pexels-hikaique-561654

How Urban Design Can Impact Mental Health & Well-being

Our cities are often designed with function in mind. We build parks for exercise, wider sidewalks for pedestrians, and bike lanes for commuters. While we have made progress towards building healthier bodies, we have overlooked the equally important mental well-being.

Urban design has a powerful influence on the quality of its citizens’ life, especially mental health. It shapes the spaces where we live, work, and interact with others. From the soothing presence of green spaces to the efficiency of street layouts, the built environment affects our daily mood and overall well-being. Well-designed urban areas can foster a sense of community and belonging, providing places for people to connect, be active, and recharge. However, poorly planned environments can contribute to feelings of stress, anxiety, and isolation. By understanding the relationship between urban design and mental health, we can create cities that not only meet our physical health needs but also nourish our mental health.

How Urban Space Can Deteriorate Mental Health

Several factors in urban environments can negatively impact mental health, such as:

  Disconnection from Nature

Urban environments often disconnect residents from nature, which is deeply rooted in our evolutionary history. Humans have evolved in natural environments, and the lack of green spaces and natural ecosystems in cities can lead to residents developing what is referred to as “nature deficit disorder.”[i] Urban residents lack access to nature’s psychological benefits, such as reduced stress, improved mood, and enhanced cognitive function [ii], [iii]. Research on anxiety disorders (such as post-traumatic stress disorder, distress, anger, and paranoia) and the risk for developing schizophrenia showed higher rates in urban versus rural areas [iv]. In fact, epidemiological studies concluded that the more time spent in an urban environment as a child, the higher the risk for developing schizophrenia as an adult [v].

Noise Pollution

Constant exposure to noise pollution from traffic, construction, and industrial activities can seriously impact mental health. Humans are not adapted to endure continuous loud noises, which can lead to chronic stress, sleep disturbances, depression, and increased anxiety [vi].

Air Pollution

Air pollution not only contributes to respiratory and cardiovascular diseases but also affects mental health [vii]. Long-term exposure to polluted air has been linked to cognitive function decline and an increase risk of developing mental health disorders such as depression, anxiety, and even dementia.[viii] The World Health Organization (WHO) estimates that air pollution is responsible for approximately 7 million premature deaths per year, and a considerable percentage of these are in connection to mental health effects [ix].

Traffic

Heavy traffic and long commutes in bigger cities lead to mental exhaustion, stress and decreased life satisfaction [x]. The daily grind of tackling the morning and post-work rush hour adds to mental strain, leading to irritability and anxiety. A study from the American Journal of Preventive Medicine found that longer commutes are associated with higher levels of stress and lower levels of life satisfaction [xi]. Not to mention that traffic also increases exposure to noise and air pollution, adding to the detrimental effects on mental health [xii]. Living close to traffic can also disturb sleep patterns and cause further irritability and potentially aggression, which then fuels mood and anxiety disorders [xiii].

Overcrowding

High population density, often associated with large-scale, closely packed buildings, can lead to feelings of claustrophobia, stress, and social isolation. Overcrowding reduces personal space and increases competition for resources. This can lead to social tensions and a higher chance of (violent) conflict [xiv]. Furthermore, urban environments with high population densities can overload residents with stimuli, leading to sensory overload, higher stress levels and an impaired cognitive function [xv]. These factors can harm mental well-being, especially since humans are not evolutionary adapted to such densely populated living environments [xvi].

Overload of Stimuli and Information

Modern cities are packed with static and dynamic elements, which are abstract in design, all connected by a complex web of infrastructure. The variety of forms, colours, and textures, in a dense environment, can overwhelm the brain. Tasks that are simple in theory such as navigating the city become mentally exhausting as the brain struggles to process the overload of information being thrown its way. Over time, the constant over-stimulation can lead to mental fatigue, which in turn may increase the risk of developing mood and anxiety disorders [xvii].

Abstract Forms

Cities are made up of forms based on Euclidean geometry, including straight lines, circles, triangles etc. But these forms are rarely found in nature. Rather, nature is filled with amorphic and asymmetrical forms. Research has shown that high exposure to abstract forms, like those in plentiful supply in modern cities, can feed feeling of unease and detachment, leading to increased stress and reduced mental well-being. On the other hand, exposure to natural elements does not have the same effect and can even reverse the strain caused by the urban structures [xviii].

Shortened Visual Outreach

A key characteristics of city environments is the large-scale, high density of buildings and other built structures, packed into limited land plots. This places even more psychological strain on citizens as it creates the impression of a smaller personal space [xix].

How Urban Spaces Can Boost Our Mental Health

Well-designed urban spaces can have a transformative impact on our mental, physical, and social well-being. Research suggests that environmental factors in our surroundings can either exacerbate or protect us from the development of diseases, depending on our genetic makeup. The good news is that by creating optimal urban environments, we can not only enhance overall well-being but also potentially reduce the impact of genetic predisposition to certain health conditions. Our efforts should not stop at the doors of prevention (of mental health deterioration), but we should be striding towards taking action to improve mental health. So, what aspects should we consider when designing our urban environments?

Green Spaces and Nature

Providing free access to parks and other green areas is essential for not only improving but also maintaining mental health. Spending time in nature helps reduce stress, anxiety, and depressive symptoms while boosting mood and concentration. Green spaces also promote physical activity, relaxation, and social interaction [xx]. Incorporating more green spaces such as community gardens curated with contemplative elements into city planning, we can counterbalance the negative effects of urban environments [xxi].

Healthcare Accessibility

Easy access to both mental and physical healthcare services is important for early intervention and continuous support. By reducing barriers to care, such as long travel times and exposure to elements that may negatively affect our health, we can improve overall well-being [xxii].

 

Community Centres: Community centres offer social support networks, recreational activities, and educational programs that strengthen social cohesion and reduce feelings of isolation. These centres also provide safe spaces for individuals to engage in hobbies and group activities, fostering a sense of belonging and community [xxiii].

Inclusive and Accessible Design

Designing flexible urban spaces that accommodate all ages and abilities ensures that everyone can enjoy public spaces. Inclusive design promotes social involvement and equity, which are crucial for community mental health [xxiv].

Implications for Urban Design and Directions

To take full advantage of smart urban design, we must prioritize the health of residents. Planners and policymakers have a key role in promoting mental well-being through thoughtful design. Therefore, consider the following recommendations:

  1. Integrate Nature-Based Solutions (NbS): Incorporating green spaces, urban forests, and community gardens into city planning can enhance mental health and help prevent (and treat) mental health conditions. Nature-based solutions reduce environmental stressors, encourages social interaction, and creates mentally supportive urban spaces.
  2. Implement Contemplative Landscapes: Design features that promote mindfulness and relaxation, such as depths in views, biodiversity in plant and animal species, harmonious, warm colours, shade and seating areas, water elements, can significantly reduce stress and improve mental health [xxv].
  3. Promote Social Interaction: Design public spaces that encourage social interaction and community engagement, such as "walkable neighbourhoods," community hubs, and recreational areas.
  4. Ensure Accessibility and Inclusivity: Urban spaces should be accessible to all, including people with disabilities, the elderly, and children. Inclusive design fosters a sense of community and ensures that all residents can benefit from public spaces. Inclusiveness should also be reflected in the design process, with active participation from users during development.
  5. Use Technology and Data-Driven Approaches in Design: Incorporate advanced tools like mobile Electroencephalography (mEEG) and machine learning to assess and predict the impact of urban design on mental health. This will confirm the changes that are to be implemented are indeed creating calming spaces that boost mental health and quality of life.

By prioritizing mental health in urban design, cities can become healthier, more resilient, and inclusive. When green spaces, accessible facilities, and safe, active areas are integrated from the start of the urban planning process—rather than as an afterthought—urban planner can create environments that ultimately improve the quality of life for all residents.

 

Authors: Annetta Benzar, Lara Renhe,  Agnieszka Olszewska-Guizzo

References

[i] Olszewska-Guizzo, A., Fogel, A., Benjumea, D., & Tahsin, N. (2021). Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health. In Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health (pp. 279-296). Springer Nature. https://doi.org/10.1007/978-3-030-86304-3_14

[ii] Olszewska-Guizzo, A. (2018). Contemplative Landscapes: Toward Healthier Built Environments. Environment and Social Psychology. 3. 10.18063/esp.v3.i2.742.

[iii] Olszewska-Guizzo, A., Fogel, A., Benjumea, D., Tahsin, N. (2022). Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health. In: Leal Filho, W., Vidal, D.G., Dinis, M.A.P., Dias, R.C. (eds) Sustainable Policies and Practices in Energy, Environment and Health Research. World Sustainability Series. Springer, Cham. https://doi.org/10.1007/978-3-030-86304-3_14.

[iv] Gruebner, O., Rapp, M. A., Adli, M., Kluge, U., Galea, S., & Heinz, A. (2017). Cities and Mental Health. Deutsches Arzteblatt international, 114(8), 121–127. https://doi.org/10.3238/arztebl.2017.0121

[v] Vassos, E., Pedersen, C. B., Murray, R. M., Collier, D. A., & Lewis, C. M. (2012). Meta-analysis of the association of urbanicity with schizophrenia. Schizophrenia bulletin, 38(6), 1118–1123. https://doi.org/10.1093/schbul/sbs096

[vi] Hahad, O., Kuntic, M., Al-Kindi, S. et al. (2024). Noise and mental health: evidence, mechanisms, and consequences. J Expo Sci Environ Epidemiol. https://doi.org/10.1038/s41370-024-00642-5

[vii] Bhui, K., Newbury, J. B., Latham, R. M., Ucci, M., Nasir, Z. A., Turner, B., … Coulon, F. (2023). Air quality and mental health: evidence, challenges and future directions. BJPsych Open, 9(4), e120. doi:10.1192/bjo.2023.507.

[viii] Power, M. C., Kioumourtzoglou, M. A., Hart, J. E., Okereke, O. I., Laden, F., & Weisskopf, M. G. (2015). The relation between past exposure to fine particulate air pollution and prevalent anxiety: observational cohort study. BMJ (Clinical research ed.), 350, h1111. https://doi.org/10.1136/bmj.h1111

[ix] World Health Organization (WHO). (n.d.). Air quality, energy and health. https://www.who.int/teams/environment-climate-change-and-health/air-quality-energy-and-health

[x] Shitova, Y. Y. (2024). The impact of long-distance travel to work on the health of commuting labour migrants: A literature review. Population and Economics, 8(1), 37-51. https://doi.org/10.3897/popecon.8.e109997

[xi] Hoehner, C. M., et al. (2012). Commuting distance, cardiorespiratory fitness, and metabolic risk. American Journal of Preventive Medicine, 42(6), 571-578. doi:10.1016/j.amepre.2012.02.020

[xii] Scrivano, L., Tessari, A., Marcora, S., Manners, D. (2023). Active mobility and mental health: A scoping review towards a healthier world. Cambridge Prisms: Global Mental Health. 11. 1-44. 10.1017/gmh.2023.74.

[xiii] Olszewska-Guizzo, A., Fogel, A., Benjumea, D., Tahsin, N. (2022). Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health. In: Leal Filho, W., Vidal, D.G., Dinis, M.A.P., Dias, R.C. (eds) Sustainable Policies and Practices in Energy, Environment and Health Research. World Sustainability Series. Springer, Cham. https://doi.org/10.1007/978-3-030-86304-3_14.

[xiv] Evans, G. W., & Wener, R. E. (2007). Crowding and personal space invasion on the train: Please don't make me sit in the middle. Journal of Environmental Psychology, 27(1), 90-94. doi:10.1016/j.jenvp.2006.10.002

[xv] Glover, V., et al. (2018). The role of overcrowding in the urban mental health crisis. Journal of Urban Health, 95(4), 487-499. doi:10.1007/s11524-018-0288-0

[xvi] Zhang, Z., Měchurová, K., Resch, B., Amegbor, P. M., Sabel, C. (2023). Assessing the association between overcrowding and human physiological stress response in different urban contexts: a case study in Salzburg, Austria. International Journal of Health Geographics. 22. 10.1186/s12942-023-00334-7.

[xvii] Olszewska-Guizzo, A., Fogel, A., Benjumea, D., Tahsin, N. (2022). Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health. In: Leal Filho, W., Vidal, D.G., Dinis, M.A.P., Dias, R.C. (eds) Sustainable Policies and Practices in Energy, Environment and Health Research. World Sustainability Series. Springer, Cham. https://doi.org/10.1007/978-3-030-86304-3_14.

[xviii] Olszewska-Guizzo, A., Fogel, A., Benjumea, D., Tahsin, N. (2022). Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health. In: Leal Filho, W., Vidal, D.G., Dinis, M.A.P., Dias, R.C. (eds) Sustainable Policies and Practices in Energy, Environment and Health Research. World Sustainability Series. Springer, Cham. https://doi.org/10.1007/978-3-030-86304-3_14.

[xix] Olszewska-Guizzo, A., Fogel, A., Benjumea, D., Tahsin, N. (2022). Sustainable Solutions in Urban Health: Transdisciplinary Directions in Urban Planning for Global Public Health. In: Leal Filho, W., Vidal, D.G., Dinis, M.A.P., Dias, R.C. (eds) Sustainable Policies and Practices in Energy, Environment and Health Research. World Sustainability Series. Springer, Cham. https://doi.org/10.1007/978-3-030-86304-3_14.

[xx] Kumar, P., Brander, L., Kumar, M., & Cuijpers, P. (2023). Planetary Health and Mental Health Nexus: Benefit of Environmental Management. Annals of global health, 89(1), 49. https://doi.org/10.5334/aogh.4079.

[xxi] Kabisch, N. Basu, S., Van den Bosch, M., Bratman, G., Masztalerz, O. (2023). Nature-based solutions and mental health. 10.4337/9781800376762.00019.

[xxii] Coombs, N. C., Meriwether, W. E., Caringi, J., & Newcomer, S. R. (2021). Barriers to healthcare access among U.S. adults with mental health challenges: A population-based study. SSM - population health, 15, 100847. https://doi.org/10.1016/j.ssmph.2021.100847

[xxiii] Alexander Haslam, S., et al. (2023). Connecting to Community: A Social Identity Approach to Neighborhood Mental Health. Personality and Social Psychology Review. doi.org/10.1177/10888683231216136.

[xxiv] Alexander Haslam, S., et al. (2023). Connecting to Community: A Social Identity Approach to Neighborhood Mental Health. Personality and Social Psychology Review. doi.org/10.1177/10888683231216136.

[xxv] Olszewska-Guizzo, A. (2023). Neuroscience for designing green spaces: Contemplative landscapes. Routledge.

 

 

14

Building Back Differently: The Role of CLM in Public Health Promotion through Nature-based Solutions

“The future of humanity is undoubtedly urban,” warns the UN-Habitat in their World Cities Report (2022), urging public health policies to address the growing health risks associated with urban expansion. Urban environments — characterized by traffic, pollution, noise, and overcrowding — not only create fertile ground for physical health issues but also place a significant burden on the mental health of their citizens (Olszewska-Guizzo et al., 2023). Neuropsychiatric diseases now account for 19.5% of all disability-adjusted life years  (DALYs), while depression is responsible for 6.2% of DALYs (World Health Organization, n.d.). These mental health challenges deteriorate citizens’ quality of life and generate serious economic losses for the state.

Figure 1: Population living in urbanized areas in 1990, 2014, and 2050 by continent and worldwide, UN, 2018 (https://www.esa.un.org/ unpd/wup)

Governments are increasingly recognizing the urgent need for interdisciplinary, evidence-based solutions to address this mental health crisis (Gruebner et al., 2017). A growing body of research highlights the restorative effects that contact with nature has on human health (Olszewska-Guizzo, Sia, & Escoffier, 2023). These effects include reducing stress and fatigue, triggering positive emotions, and improving cognitive functions such as concentration, memory, and creative performance (WHO, 2021).

Nature-based Solutions (NBS) are emerging as effective and cost-efficient strategies for addressing the growing mental health challenges in urban environments. The IUCN defines NBSs as actions to protect, sustainably manage, and restore natural or human-modified ecosystems, offering benefits for both environmental preservation and human well-being. Adopting NBSs to confront human health challenges arising from unhealthy environments aligns with the One Health approach (WHO) — which recognizes the interdependence of animal, ecosystem, and human health — and the UN 2030 Agenda for Sustainable Development. NBSs have been well-documented to support people’s emotional, mental, and physical health by adopting a holistic approach to prevention, promotion, rehabilitation, and therapy.

Figure 2: "Envisaging the Future of Cities," World Cities Report 2022 (https://unhabitat.org/sites/default/files/2022/06/wcr_2022.pdf)

Not Just Green

Often there is limited space available in cities for green areas, so it is important to optimize the design and use of the available green spaces (Olszewska-Guizzo, Sia, Fogel, et al., 2022). Urban planners, landscape architects, and conservation experts need to understand which types and characteristics of urban green spaces (UGS) most effectively benefit citizens’ mental health. This challenge inspired the development of the Contemplative Landscape Model (CLM) in 2016. The CLM measures how different landscape scenes can positively influence mental health through passive exposure. It focuses on landscape components that, when combined, trigger low-frequency brain activity associated with decreased cognitive strain, increased relaxation, and positive affect, as well as positive effects on mood and anxiety disorders(Olszewska-Guizzo, Sia, Escoffier, 2023).

The CLM evaluates landscape scenes based on seven key-components, each of which is rated using a 1–6-point scale. The final CLM score, the average of the seven key-components, provides a comprehensive assessment of a landscape's potential to offer beneficial mental health outcomes. The CLM is increasingly being used by practitioners to bridge the gap between landscape design and evidence-based impacts on mental health. It is also helping policy-makers make informed decisions on how to effectively curate UGSs to improve the mental health of their communities.

Figure 3: Seven key-components of Contemplative Landscape Model (CLM).

The main advantages of using the CLM include:

  • Accessibility and Ease of Use: The tool can be easily learned following formal training and applied by urban design practitioners, landscape architects, and those with a keen eye for landscapes.
  • Accuracy: The final CLM score is an average from the seven key landscape components in a single view or at multiple sites across the area, which helps to eliminate human error.
  • Cost-effectiveness: The CLM requires minimal equipment. Evaluations can be conducted in a single site visit using tablets or just pen and paper.
  • Efficiency: CLM also works with digital representations of landscapes (photos or videos) to save time, making it ideal for practitioners needing to assess multiple sites.
  • Versatility: The CLM can be applied to a wide range of sites, including urban, suburban and rural spaces, making it a useful tool for diverse environments, and scales.
  • Dual-purpose: The CLM can be used as an evaluation/ audit tool for green spaces, but also as a set of design guidelines to develop new creative mentally-healthy environments.
Figure 4: CLM evaluations can be conducted using tablets.

Global Examples: Singapore

The CLM has received increasing attention among professionals and researchers worldwide and is slowly finding its place in nature-based health promotion policies. The first country to adopt the CLM in its urban greening initiatives was Singapore. The National Parks Board (NParks) recognized the value of the evidence-based approach early, as part of their City in Nature initiative, which aims to ensure that the available green spaces are designed optimally to maximize the well-being of citizens across a diverse demographic, from the elderly and hospital patients to children with special needs.

The research conducted in Singapore, in collaboration with NParks and the National University of Singapore, found that therapeutic gardens with contemplative features contribute positively to a person's mental health and overall well-being. They also concluded that there were positive neuro-psychophysiological benefits from passive exposure to a therapeutic garden for the mental health of individuals with clinically concerning depressive disorders (Olszewska-Guizzo et al., 2022; Olszewska-Guizzo, Sia, Fogel, Escoffier, & Dan, 2022).

Figure 5: Neuroscience research studies conducted in Singapore between 2018 and 2021

 

Singapore established the network of 13 therapeutic gardens scattered across the city-state, with plans for an additional 7 to be completed by 2030. Each garden is designed according to the contemplative landscape guidelines to encourage visitors to enjoy everyday contact with the salutogenic nature of the premises.

NParks’ efforts go beyond transforming parks and are slowly moving into the wider urban environment.  There is a growing number of public officers and professionals trained in use of CLM for landscape assessment and design (an example of a recent workshop). Their continued research into Nature-based Solutions integrating CLM aligns with Singapore’s healthcare transformation plan, Healthier SG, to promote preventive health strategies for the whole population. Singapore’s efforts are setting a powerful and inspiring example of how states can benefit from embracing Nature-based Solutions to create healthier communities while prioritizing evidence-based design of their available green spaces.

Global Examples: Sweden

Sweden is the second country to incorporate the Contemplative Landscape Model (CLM) into its national health policy as part of its Nature-based Rehabilitation (NBR) program.  Alos known as the Skåne-model, or Naturunderstödd Rehabilitering (NUR), it launched in 2013, and is the first of its kind in the Nordic region. NUR is currently active in the southern region of Skåne County, with plans to expand throughout the rest of the country.

The program is founded on extensive research from the Alnarp Rehabilitation Garden, run by the Swedish University of Agricultural Sciences (SLU) (Grahn & Pálsdóttir, 2021). It emphasizes the role of nature in aiding patients to recover from stress-related mental illnesses, specifically exhaustion syndrome, mild to moderate depression, and anxiety (Grahn, Pálsdóttir, Ottosson, & Jonsdottir, 2017). The program takes eight weeks and is run at selected rural properties across Skåne Region (Wissler & Pálsdóttir, 2024).

Figure 6. One of the NBR providers' rural property.

The NBR program supports the rural development goals by employing trained coordinators to deliver the nature-based interventions and services of the program on their premises. These interventions are designed with the following core objectives in mind:

1) Rehabilitation Focus: Aims to support the standard of care to improve physical, mental, and social health through nature-supported activities.

2) Nature-Infused “Awake Rest:” Focuses on relaxation and recovery in a peaceful, undemanding natural environment that promotes mental rejuvenation.

3) Integration of Meaningful Activities: Encourages daily tasks in natural settings, offering participants purposeful engagements that align with the day-to-day operations of the NBR provider.

NBR requires from providers to maintain the quality standards set by the program. These include both the day activities to be offered to the patients and the quality and design of the property's natural environment. The CLM has been introduced to the program as a tool of evaluation for the property's landscape and to provide a systematic approach to develop quality standards comparable between the properties.

Figure 7: CLM on-site evaluations of NBR providers.

In the summer of 2024, six of the eight current NBR providers’ properties in the Skåne region were evaluated by independent experts using the Contemplative Landscape Model (CLM). This was the first time the CLM was conducted on rural properties. Previously, the CLM was used almost exclusively on urban environments. For this evaluation, an average of 12 to 23 landscape views per rural property was scored based on site maps, and the average score was computed for each location. This evaluation was carried out in preparation for the fourth procurement phase of the NUR program. The satisfactory performance of the CLM in this new context demonstrates its versatility and reliability, further supporting Sweden's ongoing commitment to integrating Nature-Based Solutions into public health policy. Sweden is the first country in Europe to adopt the Contemplative Landscape Model (CLM) as part of its national health policy.  The adoption reflects their commitment to innovative approaches, including evidence-based initiatives such as the Alnarp Rehabilitation Garden and therapeutic gardens for dementia patients(Pálsdóttir, Wissler, & Thorpert, 2024; Pálsdóttir, O'Brien, Poulsen, & Dolling, 2021), and highlights the country's leadership in promoting preventive health strategies through nature. Sweden's efforts are setting a model example for other European nations to follow in creating healthier, more resilient communities.

Final Thoughts

The path to sustainable (positive) urban futures requires “collaborative, well-coordinated and effective multilateral interventions” by cities and sub-national governments. The health and well-being of citizens are classified as a top priority by the WHO to build resilient cities.  Cities must understand that it is no longer enough to “[build] back better” to meet the 2030 Agenda for Sustainable Development the New Urban Agenda. It is time to “[build] back differently.

Improving citizens’ access to mental health programs and developing holistic strategies to address mental illness remains a key concern worldwide. Without transformative action, mental health problems will “contribute to human suffering, premature mortality, and social breakdown, and will slow down economic recovery.” Improving the mental health of communities is essential not only for enhancing the quality of life of individuals but also for the continued economic and social development of states.

Recognizing the health-promoting value of landscapes, by integration of the Contemplative Landscape Model (CLM) by countries like Singapore and Sweden highlights its potential as a vital tool in integrating Nature-Based Solutions into national public health policies. It is, therefore, crucial to continue educating governments and decision-makers across the globe on the impact of evidence-based landscape design on public health. Through continued collaboration, research, and innovation, the CLM can become a foundational tool for preventive health strategies, helping to promote healthier, happier, and more resilient communities across the globe.

Reference List

Grahn, P., & Pálsdóttir, A.-M. (2021). Does more time in a therapeutic garden lead to a faster return to work? A prospective cohort study of nature-based therapy, exploring the relationship between dose and response in the rehabilitation of long-term patients suffering from stress-related mental illness. International Journal of Physical Medicine & Rehabilitation, 9, 1000614. https://doi.org/10.4172/2329-9096.1000614

Grahn, P., Pálsdóttir, A.-M., Ottosson, J., & Jonsdottir, I. (2017). Longer nature-based rehabilitation may contribute to a faster return to work in patients with reactions to severe stress and/or depression. International Journal of Environmental Research and Public Health, 14(11), 1310. https://doi.org/10.3390/ijerph14111310

International Union for Conservation of Nature. (n.d.). Nature-based solutions. https://iucn.org/our-work/nature-based-solutions

National Parks Board. (n.d.). City in nature. https://www.nparks.gov.sg/about-us/city-in-nature

Olszewska-Guizzo, A., Fogel, A., Escoffier, N., Sia, A., Nakazawa, K., Kumagai, A., Dan, I., & Ho, R. (2022). Therapeutic garden with contemplative features induces desirable changes in mood and brain activity in depressed adults. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.757056

Olszewska-Guizzo, A., Russo, A., Roberts, A. C., Kühn, S., Marques, B., Tawil, N., & Ho, R. C. (2023). Editorial: Cities and mental health. Frontiers in Psychiatry, 14, 1263305. https://doi.org/10.3389/fpsyt.2023.1263305

Olszewska-Guizzo, A., Sia, A., Fogel, A., Escoffier, N., & Dan, I. (2022). Features of urban green spaces associated with positive emotions, mindfulness, and relaxation. Scientific Reports, 12, 20695. https://doi.org/10.1038/s41598-022-24637-0

Olszewska-Guizzo, A., Sia, A., & Escoffier, N. (2023). Revised contemplative landscape model (CLM): A reliable and valid evaluation tool for mental health-promoting urban green spaces. Urban Forestry & Urban Greening, 86, 128016. https://doi.org/10.1016/j.ufug.2023.128016

Pálsdóttir, A.-M., O'Brien, L., Poulsen, D., & Dolling, A. (2021). Exploring migrants’ sense of belonging through participation in an urban agricultural vocational training program in Sweden. Journal of Therapeutic Horticulture, 31(1), 11.

Pálsdóttir, A. M., Wissler, S. K., & Thorpert, P. (2024). An innovative approach in research and development of clinical nature-based rehabilitation in health care and vocational training: The living laboratory, Alnarp rehabilitation garden. Landscape Architecture, 31(5), 116-123. https://doi.org/10.3724/j.fjyl.202404020196

Region Skåne. (n.d.). Naturunderstödd rehabilitering. https://vardgivare.skane.se/vardriktlinjer/forsakringsmedicin/naturunderstodd-rehabilitering/

UN-Habitat. (2022). World cities report 2022: Envisaging the future of cities. United Nations Human Settlements Programme (UN-Habitat). https://unhabitat.org/sites/default/files/2022/06/wcr_2022.pdf

United Nations. (n.d.). The 2030 agenda for sustainable development. https://sdgs.un.org/2030agenda

Wissler, S. K., & Pálsdóttir, A. M. (2024). A quality assurance framework for outdoor environments, facilities, and program standards in nature-based rehabilitation. Landscape Architecture, 31(5), 91-102. https://doi.org/10.3724/j.fjyl.202312140567

World Health Organization. (2021). Mental health promotion and mental disorders prevention: Framework for a comprehensive mental health strategy in Europe. WHO Regional Office for Europe. https://www.who.int/europe/publications/i/item/9789289055666

World Health Organization. (n.d.). Global health estimates: Leading causes of DALYs. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/global-health-estimates-leading-causes-of-dalys

World Health Organization. (n.d.). One Health. https://www.who.int/health-topics/one-health#tab=tab_1

WhatsApp Image 2024-02-27 at 14.32.31

Nature, mental health, and equity. Highlights from the kick-off meeting of the GreenME project

The GreenME project will study how exposure to nature can be integrated in healthcare systems to treat and improve mental health for all.

It officially launched its ambitious initiative at the Kick-off meeting held in Barcelona from January 29th to 31st, 2024. Hosted by the Open University of Catalunya (UOC) and
coordinated by the Universitat Autònoma de Barcelona (UAB), the event brought together over 60 consortium members, including the esteemed Advisory Board members, the European Commission’s
project officer Patrizia Tenerelli, and researchers from sister projects (RESONATE and NATURELAB).

During this three-day event, participants had the opportunity to get to know each other and the passion that drives them, while visualising the unique contributions they will make to the project over the next
four years.

Researchers, therapy providers, and municipalities representatives worked together to address the challenges of the project via an insightful collective hands-on exercise, listing burning questions and
providing answers leading to a half-day exchange to identify ways forward. In between sessions, the participants recharged their minds and bodies with walks in nearby parks, mindfulness exercises, and a mandala-making outdoor activity, concretely experiencing how nature benefits mental health. Fun activities engaged the lively consortium; participants were asked to find clever solutions to build Kapla structures using just one finger or to tell their stories through a photographic language exercise!

This Kick-off meeting saw the robust collaboration and exchange of ideas with sister projects RESONATE and NatureLAB, operating under the overarching theme of mental health, nature, and sustainability. The anticipated collaboration is poised to drive forward pioneering research and foster transformative outcomes within the realm of nature-health interactions. Moreover, the Research Synergies workshop held during the Kick-off meeting facilitated dynamic exchanges with researchers from other scientific projects, including BlueHealth, GoGreenRoutes, Dr. FOREST, and PHENOTYPE. By fostering interdisciplinary collaboration, GreenME aims to accelerate progress towards building just resilient and sustainable healthy communities.

A core tenet of the GreenME initiative is the empowerment of green care actors and stakeholders. Recognizing the pivotal role of community involvement in shaping sustainable healthcare solutions, GreenME is committed to actively engaging with and empowering stakeholders throughout the project lifecycle. By fostering partnerships and amplifying the voices of green care advocates, GreenME seeks to cultivate a more inclusive and impactful approach to mental health and well-being. As GreenME embarks on this transformative journey, the consortium is poised to drive forward cutting-edge research, innovation, and collaboration to advance the understanding and integration of nature-based interventions in mental healthcare.

The GreenME Consortium:

In a trans-disciplinary partnership, GreenME involves six European countries, together with the UK
and theUS. GreenME is led by the Autonomous University of Barcelona (UAB – Barcelona, Spain) and
the GreenME consortium is composed of:

  1. University of Bologna (Bologna, Italy),
  2. Swedish University of Agricultural Sciences (Sveriges Lantbruksuniversitet - Uppsala, Sweden),
  3. ILS Research (Research Institute for Regional and Urban Development - Dortmund, Germany),
  4. Warsaw University of Life Sciences (SGGW – Warsaw, Poland),
  5. Open University of Barcelona (UOC – Barcelona, Spain),
  6. Old-Continent (Brussels, Belgium),
  7. NeuroLandscape Foundation (Warsaw, Poland),
  8. Gesellschaft für Gartenbau und Therapie (GGuT – Hückeswagen, Germany),
  9. Institute of Psychiatry and Neurology (IPIN – Warsaw, Poland),
  10. Scandinavian Nature and Forest Therapy Institute & SHINRIN-YOKU (Stockholm, Sweden),
  11. Eta Beta Cooperativa Sociale (Bologna, Italy),
  12. City of Herne (Herne,Germany),
  13. Spanish Association of Horticulture and Social and TherapeuticGardening (AEHJST – Madrid, Spain),
  14. University of Kent (Kent, UK),
  15. University of Salford (Salford, UK),
  16. Social Farms and Gardens (Bristol, UK) and
  17. Mind in Bexley and East Kent LTD (London, UK),
  18. The US partner is Oregon Health & Science University Portland State University School of Public Health (OHSU-PSU — Portland, Oregon).

The project will last 4 years and is funded by the Horizon Europe research and innovation programme of the European Union.

For more information about GreenME and its initiatives, please visit https://greenme-project.eu
X
LinkedIn
Facebook
Instagram

12c71513-efb8-497c-9836-14e424dc5cec

Urban Solutions and Sustainability R&D Congress 2023, Singapore

Date: 4 - 5 October (Wed & Thu), 2023

Venue: Sands Expo and Convention Centre

 

The Congress was divided into several breakout sessions, out of which this specific one dedicated to mental health and well-being promotion through contact with urban nature. Below are the descriptions of speakers and talks. Among them our own Dr Agnieszka Olszewska-Guizzo. More details can be found at the Congress website.

Liveability: Nature and Well-being

This session brought together various speakers from the public sector and research spheres, to highlight leading areas of research and application in advancing nature-based solutions for health and well-being, as part of Singapore’s overall transformative efforts under its “City in Nature” vision.

Prof Tan Puay Yok
Chief Science & Technology Officer and Director, Singapore Botanic Gardens
National Parks Board (NParks)
Professor, College of Design and Engineering
National University of Singapore (NUS)

Topic: The Salubrity of Urban Nature: From Patterns to Mechanisms

There is probably a universal acceptance that nature in cities provides numerous benefits for urban dwellers. Among these, the health benefits from urban nature is a recurring and long-standing theme across different disciplines, from landscape architecture to urban planning, to human geography and public health planning. This is reflected in the increasing number of scholarly articles on this topic published over the last two decades. Such a recognition of the salubrious benefits of nature that cuts across cultures, however, can be said to be a rediscovery of old knowledge. For instance, more than two thousand years ago, Hippocrates said “Nature itself is the best physician”.

In Chinese culture, the idea of “天人合一” promotes the practice of harmony between human and nature as a way of living and an ethical treatment of the environment. Therefore, given the long cultural associations and increasing scientific evidence, what else needs to be done to increase the health benefits of nature exposure? One such area is to undertake studies that go beyond documenting benefits of nature exposure, to understanding the mechanisms leading to health benefits. Understanding mechanisms, in turn, provide the necessary evidence to design optimal interventions that address constraints of space, time and lifestyles of urban living. This presentation shares perspectives on the need to invest more efforts to develop a better mechanistic understanding of the health-promoting effects of nature exposure.

Dr Lin Shengwei Ervine
Senior Lecturer
Programme Director Bachelor of Landscape Architecture, Department of Architecture
National University of Singapore (NUS)

Topic: Measuring Urban Landscapes for Assessment of Restorative Potential

Exposure to nature is widely suggested to provide multiple benefits, including the capacity to trigger mental restoration. This makes it essential to integrate natural elements into urban landscapes through purpose-built parks or neighbourhood greening efforts. Singapore is no stranger to this and has spent decades greening the city into its current state. However, it is unclear what kind of greenery typologies should be prioritized in relation to the urban environment, and how the two interact and affect restorative potential. This talk will showcase two novel methods for measuring urban landscapes specific to assessing and predicting the restorative potential of neighbourhood landscapes.In doing so, it will shed light on preliminary research findings which point towards the importance and complexities of attempting to measure such an elusive effect. Such findings pave the way for fresh insights into planning and designing urban landscapes in order to maximise restorative benefits to urban dwellers.

Dr Agnieszka Olszewska-Guizzo
President & Co-founder
NeuroLandscape

with

Ms Alicia Soh,
Senior Manager, Development Management
National Parks Board (NParks)

Topic: Urban Nature for Mentally-Healthy Cities: Contemplative Landscapes
This talk will provide new insights for integrating natural landscapes into cities with consideration of better mental health and well-being, by delving into the concept of "Contemplative Landscapes" along with its supporting scientific background. Evidence from local and international studies on the influence of contemplative landscapes on the brain will also be discussed, together with the practical implications of how urban planners and residents can harness this concept to maximize the therapeutic benefits of nature. Finally, the talk will also address current and future approaches regarding the application of the Contemplative Landscape Model.
feature img

NeuroLandscape a part of GreenME – the Horizon EU Funded Project!

NeuroLandscape is delighted to announce its participation in the consortium selected for the prestigious Horizon Europe GreenME project  with a budget of nearly 6M euro.

This collaboration presents an exciting opportunity to advance our mission of integrating nature-based solutions into urban environments for enhanced well-being and sustainable living. Led by Universita Autonoma de Barcelona, the GreenME consortium aims to revolutionize greencare and urban planning practices across Europe. NeuroLandscape's involvement in this groundbreaking initiative will commence on September 1st, 2023, as we eagerly anticipate the positive impact we can collectively make on the health and well-being of urban dwellers.

 

GreenME stands for "Advancing GReenCare in Europe: an integrated multi-scalar approach for the Expansion of Nature-based therapies to improve Mental health Equity" 

This project is an ambitious endeavor that seeks to advance greencare practices across Europe through an integrated, multi-scalar approach. It has received significant recognition and funding through the prestigious Horizon Europe program. This collaborative project brings together leading researchers, policymakers, and practitioners in the field of nature-based solutions to address pressing urban challenges and create healthier, more sustainable cities.

NeuroLandscape's Involvement in the Consortium

NeuroLandscape's inclusion in the GreenME consortium is a testament to our expertise and commitment to promoting the benefits of nature in urban environments. As a key partner in the consortium, NeuroLandscape will contribute valuable insights and practical experience gained from our extensive research in the quality of urban greening and mental health promotion through the nature connection. Our participation aims to leverage wide international network of contacts, insights from evidence-based design, environmental psychology, and the impact of nature on human health and well-being to support the project's success.

Through collaboration with partners across Europe, NeuroLandscape will actively contribute to the development of innovative approaches and solutions that integrate nature into urban settings. Our goal is to foster positive impacts on mental health, physical well-being, and social cohesion through evidence-based design and strategic implementation of nature-based interventions.

The GreenME Project's Objectives

The GreenME project encompasses a broad range of objectives, each focusing on different aspects of greencare implementation at various scales. By fostering interdisciplinary collaboration and knowledge exchange, the project aims to:

  1. Investigate the benefits of nature-based interventions on human health and well-being.
  2. Develop evidence-based design guidelines for creating nature-rich urban environments.
  3. Enhance the role of urban green spaces in mitigating climate change and promoting sustainability.
  4. Establish a European-wide network to facilitate the exchange of best practices and expertise.
  5. Provide policymakers with comprehensive recommendations for integrating greencare strategies into urban planning frameworks.

Expected Outcomes and Impact

Through the GreenME project, NeuroLandscape and its consortium partners strive to achieve transformative outcomes that will positively impact cities and their inhabitants across Europe. By implementing nature-based solutions and greencare strategies, we envision:

  1. Improved mental and physical health outcomes for urban dwellers.
  2. Enhanced ecological resilience and biodiversity in urban environments.
  3. Increased social cohesion and community engagement through nature-based interventions.
  4. Strengthened policy frameworks that prioritize the integration of nature in urban planning for mental health and well-being.
  5. Sustainable urban development that prioritizes the well-being of both people and the planet.

NeuroLandscape's participation in the GreenME project represents an exciting opportunity to contribute to the advancement of greencare practices in Europe. By four years long collaboration with leading experts, policymakers, and practitioners, we aim to integrate evidence-based research and practical knowledge to create nature-rich urban environments that promote well-being and sustainability.

With the project set to begin on September 1st, 2023, we are poised to embark on this transformative journey. We are confident that the GreenME project will have a profound and lasting impact on the way we approach urban planning and the integration of nature in day-to-day urban living.

International-Conference_18-19-Aug-2022_Poster-724x1024

Presentation at the International Conference for Environment and Human Health | HK

18 of August 2022
10:40 AM Hong Kong Time (GMT+8)
*online

Dr Agnieszka Olszewska-Guizzo to present "Neuroscience for Designing Urban Green Spaces: Contemplative Landscape Exposure for Mental Health"

at the  International Conference for Environment and Human Health hosted by Research Centre for Environment and Human Health in Hong Kong.

floriade

Floriade Challenge 🌿‘The Green Escape’

Floriade Challenge 🌿‘The Green Escape’🌿 took place at Aeres Hogeschool Almere and Floriade Expo 2022.

25 young professionals accepted the challenge of  and the Gemeente Almere to develop an innovative concept for greening an important 🏃🏻 slow-traffic route 🚴🏻 in the centre of Almere.

May 20th:

Location:            Floriade

MASTERCLASS: 14.45-16.00 u

14.15-14.45        IT check

14.30-14.45       Online walk-in

14.45-14.47       Welcome & practicalities

14.47-14.55       A few questions to check in + get invested in the lecture topic

14.55-15.15       Lecture Dr Dinand Ekkel: "Urban Green Development: Why?"

15.15-15.25       Q&A

15.25-15.45       Lecture Dr Agnieszka Olszewska-Guizzo : "Neuroscience-Based Design for Mentally-Healthy, Green Cities"

15.45-16.00      Q&A + roundoff plenary part

16.00-16.15        End of plenary part & break

 To read more about the presentations, have a look here

group

1st in-person NeuroLandscape Workshop | Korthi-Greece | 7-9 May 2022

Natural and Cultural Heritage for Healthier and More Sustainable Urban Realms

The first, in-person scientific meeting of NeuroLandscape Team, titled "Natural and Cultural Heritage for Healthier and More Sustainable Urban Realms" took place among beautiful landscapes of the Greek island of Andros, hosted at the local Korthi Town Hall. 

The program of a 3-day event included:

SATURDAY (7.05.2022)

Time Presentation title - Speaker (Affiliation) Language
11:15 - 11:30 Welcome & Opening with Coffee GR/ENG
11:30 - 12:00 Contemplative Landscapes for Sustainable Tourism -  Dr. Agnieszka Olszewska-Guizzo (NeuroLandscape) ENG
12:00 - 12:30 Nature-Based Solutions for More Inclusive and Resilient Communities - Dr. Weronika Gasior (NeuroLandscape) ENG
12:30 - 13:00 A.I. Tools for Cultural Heritage and Tourism - Dr. Theofrastos Mantadelis (NeuroLandscape) ENG

SUNDAY (8.05.2022)

10:00 - 10:30 Impact in Post-pandemic Times: Neuroscience to the Rescue - Dr. Nicolas Escoffier (NeuroLandscape) ENG
10:30 - 11:15 Gender Equality Plan as a necessary tool for Horizon Europe Applications - Dr. Weronika Gasior (NeuroLandscape) ENG
11:15 - 11:30 Coffee Break
11:30 - 12:00 Korthian Artists 1850-1950 - Mr. Aristeidis Mantadelis (Civil Engineer) GR/ENG
12:00 - 13:00 Can you  see what you’re looking at?: Contemplative Landscape Features Recognition and Assessment - outdoor workshop - Dr. Agnieszka Olszewska-Guizzo (NeuroLandscape) ENG

MONDAY (9.05.2022)

10:00 - 10:30 Dimetra - Predicting vulnerable goods disease before transportation - Dr. Theofrastos Mantadelis (NeuroLandscape) ENG
10:30 - 11:15 Sustainable food systems in the EU legal framework - Ms. Aleksandra Zaborowska (Neurolandscape and EP) ENG
11:15 - 11:30 Coffee Break
11:30 - 12:00 Climate Change and Water Management - case study of Khulna, Bangladesh - Ms. Nazwa Tahsin (NeuroLandscape) ENG
12:00 - 12:30 VinhoLandscape - An Introduction to the Wines of Northern Portugal - Mr. Raul J.Guizzo (Symington Family Estates) ENG
12:30 - 13:00 Wine Tasting - workshop - Mr. Raul J.Guizzo (Symington Family Estates) ENG

webinar-tics-cuidado-salud (1)

ICT Solutions for Healthcare | Webinar | 21 October 2021

XIII International Congress of the Spanish Association of Bioethics and Medical Ethics (AEBI)

The Organizing Committee and the Spanish Association of Bioethics and Medical Ethics (AEBI) organized the thirteenth edition of the AEBI International Congress that hosted several focused events, including the webinar on ICT solutions for Healthcare. In it our NeuroLandscape VR tool called Eascape was presented to the wider medical and Spanish-speaking audience.

Program

18:30

Welcome & opening - Elena Andrade Gomez - Enfermera. Doctora en Salud Pública. Directora de estudios de la Escuela de Enfermería de la Universidad de La Rioja. España.

18:40

ENTORNOS NATURALES, SALUD Y REALIDAD VIRTUAL Dr. Weronika Gasior - Lingüista. Doctora en Lingüística aplicada. Miembro del Consejo Científico de Neurolandscape. Jefe de Comunicaciones y Proyectos de Realidad Virtual. NeuroLandscape. Polonia - Singapur.

19:00 - Q& A
19:10

DESAFÍOS ÉTICOS DEL e-HEALTH Y EL m-HEALTH - Juan Carlos Oliva, Ingeniero de telecomunicaciones y electrónica. Director de Innovación Sanitaria del Sistema Público de Salud de La Rioja. España.

19:30 - Q&A
19:40

FORTALEZAS Y DEBILIDADES DEL E-LEARNING Y B-LEARNING - Vicente Soriano , Médico y Doctor en Medicina. Vicedecano de Investigación de la Facultad de Ciencias de la Salud de la Universidad Internacional de la Rioja (UNIR). España.

20:00- Q&A
1634921103992

ASEAN Workshop on Biodiversity and its Linkages to Human Health

27 September 2021  at 2:30 PM Singapore

The connections between biodiversity, mental health and physical inactivity are particularly relevant in the context of shifting global burden of diseases in which non-communicable diseases are among the most rapidly rising challenge to global public health. Contact with nature may provide positive mental health benefits, as well as promote physical activity and contribute to overall well-being.

The ASEAN Workshop on Biodiversity and its Links to Human Health in an Urban Context and Capacity Building on Therapeutic Horticulture as an Example of the Links (referred to subsequently as the ASEAN Workshop) is one of the follow-up activities to the above 2018 regional workshop. The European Union, through the Biodiversity Conservation and Management of Protected Areas in ASEAN (BCAMP), is providing funding support to the ASEAN Workshop.

Due to the COVID-19, the ASEAN Workshop had to be postponed and implementation modalities divided into two parts:
(i) introductory webinar (as per current invitation and information note); and
(ii) in-person workshop (tentatively to be conducted in 2022, contingent on prevailing
COVID-19 situation)

Expected Outputs of the Introductory Webinar

1. Enable participants to become supporters and active advocates of green spaces and
therapeutic horticulture approaches in their respective cities in the ASEAN Region.
2. Generate ideas and recommendations on the promotion of green spaces and
therapeutic horticulture in the ASEAN Region.

2:30-2:40pm  - Entry of participants, House rules ACB

2:40-2:45pm Opening remarks , Ms. Wendy Yap - Director/ International Biodiversity Conservation, NParks

Session 1: Role of Green Spaces on Health and Wellbeing
2.45-3.25pm

  1. "Landscapes for mental wellbeing" - Dr. Agnieszka Olszewska-Guizzo - President and Co-founder of  NeuroLandscape
  2.  "Case study: Prescribing physical activity in parks in Singapore for improved health and wellbeing" - Dr. Nicholas Alexander Petrunoff - Assistant Professor, Saw Swee Hock School of Public Health, National University of Singapore
  3. Question and Answer - Moderator: Mr. Elpidio Peria, - Technical Consultant, ACB

Session 2: Benefits of Therapeutic Horticulture, a Nature-based Programme
3.35-4.25pm

  1. "Contextualising therapeutic horticulture for the tropics" - Ms. Tham Siang Yu Permaculture Designer
  2. "Case study 1: Design and programming of therapeutic horticulture in a tropical nursing home" - Mr. Tham Xin Kai Design Director of Hortian Consultancy and Co-founder of
    Hortherapeutics
  3. " Case study 2: A research study on therapeutic horticulture on older adults in Singapore" - Ms. Angelia Sia Deputy Director of Research at the Centre for Urban Greenery and
    Ecology, NParks
  4. Question and Answer Moderator: Mr. Elpidio Peria, Technical Consultant, ACB

4:35 – 4.45 Synthesis and Closing - Ms. Clarissa C. Arida, Director, Programme Development and Implementation Unit, ACB

iHealthtech, National University of Singapore and