RESEARCH

Vocational Rehabilitation in Mental Health Services: Evaluating the Work of a Social and Therapeutic Horticulture Community Interest Company

This study evaluates the Natureways vocational rehabilitation program, a collaboration between an NHS Trust and a horticulture-based community interest company, analyzing its effectiveness in improving employment outcomes and social inclusion for individuals with mental health challenges.

Program Types: Therapeutic, Social, Vocational

Population Groups: Mental Health Challenges/Trauma

Setting or Context: Community Gardens

Health and Wellness Outcomes: Enhanced Emotional Well-being, Increased Sense of Belonging (Reduced Isolation), Increased Social Engagement & Skills, Greater Job Readiness & Vocational Skills

Allied Profession Intersections: Occupational Therapy, Social Work

Type of Activity: Outdoor Gardening, Vocational Skill Development

Evidence Type: Case Studies, Qualitative Research

Measurement and Evaluation: Metrics for Mental Health, Program Effectiveness

Access: Paid

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Summary

The Natureways project provided horticulture-based vocational training for individuals with mental health conditions, aiming to enhance employability, social inclusion, and recovery. Over one year, 16 trainees participated, with six securing paid employment, three engaging in voluntary work, and four joining an external landscaping team. Additionally, ten trainees earned a Level 1 City & Guilds qualification, and one transitioned to higher education. The study highlights the program’s success due to its supportive work environment, structured tasks, strong leadership, and integration with local care planning pathways.

A key finding is that the project’s community-embedded model and hands-on, therapeutic horticulture approach were instrumental in fostering confidence, stamina, and interpersonal skills among participants. The study emphasizes the importance of intersectoral collaboration, adaptability in funding models, and the value of social enterprises in vocational rehabilitation. The findings support expanding similar initiatives as effective alternatives for mental health recovery and workforce reintegration.

Link

Fieldhouse, J., Parmenter, V., & Hortop, A. (2014). Vocational rehabilitation in mental health services: evaluating the work of a social and therapeutic horticulture community interest company. Mental Health and Social Inclusion, 18(3), 155–163.

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