Kasikas: Psychiatric clinical garden 1

KASIKAS: PSYCHIATRIC CLINICAL GARDEN

"Healing Haven through environmental therapeutic Design"

Chapter 1

Introduction

Kasikas(n.) [ka.sí.kas.] a light noise, like the noise of silk clothing or leaves

blowing in the wind. The research project title proposed in Davao Region is

derived from a Visayan word, which refers to the sounds of leaves blowing in the

wind to let humans feel its nature. Given today's congested and polluted

environment, the project title will help them understand the core of the proposed

project's goal.

Nowadays, the government and private sector are concerned about

mental and psychological health issues in a new normal situation. The changes

in the daily nature routine of everyone may affect the economic development of

many countries. Not only the Philippines who are suffering from this broad issue

that came up to this generation.

The department of health in the United Kingdom, known as The National

Institute for health and care excellence (NICE), offers national guidance

regarding mental, psychological health, and social care issues. They publish

advice to a quality standard and information services and improvement prioritized

for all patients experiencing the abovementioned issues . (NICE, 2012)

 Kasikas: Psychiatric clinical garden 2

Garden played an essential part in the healing process. The first hospitals

in Europe were monastic communities; more direct links between nature and the

healing process have frequently disregard as medical knowledge and new

technology have advanced. According to a recent study, having access to natural

features in a care facility can help with healing and rehabilitation from a range of

physical, psychological, and mental disorders. Wolf, K.L., S. Krueger, and K.

Flora. 2014.

In the Philippines, mental and psychological illness is the third most

prevalent disability. According to estimates, around 6 million Filipinos suffer from

depression and anxiety, making the Philippines the country with the third-highest

prevalence of mental health disorders. The rates of suicide are estimated to be

3.2 per 100,000 people; however, this figure might be higher due to

underreporting or not classified suicide cases as "undetermined deaths." Despite

these numbers, the government spends 0.22 percent of overall health

expenditures on mental health. There is a shortage of health professionals

working in the mental health field; therefore, this proposal justifies the needs of

the said project. WHO (2017) Mental health atlas 2017

Background of the study

There is more evidence that having an activity in a garden can help people

accomplish various therapeutic goals, including increased interaction and self-

esteem (Rappe et al., 2008). These may have a beneficial role in the long-term
 Kasikas: Psychiatric clinical garden 3

mental health treatment, with 'green' therapies becoming more widely recognized

in promoting our well-being (Webber et al., 2015). Green spaces have been

shown in population studies to have a beneficial influence, with a cumulative

connection between access to and quality of green spaces and lower scores on

measures of psychological distress (Pope et al., 2015)

Green spaces have also been shown to be beneficial to mental health.

Most focus on anxiety and mood disorders, both via people's involvement in

activities in usable green areas close to home and the proportion of functional

green spaces in a neighborhood discovered similar beneficial benefits on overall

health (Dadvand et al. 2016).

As we all know, Davao is becoming the most prominent and third-most-

populous City in the Philippines. De La Rosa Psychiatry Clinic and Rehabilitation

Management has served for more than a decade and is a pioneer in Mindanao

located in J.P. laurel Bajada Davao City. The said leading psychiatric Clinic has

been closed since 2018.

Since the Psychiatry world in Davao is dying, this proposal aims to rise

again due to the City's demand and needs. The architectural proposal of this

project leads a powerful force in the economic development and upliftment not

only in the society but also in the environment and promotes eco-tourism in the

said City.

This research aims to have a psychiatric clinic that will lead the patients,

even visitors, to draw close to nature despite this broad issue about mental and
 Kasikas: Psychiatric clinical garden 4

psychological health. Because people nowadays are very conscious of cognitive,

psychological health and the therapeutic garden needs to have a behavioral

pattern that holds the security and safety both patients and the visitor.

Therapeutic gardens are divided into a private intended for the patient and a

public space that promotes eco-tourism in the community.

Statement of the problem

the community suffers from psychological health issues; Davao also holds

the largest lacking in the structure of psychiatric Clinics that Stand-alone; most

psychiatric clinics were incorporated into hospital facilities. In contrast, the City of

Davao has a vast development about the hospitalization structures concerning

the community's health and safety.

This research imposes some question need to be answered.

 How do architectural design and behavioral design deal with all the needs

in the psychiatric clinical garden?

 Are the facilities utilized for each function?

 How is architecture characterized in these post-pandemic settings?

 What would be the impact of the therapeutic garden to the community and

users that will stand out among all the psychiatric clinics/hospitals in

Davao City?
 Kasikas: Psychiatric clinical garden 5

Definition of the project

In the buildings' classification and general requirements by use or

occupancy in P.D. 1096, the proposed project Belonged to Group D; Division -1

includes mental hospitals, mental sanitaria, and mental asylums.

A psychiatric clinic/ hospital is for a mentally incompetent or unbalanced

person, an insane asylum, mental home, mental hospital, mental institution,

asylum, institution.

Individual departments and training programs were formed in various

medical institutions to reflect the maturity and better-defined differences between

the two disciplines of Psychiatry and Neurology. Concurrent with this effort was

the decision of psychiatrists in 1972 to create the Philippine Psychiatric

Association issues.

In this matter, the Mindanao are affected by mental and psychological

health. In the CLUP 2013-2022 in Davao city identified the following as the

strategies for achieving objectives related to Health (1) Construction and

upgrading of health facilities; (2) Improvement of accessibility to geographically

isolated and disadvantaged areas (GIDA) for better delivery of health services.
 Kasikas: Psychiatric clinical garden 6

Therefore, this project proposal will help Davao city achieve its objectives

through a psychiatric clinical garden. In this project, the community and society

will undoubtedly benefit; environmental sustainability will also attract.

Significance of the study

This research will provide the information needed to understand better the

relationship of architecture to having a therapeutic garden incorporate the design

parameters of sustainable architecture in the psychiatric Clinic.

A therapeutic garden in this study for individuals with severe depression,

this program resulted in significant reductions in sadness, clinical depression,

and cognitive impairment. It will help the said proposal be way different from

other Psychiatric Clinics and how architecture helps to maintain environmental

safety by pursuing this project.

By the successful completion of the study, the conclusion and findings in

the study will benefit the following:

1. To the Culture

 The City's culture will also benefit because the project slays the

meaning of "land of promise" by providing safe and environmentally

friendly projects.

2. To the community
Kasikas: Psychiatric clinical garden 7

 The community will benefit from mental, psychological health

issues that have been neglected years by and assure them through

this project proposal that their personal growth of well-being is a

priority.

3. To the Philippines

 This project will revive the fading world of psychological health

concerns of the city and helps to give the city a remarkable

psychiatric clinical garden that promotes environmentally friendly

and sustainable architecture style.

4. To the environment and tourism

 This project will provide tourism with a green and sustainable

landscape that will help the users draw close to the nature of

healing.

 The project cares for the country's income and cares for the

environment through proper planning, designing, and using the

City's natural resources.

5. To the project site (location)

 The project will open opportunities to the locals from the chosen

site and promote new architecture of health.

6. To architecture
 Kasikas: Psychiatric clinical garden 8

 The research findings and outputs may serve as another innovation

in the field of architecture and also in Hospital Architecture that

convenience us to new functional facts about it.

7. To the Filipino and future researcher

 This research may serve as another reference for the future

researcher who will conduct a study regarding the same concept

and matter.

Scope and delimitation

The study's scope and limitation are the portion of the research paper

that explains what information or subject is being analyzed and excluded.

 These studies will only focus on the building design phase in an

architectural matter. This project will provide a psychiatric clinical

garden that also studies the behavioral pattern of the public and

private use of therapeutic gardens.

 These projects are also limited to the studies about the behavioral

parameters of the patient itself.

Definition of terms

Psychiatric - relating to mental illness or its treatment.

Therapeutic - pertaining to the healing of disease.

Kasikas: Psychiatric clinical garden 9

Garden - a plot of ground, usually near a house, where flowers, shrubs,

vegetables, fruits, or herbs are cultivated.

Therapeutic garden - an outdoor garden space that has been specifically

designed to meet the physical, psychological, social, and spiritual needs of

the people using the park and their caregivers, family members, and

friends, a large hall for public entertainment.

 Kasikas: Psychiatric clinical Garden 10

Chapter 2

Case Study and Review of Related Literature

The following are some related studies that used some methodologies and

acquired the required information for this research:

Tapia, R. (2018). Therapeutic Garden Design in Hospice Settings: A Case

Study Employing the Lake Superior Hospice Garden in Marquette, MI.
Hospitals should be situated outside and away from cities to allow for

garden space. The garden should be closely attached to or perhaps surround the

hospital. A nearby garden inspires patients to walk because a glimpse from the

window onto flowering and cheerful landscapes will revive them. In the

nineteenth century in the United States, mental hospitals were designed to have

grand vistas to provide harmony with the views of nature.

Massachusetts showed promising results to its discharged patients.

Political power responded by building massive institutions like the pavilion

hospital. The fast spread of cross-infections and death among patients raised

questions about the need to close all hospitals as a whole. Around this time,

John Hopkins, in his deed, was gifted a new free hospital. The new hospital's

extensive surrounding grounds were to be covered with trees and flowers to

afford solace to the sick and be an ornament to the section of the city in which

the lands are located.

The new hospital building surrounded a central garden and fountain to

have access to sunshine and fresh air. Before World War I, this unique air
 Kasikas: Psychiatric clinical Garden 11

treatment gained the most popularity and made the new Johns Hopkins hospital

an example for future hospital construction. Nevertheless, new elaborate medical

equipment, practices, and pharmaceuticals would soon replace the fresh air

treatment.

In the early twentieth century, hospital gardens disappeared to be

replaced with parking and tennis courts for employees and visitors, and

landscaping was restricted to entrance beautification—this kind of set the style

for hospital design in the post-1920's. In 1949, fifty percent of deaths in the

United States happened in hospitals, and by 1995, eighty percent of deaths

occurred in hospitals. In the late 1990s, gardens started to bring another

embodiment in rehabilitation programs, cancer and AIDS treatment facilities,

nursing homes, mental hospitals, and hospices for the dying.

The value of therapeutic gardens is portrayed in the early modern works

by Oliver Sacks's book, A Leg to Stand On, and Harold F. Searle's book, The

Non-Human Environment in Normal Development and Schizophrenia. In the

former book, physician Sacks becomes the patient after an incident with a bull

while in Norway. Thus, he experiences the adversity that patients experience

while in rehabilitation. It allows him to practice medicine with additional

compassion and empathy and a nature view.

His experience gives medicine a human level of practice, from what his

friend, A, previously expressed as a veterinary approach. Roger Ulrich's ground-

breaking medical article, View Through a Window May Influence Recovery from
 Kasikas: Psychiatric clinical Garden 12

Surgery, Ulrich and Hypothesis, provides scientific data of the beneficial

relationship of recovery and nature restoration for patients. Using gardens in

healthcare facilities has scientifically proven their positive benefits on the

recovery of patients, staff, and visitors. However, there is still more to learn about

how, when, whom, and in which context nature can offer benefits. Constructs

such as psychological stress and social support came into widespread use with

the broader model. Creating a multidisciplinary scientific forum for presenting

research and new ideas toward improving hospital design and care quality is

ongoing.

A therapeutic garden is designed to produce a given effect and outcome

for a defined user group or population as they recover in a medical environment.

A meditative garden focuses on the psychological and spiritual well-being

of the patient. Rehabilitative parks focus on the physical, psychological, and

emotional stability of patients. They are programmed to parallel the treatment

protocols of a target patient population. An enabling garden's focus is the

anatomical, physical well-being, and psychological stability of patients.

It is designed to maintain and enhance the physical condition of a target

patient population through programmed activities. Environmental psychology

presents the medicinal garden as a place that allows an agitated, stressed, or

unable to focus on returning to their ideal or normal state. The therapeutic garden

must provide four essential components, being away, extent, fascination, and
 Kasikas: Psychiatric clinical Garden 13

compatibility. As previously stated in the history of hospitals, parks, and nature

used to be part of the care given to patients.

Studies like Ulrich describe the benefit also given to staff. It happens when

physicians place patients' needs first, neglecting their own. Exercising in a

naturally rich environment versus an urban environment can help decrease

depression and reflective thoughts. A garden is a place to be in, and it can be

therapeutic without the mediation of medical personnel.

This also helps the project proposal Gardens reduce stress by combining

bird sounds, water, and nature. A therapeutic garden offers the opportunity to

reaffirm life amidst illness and stimulate the senses brought by lush, shaded

beauty; the desired park is frequently a green place, a lush shady oasis, full of

texture and blossoms, with water – dripping splashing, flowing.

DiagramDiagram 2. Holistic approach

1. Interdisciplinary approach,compared to a
adaptedhospice
from thegarden’s
2015NHPCPpotential
Factsholistic approach
and Figures Figure 2. Carp River Gardens, Marquette, MI
Figure 1. Hospice patients memorial
 Kasikas: Psychiatric clinical Garden 14

Both of these rooms, the Creek room and the break room, have framed

views with large windows that overlook the Whetstone Brook and surrounding

vegetation.

Figure 7. from future office for counseling Figure 8. Break Room View

Figure 9. Conference room view

Figure 10. creek room view

The four dominant views are found in the

rooms where people spend the most

time. The view of the clinic is always

considering the access of the human

sight that allows one to catch the beauty

of nature. A safe and environment-friendly design is a must and has a better idea

to apply the said project.

Pappas, A.C. (2006). Exploring therapeutic restoration theories of nature

and their application for design recommendations for an Alzheimer's
garden at Wesley Woods Hospital.
 Kasikas: Psychiatric clinical Garden 15

A geriatric care hospital, an independent living facility for seniors, an

outpatient center, and a long-term nursing care facility are among the various

components of the facility. Each was specializing in the care of older patients

confronting different types of age-related health care difficulties.

Two courtyard gardens are surrounded by walls of buildings that house

patients. One is a courtyard garden designed initially for dementia patients, and

Angela Pappas recently redesigned it. The first courtyard serves a patient

population with a diagnosis mainly of Dementia with agitation. Dementia is

defined by the National Institute of Neurological Diseases and Stroke as a set of

symptoms produced by brain disorders. They may lose their capacity to solve

problems and regulate their emotions. Their personalities might shift. The mental

courtyard also has a water element in a raised stone pond that runs down one

garden side.

(Figure 11).

It includes a small bald cypress,

several goldfish, and a bubbling fountain

feature. Rocks surrounding the quality for

drainage and aesthetics are securely

attached to the ground.

The second courtyard garden

serves psychiatric patients who have Figure 11. Wesley Woods Psychiatric
Garden Water Feature (Photo by author)
been diagnosed mainly with severe

depression but, as noted, has been

 Kasikas: Psychiatric clinical Garden 16

retrofitted to serve dementia patients as well. The psychiatric unit has a door that

opens into the garden, and the patients are allowed access to the park only when

accompanied by family, doctors, or other staff. Most of these patients require

accompaniment by staff at all times.

The garden is square, with an L-

shaped planter in the center housing

four big crepe myrtle trees that thrive in

a raised planter. (Figure 12). Their

trunks are not suitable for climbing.

Figure 12. Crepe Myrtles, Wesley Woods

Psychiatric Garden (Photo by author)

The garden also has raised

planters where patients plant their favorite flowers or vegetables (Figure 13).

Patients can reach one elevated bed by sliding their wheelchairs under it and

utilizing the planter as if it were a table. (Figure 14).

Figure 13. Psychiatric Garden Raised Figure 14. Wheelchair Accessible

Vegetable Planter (Photo by author) Planter (Photo by author)
 Kasikas: Psychiatric clinical Garden 17

There is a significant drain in the middle of the garden to accommodate

the water runoff, with three large planters placed on or at the edges of the grate

(Figure 15).

Figure 15. Planters covering grate (Photo by author)

Patients

encounter a vast outdoor garden area with various recesses as they exit the

inner courtyard gardens. There is also a greenhouse (Figure 16) in which

patients can work with plants in an indoor setting, regardless of outdoor weather

conditions. In the greenhouse, a small entrance room houses a birdcage.

Patients love feeding, observing, and conversing with the birds.

Figure 16. Wesley Woods Outdoor Garden (Photo by author)

 Kasikas: Psychiatric clinical Garden 18

A path winds through woods and is bounded by the greenhouse to one

side and a railing and shrubbery (Figure 17). Several niches allow patients to

spend time reflecting or sitting with family and friends in the outdoor garden area.

The gardens alleviate the harshness of the adjacent buildings' dazzling white

paint. The plantings in the garden attract birds, bees, and butterflies.

Figure 17. Path with Boundaries: A Greenhouse, Railing, and Shrubs (Photo by Author)

Welsey Woods' three areas are likewise people living with multi-functional

Dementia utilize all three garden areas (but the most severely challenged mostly

use the Alzheimer's courtyard created by Pappas (2006).

The psychiatric garden was retrofitted to be suitable for not only

psychiatric patients but also patients with Dementia. The gardens in Welsey

Woods are an example of a design for the patient with the lowest level of

functioning. The greens are often basic rather than complicated, fostering a

sense of location. They demonstrate the significance of water characteristics to

 Kasikas: Psychiatric clinical Garden 19

older patients (tranquil sound and scenery, opportunity for tactile contact,

attenuation of extraneous noise, and the opportunity for viewing goldfish).

All ideas will help the project proposal reveal the importance of making

gardens safe for the particular patient demographic that uses the park. (protected

rocks, fences, additional height for garden structures, decreased dangers

connected with water features, non-poisonous plants, smooth pavement

surfaces, secure enclosure, and limbs trimmed high to avoid climbing. Aesthetics

are also crucial for various visual stimulation, glare reduction, landmarks, and

natural distractions). It's critical to include features that enable social help

(seating niches and alcoves, benches beneath trees, and places to work with

plants)

T.M.C. (2004). The Medical City's Department of Neuropsychiatry: New

world-class healthcare complex.
The new facility is located on Ortigas Avenue in Pasig City, Metro Manila's

economic hub. TMC's recognized and established professionals in their

respective fields of expertise - Medicine, Surgery, Orthopedics, Obstetrics and

Gynecology, Pediatrics, Ophthalmology, Otolaryngology, Anesthesiology, and

psychiatry are some of the available specialties.

Figure 18. The medical city Hospital Figure 19. Grand lobby section (photo by
(photo by TMC) TMC)
 Kasikas: Psychiatric clinical Garden 20

The Department of Neuropsychiatry at the medical city (TMC) provides

comprehensive outpatient and inpatient behavioral health and psychiatric

treatment for the elderly, adults, adolescents, and children with mental health

disorders. They treat mental illnesses using a comprehensive,

biopsychosociospiritual approach with tailored therapy for diverse groups.

The hospital complex's architectural and interior design is modern yet

friendly, with hotel-like decor and a pleasant ambiance. The rooms are meant to

provide relaxing views of the beautiful gardens below, the skylines of Pasig and

Makati, and the Antipolo mountains.

The complex is outfitted with a wide range of cutting-edge safety and

security systems to protect customers and personnel in the hospital Biosafety

measures are also included in particular patient locations across the facility.

The Neuropsychiatry Section is staffed 24 hours a day; the design and

safety features of the device meet national and international requirements.

Among TMC's amenities are the following:

 Acute Care Room with a secure anteroom

 Home theater setup

 The visitor's lounge

 Smoking lounge with full-exhaust

 Area for recreational treatment

 Accommodations (ward, semi-private, and private)

 Kasikas: Psychiatric clinical Garden 21

The following photos justify the word architectural complex and interior

design of TMC's.

Figure 20.Neurophysiology and Sleep Figure 21. Neurophysiology & Sleep Disorders
Disorders ICU Hall way (Photo by TMC) Laboratory ICU room (photo by TMC)

The medical city, in architectural consideration, got the most prominent

interior approach that they want the patient to have a comfortable resting place

and healing environment.

This division's specialized clinics include Psychosurgery,

Neurophysiology, Mood and Anxiety Resource, Referral Center (MARRC), and

Dyskinesia. The clinic also provides diagnosis and treatment of brain diseases,

emotional disturbance, and behavioral problems. Its esteemed roster of

healthcare professionals is readily available to develop the most effective

treatment plan for patients.

The following photos show the importance of surrounding in the clinic

because it will affect and help the patient to their fast recovery.
 Kasikas: Psychiatric clinical Garden 22

Figure 22 ambulatory
Figure 23. Theservices (photo
X-Ray room by by
(photo
TMC) TMC)

Figure 24.
Figure
the movement
25. clinicaldisorder
neurophysiology
clinic lab.
(photo
Reciption
by TMC) (photo by TMC)

Figure 26. Premier suite (photo by Figure 27. Executive suite (photo by
TMC) TMC)

The medical city hospital can handle

mood disorders, anxiety, mental and brain health issue, psychological issues,

and treatment with the help of proper design and the user flow diagram of the

interior hospital. They are considering that the patient has a mental and

psychological disorder. The rooms have natural light and ventilation and a

realistic view of the Pasig, Makati, and Antipolo mountains.

 Kasikas: Psychiatric clinical Garden 23

It helps the proposed project figure out base on the local settings of the

psychiatric clinic from the two case studies, therapeutic is the base way to handle

the environmental imbalance of the project and then through the pattern.

Architectural movement in TMC helps the project more relevant to be

constructed.

Bradley E. Karlin Ph.D. Robert A. Zeiss Ph.D. (2006) "Environmental and

Therapeutic Issues in Psychiatric Hospital Design: Toward Best Practices,"
The American Psychiatric Association (APA) publishing
The ambient, architectural, interior design and social features describe the

best practice of environmental and therapeutic issues.

In Ambient features, many writers have suggested that patients highly

value ample natural daylight. Sunlight inpatient rooms can aid in the rehabilitation

of people with a mental health condition suffering from significant depression.

Furthermore, places with a lot of reverbs should be avoided.

In Architectural features, Architectural characteristics include the

physical design, layout, size, and shape of the units, generally permanent

aspects of the hospital setting. Single or nondormitory-style patient rooms

provide privacy and autonomy while encouraging involvement in treatment

activities in some circumstances. In group spaces, laminated safety glass may

open up the interior and create a visual link to the outside.

While proximity may enhance safety, it may also raise worries about the

interruption, whereas greater distance may minimize environmental disruption

while decreasing team member response and available staffing resources. A

 Kasikas: Psychiatric clinical Garden 24

compromise was struck in the VA Palo Alto design process by placing seclusion

rooms adjacent and within sight of nurse stations but outside of primary patient

hallways and activity areas. A staff lounge, garden, or gathering area may boost

morale and job satisfaction while encouraging professional dialogue.

Interior design features a study on the impact of redesigning two mental

wards discovered that remodeling increased patient happiness, self-image,

behavior, and staff mood and timeliness. One of the most frequent suggestions in

the body of research on psychiatric hospital architecture is to minimize the

facility's institutional character and incorporate a homelike setting wherever

feasible. This sort of environment has been linked to increased emotional and

intellectual well-being and improved patient conduct.

Upholstered furniture should be included whenever feasible. Although

furniture can be used as a weapon and should not be easy to lift or throw, it

should not be too heavy to allow easy movement. Images of nature can reduce

anxiety. Some writers recommend adding carpets to improve comfort and

aesthetics, but this must be evaluated against the possibility of soiling. Warm

blue tones frequently have a calming or sedating effect, owing to their shorter

wavelengths, and they may be especially suited for the calmest settings.

Unit design must balance the competing aims of engaging withdrawn and

depressed patients without overstimulating manic and agitated individuals and

creating a sense of hope about hospitalization. Color, lighting, flooring, wall

graphics, and furniture can distinguish various functional sections.

 Kasikas: Psychiatric clinical Garden 25

Several writers have advocated, and staff prefers the use of natural plants.

In his study of the remodeling of various mental facilities, Devlin discovered that

the inclusion of plants was the element that was evaluated most favorably

overall. Shatterproof glass, breakaway curtain rods, tamper-proof electrical

outlets, stainless-steel mirrors, and locked water taps are advised to improve

safety.

In Social features, overcrowding-prone areas should be avoided.

Environmental pleasure and place connection may be enhanced by privacy. Day

rooms should be open and adaptable, providing opportunities for contact with

staff while allowing for personal liberty.

In this matter, the research shows High-quality care and positive clinical

outcomes in inpatient psychiatric treatment necessitate a broad conceptualization

of forces that lead to therapeutic changes that include attention to environmental

design. Clinically educated, patient-centered design elements can positively

impact patient's and employees' social, cognitive, motivational, emotional, and

physical processes.

Hastuti, A. S. O., & Lorica, J. (2020) "The Effect of Healing Garden to

Improve the Patients Healing: An Integrative Literature Review." San BEDA
University Journal of Health and Caring Sciences.

The Healing Garden can promote the physical and psychological well-

being of patients. The garden is a physical space that allows patients to relax and

unwind. This result is confirmed by the opinion that being in the garden can

explore their physical abilities and cognitive skills, especially children. So, even in
 Kasikas: Psychiatric clinical Garden 26

the hospital, patients may experience mental, affective, motoric, and social skills.

This finding was also supported Marcus' statement that the word healing in the

healing garden is not meant to cure and will not cure challenging diseases or any

physical damages but can reduce stress to a more balanced state.

it will build up self-confidence, provide an environment for a therapeutic

program with patients, and provide an alternative place for visitors from the

hospital interior.

According to research on healing gardens, it is critical to realize that

healing garden treatment is highly beneficial for hospitalized patients. Because it

may impact the mind, awaken the senses, lower stress, and aid the user in

mastering their healing resources. In addition, nurses and environmental

landscapes play an essential role in providing a healing environment for patients.

A Healing Garden is easily accessible to private users and should be

comfortable.