The Clinical Application of Horticulture Therapy in Psychiatric Rehabilitation

Study Overview
=================
Brief Summary
-----------------
Horticultural Therapy (HT) uses plants, gardening, and the close relationship between well-beings and plants. It integrates effort, hope, expectation, harvest and the enjoyment of whole process to help people with disabilities. During the process, patient can learn more about themselves and experience the nature. It can be traced to 1798, Dr. B. Rush found farm work helped people with mental illness. Today, horticulture therapy is well applied in disabilities, elderly and children. It needs detailed evaluation for the condition of illness to achieve optimal efficacy. It contains two parts- to sense and to operate! Patients can relax themselves and learn to work with others, realize the responsibility of caring another life, understand their relationship with environment. Patient can tolerate frustration better via acceptance the withered plants. In cultivation, it trains patient the occupational technique ( to operate instrument), communication, social skill, independence, stable mood. Based on studies, 0ne third patients with mental illness stabilized after treatment. However, aggressive rehabilitation is necessary to maintain their function. In our study, it plans to incorporate horticulture therapy into psychiatric clinical practice in our hospital. We plan to recruit horticulture therapist, visiting staffs, residents, occupational therapists and nurses to participate the design and operation in class. This program will recruit patients with schizophrenia, bipolar disorder, organic brain syndrome and other mental illness in our daycare. We will help patients with personal treatment record. We will use case study to report some typical cases. All the cases will be investigated qualitatively with intensive interview to explore the subjective experience on this therapy. We will also use simple questionnaire to found quantitative study in the further. To sum up, this program helps the connection for horticulture therapy and psychiatric rehabilitation. It promotes  patient-centered support and offers physical, mental , social, spiritual services. It not only produces academic performance but fulfills the ideal of holistic health care!

Official Title
-----------------
The Clinical Application of Horticulture Therapy in Psychiatric Rehabilitation

Conditions
-----------------
Horticulture Therapy in Psychiatric Rehabilitation

Intervention / Treatment
-----------------
* Behavioral: Horticulture Therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 18 65 both sexes Adequate daily function for horticultural activities Day care patients or referred from OPD Willing to accept and cooperate with H/T Exclusion Criteria: Substance abuser or PD Severe suicide or harmful behaviors Severe physical problem impeding horticultural activities Lack of motivation for H/T

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Horticultural Therapy<br> | Behavioral: Horticulture Therapy<br>* We will design courses of Horticultural therapy to provide to the Patients in Day Care Unit<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Qualitative interview and Questionnaire for satisfaction |  | 1 year | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Horticulture Therapy, Psychiatric Rehabilitation, Nature-assisted psychotherapy, Day Care