A recent evaluation of a nature-based activity program aimed at patients with mild to moderate mental health conditions reveals that noticeable improvements in mood and anxiety can occur within just 12 weeks. This initiative is part of the UK government's broader commitment to revolutionize mental health services. Seven designated "test and learn" green social prescribing sites were established across England, including one in Humber and North Yorkshire, which became the first site to publish findings from this national effort. Green social prescribing involves healthcare professionals referring patients to community-oriented nature activities as an alternative or complementary approach to traditional medical treatments. With evidence mounting in favor of these programs, calls are growing for increased investment to make them widely accessible.
Incorporating over 220 participants from Humber and North Yorkshire, the study evaluated their mental health status both before and after engaging in organized nature-based activities such as horticulture, care farming, outdoor mindfulness exercises, and sports. The majority participated weekly for varying durations—ranging from one to four weeks up to nine to twelve weeks. Utilizing metrics like the Office of National Statistics' personal well-being measures and the Hospital Anxiety and Depression Scale (HADS), researchers found that overall well-being improved among participants. Notably, those who engaged in longer-term programs (nine to twelve weeks) or activities centered around gardening and care farming experienced more significant enhancements in mood and anxiety levels compared to shorter programs or activities focused on crafts, mindfulness, or exercise.
These outcomes resemble the benefits observed in short-term cognitive behavioral therapy (CBT). According to Professor Peter Coventry from the University of York’s Department of Health Sciences, the results underscore the importance of actively connecting with nature rather than merely being present in it. Engaging in communal activities fosters connections with others, combating feelings of loneliness and disconnection often associated with anxiety and depression. Moreover, shared activities aimed at improving local environments appear particularly effective in enhancing mood and reducing anxiety.
The study demonstrated that these positive effects transcend age groups and genders, spanning individuals aged 18 to 85. Researchers advocate for greater investment in supporting these community initiatives and hiring green social prescribers whom GPs and other healthcare professionals can refer patients to. Trish Darcy, a research associate from the University's Mental Health and Addiction Research Group, emphasized that while this intervention may not suit everyone, personalized discussions between social prescribers and patients can determine suitability. Notably, 65% of participants hailed from low socioeconomic backgrounds, highlighting the dual benefits of participation—improved mental health and enhanced local community environments.
The findings, published in the journal Health & Social Care in the Community, emerged from a collaboration between the HEY Smile Foundation and the NHS Humber and North Yorkshire Integrated Care Board (ICB). Dr. Hannah Armitt, a Clinical Psychologist and Clinical Lead for the regional program, noted the potential to integrate statutory services with local providers of nature-based activities, ensuring clinicians and patients alike capitalize on Yorkshire and Humber's abundant natural resources. Anthony Hurd, Manager of the Humber and North Yorkshire Green Social Prescribing Programme, highlighted the pivotal role of community-based organizations in promoting health and well-being. As healthcare increasingly shifts toward prevention-focused models, recognizing and adequately resourcing these organizations becomes essential for integrating them into the national health service framework.
Beyond confirming the efficacy of nature-based activities in improving mental health, the study illuminates the critical contributions of community organizations. By fostering connections between individuals and their surroundings, these programs offer a holistic approach to mental health improvement, emphasizing active engagement with nature and community support as vital components of well-being enhancement.