Vol. 8 No. 1 (2026): Jan - Mar 2026
Mind, brain and educational science

Green prescriptions: an innovative approach to human health from a planetary health perspective

Stefano Orlando
Istituto Gestalt di Puglia-IGP, Lecce, Italy
Marcella Danon
Ecopsiché-Scuola di Ecopsicologia, International Ecopsychology Society, Osnago (LC), Italy
Francesco Marino
SiPGI - Postgraduate School of Integrated Gestalt Psychotherapy, Torre Annunziata, Italy
Filippo Bucciarelli
SiPGI - Postgraduate School of Integrated Gestalt Psychotherapy, Torre Annunziata, Italy
Anna Di Leva
SiPGI - Postgraduate School of Integrated Gestalt Psychotherapy, Torre Annunziata, Italy
Francesca Morelli
SiPGI - Postgraduate School of Integrated Gestalt Psychotherapy, Torre Annunziata, Italy
Maura Perrone
Psychotherapy Practice Benessere, Naples, Italy
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Published 2026-03-20

Keywords

  • Green prescriptions, One health, Planetary health, Integrative medicine, Therapeutic nature, Public health.

How to Cite

Orlando, S., Danon, M., Marino, F., Bucciarelli , F., Di Leva, A., Morelli, F., & Perrone, M. (2026). Green prescriptions: an innovative approach to human health from a planetary health perspective. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 8(1), 10–17. https://doi.org/10.32069/PJ.2021.2.271

Abstract

Green prescriptions represent an innovative therapeutic approach that integrates contact with nature into care pathways, addressing the growing disconnection from natural environments in contemporary societies. This mini-review presents a mapping of green prescriptions within the One Health and Planetary Health paradigms, exploring their therapeutic potential in managing chronic diseases and promoting psychophysical well-being. The mini-review analyzes international scientific evidence on the benefits of green prescriptions, with particular focus on Italian experience and programs implemented across European, American, and Oceanic countries. Pilot projects, research initiatives, and clinical protocols are examined to evaluate the effectiveness, appropriateness, and sustainability of green prescriptions. International meta-analyses support the effectiveness of green prescriptions in managing chronic pathologies characterized by systemic chronic inflammation, including diabetes, obesity, hypertension, and mental disorders. Documented benefits include improvements in cardiometabolic health, stress reduction, decreased anxiety and depression, increased physical activity, and enhanced social well-being. The Italian experience, led by projects from the University of Valle d'Aosta and the TeFFIt Network, a multidisciplinary network focused on green prescriptions, demonstrates the feasibility of integrating green prescriptions into the National Health System. Green prescriptions represent a paradigmatic shift toward a holistic approach to health that recognizes the interconnection between human and environmental well-being. Their implementation requires specialized training for healthcare providers, standardization of practices, and interdisciplinary collaboration. The potential of green prescriptions extends beyond individual therapy, positioning them as a tool for promoting planetary health and healthcare system sustainability.

References

  1. IZSLER – Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia Romagna (2023, December 1). IZSLER dall’approccio One Health a quello Planetary Health. Available from: https://www.izsler.it/2023/12/01/izsler-dall-approccio-one-health-a-quelloplanetary-health/
  2. Danon, M. (2024, April 11–13). Ecopsychology: One Planet, One Health. In EQuIP (Ed.), Quality and safety in family medicine: How to create an ideal environment for teachers, researchers and practitioners. Book of abstracts of the EQuiP Spring Meeting 2024 (p. 14). EQuiP–WONCA Europe.
  3. Missoni, E. (2024). Global health, planetary health, One Health: conceptual and ethical challenges and concerns. Theoretical medicine and bioethics, 45(3), 241-250.
  4. TerraMai. (2018, March 7). Understanding the Biophilia Hypothesis. Available from: https://www.terramai.com/blog/category/biophilic-design/
  5. Wilson, E. O. (1986). Biophilia. Harvard University Press.
  6. Shanahan, D. F., Lin, B. B., Bush, R., Gaston, K. J., Dean, J. H., Barber, E., & Fuller, R. A. (2015). Toward improved public health outcomes from urban nature. American journal of public health, 105(3), 470-477.
  7. Prescrizioni Verdi. (n.d.). Le Prescrizioni Verdi (PV). Available from: https://www.prescrizioniverdi.it/
  8. Lirussi, F., & Ziglio, E. (2021, February 8). One Health: un approccio e un metodo non più rinviabili. Scienza in Rete. Available from: https://www.scienzainrete.it/articolo/one-health-approccio-e-metodo-non-piu-rinviabili/flavio-lirussi-erio-ziglio/2021-02-08
  9. Furman, D., Campisi, J., Verdin, E., Carrera-Bastos, P., Targ, S., Franceschi, C., ... & Slavich, G. M. (2019). Chronic inflammation in the etiology of disease across the life span. Nature medicine, 25(12), 1822-1832.
  10. Piras, P. F., & Barbiero, G. (2021). Malattie croniche e terapie forestali: La sfida della “complessità”. Il Cesalpino, 54.
  11. Wood, C., Wicks, C., & Barton, J. (2023). Green spaces for mental disorders. Current Opinion in Psychiatry, 36(1), 41-46.
  12. Adewuyi, F. A., Knobel, P., Gogna, P., & Dadvand, P. (2023). Health effects of green prescription: A systematic review of randomized controlled trials. Environmental Research, 236, 116844.
  13. Piras, P. F., Pinna, S., Barbiero, G., & Alice, S. (2025). Prescrizioni Verdi: dai modelli internazionali alla loro applicazione in Italia. LA SALUTE UMANA.
  14. Piras, P. F., Barbiero, G., Pinna, S., Fiordiponti, R., Lorenzoni, A., Carloni, C., ... & Schirone, B. (2023). Prescrizioni verdi. Il Cesalpino, 57, 19-24.
  15. Menhas, R., Yang, L., Saqib, Z. A., Younas, M., & Saeed, M. M. (2024). Does nature-based social prescription improve mental health outcomes? A systematic review and meta-analysis. Frontiers in Public Health, 12, 1228271.
  16. ISDE Italia & Comunità di pratica “Prescrizioni Verdi”. (2025). Prescrizioni Verdi per la Salute Planetaria: Opuscolo per operatori sanitari. Available from: https://www.prescrizioniverdi.it/
  17. Prescrizioni Verdi. Protocollo condiviso per le Prescrizioni Verdi. Available from: https://www.prescrizioniverdi.it/_files/ugd/dc30db_390490225b7d4a319281349ce54a98d9.pdf
  18. Bobine.tv. Terapia forestale: il convegno in Valsavarenche sulla salute. Available from: https://bobine.tv/2023/10/05/valle-daosta-valsavarenche-terapia-forestale-convegno-salute/
  19. TeFFIt. Corso ECM ai medici per la prescrizione terapeutica delle immersioni in foresta. Available from: https://teffit.it/corso-ecm-ai-medici-per-prescrizione-terapeutiche-delle-immersioni-in-foresta/
  20. Meneguzzo, F., Albanese, L., Antonelli, M., Baraldi, R., Becheri, F. R., Centritto, F., ... & Neri, L. (2021). Short-term effects of forest therapy on mood states: A pilot study. International Journal of Environmental research and public health, 18(18), 9509.
  21. Antonelli, M., Donelli, D., Maggini, V., Gallo, E., Mascherini, V., Firenzuoli, F., ... & Meneguzzo, F. (2023, June). Demographic, psychosocial, and lifestyle-related characteristics of forest therapy participants in Italy: a multicenter cross-sectional survey. In Healthcare (Vol. 11, No. 11, p. 1627). MDPI.
  22. Stocco, A., Tabacchi, C., Barbiero, G., & Pranovi, F. (2023). The influence of naturalness of the landscape structure on children’s connectedness to Nature in north-eastern Italy. One Ecosystem, 8, e111973.
  23. Stocco, A., Piras, P., Barbiero, G., Pranovi, F., & Pinna, S. (2025). Ecosystem structure can affect human health: a longitudinal study on Green Prescriptions. EcoEvoRxiv.
  24. PNAT – Fabbrica dell’Aria. (n.d.). Available from: https://www.pnat.net/
  25. FEE Italia. (2024). Spighe Verdi: Criteri e indicatoriper la gestione sostenibile del territorio rurale. Foundation for Environmental Education Italia. Available from: http://www.spigheverdi.net/
  26. Marx, V., & More, K. R. (2022). Developing Scotland’s first Green Health Prescription Pathway: A one-stop shop for nature-based intervention referrals. Frontiers in Psychology, 13, 817803.
  27. NHS Lothian Charity. (2020). Nature being prescribed in Edinburgh to support health and wellbeing. Available from: https://greenhealth.nhslothiancharity.org/2020/11/naturebeing-prescribed-in-edinburgh-to-supporthealth-and-wellbeing/
  28. NatureScot. (2024). NHS Orkney roll out “Nature Prescriptions” following success in Shetland and Edinburgh. Available from: https://www.nature.scot/nhs-orkney-roll-out-nature-prescriptions-following-success-shetland-and-edinburgh
  29. RSPB Scotland. (2022). Nature prescriptions Edinburgh pilot: Final report. Available from: https://www.rspb.org.uk/helping-nature/what-we-do/nature-prescriptions
  30. Hämäläinen, R. M., Halonen, J. I., Haveri, H., Prass, M., Virtanen, S. M., Salomaa, M. M., ...& Haahtela, T. (2023). Nature step to health 2022-2032: interorganizational collaboration to prevent human disease, nature loss, and climate crisis. The Journal of Climate Change and Health, 10, 100194.
  31. City of Lahti. (2022). Planetary prescription. Available from: https://greenlahti.fi/en/planetary-prescription#:~:text=Personalised%20prescriptions&text=Among%20other%20things%2C%20the%20planetary,vegetables%20onto%20the%20grocery%20list
  32. Pro Senectute. (n.d.). Giardino sensoriale – Centro diurno terapeutico Pro Senectute, Balerna. Available from: https://www.landscapefirst.com/it/giardino-sensoriale-balerna/
  33. Park Rx America. (n.d.). Park Rx America. Available from: https://parkrxamerica.org
  34. Children & Nature Network. (n.d.). Children & Nature Network. Available from: https://childrenandnature.org
  35. Walk with a Doc. (n.d.). Walk with a Doc. Available from: https://walkwithadoc.org
  36. Parks Victoria. (2020). Healthy parks healthy people framework. Available from: https://www.parks.vic.gov.au/healthy-parkshealthy-people
  37. Townsend, M., Henderson-Wilson, C., Warner, E., & Weiss, L. (2015). Healthy parks, healthy people: The state of the evidence 2015. Parks Victoria.
  38. EUROPARC Federation. (2021). HPHPe toolkit: Health & well-being benefits from parks & protected areas. EUROPARC Federation.
  39. Parks Victoria. (2018). A guide to Healthy Parks, Healthy People. Parks Victoria.
  40. HPHP Central. (n.d.). Case study – Parks Victoria: Working beyond the boundaries (Werribee Park/community garden).
  41. Parks Victoria. (n.d.). Autism friendly visits (in collaboration with AMAZE).
  42. CURSA – Consorzio Universitario per la Ricerca Socio-Economica e per l’Ambiente. (n.d.). Natura è benessere (NèB).
  43. Sterckx, A. (2024). Doctoral thesis on nature-based integrated interventions around healthcare facilities [Doctoral dissertation].
  44. Ministerio de Agricultura, Gobierno de Chile. (2024). Programa nacional “Naturaleza para tu Salud”. Available from: https://minagri.gob.cl/noticia/ministerio-de-agricultura-lanza-programa-naturaleza-para-tu-salud/