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According to the burden of disease assessments conducted by the World Health Organization (WHO), mental illness, also known as neuropsychiatric conditions, accounts for the largest human burden of noncommunicable diseases at the global level, representing approximately 14 percent of disease burden in all categories. Mental health is a complex concept to define precisely. It generally refers to a person's state of emotional well-being and an absence/presence of neuroses or other psychiatric conditions. A holistic view includes a wider range of factors: multiple interacting biological, environmental, social, and psychological variables. For example, WHO defines good mental health as a state of well-being that signifies the ability to recognize individual abilities, cope with life's normal stresses, work productively, and contribute positively to society.

In addition to established definitions, an emerging body of research shows that an environmentally aware lifestyle, and a healthy interaction with nature, nurtures mental well-being. See, for example, the Biophilia Hypothesis that was proposed and developed by Edward O. Wilson, Stephen R. Kellert, and Oladele A. Ogunseitan's study on the association of topophilia with quality of life. Indeed, nature-based therapies and opportunities to participate in green projects are being recognized as possible complementary approaches to the prevention and management of health problems. The need for effective approaches to understanding and promoting good mental health has never been greater. The number of people worldwide affected by a mental health problem is increasing, and a large number of people are likely to experience an illness at some point in their lifetime. This explores the role that green living can play in mental well-being, beginning with a brief overview of the relationships between mental health and encounters with nature; ecofriendly lifestyles; the use of green care as a complementary therapy; and healthcare systems. This entry also considers the future of green health in terms of health policy and increasing acceptance by health professionals.

Natural Landscapes and Well-Being

Natural landscapes promote a sense of emotional well-being. Contact with the environment, sometimes even minimally, has been associated with positive changes in physical and mental health. Studies have linked broad active and passive exposure to nature to a number of mental health variables, including reduced levels of stress, improved mood, increased social behavior, decreased levels of depression, and improvement in cognitive functioning. Encounters with the natural world may also be important for children's physical, emotional, and intellectual development.

Classic examples of this relationship include greater postoperative recovery in hospital rooms with views of a natural setting; less sickness among prisoners in cells that overlook farmland and trees; greater life satisfaction among workers who have window views of nature; reducing stress by spending time in the wilderness; and relationships between health complaints and exposure to green space in urban areas. Caring for pets has also been shown to have beneficial effects.

Several biologists and psychologists have suggested that the human affiliation with nature may be a product of evolution, refined via experience and culture. This implies an instinctive emotional bond between humans and habitats, activities, and objects in the natural surroundings; and could explain human response and social and cultural connection to the natural world.

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