Place

Unicare Bakke Hospital Rehabilitation Garden

Unicare Bakke Iddefjordsveien 885 Halden, 1765 Norway

Started in January 2018 and completed in December 2019


About

The approximately 6000 square meter Unicare Bakke Rehabilitation Garden was designed to create a more accessible and useful outdoor environment for therapists and their patients receiving physical rehabilitation at the Unicare Bakke Rehabilitation Centre, based on evidence collected from survey research. Post-occupancy research in terms of questionnaires was also conducted, demonstrating the garden’s effectiveness for patients.

Categories PlaceHealthcareRecreationTherapeutic

Project Details

Description

The aim of the Unicare Bakke Hospital Rehabilitation Garden was to develop a more accessible and useful outdoor environment at the Unicare Bakke Rehabilitation Centre. The design process consisted of three steps: 1) surveying the outdoor environment from an environmental-psychological perspective and mapping the use, needs, and physical accessibility of the space from the perspectives of both patients and therapists, 2) developing and implementing actions in the outdoor environment, and 3) evaluating the project once it was installed. It continues to be a thriving space for physical rehabilitation.

Both the mapping and the development of actions were informed by evidence-based tools and theories from environmental psychology, including Anna Bengtsson’s four zones of contact with the outdoors, the personal preference theory, Supporting Environment Theory (SET), affordances, and the eight perceived sensory dimensions (PSDs). Other tools that were used to measure the project’s effectiveness were accessibility assessments and the International Classification of Functioning, Disability, and Health (ICF) levels of function. 

The overall main focus was to create more paved paths for people to walk or roll on, both to use in the rehabilitation but also for the patients to use on their own. Another important focus was to put furniture all around so that people can take a rest when they need or sit down for a chat with a friend or family.

The project allowed more patients, including those with severe impairments, to get outdoors, both with therapists and on their own. Unicare Bakke hopes that, in the long run, this will help people with various physical impairments continue their recovery at the rehabilitation centre and at home, achieving positive health outcomes from outdoor experiences and improving their quality of life.

Details

Lead Designer
Lotta Lundmark Alfredsson

Project Manager
Lotta Lundmark Alfredsson

Funders & Supporters
Extrastiftelsen

Total Cost
$50,000

Amenities & Services

Outdoor features of the Garden include:

  • A pergola that provides protection from rain and sun. Beneath the pergola are many different kinds of furniture where people can choose to sit or lie down.

  • A variety of paved paths where people can stroll.

  • Two fireplaces.

  • A large boule (lawn bowling) court. 

  • Areas for accessible cultivation and gardening.

  • Areas for outdoor play and games. 

  • Furniture sited every 20-30 meters along paths in the garden and elsewhere in the garden to enable patients to sit and rest at all points.

Contact Lotta Lundmark Alfredsson

Programs Offered

  • Weekly outdoor rehabilitation services provided on Wednesdays for all patients.

  • Green, nature-focused activities every two weeks for select patients.

  • Open access to the outdoor area for all patients.

Entrance Fees & Other Costs
No cost to patients and their families

Recent Case Studies

Aerial view shows the meandering Buffalo Bayou waterway, grassy banks, and paved walkways.

Place

Buffalo Bayou Promenade

Buffalo Bayou Promenade transformed an area beneath a busy freeway into a welcoming urban park and recreation space featuring gently sloping banks, extensive native landscaping, hiking and biking trails, public art, interpretative signage, and a new pedestrian bridge.

Adults and youth stand by a rock dam built inside a dirt path with grass on the sides and trees in the background.

Program

River Source: Watershed Restoration with New Mexico Youth and Communities

River Source supports people as good stewards of their watersheds by providing science and policy education, planning, monitoring, and ecological restoration services throughout New Mexico.

Perennial gardens are filled with plants blooming in shades of purple and pink, with a bench in the background.

Place

Advocate Lutheran General Hospital Patient Tower

The landscape surrounding the Advocate Lutheran General Hospital Patient Tower provides a welcoming and healing space for patients, families, and staff. Multiple garden areas offer places for quiet reflection, conversation, and play, as well as opportunities for learning about stormwater management in an urban setting.