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Therapeutic garden


A therapeutic garden is an outdoor garden space that has been specifically designed to meet the physical, psychological, social and spiritual needs of the people using the garden as well as their caregivers, family members and friends.

Therapeutic gardens can be found in a variety of settings, including hospitals, skilled nursing homes, assisted living residences, continuing care retirement communities, out-patient cancer centers, hospice residences, and other related healthcare and residential environments. The focus of the gardens is primarily on incorporating plants and friendly wildlife into the space. The settings can be designed to include active uses such as raised planters for horticultural therapy activities or programmed for passive uses such as quiet private sitting areas next to a small pond with a trickling waterfall.

The design of a therapeutic garden is ideally a collaborative effort involving the people using and caring for the garden. The development of the garden is typically accomplished by a design team of landscape architects, garden designers, horticultural therapists, healthcare professionals, such as doctors, nurses, occupational therapists, recreational therapists, gerontologists and other staff members. Additional stakeholders involved may include, if appropriate, the patients or residents themselves and their respective family members and other caregivers. The design team is often led by a landscape architect or garden designer, specifically trained in the design and development of therapeutic gardens. It is strongly recommended horticultural therapists presence in the design process, since they are professionals specialized in the use of the gardens as a therapeutic tool, who know all the potentialities of a garden for this purpose, since it is their working tool with people with disabilities or illness.

The majority of elements in a therapeutic garden should be plant related, such as perennials that attract hummingbirds, shrubs that attract butterflies and water features for gold fish and Koi. Plants familiar to those using the therapeutic garden need to be non-toxic and non-injurious. Issues related to sustainability of the garden, such as using native plants and rain water harvesting, should also be considered in the overall design. Attracting nature, such as butterflies, gold finch and hummingbirds into the therapeutic garden, is important. Nature is referred to as a ‘positive distraction’ by Roger Ulrich, Ph.D. at Texas A&M University. Other considerations include providing ample shade, movable furniture, water features, smooth and level walking surfaces, and year round interest. Consideration should also be given to the maintenance and upkeep of the therapeutic garden as safety is an important consideration. An endowment fund can be set up for the perpetual maintenance of the therapeutic garden.


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