priorities.

                                                                   Challenges: Recruiting enough participants willing to take part
                                                                   in the project was a challenge. This became easier with time
                                                                   and better communication with the medical staff who refer
                                                                   them. Another issue faced was arboretum visitors wanting to
                                                                   access the garden, after the wide coverage of the project in
                                                                   the national press. The garden had to keep some areas very
                                                                   secluded, posting information about the project at the entrance
                                                                   of the arboretum to highlight the importance of the areas
                                                                   remaining unpopulated.

                        More enclosed spaces contrast open

               ©ones to create different atmospheres
                          Natalia Pantelidou,
                        www.nataliapantelidou.com

30	 CARING FOR YOUR COMMUNITY | A MANUAL FOR BOTANIC GARDENS
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