Innovations in Practice: Beyond the clinic - embracing natural environments in mental health care for children and young people.

IF 6.8 3区 医学 Q1 PEDIATRICS
David Francis Hunt, Gemma R Morshead, Rachel Hayes, Siobhan Mitchell, Beth Chapman, Carl Dutton, Anna Adlam, Catriona Mellor
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Abstract

Background: Engaging children and young people (CYP) with natural environments while in healthcare can offer significant therapeutic benefits. Despite evidence supporting nature-based interventions, their use in CYP healthcare settings remains inconsistent. This article outlines how to integrate an eco-biopsychosocial model in healthcare, combining ecological aspects with traditional biopsychosocial frameworks to improve health outcomes, placing CYP within their social and ecological contexts, and promoting holistic, person-centred care.

Methods: Through a series of meetings, clinicians and practitioners involved in nature-based approaches (NBAs) projects in the UK shared their expertise. They reflected on their experiences and identified patterns in the learning related to implementing these activities and embedding them into practice. The projects included: (1) Oxford Health NHS Foundation Trust. (2) Cornwall Partnership NHS Foundation Trust. (3) Alder Hey Children's NHS Foundation Trust.

Results: We discuss the importance of NBAs within national healthcare frameworks and provide successful examples from Oxford Health NHS Foundation Trust, Cornwall Partnership NHS Foundation Trust and Alder Hey Children's NHS Foundation Trust. These case studies highlight the potential for a positive impact on wellbeing, resilience and staff satisfaction. Key strategies for implementing the model include relational, procedural, and environmental factors for creating a culture of nature-based practice.

Conclusions: This innovation in practice article emphasises the need for governance, evaluation and dissemination to ensure the sustainability of these initiatives. By adopting this integrative approach, we aim to reduce health inequalities and promote a shift towards a nature-inclusive strategy in healthcare, which promotes the long-term wellbeing of CYP as well as supports more sustainable services.

实践中的创新:超越诊所-在儿童和青少年的精神卫生保健中拥抱自然环境。
背景:在医疗保健中,让儿童和青少年(CYP)与自然环境接触可以提供显着的治疗益处。尽管有证据支持基于自然的干预措施,但它们在CYP医疗机构中的使用仍然不一致。本文概述了如何将生态-生物-心理-社会模型整合到医疗保健中,将生态方面与传统的生物-心理-社会框架相结合,以改善健康结果,将CYP置于其社会和生态环境中,并促进整体的、以人为本的护理。方法:通过一系列的会议,临床医生和从业人员参与自然为基础的方法(NBAs)项目在英国分享他们的专业知识。他们反思了自己的经验,并确定了与实施这些活动和将其纳入实践有关的学习模式。项目包括:(1)牛津健康NHS基金会信托。(2)康沃尔合作伙伴NHS基金会信托。(3) Alder Hey儿童NHS基金会信托基金。结果:我们讨论了NBAs在国家医疗保健框架中的重要性,并提供了牛津健康NHS基金会信托基金、康沃尔合作伙伴NHS基金会信托基金和Alder Hey儿童NHS基金会信托基金的成功案例。这些案例研究强调了对幸福感、适应力和员工满意度产生积极影响的潜力。实现该模型的关键策略包括关系、程序和环境因素,以创建基于自然的实践文化。结论:这篇实践中的创新文章强调了治理、评估和传播的必要性,以确保这些倡议的可持续性。通过采用这种综合方法,我们的目标是减少保健不平等现象,促进向保健领域的自然包容战略转变,从而促进土著居民的长期福祉,并支持更可持续的服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Child and Adolescent Mental Health
Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY
CiteScore
8.30
自引率
3.30%
发文量
77
审稿时长
>12 weeks
期刊介绍: Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
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