DESARROLLO Y APLICACIÓN DE UN PROGRAMA de TERAPIA HORTÍCOLA para residentes de un casa-refugio para Mujeres Maltratadas.
___________________________________________________
FROM
BLUE TO GREEN:
THE
DEVELOPMENT AND IMPLEMENTATION OF A HORTICULTURAL THERAPY PROGRAM FOR
RESIDENTS OF A BATTERED WOMEN’S SHELTER
Claire
M. Renzetti, Ph.D.
Department
of Sociology & Center for Research on Violence against Women
University
of Kentucky
1501
Patterson Office Tower
Lexington,
KY 40506-0027
Phone:
859-257-6424
Email:
claire.renzetti@uky.edu
Diane
R. Follingstad, Ph.D.
Department
of Psychiatry & Center for Research on Violence against Women
University
of Kentucky
245
Fountain Court
Lexington,
KY 40509
Phone:
859-323-5281
Email:
follingstad@uky.edu
Diane
Fleet
Assistant
Director, Greenhouse17
P.O.
Box 55190
Lexington,
KY 40555
Email:
DFleet@greenhouse17.org
INTRODUCTION
The negative
consequences of intimate partner violence (IPV) are well documented
in the empirical literature and include not only physical injuries,
but also mental health concerns such as anxiety, depression,
posttraumatic stress, lowered self-esteem, and a diminished sense of
self-efficacy (Perez, Johnson, & Wright, 2012; Sutherland, Bybee,
& Sullivan, 2002). Domestic violence shelters were established to
provide women fleeing IPV with emergency housing as well as
psychological counseling and legal assistance. Additional programs
have been developed within shelters to expand the services offered to
residents, including transitional housing and relocation services,
educational programs, drug and alcohol treatment, and employment
assistance (Macy, Giattina, Sangster, Crosby, & Montijo, 2009;
Sullivan, 2012). Increasingly, domestic violence advocates and
researchers are urging service providers to focus more attention on
providing programs that economically empower victims (Goodman &
Epstein, 2009). These domestic violence experts recognize that
financial instability and the threat or actual experience of poverty,
in addition to the negative mental health impacts of IPV, are among
the factors that motivate women to return to abusive partners, thus
increasing the risk of revictimization (Brush, 2011; Hamby &
Bible, 2009; Moe & Bell, 2004; Pruitt, 2008).
Although any number
of options exist for economically empowering victims (e.g., Thistle
Farms), a fairly prevalent approach to working with persons with
physical disabilities, persons experiencing mental symptomatology,
crime victims, and even older persons has been using nature and
plants in therapeutic and skill-building capacities. Proponents of
this approach suggest that the benefits from horticulture as therapy
are wide-ranging, thus affecting many dimensions of well-being during
a targeted period of skill-building. As recipients of ongoing
violence and abuse, IPV victims experience the range of physical and
mental sequelae encompassing trauma symptoms, physical injury,
somatic symptoms resulting from stress, cognitive disruption, anxiety
and depression, as well as symptoms resulting from ineffective modes
of coping, such as substance abuse.
The present study
focuses on a TH program developed by the Bluegrass Domestic Violence
Program, Inc. (BDVP), renamed GreenHouse17, in 2014. Our goal is to
eventually empirically evaluate the outcomes of this TH program for
GreenHouse17 shelter residents to determine whether participation
results in physical, psychological, and functional benefits that
exceed the benefits of standard programming.
The issues for
domestic violence shelters that might consider adding horticulture in
some form to their standard programming are likely to include: 1)
specifically, which outcomes from TH might be useful for victims of
IPV; 2) whether including horticulture in one’s programming is
actually effective in producing desired changes in shelters’
targeted outcomes; 3) whether this potential addition to a shelter’s
programming is different from introducing other economically
empowering strategies to shelter residents; and 4) whether inclusion
of horticulture can actually generate a unique environment resulting
in stronger and wider ranging therapeutic effects than standard
programming. These questions have yet to be answered.
This presentation,
however, focuses on the findings of the first phase of our approach
to evaluating the GH17 TH program, which involved interviewing
shelter staff regarding their perceptions of the development and
implementation of the therapeutic horticulture program and its
effects on shelter residents. To begin, we review the research
literature on therapeutic horticulture in general, next discuss the
GreenHouse17 program specifically, followed by the results from the
staff interviews.
BACKGROUND
The
Theoretical and Empirical Underpinnings of Therapeutic Horticulture
The term
therapeutic horticulture (TH) applies to interventions that
use nature or plant-related activities to improve participants’
physical, psychological, and social well-being. TH is distinguished
from horticultural therapy in that the latter is typically
administered in a structured setting by trained therapists. In
contrast, TH is implemented in a broader range of settings by a
variety of service providers and practitioners, often as an adjunct
to other services, without structured activities and specifically
defined practical goals (Gonzalez, Hartig, Patil, Martinsen, &
Kirkevold, 2009). TH programs have been developed for diverse
populations, including juvenile offenders, individuals with substance
abuse disorders, military veterans diagnosed with PTSD, patients
diagnosed with schizophrenia, and clinically depressed persons
(Annerstedt & Währborg, 2011;
Gonzalez et al., 2009; Gonzalez, Hartig, Patil, Martinsen, &
Kirkevold, 2011; Horowitz, 2012; Sempik, Aldridge, & Becker,
2005).
The expectation
that nature is beneficial for physical and mental relief of people
has a long history in the healing arts (Sempik, Aldridge, &
Becker, 2003). Benjamin Rush, the father of TH, wrote in the late
1700s about the benefits for persons with psychiatric disabilities of
working in gardens or on farms. A number of European countries
developed programs starting in the mid-1800s, which used farm work as
a treatment for individuals with psychiatric disorders, mentally
handicapped individuals, and disadvantaged groups, and these
countries have continued such efforts to the present. Although
professional interest in TH has not maintained a consistent focus
over the years, a resurgence of programs occurred in the 1980s when
professionals recognized that medications and psychotherapy might
have limitations in their effectiveness (Neuberger, 1995) and a
broader perspective might be efficacious.
Different forms of
TH have been developed for specific purposes – social farms for
social services and care; therapeutic gardens for use of healing
plants; healing gardens designed as places within medical facilities
where individuals may go to relax and reflect; horticultural gardens
designed specifically for a targeted group of individuals to meet
their therapeutic needs; community gardens designed to connect
members of the local area as well as provide nutritional benefits; or
restorative gardens used to provide a space conducive to reducing
stress and regaining mental strength. Domestic violence shelters
could potentially employ several forms of TH to address restorative
needs of residents, generate a food supply and enhance nutrition, and
provide “work” experiences.
Most of the
conceptual work and research into the impact of TH has focused on the
mental aspects that appear positively affected by the experience.
Although the preference for the natural world may arise from our
evolutionary background and cultural associations that people have
developed in their interaction with nature, there are likely
multifaceted explanations for why TH is hypothesized to produce
psychological reduction of stress and actual restoration of mental
functioning (Sempik, et al. 2003).
The proposition
that working with plants in a natural environment may produce mental
benefits derives from various theoretical perspectives. One theory,
attention restoration theory, draws on research showing that
trauma and stress reduce an individual’s attentional capacity and
increase negative thoughts and rumination, which in turn lead to
difficulties in problem-solving and effectively carrying out everyday
activities (Kaplan, 1995). A restorative environment has been
hypothesized to provide 1) escape from typical aspects of life, 2)
fascination through growing things and producing beauty, 3) a feeling
of being in a meaningful and orderly world, and 4) an affinity with
nature and the environment (Kaplan & Kaplan, 1990). Working in a
garden, on a farm or in another natural setting, then, is thought to
give traumatized individuals psychological and emotional distance
from negative distractions and reminders, thereby restoring their
ability to heal and to attend to functional tasks (Gonzalez et al.,
2009; Hartig, Korpela, Evans, & Gärling,
1997).
A second relevant
theory, conservation of resources (COR) theory, maintains that
traumatic life events, including IPV victimization, produce “resource
loss” for victims. Lost resources may include housing and income,
social interaction with family and friends, and/or a reduced sense of
self. These losses cause physical and psychological distress, but
according to COR theory, well-being can be improved through “resource
gain,” such as re-establishing safety, developing skills, and
restoring self-efficacy (Hobfoll, 2001; Sullivan, 2012). By providing
opportunities for resource gain, therefore, TH helps improve
participants’ physical, psychological, and social well-being. In
the case of IPV victims, such resource gains may translate into
greater self-sufficiency and self-efficacy with reduced risk for
revictimization (Sullivan & Bybee, 1999).
Research evaluating
TH programs in diverse settings has found them to be effective for
reducing stress, depression, and negative feelings, and in promoting
relaxation, social inclusion, and self-confidence. In a systematic
review of 35 controlled studies and three meta-analyses, Annerstedt
and Währborg (2011) found that
“nature-assisted therapies” have three main types of positive
outcomes: 1) short-term recovery from stress and mental fatigue, 2)
faster recovery from illness, and 3) long-term overall improvement in
health and well-being. For example, Stigsdotter and Grahn (2004)
studied residents of “high stress” urban neighborhoods and found
that those with access to a garden had significantly lower
“sensitivity to stress” (an index measure of stress, irritation
and fatigue) than those without access to a garden, and that
participants who simply visited a garden experienced a reduction in
sensitivity to stress. In two prospective studies with samples of
individuals identified as clinically depressed, Gonzalez et al.
(2009, 2011) reported that a 12-week TH program significantly reduced
depression scores for participants both during the intervention and
at 3-month follow-up. And in the most extensive evaluation of TH
programs for vulnerable groups to date, Sempik et al. (2005) found
that such interventions improve nutrition and dietary habits; raise
self-esteem and perceptions of self-worth through the status gained
from being a “gardener” or “worker”; increase self-confidence
and satisfaction by learning new skills, acquiring knowledge, and
producing food or craft objects; and reduce social isolation through
group activities (see also Son, Song, Um, Lee, & Kwack 2004;
Yamane, Kawashima, Fujishige, & Yoshida, 2004). These outcomes
suggest that a sense of accomplishment, focused attention away from
the negative, development of potential skills, social contact,
tangible products, and a sense of meaning may all derive from
exposure to TH, all potentially useful outcomes for victims of IPV.
Although there is
more empirical support for psychological benefits from TH, evidence
to data does not demonstrate support for improvements in physical
functioning in physically impaired individuals who engage in TH or
HT. However, general physical benefits from TH, agrotherapy, or farm
work in various groups exposed to TH have not been empirically
assessed. Research literature to support the social benefits of
engaging in TH is limited and mostly anecdotal, and the variability
in groups for whom TH has been employed reduces the ability to know
whether this benefit is actually more likely to occur with particular
targeted groups. In addition, the type of TH employed may
differentially affect social benefits, with community gardens being
one form of TH with a greater likelihood of facilitating social
contact (Sempik, et al. 2003).
The model by which
we hypothesize that a range of beneficial outcomes may result for
domestic violence shelter residents participating in a TH, or farm,
program above and beyond the shelter’s standard programming,
asserts that “working the land” encompasses many elements or
dimensions that individually have the potential to impact a range of
physical, psychological, and functional outcomes. (See Figure 1).
Specifically, there is physical activity, the process of cultivation
and production of food, an attentional component, a sensory
experience in nature, skill development, and opportunities for
informal social contact. The immediate and basic mechanisms arising
from these dimensions are an altered self-view toward increased
esteem and self-sufficiency; a complex of restoration, tranquility,
and distraction leading to mental recovery; and a sense of belonging.
These in turn are expected to impact physical well-being; a
reduction in anxiety, depression, and cognitive disruption affecting
mental well-being; social inclusion; and an increase in skills.
Although more
empirical study is clearly needed to substantiate benefits directly
attributable to TH, there is even less research that examines
implementation or assessment of TH programs specifically for IPV
victims. One program in California, Project GROW, was piloted from
spring 1999 to winter 2000 with the goals of increasing the food
security of the shelters, while simultaneously contributing to the
healing and empowerment of shelter residents (Stuart, 2005). The
evaluation, however, had serious methodological limitations (e.g.,
survey or interview data were collected from only 5% of program
participants), making the findings ungeneralizable. Nevertheless,
the evaluation results suggest that TH has promise for producing
beneficial outcomes in domestic violence shelter settings (see also
Lee, Kim, & Suh, 2008).
GreenHouse17
The Bluegrass
Domestic Violence Program, Inc. (BDVP), now GreenHouse17, was founded
in 2004. It was then and remains today the primary provider of
services to victims of IPV in Lexington/Fayette County, Kentucky, and
the surrounding 16 rural counties of the Bluegrass Development
District.1 GreenHouse17 serves approximately 230 women
and their children each year, offering standard shelter services
(e.g., a 24-hour crisis line, safe emergency housing, legal
assistance, counseling, and referrals) for both residential and
non-residential program participants. But one program that makes
GreenHouse17 unique relative to other victim services agencies is
that it operates a working farm.
Stuart (2005) notes
that domestic violence shelters are often located in bleak physical
environments separated from nature. But GreenHouse17 is situated on
40 acres of rich farmland, surrounded by other working farms,
including horse farms, in Fayette County, Kentucky. In 2010, shelter
administrators and staff, faced with budget constraints, began to
consider potential revenue-generating activities as well as ways to
raise awareness of the shelter’s work in the community. Although
various “cottage industries” were discussed, shelter
administrators and staff felt that cultivating the land could address
several issues simultaneously; specifically, farming could: 1) reduce
the shelter’s food budget, while improving nutrition for residents
and staff; 2) raise revenue through the sale of produce at local
farmers’ markets; 3) provide residents with opportunities for
physical exercise, socializing, and quiet reflection and meditation,
thus facilitating healing; and 4) connect the shelter with the larger
community through the shared value of land preservation and the “buy
local” movement.
A committee was
formed to evaluate land usage on the shelter’s property; this group
included members of the local community as well as faculty from the
College of Agriculture, Food and Environment (CAFE) at the University
of Kentucky. The project began small, as several raised-bed gardens
with limited crops. Concerns about the future of the project emerged
among some shelter staff almost immediately; chief among these was
the question of who would actually work in the garden. Staff already
felt a severe time crunch and they worried that the labor needed to
cultivate a garden would siphon attention and energy from the “real”
work of the shelter. At the same time, it initially appeared that
there was little interest in gardening among the majority of
residents. Through the connection with CAFE, however, a young female
farmer came forward who was willing to help develop what has come to
be known as “the farm project.”
In just three years, the small, raised-bed gardens expanded into
field cultivation of food crops, hoop houses for the cultivation of
seedlings and winter crops, an herbal meditation garden, flower
gardens, and a few honey-producing beehives. The farmer is now a paid
employee of the shelter and works with a paid farm manager whose
responsibilities include farm-to-table utilization of the harvest.
Residents are offered voluntary opportunities to participate in
farming activities, and those who wish to actively work the land
(e.g., prepare beds, mulch, plant, water, weed, harvest) may commit
to nine hours of labor per week in exchange for a small stipend as
compensation. Residents who do not wish to participate directly in
farming may engage in farm-related activities (e.g., cooking
farm-to-table, flower arranging, making crafts and body products from
harvested products). As envisioned, harvested produce and honey are
sold at local farmers’ markets. In addition, community members have
ordered flower arrangements for special events such as weddings, and
most recently, an order was received for 3,000 units of lip balm for
a national beauty products trade show. But the farm is also an
adjunct to the therapeutic services offered at the shelter in that
its mission is to create an agriculture-based therapeutic environment
with the potential to improve residents’ physical, psychological,
and emotional well-being. The farm program provides: physical
activity, companionable social interaction, and serenity for IPV
victims; a source of nutritional and seasonal field-to-table food for
shelter residents; and opportunities for self-sufficiency and
microenterprise. All of these program elements may reduce the
negative effects of IPV victimization, while promoting financial
stability, self-efficacy, and self-esteem (Sullivan, 2012). To date,
however, the extent to which the farm program is succeeding in
meeting its goals has not been empirically evaluated. As previously
stated, that is the purpose of the present study.
Our evaluation uses a two-stage approach. In the first stage, we
conducted semi-structured interviews with all shelter administrators
and staff. The findings from these interviews were instrumental in
the development of our proposal for the second stage of the
evaluation, which will use a quasi-experimental, mixed-methods design
to measure therapeutic outcomes of participation in the farm program
for shelter residents. As we have already noted, the present paper
reports the results of the first stage of the evaluation.
METHOD
All shelter
administrators and staff were invited to engage in a semi-structured
interview with the researchers, and all agreed to participate (N=17).
Interview questions initially focused on the general service delivery
model of the shelter, the structure of decision-making, and the way
conflicts and problems between residents, residents and staff, and
between staff members themselves are resolved. Most of the interview,
however, was devoted to staff perceptions of the farm program in the
context of the shelter’s mission and goals, whether they
experienced any concerns about the farm program as well as their
views regarding its success, and their vision of the future of the
program. The interview protocol was approved by the University of
Kentucky Institutional Review Board. Interviews were conducted
jointly by the researchers from September, 2012-January, 2013, either
in a private room at the shelter during the participant’s working
hours or at another private location mutually convenient to the
researchers and the participants. Interviews averaged 90 minutes in
length and were audio-recorded. As a token of appreciation for their
participation, each interviewee received a $10 gift card at the
conclusion of the interview.
The recorded interviews were transcribed verbatim by a professional
transcriber. Although our interview questions provided specific
themes for data analysis, participants often raised issues or made
comments during their interview that we had not anticipated.
Consequently, we used grounded theory in the data analysis, which
allowed new themes to emerge from the data. Both researchers
independently read all of the interview transcripts, coding them
line-by-line and tentatively identifying emergent themes. The
researchers subsequently met to discuss the results and resolve any
disagreements regarding thematic categories before operationalizing
the final coding scheme. The data were then analyzed using NVivo 10
software (QSR International, 2014).
In this paper, we focus on three major themes: 1) staff perceptions
of the benefits of the farm program, 2) staff concerns about the farm
program, and 3) staff assessments of how the farm program “fits”
within the shelter’s mission and goals. Although these are distinct
themes, they are not unrelated to one another. And within these major
themes, we discuss several subthemes, including therapeutic outcomes
of farm program participation, financial benefits and skills
acquisition resulting from farm program participation, benefits of
the farm to staff, and the farm as a for-profit business.
FINDINGS
Theme 1: Staff
Perceptions of Farm Program Benefits
Staff identified
benefits of the farm program for shelter residents, for shelter
staff, and for the shelter in general.
Benefits for
residents included physical exercise, mental health benefits (e.g.,
reduction in anxiety and depression), money and work experience,
social connections, and a sense of accomplishment. For instance, one
staff member said:
I’ll tell you what I’ve noticed: way, way less women sitting on
the back porch smoking all day. . . . People need something to do,
and that’s the reality. . . . Yeah, and then you just wallow in
your own, you know, sadness . . . And it [the farm] keeps people
active.
The physical
exercise provided by farm activities, then, was tied to mental health
benefits and a reduction in social isolation.
Other farm-related activities, such as using farm products to make
crafts and cooking, were also tied to improvements in mental health.
In fact, every staff member recounted the story of a client
who had been in and out of the shelter several times in recent years
who needed treatment for substance abuse, but who had resisted staff
attempts to get her checked into a treatment facility. By all
accounts, participating in farming and cooking with farm produce
“saved this woman’s life.” She began to take pride in the food
she made and would ask residents and staff alike to taste what she
had prepared. She realized that she had skills that she could
perhaps parlay into a small business or paid employment, which
motivated her to stay sober while in the shelter and to eventually
check herself into a substance abuse treatment facility. While this
woman’s story was quite dramatic, most staff reported that growing
things, making crafts, or cooking raised the women’s self-esteem
and sense of self-efficacy, and improved their general well being.
For instance, one staff member told us:
I mean, I have women that tell me, “This is keeping me sober. This
is keeping me from doing something really stupid to get some
cigarettes. I love this. I feel better than I’ve felt in years.”
Like these are the testimonies that I get.
Staff members tied
these improvements to residents’ feelings of fulfillment and
accomplishment; the women recognized that through their work they
were making a contribution to the shelter community.
Similarly, staff members emphasized that the farm program provides
residents with marketable skills and valuable work experience. As
one staff member explained:
Some people come through with no work history. Some people, you know,
whatever reason, it gives them – and it’s a small stipend – but
then it gives them that work experience, a good work referral, a
small check to kind of get things started. And so on many levels it’s
an amazing thing because it’s therapeutic, it’s employment, and
you get treated like an employee.
Many staff members noted that, for some women, working on the farm or
in the garden offered serenity and had a calming effect. As one
staff member said, “Like, you know, we have had less fights and
just like less, it seems like a little less aggression.” This
benefit was associated with humans’ connection to nature. As one
staff member described it:
You have the earth. I mean, there’s like documented evidence that
working with the earth is healing in any way. . . . Being in nature,
touching the earth, working directly, there are just benefits to that
experience. I would say particularly with trauma, but really for all
people it is a positive . . .
Staff also perceived benefits to themselves from the farm. A few
staff members participate directly in the farm by doing farm work;
one staff person particularly liked tending the beehives. And all
the staff appreciated the availability of fresh vegetables and
berries from the harvest. But most staff who discussed how the farm
benefits them described ways that it assists them in their work. For
example:
I think what people find is that, “Oh, having the garden there and
being a part of it really expands my ability to deliver services.”
. . . That garden, you know, it really gives you a lot more
opportunity to deliver services, and that’s whether you’re a
crisis counselor or an advocate. You know, I mean because you can,
you can be like, “Man, I don’t know what the hell to do. Let’s
go take a walk in the garden. Let’s go pick raspberries for a
minute and we can shoot [chat] while we’re eating raspberries.”
You know, that really kind of lends itself to that. So yeah, you
don’t have to set foot there, but man, it’s pretty good if you
do.
Finally, staff
identified two major benefits of the farm to the shelter more
broadly. First, the farm has had a positive impact on the shelter’s
food budget, reducing food expenses while simultaneously improving
nutrition. One staff member explained it this way:
. . . we wanted to grow healthier food. And because we’re a poor
nonprofit, what happens is we feed everybody chicken nuggets and
French fries, because that’s what we can afford, processed food
everywhere. . . . You know, most women come to the shelter and gain
40 pounds in the first month or two. . . . But we’re not seeing
that same level. Like, because we’re cooking healthier, figuring
out ways to make things good, and it’s broadening their perspective
of what they can do. So they’re using more olive oil instead of
bacon grease when they’re doing things . . .
Second, the farm has
provided a connection between the shelter and the broader community.
It has brought the shelter some positive media attention and raised
awareness in the community about the important services that the
shelter provides. As one staff member said:
Then I would say success would be that it’s another avenue of which
the community can embrace, that builds this bridge that makes the
community comfortable with the issue of domestic violence. And if
they need this avenue to do that and see how they can play a role in
all this, I think that it’s a successful, beautiful, nice way to
bridge a very complicated, hands-off kind of issue for most of the
community.
Theme 2: Staff
Concerns about the Farm Program
Although all staff
identified multiple benefits of the farm, some also expressed
concerns about having a farm program at the shelter. Initially, the
primary concern was how the farm might increase the work burden of
staff. One staff member summed up this concern:
I was very reserved about the demand on staff, the time. [We] already
do a tremendous amount of work, 17 counties, 24/7, 22 people. . . .
My reservations were staff. Asking them to do more, what that looked
like. . . . And it’s a natural tendency to have a reaction to
something that’s way outside the box. That might feel like, “What
does that mean for me? Because I’m working hard enough. I got
enough to take care of without worrying about whether the weeds are
pulled. And what kind of support are we going to get to even do
this?”
This worry was
compounded by a fear that residents would not participate and the
work of maintaining the farm would automatically revert to an already
overworked staff. As one staff member expressed it:
I think there are always folks that get startled by new ideas, a
little bit, and aren’t quite, you know, kind of go to that place
of, “That won’t work. Oh that’s never going to work. We can’t
even get them [the residents] to do their chores, nobody’s going to
work on the farm.” So, or do any part of that.
As noted previously, these concerns were not unwarranted given that
none of the staff had much farm or gardening experience and residents
did not seem especially enthusiastic, so until the agricultural
employee was hired, the farm project – which was basically
container gardens at the time – initially floundered. As one staff
member recounted, “People don’t realize about farming. They don’t
realize how many, what’s needed to do it. It’s a big deal. But
people don’t have any idea.”
The hiring of the farmer appears to have been a turning point for the
farm project. Her expertise resulted in more buy-in from both staff
and residents and assuaged many of the early worries. Current
concerns about the farm revolve largely around growth. First, there
is the question of whether the farm can be self-sustaining. There
appears to be a general recognition that the farm should grow in
order to provide the shelter with more revenue, but this goal is
juxtaposed with the worry that growth that is too fast or too large
could actually undermine the farm and, ultimately, the shelter
itself.
This concern is related to a second having to do with staffing the
farm. Currently, the farm uses a modest stipend program to motivate
residents to engage in farm work. It hasn’t been difficult to get
women to sign up for the stipend program, but some staff worry that
given that shelter residents are a transient population, there may
come a time when there are not enough residents to work the farm or
that high turnover will undermine the farm. Some staff suggested
that one way to handle this problem would be to have women continue
to work on the farm or in farm-related activities after they have
stopped living at the shelter. But other staff worried that this
arrangement might pose safety and confidentiality risks. For
example, one staff member said:
I’m a little protective of this place and the anonymity that it
does have. . . . But my concern would be bringing too much community
attention to the property where women are seeking safety. You know? .
. . And just being mindful of actually who’s on the property.
Interestingly, we
asked the staff if they were concerned that eventually the farm might
overshadow or supplant the shelter. Very few staff members responded
affirmatively. During the recent discussions that ultimately led to
the new name, GreenHouse17, there was some resistance among staff to
focusing on the farm as the source of branding for the shelter. The
hesitancy, according to one staff member, stemmed from a concern
about masking the “real work” of the shelter:
I think it’s hard for staff whose jobs don’t include the farm to
see the community embrace the work that they do. I’m not, they’re
not jealous, that’s not what I’m saying. But the super hard work
of domestic violence is the 3:00 a.m. phone call. You know? It’s
standing in court, it’s hearing the stories over and over again,
seeing someone return and then come back. You know, that’s the
hard work of the mission.
But the responses of
the majority of staff to this question are exemplified in the words
of the staff member who told us:
I mean, a part of me says that, yeah, I mean it could happen. It
could very well happen. But the other part of me says no because it’s
pretty client-centered. So even though the farm may be big and it may
become . . . but it’s still centered around them [the women
residents], the basis of that.
As this staff member
implied, a primary reason for the relative lack of concern about the
farm supplanting the shelter is the widespread perception that the
goals of the farm program fit well with the overall mission and goals
of the shelter. This is the third and final theme from the staff
interviews that we will discuss.
Theme 3:
Reconciling the Farm Program with the Shelter’s Mission and Goals
We explicitly asked
shelter staff whether they see the farm fitting with the overall
mission and goals of the shelter. Staff were unanimously positive in
their responses. Many staff members pointed out how the goals of the
farm parallel those of the shelter. For instance:
I think that it fits in some self-sustaining, which is kind of what
we try to teach the ladies anyway. And it also, it goes into the
healing goals. It’s been like so therapeutic for these women. . .
. They’ve gotten a lot from it.
Even staff members
who admitted to being initially skeptical about the farm admitted to
being won over once they observed its benefits for residents and how
it contributed to achieving the mission and goals of the shelter.
More specifically, witnessing dramatic changes in some of the
residents during their participation in the farm program and
farm-related activities transformed, as one staff member put it,
“nonbelievers into believers.” She continued:
I mean even people who’ve never even touched dirt before are
talking about how important that was to them, and those pieces. But I
do believe she [one specific resident] was that true visual for
people, the nonbelievers, who’ve been [here] probably the longest .
. . They have, yeah. . . . “Show me how this is going to benefit
our families, and then I’ll get on board.”
And indeed they
have.
NOTES
-
The Bluegrass Development District encompasses: Anderson, Bourbon, Boyle, Clark, Estill, Franklin, Garrard, Harrison, Jessamine, Lincoln, Madison, Mercer, Nicholas, Powell, Scott, and Woodford counties. Along with these 16 largely rural counties, the shelter serves residents of urban Lexington/Fayette County, totaling a 17-county service area—hence, the number 17 in the shelter’s new name, GreenHouse17.
REFERENCES
Annerstedt, M., & Währborg,
P. (2011). Nature-assisted therapy: Systematic review of controlled
and observational studies. Scandinavian
Journal of Public Health,
39,
371-388.
Brush, L.D. (2011). Poverty,
battered women, and work in U.S. public policy.
New York: Oxford University Press.
Gonzalez, M.T., Hartig, T.,
Patil, G.G., Martinsen, E.W., & Kirkevold, M. (2009). Therapeutic
horticulture in clinical depression: A prospective study. Research
and Theory for Nursing Practice,
23,
312-328.
Gonzalez, M.T., Hartig, T.,
Patil, G.G., Martinsen, & Kirkevold, M. (2011). A prospective
study of group cohesiveness in therapeutic horticulture for clinical
depression. International
Journal of Mental Health Nursing,
20,
119-129.
Goodman, L.A., & Epstein, D.
(2009). Listening to
battered women: A survivor-centered approach to advocacy, mental
health and justice.
Washington, DC: American Psychological Association.
Hamby, S., & Bible, A.
(2009). Battered
women’s protective strategies.
Harrisburg, PA: VAWnet. Retrieved May 13, 2013 from
http://www.vawnet.org.
Hartig, T., Korpela, K., Evans,
G.W., & Gärling, T. (1997). A measure of restorative quality in
environments. Scandinavian
Housing & Planning Research,
14,
175-194.
Hobfoll, S.E. (2001). The
influence of culture, community, and the nested-self in the stress
process: Advancing conservation resource theory. Applied
Psychology, 50,
337-370.
Horowitz, S. (2012). Therapeutic
gardens and horticultural therapy: Growing roles in health care.
Alternative and
Complementary Therapies,
18,
78-83.
Kaplan, R., & Kaplan, S.
(1990). Restorative experience: The healing power of nearby nature.
In M. Francis & R.T. Hester (Eds.), The
meaning of gardens
(pp. 238-243). Cambridge, MA: MIT Press.
Kaplan, S. (1995). The
restorative benefits of nature: Toward an integrative framework.
Journal of
Environmental Psychology,
15,
169-182.
Lee, S., Kim, M.S., & Suh,
J.K. (2008). Effects of horticultural therapy on self-esteem and
depression of battered women at a shelter in Korea. Acta
Horticulturae, 790,
139-142.
Macy, R.J., Giattina, M.,
Sangster, T.H., Crosby, C., & Montijo, N.J. (2009). Domestic
violence and sexual assault services: Inside the black box.
Aggression and Violent
Behavior, 14,
359-373.
Moe, A.M., & Bell, M.P.
(2004). Abject economics: The effects of battering and violence on
women’s work and employability. Violence
Against Women, 10,
29-55.
Neuberger, K.R. (1995).
Pedagogics and horticultural therapy: The favorite task of Mr. Huber,
digging up potatoes. Acta
Horticulturae, 391,
241-248.
Perez, S., Johnson, D.M., &
Wright, C.V. (2012). The attenuating effect empowerment on
IPV-related PTSD symptoms in battered women living in domestic
violence shelters. Violence
Against Women, 18,
102-117.
Pruitt, L.R. (2008). Place
matters: Domestic violence and rural difference. Wisconsin
Journal of Law, Gender and Society,
23,
346-416.
QSR International (2014). NVivo
10. Burlington, MA:
Author.
Sempik, J., Aldridge, J., &
Becker, S. (2003). Social
and therapeutic horticulture: Evidence and messages from research.
Leicestershire, UK: Loughborough University Media Services.
Sempik, J., Aldridge, J., &
Becker, S. (2005). Health,
well-being and social inclusion: Therapeutic horticulture in the UK.
Bristol, UK: Policy Press.
Son, K.C., Song, J.E., Um, S.J.,
Lee, S.J., & Kwack, H.R. (2004). Effects of visual recognition of
green plants on the changes of EEG in patients with schizophrenia.
Acta Horticulurae,
639,
193-199.
Stigsdotter, U.A., & Grahn,
P. (2004, October). A garden at your doorstep may reduce stress:
Private gardens as restorative environments in the city. Proceedings
of the “Open space: People space” conference on inclusive outdoor
environments.
Edinburgh, Scotland.
Stuart, S.M. (2005). Lifting
spirits: Creating gardens in California domestic violence shelters.
In P.F. Barlett (Ed.), Urban
place: Reconnecting with the natural world
(pp. 61-88). Cambridge: MIT Press.
Sullivan, C.M. (2012). Examining
the work of domestic violence programs within a “social and
emotional well-being promotion” conceptual framework.
Harrisburg, PA: National Resource Center on Domestic Violence.
Retrieved February 23, 2014 from
http://www.dvevidenceproject.org/publications/.
Sullivan, C.M., & Bybee, D.I.
(1999). Reducing violence using community-based advocacy for women
with abusive partners. Journal
of Consulting and Clinical Psychology,
67,
43-53.
Sutherland, C.A., Bybee, D.M., &
Sulivan, C.M. (2002). Beyond bruises and broken bones: The joint
effects of stress and injuries on battered women’s health. American
Journal of Community Psychology,
30,
609-636.
Yamane, K., Kawashima, M.,
Fujishige, N., & Yoshida, M. (2004). Effects of interior
horticultural activities with potted plants on human physiological
and emotional status. Acta
Horticulturae, 639,
37-43.
No hay comentarios:
Publicar un comentario