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

绿色ME旨在确定如何扩大有效的基于自然的治疗和更广泛的绿色护理框架，以改善成年人的心理健康和福祉公平，同时为多种社会生态共同利益做出贡献。为此，在4年多的时间里，GreenME的方法是诊断，增加关于绿色护理的心理健康和福祉益处的科学证据，并增强绿色护理行为者的能力，最后，增加基于自然的疗法的使用及其与多标量绿色护理框架的整合，最终促进具有气候适应性和可持续的健康社区。绿色环保将绿色护理理解为三个尺度的连续体，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)，再到基于自然的治疗(为个别患者提供治疗)。我们将使用跨学科和混合方法来确定机会、障碍、因果路径和模式，以便在研究国家公平分配来自绿色护理的心理健康和福祉利益。然后，我们将共同创建解决方案和指导方针，包括欧盟框架和特定国家的计划，以支持绿色护理，以及确定的绿色护理参与者社区，并为基于经验证据的自然疗法提供者设计培训计划。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护理系统，受益者包括国家医疗保健系统和地方政府，从而导致更多地采用基于自然的治疗方法，并全面重组绿色基础设施的功能。

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.