Advancing GReenCare in Europe: an integrated multi-scalar approach for the Expansion of Nature-based therapies to improve Mental health Equity (GreenMe)

GreenME旨在确定有效的自然疗法和更广泛的绿色护理框架可以扩大的方法，以改善成人的心理健康和福祉，同时促进多种社会生态协同效益。为此，在四年的时间里，GreenME的方法是诊断，增加绿色护理对心理健康和福祉的好处的科学证据，并赋予绿色护理行动者权力，最终增加自然疗法的使用，并将其融入多尺度绿色护理框架，最终促进气候适应和可持续健康的社区。GreenME将绿色护理理解为一个三尺度的连续体，从日常生活中的自然（例如，用于观赏和散步的绿色和蓝色基础设施的存在）到基于自然的健康促进（促进与自然的积极互动，如园艺和保护）到基于自然的治疗（为个体患者提供治疗）。我们将使用跨学科和混合方法的方法来确定研究国家中绿色护理带来的心理健康和福祉利益的公平分配的机会、障碍、因果途径和模式。然后，我们将共同制定解决方案和指导方针，包括欧盟框架和各国具体计划，以支持绿色护理，并与确定的绿色护理参与者社区一起，为基于自然的治疗提供者设计一个培训计划，并根据经验证据提供信息。所产生的证据将提供可复制的伙伴关系模式和指导方针，以设计有影响力的跨部门绿色医疗系统，使国家医疗保健系统和地方政府成为受益者，从而更高地采用基于自然的疗法，并对绿色基础设施功能进行总体重构。

GreenME aims to identify ways in which effective nature-based therapy and a broader green care framework can be scaled-up to improve adult mental health and wellbeing equity while contributing to multiple socio-ecological co-benefits. To that end, over 4 years, GreenME’s approach is to diagnose, to increase scientific evidence on the mental health and wellbeing benefits of green care and to empower green care actorsto, finally, increase the use of nature-based therapy and itsintegration within a multi-scalar green care framework to ultimately promote just climate resilient and sustainable healthy communities. GreenME understands green care as a three-scale continuum from nature-in-everyday-life (e.g. the existence of green and blue infrastructure for viewing and walks) to nature-based health promotion (the promotion of active interaction with nature such as gardening and conservation) to nature-based therapy (the provision of treatment for individual patients). We will use a transdisciplinary and mixed-methods approach to identify opportunities, barriers, causal pathways and patterns of (in)equitable distribution of mental health and wellbeing benefits from green care in study countries. We will then co create solutions and guidelines including a EU framework and country-specific schemes for bolstering green care along with an identified community of green care actors, and design a training program for nature-based therapy providers informed by empirical evidence. The evidence generated will offer replicable partnership models and guidelines to design impactful cross-sectorial green care systems, with national healthcare systems and local governments amongst the beneficiaries, leading to a higher uptake of nature-based therapy and a general reframing of the green infrastructure functionality.