A Quality Assurance Framework for Outdoor Environments, Facilities, and Program Standards in Nature-Based Rehabilitation

The nature-based rehabilitation (NBR) program described in this text, manifests as an innovative healthcare facet within Sweden’s Skåne County, championing the therapeutic potential of natural environments. Positioned as an integral component of primary healthcare services, this initiative is designed to cater to individuals navigating the intricacies of stress-related mental health challenges.

The concept presented is based on comprehensive empirical and descriptive research conducted at Alnarp Rehabilitation Garden living laboratory and a two-year pilot study, testing the concept prior to implementation into health care. It is regularly updated based on up-to-date evidence on NBR for individuals recovering from stress-related mental illnesses. Procured by the Regional Office of Skåne County (Region Skåne) ; this initiative fosters collaboration with a select group of ten NBR service providers strategically positioned to offer a comprehensive and holistic approach to recovery.

Unlike traditional medical treatment, the NBR program focuses on rehabilitation, aspiring to enhance physical, mental, and social well-being through activities supported by nature, i.e., a supportive environment. The structure of NBR emphasizes participant rest, meaningful occupations, and a supportive outdoor environment. Daily activities, aligned with nature, offer flexibility for individual preferences. The structured approach includes: gathering at the start of the day, participant’s own time, nature-based activities, and final gathering for the day. Maintaining quality assurance in NBR involves meticulous record-keeping, periodic site visits encouraging open dialogue, and ensuring compliance. This commitment ensures that participants receive the highest support throughout their journey of nature-based intervention (NBI).