Why does nature matter for children?

Children are growing up in a world profoundly different from the one in which childhood evolved.

The moment

A remarkable — and complicated —time to be a child.

Modern childhood contains extraordinary progress. Vaccines, sanitation, safer sleep, medical therapies, improved recognition of mental health, and access to information have transformed young lives. At the same time, children face chronic disease, mental health challenges, environmental stressors, health inequities and increasingly digital lives.

Extraordinary progress

Childhood has become safer in remarkable ways.

Medical advances

Modern pediatrics can prevent, diagnose and treat conditions that once caused substantial childhood illness and death. Advances in neonatal care, surgery, chronic-disease management, medications and medical technology have changed what it means for many children to live with serious disease.

Lower childhood mortality

Child survival has improved enormously over the last century. Improvements in sanitation, nutrition, vaccination, injury prevention, medical care and public health have transformed the risks children face early in life.

Infectious disease prevention

Diseases that once routinely sickened or killed children have become uncommon because of vaccination and other public-health measures. CDC estimates that routine vaccination of children born from 1994–2023 will prevent about 508 million illnesses, 32 million hospitalizations and more than 1.1 million deaths over their lifetimes.

Reduced mental health stigma

Child and adolescent mental health is discussed, screened for and treated more openly than in previous generations. Stigma remains an important barrier, but mental health is increasingly recognized as an essential part of children's overall health rather than something separate from it.

Access to knowledge

Children and families now have unprecedented access to information, education and connection. Digital technology can support learning, creativity and access to communities—while also creating new questions about attention, misinformation, privacy and healthy use.

Nutrition & active-living awareness

We know far more about the importance of movement, nutrition and healthy development than previous generations did. Current U.S. guidance recommends that children and adolescents ages 6–17 get at least 60 minutes of moderate-to-vigorous physical activity each day.

Safer sleep

Safe-sleep recommendations changed infant care. Sudden unexpected infant death rates fell sharply during the 1990s following the American Academy of Pediatrics' sleep recommendations and the national Back to Sleep campaign, although preventable sleep-related deaths remain a concern.

Reduction of some environmental toxins

Public-health regulation has dramatically reduced children's exposure to some environmental hazards. For example, the median blood-lead level among U.S. children ages 1–5 fell 96% between 1976–1980 and 2017–2020. Important exposure disparities and hazards still remain.

Emerging challenges

Yet the landscape of childhood is changing.

Obesity & chronic disease

The disease burden of childhood has shifted toward chronic conditions that often require management over years. In August 2021–August 2023, 21.1% of U.S. children and adolescents ages 2–19 had obesity, including 7.0% with severe obesity.

Mental health crisis

Mental-health distress is common among adolescents. In CDC's 2023 Youth Risk Behavior Survey, 40% of U.S. high-school students reported persistent feelings of sadness or hopelessness and 20% seriously considered attempting suicide.

Digital saturation

Digital life now occupies an unprecedented part of adolescence. In a 2024 Pew survey, 96% of U.S. teens reported using the internet every day and nearly half said they were online almost constantly. Digital technology can provide real benefits, but its near-constant presence also changes how young people spend time, communicate and direct attention.

Limited outdoor time

Outdoor play is not a routine part of every child's day. In the 2021 National Survey of Children's Health, 37% of U.S. children ages 3–5 were reported to play outdoors for one hour or less on weekdays. Outdoor settings can create opportunities for movement, exploration, social interaction and contact with nature—the experiences explored throughout this page.

Low fruit & vegetable intake

Healthy eating is widely recommended, yet making it part of everyday life remains difficult for many families. Food access, cost, neighborhood conditions, preferences and the environments in which children live all shape what children actually eat.

Healthcare access

Medical advances only help children when families can reach and afford them. Insurance coverage, geography, transportation, workforce shortages, cost and continuity of care can all affect whether children receive preventive and specialty services when they need them.

Environmental change

Children are especially vulnerable to environmental change because their bodies and brains are still developing and because they depend on adults and communities for protection. EPA identifies risks to children from extreme heat, air-quality changes, flooding, infectious disease and other climate-related exposures.

Social disconnection

Connection to family, peers, schools and communities is an important part of child and adolescent health. CDC identifies social connection as protective and notes that connected young people are more likely to engage in positive health behaviors and less likely to experience several health risks.

We have solved some enormous problems of childhood.We have created new ones.And some ancient human needs may have been left behind.

Five Children – Every Child

Nature is for every child.

Nature can be part of the ordinary environments in which children grow, play, learn, connect and develop. Its value does not begin with a diagnosis.

But for some children, nature can also be more than that.

When a child is living with illness, disability, developmental differences or other health challenges, nature-based experiences may also be used intentionally to support specific health, functional or developmental goals — becoming not only part of a healthy childhood, but part of care itself.

Meet five children.

These are composite patients, not individual children. But the stories are intentionally ordinary. They resemble patients seen every day in pediatric care.

4 months old

INFANCY + CAREGIVER WELLBEING

A healthy infant whose mother is struggling

The baby is growing normally and developing appropriately. But the child's mother screens positive for postpartum depression and is worried about the cost of food.

How may nature help?

≈ 1 in 8

women with a recent live birth report symptoms of postpartum depression.

Source: CDC — Depression During and After Pregnancy ↗

≈ 2 million

children under age 3 years lived in food-insecure households in 2023—about 17.1%, or more than 1 in 6 young children.

Source: Center on Budget and Policy Priorities — Food Insecurity Among Young Children ↗

Nature may support the child by supporting the child's relationships.

Take a stroller walk under trees

Spend time outside together

Explore gentle sensory experiences

Support caregiver movement

Create opportunities for social connection

Give parent and child space to attend to one another

3 years old

AUTISM + SENSORY DEVELOPMENT

A child with autism who loves to move

He is well connected to developmental services and doing well, but spends the visit bouncing around the room and snacking on pretzels. His BMI is at the 99th percentile.

How may nature help?

≈ 1 in 31

8-year-old children in 16 CDC ADDM Network communities were identified with autism in 2022.

Source: CDC — Autism Data & Statistics ↗

≈ 1 in 6 (17%)

children ages 3–17 were reported by parents to have been diagnosed with a developmental disability during 2009–2017, including ASD, ADHD, blindness, cerebral palsy and others.

Source: Zablotsky et al. — Developmental Disabilities Prevalence ↗

Nature can create environments where different ways of moving, sensing and attending can become strengths.

Dig in the soil

Carry water

Watch insects

Follow a trail

Plant seeds

Explore through movement and the senses

Experience repetition and predictable natural processes

Engage in child-directed discovery

7 years old

CARDIOMETABOLIC HEALTH

A child with obesity and high blood pressure

His weight has continued to rise. His blood pressure is elevated. His family has heard the familiar advice about food and exercise, but changing daily life is difficult.

How may nature help?

21.1% today → 57% by age 35

21.1% of U.S. children and adolescents ages 2–19 had obesity in August 2021–August 2023. If 2017 obesity trends persist, a predictive model estimates that 57% of children ages 2–19 will have obesity by age 35 in 2050.

Source: CDC/NCHS — Childhood Obesity Estimates · AAP Clinical Practice Guideline · 2023 ↗

77%

of children with BMI at or above the 95th percentile in the Bogalusa Heart Study had obesity as young adults.

Source: Freedman et al. — Bogalusa Heart Study · Pediatrics, 2001 ↗

Nature can make healthy behavior a by-product of doing something enjoyable and meaningful.

Walk to a community garden

Grow tomatoes

Choose what to plant

Harvest food

Climb

Carry

Dig

Play without calling it exercise

9 years old

CHRONIC DISEASE

A child managing asthma and type 1 diabetes

He lives with both asthma and type 1 diabetes. His days can involve an inhaler, a continuous glucose monitor, an insulin pump, medications, calculations and responding to symptoms. Much of life is organized around managing his health.

How may nature help?

~ 4.8 million with asthma~ 314,000 with type 1 diabetes

About 4.8 million U.S. children under 18 had current asthma in 2023, while about 314,000 children and adolescents under 20 have diagnosed type 1 diabetes.

Source: CDC — Asthma Data · National Diabetes Statistics Report ↗

More than 40%

of U.S. school-aged children and adolescents have at least one chronic health condition.

Source: CDC — Managing Chronic Health Conditions ↗

A child whose body constantly demands management can instead focus on tending to something else.

Move

Explore

Engage the senses

Take responsibility for something living

Care for a plant

Experience curiosity outside of disease management

17 years old

MENTAL HEALTH + TRANSITION TO ADULTHOOD

A young person asking what comes next

She is in high school and worried about college, adulthood and the future of the climate. She has had multiple emergency department visits after talking about suicide. She is anxious about her own future, the world her generation will inherit and where she belongs.

How may nature help?

20% considered · 9% attempted

Among U.S. high-school students in 2023, 20% seriously considered attempting suicide and 9% attempted suicide during the previous year.

Source: CDC — Youth Risk Behavior Survey · 2023 ↗

≈ 1 in 5

U.S. adolescents ages 12–17 reported symptoms of anxiety in the past two weeks during 2021–2023.

Source: CDC/NCHS — National Health Interview Survey–Teen · 2021–2023 ↗

Nature can create opportunities for connection, meaning, mastery, agency and contribution.

Plant something

Care for it

Return over time

Make mistakes

Develop competence

Experience mastery

Contribute to another person, garden or community

These stories are common

These children are everywhere.

Children in America

72,021,348

children under age 18

3,628,934

live births · 2024

341,784,857

total U.S. population · 2025

More than a century of new generations

U.S. live births per year

5M4M3M2M1M0Baby boom peak19091940196019902024

What does that mean for children and families?

What do those percentages look like in people?

≈ 454,000

mothers with postpartum depression

CDC — Depression During and After Pregnancy ↗

≈ 10 million

children ages 3–17 with a developmental disability

CDC — Developmental Disabilities ↗

≈ 26 million

children + adolescents ages 2–19 with overweight or obesity

CDC/NCHS — Childhood Weight Status ↗

> 20 million

school-aged children + adolescents with at least one chronic health condition

CDC — Managing Chronic Health Conditions ↗

≈ 6–7 million

high-school students reporting persistent sadness or hopelessness

CDC — Youth Risk Behavior Survey · 2023 ↗

Population-scale estimates translate prevalence percentages into approximate numbers of people using the population or enrollment group most closely corresponding to each source. They are intended to communicate scale and should not be interpreted as exact case counts.

Five children. Five different needs. One shared resource.

4 months

Caregiver depression + food insecurity

Connection

Outdoor time can create space for caregiver movement, social connection and parent–child interaction.

3 years

Autism + sensory and developmental needs

Exploration

Nature provides opportunities to move, sense, discover and engage on the child's own terms.

7 years

Obesity + cardiometabolic risk

Healthy activity

Outdoor play and gardening can make movement and healthy behaviors part of something enjoyable and meaningful.

9 years

Asthma + type 1 diabetes

Tending

Caring for something living gives a child whose body constantly demands attention the chance to softly direct that care elsewhere.

17 years

Anxiety + suicidality + uncertainty about the future

Meaning

Nature can create opportunities for connection, agency, contribution and a sense of possibility for the future.

Nature alone is not a treatment for each of these conditions. But it can provide something conventional health care often cannot: a setting where children can move, explore, connect, tend to something living, develop competence and contribute to something beyond themselves.

Return to the five children

But they were never just patients.

Before there was a diagnosis, a prevalence estimate or a health outcome, there was a child—a person growing inside a family, discovering the world and becoming more themselves every day.

She is a 4 month old who made her mother a mother. She is someone's whole new world.

Almost everything is still ahead.

He is 3 years old and loves to move, dance and count trains.

There is so much left for him to discover.

He is 7 years old, building a world and managing a relationship with food and activity.

His strengths are still unfolding.

He is 9 years old, living with chronic disease and with growing interests, independence and confidence.

He has a life to build, not simply a body to manage.

She is 17 years old, looking toward what comes next.

Her future has not been written yet.

Every child can benefit from nature.

72,021,348CHILDREN IN AMERICAEvery child

Child health is more than health conditions.

In Children's Health, the Nation's Wealth, the National Research Council and Institute of Medicine described child health across three broad domains.

Source: National Research Council & Institute of Medicine — Children's Health, the Nation's Wealth (2004) ↗

Three domains of child health

Health functionday-to-day

How a child lives each day

How may nature help?

Nature may provide settings for movement, play, sensory experience, restoration, attention, social interaction and participation in meaningful everyday activities.

Health conditions

Disease, injury & other conditions

How may nature help?

Nature may complement prevention, treatment and recovery by supporting experiences such as physical activity, restoration, stress reduction, social connection and engagement alongside appropriate medical care.

Health potential

A child's capacity to grow & thrive

How may nature help?

Nature may provide opportunities to explore, build skills, encounter manageable challenges, develop agency, form relationships, gain independence and contribute to something beyond oneself.

Our goal is to optimize all three.

Health function day-to-day

What does it mean for a child to function well each day?

There are different ways to think about that question. Here are two frameworks that help us look at everyday health and function from different perspectives.

Six domains for quality of life

Quality of life reflects more than physical health. The WHO framework considers six domains that shape how people experience their health, independence, relationships, environment and sense of meaning.

WHOQOL

World Health Organization

Physical capacity

Psychological wellbeing

Level of independence

Social relationships

Environment

Personal beliefs

A pediatric functional lens

Six areas help describe a child's functional status. Each can range from normal function to very severe dysfunction.

☀
Mental status

Sleep, wakefulness, responsiveness and level of arousal.

◉
Sensory functioning

Hearing, vision and responsiveness to touch or other stimuli.

◌
Communication

Vocalization, facial expression, gestures and social responsiveness.

↗
Motor functioning

Body movement, muscle control and purposeful physical action.

●
Feeding

Ability to eat by mouth and the level of support needed for feeding.

≈
Respiratory status

Ability to breathe independently and the level of respiratory support needed.

Function is not one thing.

A child's ability to experience and participate in everyday life depends on multiple interacting dimensions of function.

What could improve that child's day-to-day life?

How may nature help?

Nature can become part of the setting in which everyday function happens.

Natural environments can create opportunities for movement, play, restoration, sensory experience, attention, social interaction and participation in meaningful activities. Which opportunities matter most will differ from child to child.

Health potential

What helps a child grow toward what they can become?

Children do not develop in isolation. They grow through interactions with people, opportunities, communities and environments around them.

Positive Youth Development

Positive Youth Development is a strengths-based framework for understanding how young people thrive. Rather than focusing only on problems or risks, it emphasizes the interaction of supportive environments, individual assets, agency and opportunities to contribute.

Positive Youth Development framework illustrating enabling environment, agency, assets, and contribution
Positive Youth Development framework details describing enabling environment, agency, assets, and contribution

Wildhood

Wildhood by Barbara Natterson-Horowitz and Kathryn Bowers examines adolescence across humans and other animals. Drawing on comparative biology and animal behavior, the authors describe four fundamental challenges that young animals face on the path toward adulthood.

Wildhood: The Astounding Connections Between Human and Animal Adolescents by Barbara Natterson-Horowitz and Kathryn Bowers

Four tests of adolescence:

  1. 1. Be safe from threat
  2. 2. Socialize
  3. 3. Connect romantically
  4. 4. Live independently

What could help that child grow toward their full potential?

How may nature help?

Nature can be more than an exposure. It can be a developmental setting.

Natural settings can provide opportunities to explore, encounter manageable challenges, build skills, make choices, develop competence, form relationships, take responsibility and contribute to something beyond oneself.

Nature may be relevant not only to treating childhood illness,but to promoting childhood health.

Childhood is more than the prevention or treatment of disease.

It is the opportunity to grow, play, connect, discover, belong, contribute and become.

The opportunity

And nature should have a central place in childhood.

Not only as an intervention when something is wrong, but as part of the everyday environments in which children grow, play, learn, connect and become.

This idea isn't new.

Long before modern science named concepts like biophilia or attention restoration, many Indigenous knowledge systems understood wellbeing as inseparable from relationships with land, community, culture and other living beings. These traditions are diverse, but they challenge the idea that nature is simply something outside us to which we are occasionally exposed.

Perhaps the question isn't only what nature does to us.

Perhaps it is what happens when a relationship fundamental to human development is diminished.

One child. Many pathways.

Nature is unlikely to act through a single mechanism. Its importance may lie in its ability to influence several interacting systems at the same time.

At the center

The developing child

Body

Stress reductionAutonomic regulationMovement & physical activitySunlight & vitamin D synthesisMicrobial exposureImmune modulationPlant-derived compounds

Mind

BiophiliaAttention restorationSoft fascinationSensory integrationExplorationLearning

Relationships

Secure attachmentCaregiver-child interactionPeer connectionIntergenerational activityPlace attachmentBelonging

Development

AgencyAssetsEnabling environmentsContributionMasteryMeaning & purpose

Environment

Heat bufferingNoise reductionAir qualityBiodiversityNeighborhood qualityCommunity cohesion

These pathways overlap. Nature may shape a child's health through several interacting biological, psychological, relational, developmental and environmental processes at once.

Ideas behind the pathways

The hypothesis that humans possess an evolved tendency to attend to and affiliate with life and living systems.

Edward O. Wilson was an American biologist and Harvard professor who popularized the modern concept of biophilia; Yale social ecologist Stephen Kellert helped develop it into the broader Biophilia Hypothesis.

Natural environments may support recovery from stress, including changes in emotional and physiological arousal.

Roger Ulrich is a researcher in environmental psychology and evidence-based healthcare design whose influential studies of responses to natural and built environments helped establish Stress Reduction Theory.

Nature may engage attention more gently—through “soft fascination”—allowing effortful directed attention opportunities to recover.

Rachel and Stephen Kaplan were environmental psychologists at the University of Michigan whose research on how people perceive and respond to environments led to Attention Restoration Theory.

Regulation, sensory experience, movement, relationships and patterned experiences can shape the conditions in which higher-order learning occurs. The Neurosequential Model is a developmental framework rather than direct evidence that nature itself produces these effects.

Bruce D. Perry is an American psychiatrist and neuroscientist whose clinical and research work with children affected by trauma and developmental adversity led him to develop the Neurosequential Model.

Movement and vestibular experiences have long influenced therapeutic and educational approaches, including Frank Belgau's work. Specific claims about the Belgau approach require careful interpretation because the independent evidence base is limited.

Frank Belgau was an educator who developed movement- and balance-based activities intended to support learning; his work became the basis of the Learning Breakthrough Program, although independent evidence for its specific claims remains limited.

Ultraviolet B (UVB) radiation from sunlight can trigger vitamin D synthesis in exposed skin. Vitamin D is important for calcium absorption and bone health, and deficiency can cause rickets in children. This is a sunlight pathway—not a benefit unique to nature: outdoor time in many settings can provide sunlight exposure. Sun exposure also carries skin-cancer risk, so vitamin D should not be used as a reason to encourage unprotected UV exposure; diet and supplementation are additional sources.

This is not a theory attributable to a single originator, but an established physiological pathway built from decades of research showing that ultraviolet B radiation can initiate vitamin D synthesis in human skin.

Contact with biodiverse environments may alter microbial exposure and immune regulation. A daycare biodiversity intervention found changes in children's microbiota and markers associated with immune regulation.

This pathway emerged from research across microbiology, immunology and evolutionary medicine, including the hygiene, old-friends and biodiversity hypotheses, rather than from a single originator.

Nature and horticulture can provide enabling environments in which young people build assets, exercise agency and make meaningful contributions.

Positive Youth Development emerged from developmental science and youth-development practice; developmental psychologist Richard M. Lerner and colleagues developed the influential Five Cs model of competence, confidence, connection, character and caring.

Natural settings can provide contexts for exploration, caregiver-child interaction, peer connection, belonging and place attachment. Evidence supports possible socioemotional benefits, but nature exposure should not be interpreted as directly producing secure attachment.

Modern attachment theory was founded by British psychiatrist John Bowlby and advanced empirically by developmental psychologist Mary Ainsworth, whose work examined how early caregiver relationships shape children's security and exploration.

Children develop through relationships and interactions within multiple environmental contexts over time. Health therefore exists not only within a child, but between children, families, communities and places.

Urie Bronfenbrenner was a developmental psychologist at Cornell University who developed ecological systems theory to explain how children's development unfolds through interactions with families, communities, institutions and the wider social environment.

Green space can influence environmental exposures including heat and noise, while vegetation and green infrastructure may also alter exposure to air pollution. Effects vary by setting, vegetation and design.

This is not a single-originator theory but a pathway synthesized across environmental health, epidemiology, urban ecology and public-health research examining how green environments can modify exposures such as heat, noise and air pollution.

Trees and plants release volatile compounds, including compounds often discussed as phytoncides, that are being investigated as possible biological pathways linking forest exposure and health. Much of this evidence is not pediatric, so this remains an emerging mechanism.

This is an emerging research area rather than a theory with one originator, drawing on forest medicine, plant chemistry and immunology to investigate whether volatile compounds released by plants may contribute to physiological responses to forest exposure.

Growing and caring for living things can create opportunities for responsibility, skill building, agency and contribution: I chose this. I learned this. I cared for this. I helped this grow.

This pathway draws especially on Positive Youth Development and related developmental theories; Richard M. Lerner and other developmental scientists have emphasized young people's strengths, agency and opportunities to contribute as features of healthy development.

Why horticulture?

Nature you can
participate in.

Horticulture is unusual because it combines nature exposure with movement, sensory experience, responsibility, learning, relationship, agency, mastery, contribution and time.

Move
Notice
Touch
Choose
Learn
Care
Return
Master
Contribute
Explore the horticultural therapy & therapeutic horticulture literature ↗

Horticultural therapy

When working with plants becomes part of care.

People can experience nature in many ways. Horticultural therapy occupies a particular place within that larger landscape: plants, gardens and horticultural activities are used intentionally toward human health, rehabilitation, vocational or developmental goals.

Horticultural Therapy / Therapeutic Horticulture can serve different human goals.

Horticultural therapy programs have historically been organized around three broad types of goals. The same medium—working with plants—can be directed toward very different human needs and outcomes.

Therapeutic

What health or functional goal are we working toward?

Horticultural activities may be structured around specific treatment or rehabilitation goals.

Memory & cognition
Motor skills & coordination
Physical rehabilitation
Emotional & behavioral goals
Participation in recovery

Vocational

What skills support work, independence and participation?

Horticulture can provide concrete tasks through which people practice skills relevant to employment and independent functioning.

Following directions
Task initiation & completion
Problem-solving
Job readiness
Horticultural work skills

Wellness

How might horticulture support a healthier, more connected life?

Gardening and plant-based programs may also be organized around wellbeing, participation and healthy daily living.

Physical activity
Social connection
Meaningful routine
Volunteering & contribution
Connection with plants & place

This three-part framework draws on Haller's description of vocational, therapy, and social/wellness horticultural therapy programs and later professional models of therapeutic, vocational, and wellness practice.

An important distinction: these three domains describe ways horticulture can be directed toward human goals. Not every wellness-oriented gardening program meets AHTA's professional definition of horticultural therapy.

27

distinct nature-based health interventions

Identified through a Delphi expert-elicitation process

19 experts7 countries
Shanahan et al. · 2019 ↗

Nature-based care is not one thing

Horticultural therapy sits within a much larger family of nature based health interventions.

Nature-based interventions can involve changing environments, changing behavior, organized programs, therapeutic activities or combinations of these approaches. They can be used in prevention, health promotion, rehabilitation and treatment.

Environment
Behavior
Horticulture appears across the landscape

Explore all 27 nature-based interventions

+

Environment

Alter the environment

11

Gardens in hospitals or residential care

Restorative garden spaces within healthcare settings.

American Horticultural Therapy Association ↗
Nature within rooms in healing environments

Bringing views and elements of nature indoors.

Shanahan et al. ↗
Indoor plants in workplaces or other indoor environments

Adding living plants to everyday indoor spaces.

Shanahan et al. ↗
More public urban parks and gardens

Increasing access to green space in cities.

Trust for Public Land ↗
Improvement of public urban parks and gardens

Making existing urban green spaces more usable.

Trust for Public Land ↗
Walking, bicycle or shared-use paths and trails

Creating routes that support active outdoor movement.

Rails-to-Trails Conservancy ↗
Streetscape enhancement and green corridors

Greening streets and connecting natural spaces.

American Society of Landscape Architects ↗
Community gardens and allotments

Shared spaces for growing plants together.

American Community Gardening Association ↗
Greening childcare or school grounds

Bringing nature into children's learning environments.

Green Schoolyards America ↗
Outdoor gym equipment

Outdoor spaces designed for physical exercise.

National Recreation and Park Association ↗
Accessible natural environments

Making natural spaces usable by more people.

National Center on Accessibility ↗

Behavior

Programs & activities

16

Green, nature, park or garden prescriptions

Encouraging nature exposure as part of healthcare.

Park Rx America ↗
Care farming or farm therapy

Farm activities supporting health and wellbeing.

Care Farming Network ↗
Residential retreats

Immersive stays in nature-oriented therapeutic settings.

Shanahan et al. ↗
Wilderness therapy

Using wilderness experiences toward therapeutic goals.

Association for Experiential Education ↗
Wilderness programs

Structured group experiences in remote natural settings.

Outward Bound ↗
Ecotherapy

Using nature engagement within therapeutic practice.

Mind — Ecotherapy ↗
Pet or pet-assisted therapy

Incorporating animals into therapeutic activities and relationships.

Pet Partners ↗
Forest bathing

Mindful sensory immersion in a forest environment.

Association of Nature and Forest Therapy ↗
Green gyms or environmental volunteering

Combining physical activity with environmental stewardship.

The Conservation Volunteers — Green Gym ↗
Outdoor exercise groups

Participating in organized physical activity outdoors.

parkrun ↗
Nature play or wild play

Unstructured play and exploration in nature.

Children & Nature Network ↗
Forest schools, outdoor classrooms or learning environments

Using outdoor environments for learning and development.

Green Schoolyards America ↗
Children's kitchen gardens

Children grow food while learning through gardening.

KidsGardening ↗
Outdoor education schemes

Structured learning experiences conducted outdoors.

Association for Experiential Education ↗
Promotion and facilitation campaigns

Encouraging people to spend more time in nature.

Children & Nature Network ↗
Blue gym

Promoting activity in coastal and aquatic environments.

BlueHealth research ↗

AHTA

American Horticultural Therapy Association

AHTA · Horticultural Therapy ↗
American Horticultural Therapy Association

What makes horticultural therapy different?

The activity is purposeful. The goals are intentional.

AHTA defines horticultural therapy around participation in horticultural activities facilitated by a qualified horticultural therapist within an established treatment, rehabilitation or vocational plan. The process of working with plants is used toward identified goals.

Horticultural therapy is not synonymous with every beneficial gardening experience.

AHTA distinguishes formal horticultural therapy from the broader practice of therapeutic horticulture. That distinction matters when describing clinical programs, practitioners and outcomes.

An old idea becoming a profession.

The relationship between gardens and healing is ancient. What changed over time was the development of a deliberate, professional practice around that relationship.

•

Ancient roots

Gardens and healing

Cultures across history have connected gardens, plants and restorative environments with human wellbeing.

•

18th–19th c.

Medicine takes notice

Gardening increasingly appeared in institutional and mental-health care, including observations associated with Benjamin Rush and the moral-treatment era.

•

20th century

Rehabilitation expands

Work with veterans and rehabilitation programs helped extend horticultural practice beyond psychiatric settings and toward physical recovery and vocational goals.

•

1973

A national organization

The National Council for Therapy and Rehabilitation through Horticulture was established in the United States.

•

1987 → today

AHTA

The organization became the American Horticultural Therapy Association as education, professional standards, ethics and credentialing continued to develop.

From practice to profession.

Professional horticultural therapy brings together knowledge of plants, knowledge of people and the ability to translate both into purposeful, safe and ethical therapeutic practice.

01

Education

02

Applied experience

03

Credentialing

04

Ethical practice

05

Professional development

Professional credentialing

How is the field credentialed?

Education → practitioner recognition → board certification

Education

HT Certificate

College or university education in horticultural therapy.

Educational credential

Practitioner recognition

THP

Recognition for trained practitioners with documented experience.

500+ documented work hours

Advanced certification

HT-BC

AHTA's advanced professional board certification.

Education + experience + examination

HTRLegacy professional designation · closed to new applicants in 2026
Existing HTRs retain designation

HT-BC professional competencies

A professional horticultural therapist needs to understand both plants and people.

Horticulture
Program planning & activity design
Treatment planning
Business practice, safety & ethics
Professionalism & scholarship
Managing human resources

Credentialing is also a commitment to professional responsibility.

Professional standards connect knowledge and technical skill with ethics, safety, client welfare and accountability.

A field can have history, theory and professional standards. The next question is whether the evidence supports the work.

Because the evidence is no longer small.

Research on nature and health now spans thousands of publications, while a growing pediatric literature is examining what nature exposure may mean specifically for children and young people.

Bibliometric review · Environmental Research Letters · 2020

How the green space and health field has evolved over more than a century

This was a bibliometric review—not a clinical systematic review asking whether every study found a health benefit. The authors used publication patterns and keyword clustering to map how the green-space-and-health research field developed over more than a century.

18,961

publications mapped · 1901–2019

Explore the findings
Figure 2 from Zhang et al. showing annual publications, active journals, and Web of Science subject categories from 1901 through 2019.

1990s →

rapid growth of the field

Publications, participating journals, countries and institutions increased steadily from the 1990s onward.

3

major knowledge domains

Keyword clustering identified three broad domains: green space and physical health, mental health, and ecosystem health.

↑

increasing interdisciplinarity

The field increasingly crossed disciplinary boundaries, with environment-related disciplines becoming especially prominent.

Pediatric bibliometric analysis · Frontiers in Psychology · 2025

The evidence base for nature exposure and children's health is rapidly growing.

Research examining urban green and blue spaces and children's health entered a period of rapid expansion beginning around 2016.

575 publications spanning 1981–2024.

575

publications analyzed

73

publications in 2024

Explore the findings
Annual publications on urban green and blue spaces and children's health from 2016 through 2024, rising from 20 publications in 2016 to 73 in 2024.
Recent portion of the publication trend reported by Kang & Guo. Annual publications increased from 20 in 2016 to 73 in 2024. Values are reproduced from their published Figure 1.

Important context

This is a bibliometric study: publication growth demonstrates increasing scientific attention, not that every publication found a health benefit or that causality has been established.

Kang & Guo, 2025 · Frontiers in Psychology ↗

Pediatric systematic review · Pediatrics · 2021

The American Academy of Pediatrics systematically reviewed the evidence linking nature contact and children's health.

The 296 included studies did not test one single intervention. They examined many forms of children's contact with nature—from residential greenness and parks to outdoor activity and nature-based experiences—and measured a wide range of health outcomes.

10,940

records screened

296

studies included

Explore the findings

147

studies examined residential green space

About half of the included studies focused on the amount of green space around children's homes or neighborhoods.

108

studies examined physical activity

Physical activity was the most frequently studied health outcome, with the review finding the strongest overall evidence in this domain.

85

studies examined cognitive, behavioral or mental health

A substantial portion of the literature examined attention, cognition, behavior, emotional health and related outcomes.

What this review adds

Across a large and heterogeneous literature, the authors concluded that the strongest evidence supported beneficial relationships between nature contact and children's physical activity and cognitive, behavioral and mental health.

Important context

The review also makes clear that this is not equivalent to 296 randomized trials. Most included studies were observational: 204 of 296 (69%) were cross-sectional, and the authors identified moderate-to-high risk of selection bias across the evidence base. The findings support an association and a promising field of study, while stronger longitudinal and experimental research remains important.

Read the source: Fyfe-Johnson et al. — Pediatrics ↗

Overview of meta-analyses · eBioMedicine · 2024

More research does not automatically mean stronger evidence.

A 2024 overview went beyond counting studies and graded the credibility of existing meta-analytic evidence on green space and human health. It evaluated 154 unique meta-analyzed associations drawn from 34 systematic reviews.

154

associations graded

34

systematic reviews

4

moderate intervention associations

1

convincing observational association

Explore the findings

Two large and growing collections of pediatric research.

Two complementary research collections help show both the breadth of children's relationships with nature and the more focused literature on gardening, horticulture and therapeutic horticulture.

Children & Nature Network

1,529

youth research records

What happens when childhood takes place in relationship with the natural world?

The Children & Nature Network Research Library youth search spans research from early childhood through adolescence and examines nature across homes, schools, neighborhoods, parks, forests, gardens, blue spaces and therapeutic settings.

Explore Children & Nature Network Research Library ↗

The literature increasingly treats nature not as a single intervention, but as part of the environments in which children move, learn, play, relate and develop.

Children & Nature Network website

Important context: This is a research-library search result—not 1,529 clinical trials. The collection includes observational studies, interventions, qualitative and longitudinal research, reviews, meta-analyses and other scholarship.

GrowTH

153

Children & Youth records

What happens when children don't just experience nature—but grow, tend and care for it?

The GrowTH Horticultural Therapy / Therapeutic Horticulture Research & Readings Database brings together a focused body of literature involving children and youth. Across the collection, gardening and horticulture are examined in schools, hospitals, therapeutic programs and community settings.

Explore GrowTH Research & Readings Database ↗

Plants are not simply scenery in this literature. They become something children can touch, grow, care for, learn from and master.

GrowTH Therapeutic Horticulture Learning Network website

Important context: This is a curated research and readings collection—not 153 clinical trials. The database includes intervention and observational research alongside reviews, meta-analyses, scoping reviews, theses, practice literature and other readings.

A continuum of nature engagement

From being in nature to using nature intentionally in care

Nature exposure

Active nature engagement

Guided nature activity as health intervention

Placement is conceptual rather than a strict boundary: both collections include research that can extend across more than one part of the continuum.

Database counts are presented separately because the collections overlap and use different inclusion and indexing methods. They should not be added together or interpreted as a count of independent clinical studies.

From evidence to practice

What happens when we try to bring nature into health care?

2026
From prescription to implementationHeimlich-McQuarters et al. · Frontiers in Public Health ↗

The nature-prescription field began confronting the gap between writing a prescription and making nature-based care accessible in everyday clinical practice.

Heimlich-McQuarters and colleagues examined how nature-based prescriptions can move from recommendation to practice, emphasizing patient access, adherence, health disparities and the practical barriers that can limit integration into clinical care.

Clinical implementation & access · Nature prescriptions

Frontiers in Public Health ↗
2025
Obesity treatment extends beyond the clinic into the parkArmstrong et al. · Pediatrics ↗

A pediatric randomized trial showed that obesity treatment can extend from the clinic into community parks and recreation.

Fit Together extended pediatric obesity treatment into community recreation settings. The randomized trial improved BMI relative to the 95th percentile, although cardiorespiratory fitness did not significantly differ.

Randomized controlled trial · Pediatrics

Pediatrics ↗
2025
Understanding implementation barriersPaquet et al. · Health Promotion International ↗

For children and youth, the question increasingly became not only whether to prescribe nature—but what helps families and providers make those prescriptions work.

A scoping review of 10 studies examined barriers and facilitators to implementing nature prescriptions for children and youth. Major themes included safety considerations, materials and resources, provider and caregiver support, program design, access and the need to tailor prescriptions to families' circumstances.

Scoping review · Pediatric nature-prescription implementation

Health Promotion International ↗
2025
Embedding nature into healthcare systemsHunt et al. · Child and Adolescent Mental Health ↗

Children's healthcare services began asking how nature-based approaches could become part of routine clinical practice.

Hunt and colleagues drew lessons from nature-based work across three UK healthcare systems, including Alder Hey Children's NHS Foundation Trust. Their reflections focused on the relational, procedural and environmental factors needed to integrate nature-based approaches into care for children and young people.

Clinical implementation · Child & adolescent healthcare

Child and Adolescent Mental Health ↗
2023
Nature prescriptions synthesized across studiesNguyen et al. · The Lancet Planetary Health ↗

Across controlled studies, nature prescriptions showed measurable mental-health, blood-pressure and walking benefits—but study quality remained a limitation.

Across 92 controlled studies, nature prescriptions were associated with improvements in blood pressure, depression, anxiety and daily steps. Most studies still had moderate-to-high risk of bias.

Systematic review & meta-analysis

The Lancet Planetary Health ↗
2023
Randomized evidence is synthesizedAdewuyi et al. · Environmental Research ↗

Randomized trials found benefits across several health domains, while also showing that stronger trials are still needed.

A review of 31 randomized trials found positive results across psychological well-being, cardiometabolic health, physical activity and inflammation. Twenty-eight of the 31 trials nevertheless had at least some risk-of-bias concerns.

Systematic review of randomized controlled trials

Nature prescription systematic review ↗
2022
Pediatric Park Rx enters rigorous testingZarr et al. · Contemporary Clinical Trials ↗

A large pediatric randomized trial was designed to test whether park prescriptions could become a measurable clinical intervention for children with chronic conditions.

The Park Rx trial described a five-year randomized study designed to enroll 500 children ages 6–16 receiving care at a federally qualified health center in Washington, DC. Park prescriptions specified a place, activity, frequency and duration, with outcomes including physical activity, park use, cardiometabolic measures and mental health.

Randomized controlled trial design · Pediatric Park Rx

Contemporary Clinical Trials ↗
2020
Park prescriptions tested experimentallyMüller-Riemenschneider et al. · International Journal of Behavioral Nutrition and Physical Activity ↗

A randomized park-prescription trial increased park use and recreation, but did not significantly increase the primary overall physical-activity outcome.

A randomized trial found that park prescriptions increased park use and recreational activity. They did not significantly improve the study’s primary measure of total moderate-to-vigorous physical activity.

Randomized trial · Adults

International Journal of Behavioral Nutrition and Physical Activity ↗
2018
Pediatric Park Rx shows stress benefitsRazani et al. · PLOS ONE ↗

A pediatric park-prescription trial found lower parental stress over time, while extra organized group outings added no clear benefit.

In a pediatric park-prescription trial, parental stress decreased and more park visits were associated with greater stress reduction. Facilitated group outings did not clearly outperform the simpler prescription.

Randomized trial · Pediatric safety-net clinic

PLOS ONE ↗
2017
Testing how prescriptions become participationRazani et al. · Contemporary Clinical Trials ↗

Pediatric clinicians began testing how much support families need to turn a park prescription into actual nature contact.

The SHINE trial recruited caregiver-child pairs from an urban safety-net clinic and compared a basic pediatric park prescription with added organized park support. It helped move park prescriptions from an appealing idea toward a testable clinical intervention.

Pediatric park-prescription trial design

Contemporary Clinical Trials ↗
2016
Nature becomes a pediatric prescriptionCoffey & Gauderer · Ecopsychology ↗

Pediatric primary-care clinicians showed that nature could literally be written as a prescription during well-child care.

Coffey and Gauderer studied a Park Rx program in which clinicians wrote 1,935 nature prescriptions for children ages 6–10. The prescriptions encouraged free, unstructured play in nature and could be redeemed for a state-park day pass; 13% were redeemed, highlighting both the feasibility of prescribing nature and the challenge of translating a prescription into participation.

Pediatric primary care · Park Rx implementation

Ecopsychology ↗
2016
Clinical advice connects with community natureJames et al. · Clinical Pediatrics ↗

Pediatric primary care showed that outdoor play could be prescribed and connected to community programming.

Outdoors Rx linked pediatric physical-activity counseling with community outdoor programs. The model was feasible and well received by participating clinicians and families.

Pediatric clinical program · Outdoors Rx

Clinical Pediatrics ↗
2008
Nature enters evidence-based healthcare designUlrich et al. · HERD ↗

Evidence-based health-care design increasingly treated nature and daylight as features that could influence patient outcomes.

A major review of evidence-based health-care design concluded that the physical environment can affect health and safety outcomes. Views of nature and other positive distractions became part of a broader effort to design hospitals around evidence rather than aesthetics alone.

Evidence-based health-care design review

HERD ↗
2008
Plants become part of pediatric cancer careFried & Wichrowski · Primary Psychiatry ↗

Horticultural therapy brought active engagement with plants directly into pediatric cancer care.

Fried and Wichrowski described a horticultural therapy program at NYU's Stephen D. Hassenfeld Children's Center for Cancer and Blood Disorders. The program used plants and gardening activities to support sensory, cognitive and communication skills while providing a stress-reducing activity during treatment.

Pediatric hematology/oncology · Horticultural therapy program

Fried & Wichrowski · Primary Psychiatry ↗
2005
Healing-garden design is evaluatedSherman et al. · Landscape and Urban Planning ↗

Pediatric healing gardens showed that access, design and opportunities for interaction shape how nature is actually used in health care.

Evaluation of pediatric cancer-center gardens showed that patients and families used gardens differently depending on access and design. The study underscored that simply having green space is not enough.

Pediatric cancer center · Healing-garden evaluation

Landscape and Urban Planning ↗
2001
Children's healing gardens are evaluatedWhitehouse et al. · Journal of Environmental Psychology ↗

A children's hospital healing garden felt restorative—but simply building a garden did not guarantee that families would use it.

Families and staff described a children’s hospital healing garden as restorative, but it was used less than intended. Children and families wanted more greenery and more opportunities for interaction.

Pediatric healing garden · Post-occupancy evaluation

Journal of Environmental Psychology ↗
1991
Nature and recovery from acute stressUlrich et al. · Journal of Environmental Psychology ↗

Even brief exposure to natural scenes appeared to accelerate recovery from acute stress.

After a stressful film, participants viewing natural environments showed faster and more complete physiological and emotional recovery than those viewing urban settings. The experiment helped establish stress reduction as a plausible pathway linking nature and health.

Experimental stress-recovery study · Adults

Journal of Environmental Psychology ↗
1984
Nature views and surgical recoveryUlrich · Science ↗

Patients recovering from surgery did better when their hospital windows looked onto nature.

Postoperative patients with views of trees had shorter hospital stays, fewer negative nursing notes and used fewer potent analgesics than matched patients facing a brick wall. The landmark study involved adults, not children.

Foundational hospital-environment study · Adults

Science ↗

What should we study next?

The evidence base is growing, but many of the questions most relevant to children remain unanswered. The five clinical stories on this page suggest five pediatric research programs for horticultural therapy and related nature-based interventions.

+

Infants + caregivers

Explore question ↓

Research question

Can horticultural programs support caregiver wellbeing and the caregiver-child relationship?

Outcomes to study

Postpartum mood, stress physiology, parent-child interaction, social connection and family food security.

+

Autism + development

Explore question ↓

Research question

How can horticultural therapy be adapted for children with different sensory, developmental and communication needs?

Outcomes to study

Regulation, participation, motor activity, attention, adaptive skills, agency and quality of life.

+

Cardiometabolic health

Explore question ↓

Research question

Can gardening make movement, food learning and healthy behavior more engaging and sustainable?

Outcomes to study

Physical activity, diet quality, fruit and vegetable exposure, blood pressure, metabolic outcomes and adherence.

+

Chronic disease

Explore question ↓

Research question

Can horticultural therapy support children whose daily lives are shaped by illness, treatment or hospitalization?

Outcomes to study

Stress, symptom burden, coping, mastery, treatment fatigue, physical activity, quality of life and hospital experience.

+

Mental health + transition

Explore question ↓

Research question

Can caring for living things support adolescents as they develop identity, competence, belonging and purpose?

Outcomes to study

Anxiety, depression, loneliness, resilience, self-efficacy, social connection, meaning and transition to adulthood.

Better questions need better studies.

Test what works for these children

For the infant and caregiver, the child with autism, the child with cardiometabolic risk, the child managing chronic disease and the adolescent facing mental-health challenges, we need rigorous pediatric studies that test whether these interventions improve outcomes that matter to them.

Define what each child receives

A garden is not a single intervention. Was the child planting, harvesting, moving, growing food, exploring sensory materials or participating in horticultural therapy? Studies should describe the activity, setting, facilitator, frequency, duration and intensity.

Measure what matters to each child

The outcomes should match the child: caregiver wellbeing and connection in infancy; regulation and participation in autism; movement and cardiometabolic health; coping and quality of life in chronic disease; and belonging, mental health and purpose in adolescence.

Learn how much is enough

A single garden visit and a year-long horticultural program are not equivalent. We need to know how often children need these experiences, how long they should last, whether benefits accumulate and whether changes persist after participation ends.

Understand how change happens

The five children may benefit through different pathways. Movement, stress regulation, sensory experience, attention, social connection, agency, food exposure and time outdoors should be measured so we can understand not only whether an intervention works, but how.

Learn which child needs which setting

The question is not simply whether nature helps children. It is which experiences may help which children, at which developmental stages, and in which settings—from hospitals and schools to homes, community gardens and therapeutic programs.

These priorities reflect recurring gaps across the literature: inconsistent interventions and outcomes, limited causal evidence, unanswered questions about mechanisms and dose, and the need for longer follow-up and more diverse populations and settings.

These are proposed research directions—not claims that horticultural therapy has already been proven effective for each population. The opportunity is to test those questions systematically.

The moment is here

We are beginning to understand what nature could offer these children. And the evidence base is growing.

But evidence is only useful if there are places to put it into practice.Fortunately, the infrastructure is growing too.

The infrastructure exists

We are not starting from zero.

219

mapped horticultural therapy professionals

Source: AHTA HTR Directory ↗

AHTA regional groups extend that infrastructure locally.

Loading regional groups map...
California Horticultural Therapy Network
Carolinas Horticultural Therapy Network
DMV HT Networking Group
Florida Horticulture for Health Network
Michigan Horticultural Therapy Association
Mid-Atlantic Horticultural Therapy Network
Northeast Horticultural Therapy Network
Northwest Therapeutic Horticulture Networking Group
Rocky Mountain Horticultural Therapy Network
Southwest Regional Group
Multiple regional groups
Source: AHTA Regional Groups ↗

Communities surrounded by a growing professional network

These communities have the most mapped horticultural therapy professionals within 100 miles of the city center.

01Elizabeth, NJ41
02Paterson, NJ41
03Allentown, PA40
04Yonkers, NY37
05Stamford, CT28
06Bridgeport, CT22
07Hillsboro, OR21
08New Haven, CT20
09Waterbury, CT17
10Hartford, CT14
11Alexandria, VA9
12Lowell, MA7
13Manchester, NH7
14Springfield, MA7
15Worcester, MA7
16Cambridge, MA6
17Lynn, MA6
18Brockton, MA5
19Quincy, MA5
20Roanoke, VA5
21Providence, RI4
22New Bedford, MA3
23Federal Way, WA2
24Hampton, VA1
25Syracuse, NY1

Counts are based on 219 validated, mapped professionals in the current AHTA directory dataset. These counts compare the 25 cities previously identified as high-availability cities in the broader directory analysis.

Where the field has room to grow

The next chapter may be written in places with less access today.

These 25 large U.S. cities have the lowest measured availability of mapped horticultural therapy professionals within 100 miles of each city center. They point toward opportunities for training, workforce development, partnerships and expanded access.

The infrastructure for growth may already be nearby

Low professional availability does not mean an absence of places to begin.

Nature sites within 100 miles of these 25 low-availability cities. These may represent existing infrastructure around which horticultural therapy could grow.

Loading children's hospital maps…

The opportunity is already around us

Nature is closer than we think.

177,000+

publicly accessible nature sites

Parks, gardens, trails, natural areas, arboreta, wildlife sites and therapeutic landscapes identified through the Kids Need Nature database.

Source: Kids Need Nature — Nature Finder ↗

Search Nature Finder

Find Nature Near You

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Search a location above to create a Nature Location Report.

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Search all 0 published nature sites by name, city, state, ZIP code, feature type, or data source.

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A growing, interactive resource

Nature Finder is designed to keep growing.

The map brings together nature locations from organizations across the country—and communities can help make it better. If a park, garden, trail or other nature space is missing, it can be submitted for review and inclusion.

Know a place that belongs on the map?

Help Nature Finder become more complete.

Submit a Nature Location →

Where the Nature Finder data comes from

Built from many sources.
Brought together in one place.

Nature Finder data sources for publicly accessible nature sites across the United States

Parks, Public Lands & Wildlife

4 sources

USGS PAD-US ↗

Protected Areas Database of the United States

ParkServe ↗

ParkServe® — Trust for Public Land

NPS GIS Data ↗

National Park Service — Public Points of Interest

AZA Directory ↗

Association of Zoos and Aquariums

Gardens & Horticulture

4 sources

AHS Garden Network ↗

American Horticultural Society Garden Network

ACGA Garden Map ↗

American Community Gardening Association

BGCI GardenSearch ↗

Botanic Gardens Conservation International — GardenSearch

APGA Garden Finder ↗

American Public Gardens Association — Garden Finder

Children, Schools & Outdoor Learning

3 sources

National School Garden Map ↗

School Garden Support Organization Network — National School Garden Map

Outdoor Learning Map ↗

Green Schoolyards America — Outdoor Learning Map

KidsGardening Grantees ↗

KidsGardening Grantees

Health & Therapeutic Nature

4 sources

Walk Locations ↗

Walk with a Doc

Healthcare Gardens ↗

Therapeutic Landscapes Network

FLHHN Resource Hub ↗

Florida Horticulture for Health Network

AHTA →

American Horticultural Therapy Association

User Submitted

1 source

Submit a Location →

Community-submitted nature locations

The pieces are coming together.

We have growing evidence for nature and health. We have professionals working to put that knowledge into practice. And we have a vast network of parks, gardens, trails, schoolyards, therapeutic landscapes and other nature spaces embedded in communities across the country.

The opportunity is to connect them.

Why not now?

This could not be a better time.

The nature is there.

The professionals are there.

The science is increasingly there.

Think back to the five children at five different moments in childhood.

4 months

A new baby at the beginning of life, with psychosocial challenges in their parent.

3 years

Development through movement, play and exploration.

7 years

Navigating food, physical activity and weight-related health.

9 years

Living with chronic disease while developing independence and confidence.

17 years

Mental health and the transition toward adulthood.

And think about all of the children who can benefit from nature.

72,021,348CHILDREN IN AMERICAEvery child

The opportunity

Let's give them the best childhood possible.

Children need medicine.

Children need families.

Children need communities.

Children need opportunities.

And children need nature.

References & Sources

Child health & development

Nature & health evidence

Theory, mechanisms & horticulture

Programs, practice & data