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Cities, Green Space, and Mental Well-Being  

Jenny Roe

Mental and behavioral disorders account for approximately 7.4% of the global burden of disease, with depression now the world’s leading cause of disability. One in four people in the world will suffer from a mental health problem at some point in their life. City planning and design holds much promise for reducing this burden of disease, and for offering solutions that are affordable, accessible and equitable. Increasingly urban green space is recognized as an important social determinant of health, with the potential to protect mental health – for example, by buffering against life stressors - as well as relieving the symptom severity of specific psychiatric disorders. Pathways linking urban green space with mental wellbeing include the ability of natural stimuli – trees, water, light patterns – to promote ‘involuntary attention’ allowing the brain to disengage and recover from cognitive fatigue. This article brings together evidence of the positive effects of urban green space on common mental health problems (i.e. stress, anxiety, depression) together with evidence of its role in the symptom relief of specific psychiatric disorders, including schizophrenia and psychosis, post-traumatic stress disorder (PTSD), dementia, attention deficit/hyperactivity Disorder (ADHD) and autism. Urban green space is a potential force for building mental health: city planners, urban designers, policy makers and public health professionals need to maximize the opportunities in applying green space strategies for both health prevention and in supporting treatment of mental ill health.