The impact of therapeutic ornithology on mental well-being in psychiatric long-term care and psychiatric day clinic patients: a quantitative and qualitative study

Introduction:
Contact with nature and intentional nature-based interventions have been shown to improve mental well-being, including reductions in anxiety and low mood, in both clinical and non-clinical populations. This study aimed to evaluate the impact of therapeutic ornithology sessions on mental well-being in two psychiatric care settings: a long-term care facility (ZOLP) and a day clinic.

Material and methods:
Twenty-nine participants took part (14 in ZOLP, 15 in the day clinic), with complete pre- and post-session data from 7 individuals per group. Self-assessment questionnaires and qualitative responses to open-ended questions were used.

Results:
Quantitative data showed improved general well-being, increased energy, and reduced symptoms of anxiety, sadness, loneliness, and irritability. The most significant improvements were seen in general well-being (Q1) and energy (Q7), especially in the ZOLP group. Both groups also reported greater excitement (Q8) and better stress coping (Q14) post-session. Qualitative findings supported the quantitative results, offering deeper insight into participants’ emotional experiences. Across both settings, participants described relaxation, emotional relief, and mood improvement. ZOLP participants emphasized the role of the sessions in social bonding, while day clinic participants reported feelings of inner peace and connection with nature. Some also reflected on overcoming fear and uncertainty, indicating emotional growth.

Conclusions:
Therapeutic ornithology appears to be a promising and well-received complementary approach to enhancing mental well-being in psychiatric care. The discussion addresses the barriers to implementing nature-based interventions, with the aim of facilitating the recognition and overcoming of these barriers in clinical practice.