nature-based solutions (NBS) Archives

How Urban Design Can Impact Mental Health & Well-being

Posted on 9 September 20249 September 2024 by Annetta Benzar

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.

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].

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].

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].

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:

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.
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].
Promote Social Interaction: Design public spaces that encourage social interaction and community engagement, such as "walkable neighbourhoods," community hubs, and recreational areas.
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.
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.

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

Posted on 19 August 202420 August 2024 by Annetta Benzar

“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.

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 Developmen t. 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.

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.

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.

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.

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.

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

GreenInCities project: Reshaping Urban Well-Being through Nature-Based Solutions

Posted on 13 March 20245 May 2024 by Annetta Benzar

The GreenInCities project tackles the challenge of bringing nature-based solutions to deprived urban areas to improve mental well-being. Learn how NeuroLandscape is contributing with innovative assessment methods.

As urban areas expand and crowding surges, accessing green spaces has become increasingly challenging. The issue goes beyond aesthetics; studies consistently link access to nature with improved mental and physical well-being. However, existing efforts to regreen these urban spaces often prioritize affluent, tourist-heavy areas, leaving behind disadvantaged neighborhoods across Europe (European Commission, 2023).

Introducing: The GreenInCities project

The GreenInCities project, funded by Horizon Europe, aims to address this gap. Launched in January 2024, GreenInCities brings together a consortium of experts to redefine urban regeneration strategies for deprived areas. The four-year project focuses on developing, implementing, and monitoring Nature-based Solutions (NbS), effectively bridging urban planning with ecological sustainability.

GreenInCities adopts a comprehensive approach to urban regeneration, prioritizing the mental health needs of the cities and residents involved. The project leverages innovative tools and methodologies, including, but not limited to:

Augmented Reality (AR): This technology enables the pre-visualization of landscape changes, facilitating community engagement and informed decision-making.
Mobile Electroencephalography (mEEG): mEEG assesses the impact of NbS interventions on the mental health of local communities.
Artificial Intelligence (AI): AI plays a crucial role in optimizing planning and analysis, tailoring NbS efforts to the specific needs of each city.

These cutting-edge techniques ensure that regreening efforts seamlessly integrate into urban environments while remaining adaptable to meet the unique needs of each city and its residents.

GreenInCities: Objectives and Outcomes

The GreenInCities project boasts a variety of specific objectives, all designed to amplify the impact of NbS for all stakeholders, from policymakers to citizens. Through collaborative efforts and a multidisciplinary approach, the project endeavors to achieve the following:

Establish an Online Repository: This repository contains existing NbS implementations to serve as a valuable reference point for project activities.
Develop a Sustainable Renaturing Toolbox: This toolbox will comprise assessment methodologies and decision-making processes aligned with the goals and key indicators of local stakeholders, such as regional urban planning strategies.
Create Renaturing Guidelines: These guidelines, based on an evaluation matrix, will guide the implementation and maintenance of NbS across diverse sites.
Design Collaboratively a Data Infrastructure and Management System: This system will manage the data collected from greening initiatives across partner cities.
Co-Develop and Validate Predictive Tools: These tools, using the data collected by multimodal sensors, will facilitate pre- and post-intervention assessments to measure the effectiveness of NbS interventions.
Utilize Advanced Immersive Technologies: The project will leverage Augmented Reality to visualize changes in pilot areas before and after interventions, enabling proactive insights and adaptive planning for maximizing the positive impacts of NbS efforts.

NeuroLandscape’s Contribution to GreenInCities

NeuroLandscape (NL) is proud to be part of this groundbreaking project. Our involvement demonstrates our commitment to advancing regreening efforts through a “human-in-the-loop” approach. We aim to ensure these initiatives benefit the entire ecosystem, from those initiating regreening efforts to the end users – the citizens who witness these positive transformations in their daily lives.

Within the project’s scope, NL will develop a methodology for assessing citizens’ mental health before (pre) and after (post) regreening interventions. This methodology will leverage advanced neuroscience tools such as mobile Electroencephalography (mEEG). Once developed, the methodology will be disseminated within the consortium and implemented through field studies in at least three pilot European cities where regreening initiatives will take place.

Building upon these assessments, NL will create a “mental health digital twin.” This innovative concept involves the development of automated pre/post measurements for regreening interventions using machine learning methods. This eliminates the need for direct measurements on human subjects while harnessing the predictive capabilities of AI to forecast the impact of NbS interventions on mental well-being.

Our involvement in GreenInCities represents a significant step forward for our organization, solidifying our commitment to advancing urban regreening initiatives through innovative approaches. We are dedicated to making a positive impact on the broader community by promoting mental health and environmental well-being in urban areas.

Want to learn more about how GreenInCities is transforming urban landscapes and improving lives?

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Keywords: Urban greening, nature-based solutions (NBS), mental health, well-being, deprived urban areas, equitable regeneration, Horizon Europe project, mobile EEG, machine learning, digital twin, citizen engagement, sustainable cities.

(GreenInCities Project (2024). Project Ref# HORIZON-MISS-2023-CLIMA-CITIES-01 grant agreement No 101139730. https://cordis.europa.eu/project/id/101139730)