Monasteries ministering to the sick and the insane incorporated an arcaded courtyard where they could find the some shelter, sun, or shade in a human-scale, enclosed setting.
[5] In the 18th to the 19th century, the increased need for hygiene during treatment led to the acceptable uses of "sanitary reforms"[6] such as cross-ventilation, access to sunlight and gardens.
According to the biomedical model, health constitutes the freedom from disease, pain, or defect, thus making the normal human condition "healthy".
"Pressure from insurance companies to minimize hospital stays have largely worked against the provision of actual usable gardens in new or refurbished medical complexes.".
In response to the reductionistic scope of the biomedical model, several medical researchers and scientists such as George Engel strongly believed that "…a medical model must also take into account the patient, the social context in which he lives, and the complementary system devised by society to deal with the disruptive effects of illness, that is, the physical role and the health care system.
He was the first to use the standards of modern medical research—strict experimental controls and quantified health outcomes—to demonstrate that gazing at a garden can sometimes speed healing from surgery, infections and other ailments.
Ulrich showed that in comparison with the wall-view group, the patients with the tree-view had the following results: shorter post-operative hospital stays; fewer negative evaluative comments from nurses; took less medication, and slightly lower scores for minor post-surgical complications.
Dr. Howard Rusk, a pioneer in rehabilitation of physical disabilities convinced Enid Haupt to donate a greenhouse amidst the increase of returning World War II soldiers and polio patients.
The garden started simply as a peaceful retreat from hospital treatment or rehabilitation; but has grown to incorporate a program of horticultural therapy in the 1970s.
"[16] Designed with an appreciation of changing medical protocols and individual preferences, a series of garden rooms vary in size and character to provide opportunities for structured activities, casual socializing, contemplation, and quiet solitude.
The garden is composed of three unique settings, each with a distinct character and level of activity: one for quiet contemplation; one for both individual exploration and teaching large groups; and one for horticultural therapy.
The Elizabeth & Nona Evans Restorative Garden is designed by Dirtworks Landscape Architecture, PC, New York, NY.
[12] The garden, located in San Antonio, Texas, at the Brooke Army Medical Center, is dedicated to soldiers and their families to assist and comfort them through their physical and emotional recovery.
[22] The goal of the Warrior and Family Center is to create an empathetic environment as they make their way to rejoin society and lead civilian lives.
Thoughtful consideration was given from the surfaces used by soldiers with prosthesis, lush and colorful plants, edible flowers and fruits, to shaded porches and walkways for protection from the Texas sun.
Designed by Mikyoung Kim, the garden was "built upon a growing body of scientific research which links access to natural light and contemplative spaces to reduced patient recovery time.
A unique an interesting therapeutic garden located in White Plains, New York has been designed specifically for dementia patients.
Typically therapeutic dementia gardens are square or round and create easy walking paths that follow these shapes.