{"id":5084079,"date":"2021-03-01T00:00:00","date_gmt":"2021-03-01T05:00:00","guid":{"rendered":"https:\/\/ctlatinonews.com\/medical-providers-are-taking-nature-therapy-seriously\/"},"modified":"2021-03-01T00:00:00","modified_gmt":"2021-03-01T05:00:00","slug":"medical-providers-are-taking-nature-therapy-seriously","status":"publish","type":"post","link":"https:\/\/latinonewsnetwork.com\/ctln\/2021\/03\/01\/medical-providers-are-taking-nature-therapy-seriously\/","title":{"rendered":"Medical Providers Are Taking Nature Therapy Seriously"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Schools were closed and online learning was in full swing last March when a teenager and her mom arrived at&nbsp;<a href=\"https:\/\/www.fhchc.org\/\" target=\"_blank\" rel=\"noopener\">Fair Haven Community Health Care in<\/a>&nbsp;New Haven.<\/p>\n\n\n<p class=\"wp-block-paragraph\">The girl had been experiencing chest pains and her worried mother thought she should go to the emergency room, recalled Amanda E. DeCew, a Fair Haven clinic director and pediatric nurse.<\/p>\n\n\n<p class=\"wp-block-paragraph\">The girl \u201cwas spending her entire day inside and had been inside for like two weeks,\u201d DeCew said. \u201cBut the more we got into her symptoms, the more I really felt like this was anxiety and nothing that she needed to go the emergency room for.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">But DeCew also knew that some kind of medical intervention was needed. \u201cI\u2019m going to write a park prescription for you,\u201d she told the girl. \u201cJust try this for today.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">In a follow-up call the next day, the teenager told DeCew she felt much better. \u201cHer symptoms went away,\u201d DeCew said, \u201cjust by going on a walk.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>\u2018Nature Deficit Disorder\u2019<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">A nature health movement is spreading across the globe. Sometimes referred to as ecotherapy, or nature therapy, its earliest manifestation was several decades ago in highly urbanized Japan, where the government introduced a national health program called&nbsp;<em>shinrin-yoku,&nbsp;<\/em>or \u201cforest bathing.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">The practice\u2014which has nothing to do with unclothing or getting wet!\u2014promotes immersing oneself, using all five senses, in the natural world. Japan today has more than 60 government-certified forest bathing sites.<\/p>\n\n\n<p class=\"wp-block-paragraph\">In his 2018 book on the subject,&nbsp;<a href=\"https:\/\/lifebeyondnumbers.com\/dr-qing-li-forest-bathing-why-you-need\/\" target=\"_blank\" rel=\"noopener\">Dr. Qing Li, founder of the Forest Therapy Study Group,<\/a>&nbsp;said scientists have found forest bathing can lower blood pressure and stress, improve concentration and memory, lift depression and boost the immune system, among other health benefits.<\/p>\n\n\n<p class=\"wp-block-paragraph\">In the U.S.,&nbsp;<a href=\"http:\/\/richardlouv.com\/\" target=\"_blank\" rel=\"noopener\">Richard Louv\u2019s 2005 book<\/a>&nbsp;\u201cLast Child in the Woods\u201d was the nature-health movement\u2019s call to arms here, focusing on children and their increasing disconnect from nature. Sedentary and tech-addicted children suffer from \u201cnature deficit disorder,\u201d Louv argued, a condition with significant health and psychological implications.<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>Children In Need<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">Even before COVID-19 hit, rates of mental health issues were rising among children and adolescents.<\/p>\n\n\n<p class=\"wp-block-paragraph\">There were more than 15,300 reported episodes of Connecticut children and adolescents requiring crisis intervention in 2019, according to the 2020 annual report of&nbsp;<a href=\"https:\/\/www.mobilecrisisempsct.org\/\" target=\"_blank\" rel=\"noopener\">Mobile Crisis Intervention Services.<\/a>&nbsp;The program uses a network of 150 mental health professionals located throughout the state to respond to 2-1-1 calls about behavioral and mental health emergencies. The state Department of Children and Families funds the program, working in partnership with United Way of Connecticut and the&nbsp;<a href=\"https:\/\/www.chdi.org\/\" target=\"_blank\" rel=\"noopener\">Child Health and Development Institute<\/a>&nbsp;in Farmington.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Walkers take advantage of a bright, clear day to stroll along a wooded trail in New Haven\u2019s Edgewood Park. Scientists and medical providers are becoming increasingly impressed by how the simple act of spending time outdoors in a natural setting can lead to improved physical and mental health.<\/p>\n\n\n<p class=\"wp-block-paragraph\">The number of reported incidents dropped in 2020, but only because schools, where most crisis calls originate, were closed because of the pandemic. \u201c[Analysis] of data prior to March and the widespread impacts of COVID-19 indicates that both call and episode volume were on track to match or exceed those of last year,\u201d the report notes.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Most of the episodes (28.6%) were related to \u201cdisruptive behavior,\u201d followed by harm or risk of self-harm (24.8%); depression (15.8%); anxiety (7.4%); family conflict (5.3%); and harm or risk of harm to others (5%).<\/p>\n\n\n<p class=\"wp-block-paragraph\">Nationally, the U.S. Centers for Disease Control and Prevention reports that trips to children\u2019s hospitals for mental health-related emergencies rose 24% among 5- to 11-year-olds from March to mid-October in 2020 over the same period in 2019. Emergency room visits among 12- to 17-year-olds jumped 31%.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Lower-income children and adolescents, historically less likely to get mental health treatment, may be especially vulnerable these days. The shuttering of schools reduces access to teachers and school counselors, who may be the only source of help to many students.<\/p>\n\n\n<p class=\"wp-block-paragraph\">In addition, there\u2019s an overwhelming likelihood that people of color live in neighborhoods with few natural resources or resources that are unsafe.<\/p>\n\n\n<p class=\"wp-block-paragraph\">A 2020 report by the Hispanic Access Foundation and the&nbsp;<a href=\"https:\/\/www.americanprogress.org\/issues\/green\/reports\/2020\/07\/21\/487787\/the-nature-gap\/\" target=\"_blank\" rel=\"noopener\">Center for American Progress<\/a>&nbsp;examines inequity in natural resources, breaking it down by state. In Connecticut, the report says, 93% of people of color live in a \u201cnature-deprived\u201d area.<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>Park Rx America<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">As reports of obesity, anxiety and depression among children and adolescents rise, social scientists and medical providers are catching up with Richard Louv\u2019s concerns about nature deprivation.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Increasing numbers of studies document that exposure to nature can help manage certain medical and psychological conditions.<\/p>\n\n\n<p class=\"wp-block-paragraph\">A 2018&nbsp;<a href=\"https:\/\/www.jpeds.com\/article\/S0022-3476(18)31568-3\/fulltext#%20\" target=\"_blank\" rel=\"noopener\">study in The Journal of Pediatrics<\/a>, for example, showed that \u201cincreased exposure to residential greenspace\u201d led to reduced anxiety, depression and \u201cproblematic internal and external behaviors\u201d among hundreds of 7- to 12-year-olds in Cincinnati.<\/p>\n\n\n<p class=\"wp-block-paragraph\">In a 2009&nbsp;<a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/1087054708323000\" target=\"_blank\" rel=\"noopener\">study in the Journal of Attention Disorders,<\/a>&nbsp;University of Illinois researchers said that 20 minutes spent walking in a park \u201csubstantially\u201d increased the ability of children with attention deficits to concentrate.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Recognizing the profound need, in 2017, Dr. Robert Zarr, a pediatrician at Unity Health Care, the largest community health network in Washington, D.C., created&nbsp;<a href=\"https:\/\/parkrxamerica.org\/\" target=\"_blank\" rel=\"noopener\">Park Rx America.<\/a>&nbsp;The stated mission of the nonprofit organization: \u201cdecrease the burden of chronic disease, increase health and happiness, and foster environmental stewardship, by virtue of prescribing Nature during the routine delivery of healthcare \u2026\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">The group\u2019s interactive electronic prescription platform allows medical providers to prescribe an outdoor activity at a specific park to an individual patient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is how it works: An electronic prescription, printed out or sent via text message, directs a patient to walk her dog around her neighborhood for 30 minutes three times a week. Another patient could get a virtual prescription to play 40 minutes of basketball twice a week at a local park. Medical providers discuss activities and locations with patients before writing a prescription. Once patients \u201cfill\u201d their prescriptions, they check a box and text the message back to the provider.<\/p>\n\n\n<p class=\"wp-block-paragraph\">DeCew, the pediatric nurse at Fair Haven, is one of more than 1,050 providers in 47 states who have been intrigued by and used the platform.<\/p>\n\n\n<p class=\"wp-block-paragraph\">After hearing a podcast about Park Rx America, DeCew arranged for information about parks in New Haven to be uploaded to its database. After registering on the site, she started prescribing nature therapy to those patients she thinks will benefit, such as anxious, housebound teenagers.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Dr. Hyung Paek, a Fair Haven physician who is also at the&nbsp;Yale School of Public Health, said he also prescribes time in the outdoors to his adult patients.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cWe try to promote prevention over fixes after the fact,\u201d Paek said, adding that \u201cAnything that will promote physical and mental health for children, we\u2019ll go out of our way to do that.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>How To Pay For Prevention?<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">Yale professor Bradford S. Gentry is working on a challenge to the future of the nature-health movement: how to make prevention pay, literally. As he put it, \u201cHow do you [a medical provider] get paid for doing things that make people healthier?\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">Co-director of the Center for Business &amp; the Environment at Yale, Gentry said one of his goals is \u201cto build bridges\u201d between the land conservation movement and the medical establishment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medical care works on a fee-for-service basis, Gentry pointed out. He sees his doctor for an ailment, the doctor diagnoses him and provides a service for that ailment. The insurance company pays the doctor according to the international diagnostic and service codes indicated in the treatment.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cGetting kids out in nature doesn\u2019t yet have a code associated with it,\u201d he said.<\/p>\n\n\n<p class=\"wp-block-paragraph\">At times, Gentry said, he\u2019s broached the topic of the relationship between nature and health with people in the medical establishment, \u201cThey said, \u2018Brad, you\u2019re a nature guy. Of course you would say nature\u2019s good. We need to do real health care here.\u2019\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>Making The Case<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">In 2019, the National Institutes of Health (NIH) began funding a five-year study measuring the impact of Park Rx America prescriptions on 6- to 16-year-olds who are patients at Zarr\u2019s Unity Health Care.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Dr. Deborah Cohen at Kaiser Permanente, the lead researcher of the NIH study, said it will ultimately follow 500 patients, looking at data related to potential changes in the children\u2019s physical health and behaviors such as screen time, and at their self-reported mental health.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re excited about it,\u201d Cohen said. \u201cWe don\u2019t know what it\u2019s going to show yet. But if the findings validate this hypothesis [of the value of park prescriptions], it\u2019s going to be very important.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">She added, \u201cIt\u2019s certainly a very inexpensive treatment.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\"><em>Want to try nature therapy in your area? Go to&nbsp;<a href=\"https:\/\/parkrxamerica.org\/\" target=\"_blank\" rel=\"noopener\">https:\/\/parkrxamerica.org\/<\/a><\/em><\/p>\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n<p class=\"wp-block-paragraph\"><em>Publisher\u2019s Note:&nbsp;<a href=\"http:\/\/ctln.local\/\" target=\"_blank\" rel=\"noopener\">CTLN<\/a>&nbsp;and&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/c-hit.org\/\" target=\"_blank\">c-hit.org<\/a>&nbsp;collaborate to best serve the Connecticut Hispanic, Latino community.<\/em><\/p>\n\n\n<p class=\"wp-block-paragraph\">Cover Photo: Meghan Casey, left, a nursing and public health student at Yale, and Amanda E. DeCew, an advanced practice registered nurse in pediatrics at Fair Haven Community Health Care in New Haven, go for a morning walk along Quinnipiac River Trail on Front Street. DeCew, also the clinic\u2019s director for quality improvement and risk management, became interested in the benefits of nature therapy after hearing a podcast on the topic. She, and a few other colleagues, now prescribe outdoor activities to children and adults when they think it\u2019s appropriate.<\/p>\n\n\n<p class=\"wp-block-paragraph\">(Photo Credit: Melanie Stengel)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hispanic Access Foundation state report finds 93% of people of color live in a \u201cnature-deprived\u201d area<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","ghostkit_customizer_options":"","ghostkit_custom_css":"","ghostkit_custom_js_head":"","ghostkit_custom_js_foot":"","ghostkit_typography":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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