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Mental Health & Wellbeing: The Role of Horticulture Beyond Gardens

Part of the / Beyond Gardens series / Exploring the wider role horticulture can play in creating healthier people, healthier communities and healthier places
Future in Mind garden by Joe Eustace, Bord Bia Bloom 2026, sponsored by the Mental Health Commission Ireland
Beyond Gardens: Mental Health & Wellbeing

Mental Health & Wellbeing:
The Role of Horticulture

The evidence suggests horticulture already has a role in supporting mental health and wellbeing. The question is whether we are making the most of it.

Future in Mind garden, Bord Bia Bloom 2026. Designed by Joe Eustace. Sponsored by the Mental Health Commission Ireland. Photography: Frazer McDonogh.

This page is not about claiming that gardens cure mental illness. It is about recognising that horticulture is already being used, studied and applied in ways that can support mental health and wellbeing.

Mental health is often discussed only when something has gone wrong. Yet mental health, like physical health, exists on a continuum. We all have mental health, just as we all have physical health, and many of the choices we make each day can influence how well we feel.

Most people do not wait until they develop physical health problems before they go for a walk, ride a bicycle or spend time being active. We increasingly recognise that movement contributes to physical health throughout life. Mental wellbeing should be viewed in a similar way.

Beyond supporting people experiencing difficulties, horticulture also has a role in helping people maintain wellbeing, build social connections, reduce stress, spend time outdoors and engage more regularly with the living world. In that sense, the conversation is not only about treatment, it is also about prevention, resilience and quality of life.

Across healthcare settings, community projects, therapeutic programmes, schools, social prescribing initiatives and everyday gardens, examples are emerging of horticulture being used in ways that support wellbeing. Researchers are studying it, practitioners are implementing it and organisations are investing in it. This page explores what the evidence says, where horticulture is already being used, and what opportunities may exist to better recognise its contribution to mental health and wellbeing.

Future in Mind garden, Bord Bia Bloom 2026
Future in Mind garden, Bord Bia Bloom 2026. Designed by Joe Eustace. Sponsored by the Mental Health Commission Ireland. Photography: Frazer McDonogh.

Why Mental Health and Wellbeing Matter

Mental health and wellbeing have become some of the defining public health challenges of our time. While much attention is rightly focused on people experiencing significant mental health difficulties, wellbeing is relevant to everyone. Stress, loneliness, social isolation, uncertainty, bereavement, financial pressures and major life transitions affect people throughout their lives. Even when they do not lead to clinical mental health conditions, they can still influence quality of life, physical health, relationships and community participation.

In Ireland, the Healthy Ireland Survey 2024 reported that 12% of adults had a probable mental health problem, a figure that remains higher than recorded before the pandemic. At the same time, demand for mental health services continues to place pressure on healthcare systems, while loneliness and social isolation are increasingly recognised as important public health concerns.

Mental wellbeing is influenced by many factors. Income, housing, relationships, employment, physical health and access to services all play important roles. There is no single solution and no single intervention that can address every challenge. However, growing attention is being paid to the environments in which people live, work and spend their time. Questions that once sat largely outside healthcare are increasingly being asked.

  • How does access to green space affect wellbeing?
  • Can community activities help reduce loneliness?
  • Can meaningful outdoor experiences contribute to resilience and quality of life?
  • Can preventative approaches help support wellbeing before people reach crisis point?

These questions have helped drive growing interest in the relationship between people, place and wellbeing. Within that broader conversation, horticulture is, at long last, beginning to attract attention. Gardens, growing spaces, therapeutic horticulture programmes, community growing initiatives and healthcare gardens are all being explored as ways of supporting mental health and wellbeing. Importantly, this is not simply a theoretical discussion. Across Ireland and internationally, horticulture is already being studied, measured and implemented in a variety of settings.

The question is not whether horticulture has a role, evidence increasingly suggests it does. The question explored throughout this page is whether that role is fully recognised and valued.

What Does the Evidence Say?

The relationship between people and the living world has been studied for decades. While researchers continue to explore exactly how and why these effects occur, a growing body of evidence suggests that interaction with gardens, plants, growing spaces and green environments can contribute positively to mental health and wellbeing.

Importantly, the evidence does not suggest that horticulture is a cure for mental illness, nor that it can replace professional healthcare when needed. Rather, it suggests that horticulture may play a valuable role alongside other approaches in supporting wellbeing, reducing stress, encouraging social connection and improving quality of life.

Research Review

Gardening and Wellbeing

Howarth et al., 2024
Urban Forestry & Urban Greening

A major 2024 umbrella review and meta-analysis examined findings from multiple previous reviews and studies investigating the health impacts of gardening and horticultural activities. The researchers concluded that gardening was associated with positive outcomes across a range of measures, including psychological wellbeing, quality of life, social health and physical health. Importantly, these benefits were not confined to formal therapeutic programmes. Positive outcomes were also associated with everyday gardening activities undertaken by members of the public.

Systematic Review

Therapeutic Horticulture

Wang et al., 2023
Frontiers in Psychology

A 2023 systematic review examined evidence from horticultural therapy programmes across multiple populations and settings. The review reported significant positive effects on psychological health outcomes when compared with control groups. Participants frequently reported improvements in wellbeing, reductions in stress and anxiety, greater social interaction and increased feelings of purpose and achievement. The researchers concluded that horticultural therapy shows considerable potential as a supportive intervention for psychological wellbeing.

Systematic Review

Community Gardening and Social Connection

Kunpeuk et al., 2021
PLOS ONE

A 2021 systematic review examined evidence relating to community gardening and health. The review found associations between community gardening and improvements in mental wellbeing, social cohesion, community engagement and quality of life. While the visible outcome may be food production or gardening activity, many researchers suggest that the social relationships, sense of belonging and shared purpose developed through these projects may be equally important. This is particularly relevant when considering how horticulture might contribute not only to individual wellbeing but also to stronger and more resilient communities.

Green environments can encourage physical activity, support social interaction, provide sensory stimulation, reduce stress and create opportunities for reflection and restoration. Horticulture often combines many of these elements simultaneously.

Research into the relationship between green space and mental wellbeing extends well beyond horticulture itself. Numerous studies have linked access to green environments with lower levels of stress, improved mood, better self-reported health and higher levels of wellbeing. Horticulture occupies a particularly interesting position within this broader field because it often combines many of these elements simultaneously. Gardening is not simply exposure to green space. It typically involves physical activity, learning, purpose, responsibility, creativity and interaction with living systems. This may help explain why horticultural activities repeatedly appear within discussions around wellbeing and quality of life.

Healthcare systems are increasingly recognising that health and wellbeing are influenced by more than clinical interventions alone. In England, NHS Green Social Prescribing programmes have referred thousands of people into nature-based activities, including gardening, conservation projects and community growing initiatives. Early programme evaluations have reported improvements in wellbeing, increased social connection and strong levels of participant engagement. In Ireland, social prescribing programmes are also developing, reflecting growing recognition that community participation, meaningful activity and social connection can play important roles in supporting wellbeing.

When systematic reviews, community gardening research, therapeutic horticulture studies and social prescribing evaluations are considered together, a consistent picture begins to emerge. Interaction with plants, gardens, growing spaces and the wider living world appears capable of supporting mental health and wellbeing across a variety of settings and populations. The evidence does not suggest that horticulture replaces healthcare. It does suggest that horticulture may be a valuable contributor to wellbeing.

Future in Mind garden, Bord Bia Bloom 2026
Future in Mind garden, Bord Bia Bloom 2026. Designed by Joe Eustace. Sponsored by the Mental Health Commission Ireland. Photography: Frazer McDonogh.

This Is Already Happening

Research is important, but evidence becomes even more compelling when it can be seen in practice. Across Ireland and internationally, horticulture is already being used in ways that support wellbeing, encourage social connection and create opportunities for meaningful engagement with the living world. These initiatives vary in scale and purpose. What they have in common is a recognition that interaction with plants, gardens and growing spaces can contribute positively to people's lives.

Mental Health Commission: Future in Mind

At Bord Bia Bloom 2026, the Mental Health Commission's Future in Mind show garden offered a powerful example of how horticulture can contribute to wider conversations about wellbeing and community care. Designed by Joe Eustace, the garden received a Gold Medal, Best in Show for Planting and the Overall Medium Garden Award. The garden was created to reflect the changing nature of mental healthcare in Ireland and the growing emphasis on community-based services. While the garden itself was temporary, the message behind it was not. It demonstrated how horticulture and planted spaces can be used to communicate, support and encourage conversations around wellbeing, community care and quality of life.

Perspectives from practice

"The garden demonstrates how mental health care is changing for the better as regulation increasingly flows into community-based services. It reflects our ambition to ensure that people can access safe, high-quality and person-centred care in their own communities."

John Farrelly Chief Executive, Mental Health Commission, Future in Mind Garden, Bord Bia Bloom 2026

Social Prescribing in Ireland

Social prescribing is increasingly being used as a way of connecting people with activities, services and sources of support within their communities that may contribute positively to health and wellbeing. Rather than focusing solely on clinical interventions, social prescribing recognises that factors such as social connection, meaningful activity, participation in community life and a sense of belonging can also influence wellbeing.

In Ireland, social prescribing programmes supported by healthcare and community organisations are helping connect people with a wide range of community activities. These can include exercise groups, arts programmes, volunteering opportunities, social clubs and, in some locations, gardening and growing projects. Horticulture is not the only activity involved in social prescribing, nor should it be viewed as a solution to every challenge. However, it is increasingly recognised as one of the activities capable of combining physical activity, social interaction, purpose, learning and engagement with the living world within a single experience.

Praxis Care Seedlings Programme

Praxis Care's Seedlings programme provides one of the most established examples of social and therapeutic horticulture currently operating on the island of Ireland. Described by Praxis Care as an evidence-based social and therapeutic horticulture programme, Seedlings uses gardening and horticultural activities to support participants in working towards personal goals relating to wellbeing, confidence, skills development and community participation. Participants engage in practical growing activities while developing routines, learning new skills and spending time within supportive environments centred around horticulture.

Rather than being viewed solely as a hobby, horticulture is being applied as part of wider approaches that seek to support wellbeing, participation and personal development.

Therapeutic Horticulture in Ireland

The establishment of the Association of Social and Therapeutic Horticulture Facilitators in Ireland (ASTHFI) reflects the growing recognition of horticulture as a professional wellbeing practice. Founded in 2022, ASTHFI supports practitioners using horticulture in therapeutic, educational and community settings throughout Ireland. The existence of a dedicated professional body is significant. It demonstrates that therapeutic horticulture is not simply an emerging idea. It is a developing field of practice supported by trained practitioners, organisations and programmes.

Community Gardens and Growing Spaces

Across Ireland, community gardens, allotments and shared growing projects are creating opportunities for people to connect with one another through horticulture. The visible outcomes may be vegetables, flowers or improved public spaces. Equally important are the opportunities these projects create for people to meet neighbours, share knowledge, develop friendships and strengthen local connections. Research into community gardening repeatedly highlights these social dimensions, suggesting that community growing spaces can contribute not only to individual wellbeing but also to social cohesion and community resilience. For many participants, the garden becomes more than a place to grow plants. It becomes a place to belong.

Healthcare Gardens and Green Social Prescribing

Internationally, hospitals, care settings and rehabilitation facilities are increasingly recognising the value of access to gardens and outdoor spaces. Some healthcare organisations have incorporated gardens into their environments as places for reflection, restoration, physical activity and engagement with nature. Gardens are increasingly being viewed not simply as amenities, but as components of supportive environments that may contribute positively to wellbeing.

One of the largest examples currently operating at scale is NHS England's Green Social Prescribing programme. Between 2021 and 2023, thousands of participants engaged with green social prescribing activities. Early evaluations reported improvements in wellbeing, increased social connection and strong levels of participant engagement. The programme demonstrates that horticulture and nature-based activities are already being incorporated into health and wellbeing strategies at a significant scale.

For many participants, the garden becomes more than a place to grow plants. It becomes a place to belong.

Three Ways Horticulture Can Support Wellbeing

From the evidence and examples explored so far, a number of common themes emerge. Horticulture appears to support wellbeing in at least three distinct ways.

01

Supporting Everyday Wellbeing

Most people who spend time gardening, growing food or caring for plants are not doing so as part of a wellbeing programme. Yet many of the factors associated with positive wellbeing are found within horticultural activities: physical activity, time outdoors, purpose, learning and the opportunity to slow down.

02

Supporting People Through Challenging Periods

Bereavement, loneliness, illness and major life transitions can all affect wellbeing. In these settings, horticulture can create opportunities for routine, participation, social interaction and connection. For some people, a garden becomes a place of recovery. For others, it becomes a place of belonging.

03

Supporting Healthcare and Recovery Settings

Therapeutic horticulture programmes, healthcare gardens and social prescribing initiatives demonstrate how gardening and growing activities can be incorporated into wider support services. Horticulture is not being used as a replacement for healthcare, but alongside it, as part of a broader understanding of wellbeing.

One reason horticulture appears repeatedly in discussions around wellbeing may be that it brings together several beneficial elements at the same time. A single horticultural activity can involve physical movement, social interaction, learning, purpose, creativity, sensory engagement and contact with the living world. Many interventions focus on one or two of these elements, whereas horticulture often combines several of them simultaneously.

Perhaps its greatest strength is not any one individual benefit but the combination of benefits that can emerge from a single activity. Viewed in this way, horticulture begins to look less like a hobby and more like a form of social infrastructure capable of contributing to healthier, happier and more resilient communities.

What Opportunities Might Exist?

The purpose of this page is not to prescribe solutions. Mental health and wellbeing are complex issues influenced by many factors, and horticulture is only one part of a much wider picture. However, if horticulture is already being studied, implemented and applied across healthcare settings, community projects and wellbeing initiatives, it raises an important question: are there opportunities to make greater use of its potential contribution?

Supporting Everyday Wellbeing

Much of the discussion around mental health understandably focuses on treatment and intervention. Yet wellbeing exists long before people encounter formal services. The evidence explored throughout this page suggests that gardening, growing food, caring for plants and spending time in well-designed green spaces may contribute positively to wellbeing as part of everyday life. How might society place greater value on horticulture as an activity that supports wellbeing, resilience and quality of life throughout life?

Community Connection and Belonging

Many of the examples explored in this page involve more than plants. They involve people. Community gardens, allotments, growing projects and shared outdoor spaces create opportunities for participation, social interaction and belonging. As concerns around loneliness and social isolation continue to grow, there may be value in considering how horticultural projects can contribute to stronger community connections. The most significant outcomes may not always be the plants being grown. They may be the relationships that grow alongside them.

Healthcare and Recovery Environments

Healthcare organisations increasingly recognise that wellbeing is influenced by more than clinical treatment alone. Gardens, outdoor spaces, therapeutic horticulture and social prescribing initiatives are already being explored in a variety of settings. What might be learned from organisations that have already begun incorporating horticulture into wider wellbeing and recovery strategies?

Looking Ahead

Many of the initiatives highlighted throughout this page share a common characteristic. They use horticulture as a means of achieving wider outcomes. The plants matter. The gardens matter. The growing spaces matter. But the ultimate objective is often something larger.

  • Connection
  • Participation
  • Purpose
  • Learning
  • Recovery
  • Belonging
  • Quality of life

Perhaps the most significant opportunity is not to think differently about mental health. It is to think differently about horticulture. Not simply as a hobby, leisure activity or aesthetic pursuit, but as a practical discipline capable of contributing to wider social goals.

The evidence base continues to evolve and many questions remain. Yet the examples explored throughout this page suggest that horticulture is already contributing to wellbeing in a variety of ways. The opportunity may be to better understand, recognise and build upon those contributions.

Further Reading

References & Sources

Research Reviews and Academic Evidence

Gardening is associated with physical, mental, and social health and wellbeing outcomes: An umbrella review and meta-analysis

Howarth et al. (2024), Urban Forestry & Urban Greening

sciencedirect.com

The effectiveness of horticultural therapy on psychological health: A systematic review and meta-analysis

Wang et al. (2023), Frontiers in Psychology

frontiersin.org

The impact of community gardening on health and wellbeing: A systematic review

Kunpeuk et al. (2021), PLOS ONE

journals.plos.org

Gardening is beneficial for health: A meta-analysis

Soga, Gaston & Yamaura (2017), Preventive Medicine Reports

sciencedirect.com

Public Health and Government Sources

Healthy Ireland Survey 2024

Department of Health, Ireland

gov.ie

HSE Social Prescribing Initiatives

Health Service Executive, Ireland

hse.ie

NHS England Green Social Prescribing Programme

NHS England

england.nhs.uk

Organisations and Practice Examples

Mental Health Commission, Future in Mind Garden, Bord Bia Bloom 2026

mhcirl.ie

Praxis Care, Seedlings Programme

praxiscare.org

Association of Social and Therapeutic Horticulture Facilitators in Ireland (ASTHFI)

asthfi.ie