Case study: Putting Down Roots Using ecotherapy to support homeless people with mental health problems One of 130 projects funded by Mind through Ecominds; a £7.5m Big Lottery Fund grants scheme that used nature and green activities to improve physical and mental health. 1 Case study: Putting Down Roots Summary Putting Down Roots, run by the charity St Mungo’s Broadway, uses social and therapeutic horticulture to support the recovery of homeless people with mental health problems in London. It offers gardening activities, horticultural training and one to one support for people who have experienced homelessness, tending a number of community gardens, hostel gardens and growing spaces. Participants’ health and wellbeing has improved and many have learnt new skills, particularly those who find it hard to access learning and training opportunities. According to an evaluation in 2012, the project had the potential to impact positively on people’s recovery 1 and 37 per cent of participants gained qualifications and/or moved on to education, employment or volunteering. (D Dumoulin) (2013) Putting Down Roots Ecominds therapeutic gardening project. Supporting Change report. St Mungo’s/London. 1 What is it about? Putting Down Roots works with homeless people to: • improve their health, wellbeing and skills • support them to move into employment or further training • build links between St Mungo’s residents and local communities. A horticultural trainer works with up to eight participants on each garden site, setting a programme of work for the day, week and month tailored to the space available, time of year and most importantly the needs of the participants. He gives everyone an induction, providing informal support during sessions and feeds back to the participants’ key workers on their progress, behaviour and achievements. People drop in as they wish and gradually increase their involvement; the informality works well for those people who lack confidence or find it hard to make a regular commitment. The project has supported some people to gain accredited horticulture qualifications. While some work takes place in the gardens and patios of St Mungo’s housing projects, most people are involved in local allotments and community gardens, providing important social contact that helps to break down the stigma associated with homelessness and mental health problems. A trip to gardens in Cornwall was a highlight and for some people it was their first time out of London. The participants The project works with people from St Mungo’s Broadway supported accommodation who are referred by the charity’s mental health team and encouraged to take part by the horticultural trainer: “He would physically go to the hostels and start working in the garden so people could observe and then join in. They quickly got involved and the project gained notoriety through word of mouth. In a short space of time he was inundated.” Project coordinator St Mungo’s Broadway works with people who have a range of complex needs including a history of sleeping rough, problems with mental health and substance use, and low levels of literacy and educational attainment. Participants will be at varying stages in their recovery, some living in hostels while others are preparing to move into independent living. To date the most common mental health diagnoses amongst participants is depression (54 per cent), schizophrenia (50 per cent) and anxiety (40 per cent). About the participants 75% male and 25% female 100% were mental health service users 34% were black and minority ethnic 26% used alcohol or drugs problematically 84% were aged 26-55yrs 52% had a significant physical health issue 10% were aged 55yrs+ 12% had a significant physical health issue and used alcohol or drugs problematically 2 The difference it makes Staff commented that people taking part in regular gardening sessions were more motivated – before this many were isolated, spending much of their time indoors, alone in their rooms. Key workers often join in the gardening activity because discussions happen more easily than in more structured meetings, especially for people who are withdrawn or finding it harder to engage. The project evaluation found a small improvement in wellbeing for people involved in the project compared with those who were not; and there was good evidence of increased physical activity for all who took part. Staff found that the project provided a way to work with people with long-term mental health problems who had previously been hard to engage in any activity. “One of the things you often see in mental health projects is nocturnalism; people losing patterns of structure to the day. It comes down to motivation and medication, people who spend years in the mental health system can lose a sense of purpose. Having something to do can stop people being stuck in their psychosis. Delusions, paranoia, hallucinations, hearing voices; these become more and more intense if you’ve got nothing else going on in your life.” Project coordinator Key project successes Learning new skills helped many participants progress onto further education and employment with St Mungo’s Broadway and other projects. The Putting Down Roots Open College Network horticulture course is tailored to participants’ needs; it has no set terms or rigid attendance requirements, so that people can pick up where they left off. This is important for people with mental health problems who may be ill at times and the course can be taught even though new people continually join the group. So far: •32 people gained Open College Network/ Level 1 horticultural qualifications •11 others completed the course work •27 people went on to volunteering, education or employment. An impressive 37 per cent of people involved in the project either gained a qualification and/or went on to volunteering, education or employment. Annual award ceremonies with certificates of achievement or OCN certificates – a first for many people – have been well received. Bringing the project to where people live has been vital for people with long-term or enduring mental health problems because it happens at home, is easy to join in, feels safe and familiar, and offers some structure in the day. The project coordinator says people taking a lot of medication and/or having lived in institutions find it hard and sometimes alarming to join in something new; Putting Down Roots is within their comfort zone and a stepping stone towards taking part in other activities. Putting Down Roots has produced a short film which explores how horticulture is helping former homeless men and women rebuild their lives: http://bit.ly/puttingdownroots 3 Five ways to wellbeing What participants say happens for them Connect with others •Got to know and trust the gardener trainer • Felt included •Got to know other residents and made friends Be more active • Reason to get up in the morning – breaks old habits • Do more physical activity and some joined a gym •Concentration and energy levels improve, and sleep better Take notice of the world •Take notice of where you live and actively improve it •A distraction from negative thoughts and problems • Rekindles hope Keep learning • Learn new skills and some gained their first ever qualifications •Some moved into work, volunteering or education Give to others •Some people worked on local community gardens and allotments • Made St Mungo’s accommodation more attractive and homely Top tip Having a training course set at the right level for participants helps to structure the gardening groups. I’ve learned loads. I’ve learned how to categorise plants, I’ve learned how to tell the difference between weeds, how to use tools safely, how to treat different plants amongst other things. Project details Started in 2010 and ongoing depending on funding. Staffed by project coordinator and a full-time horticultural trainer web: mungosbroadway.org.uk/pdr 4 More information: neweconomics.org/projects/entry/five-ways-to-well-being Five ways to wellbeing according to participants:
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