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Therapeutic Landscapes


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Table of Contents

Foreword vii Acknowledgments ix ONE Introduction 1 TWO History of Hospital Outdoor Space 6 THREE Theory, Research, and Design Implications 14 FOUR Types and Locations of Therapeutic Landscapes in Healthcare 36 FIVE The Participatory Design Process 47 Teresia Hazen SIX General Design Guidelines for Healthcare Facilities 56 SEVEN Children?s Hospital Gardens 91 EIGHT Gardens for Cancer Patients 115 NINE Gardens for the Frail Elderly 129 TEN Gardens for People with Alzheimer?s and Other Dementias 148 ELEVEN Hospice Gardens 165 TWELVE Gardens for Mental and Behavioral Health Facilities 179 THIRTEEN Gardens for Veterans and Active Service Personnel 206 FOURTEEN Rehabilitation Gardens 222 FIFTEEN Restorative Gardens in Public Spaces 235 SIXTEEN Horticultural Therapy and Healthcare Garden Design 250 Teresia Hazen SEVENTEEN Planting and Maintaining Therapeutic Gardens 261 Marni Barnes EIGHTEEN Therapeutic Landscapes and Sustainability 288 NINETEEN The Business Case and Funding for Therapeutic Gardens 298 TWENTY Evaluation of Therapeutic Gardens 308 INDEX 317

About the Author

Clare Cooper Marcus is Professor Emerita in the Departments of Architecture and Landscape Architecture at the University of California, Berkeley. She is recognized internationally for her pioneering research on the psychological and sociological implications of the design of housing, public open space, and restorative landscapes. Naomi A. Sachs is founder and Director of the Therapeutic Landscapes Network. She is currently pursuing a PhD in architecture at Texas A&M University. Naomi writes and lectures frequently about the restorative benefits of nature.


"This is an exceptionally well-written, well-researched and well-illustrated book on designing and creating therapeutic landscapes. Rarely before has this topic been so thoroughly documented in one easy-to-read book that provides essential information to landscape architects, garden designers, healthcare workers, therapists and patients." (Linda A. Irvine, Landscapes/Paysages Magazine , OALA, FCSLA, ASLA; Manager, Parks and Open Space Development, City of Markham, Ontario, Canada) "Taking time to get in tune with your surroundings and learn to love nature has proven a therapeutic process for many, including Naomi Sachs. Sachs is Founding Director of the Therapeutic Landscapes Network, and has been able to translate a personal passion for nature into a new book, co-written by Clare Cooper Marcus, which just came out this week called Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces . The new publication has been long-anticipated and referenced as the "single most comprehensive and authoritative guide to designing healing gardens and restorative outdoor spaces." ( , October 2013)

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