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Impact of Horticultural Therapy in Urban Jail
Impact of Horticultural Therapy in Urban Jail
To cite this Article Rice, Jay Stone and Lremy, Linda(1998) 'Impact of Horticultural Therapy on Psychosocial Functioning
Among Urban Jail Inmates', Journal of Offender Rehabilitation, 26: 3, 169 — 191
To link to this Article: DOI: 10.1300/J076v26n03_10
URL: http://dx.doi.org/10.1300/J076v26n03_10
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Journal of Offender Rehabilllallon,Vol. 2.5 (3/4), 1998. Pp 169491.
0 1998 by The Haworth Press, hc. All r/gh/s reserved
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LINDA L. REMY
Universify of Calilornia, San Francisco
The roots of urban horticultural therapy may be found in the poor, over-
crowded, and dilapidated inner cities spawned by industrialization. Almost 100
years ago Campbell (189611975) describes a garden started by the Children’s
Aid Society in a poor wharf area of New York. This small plot was planted
with scented flowers to cover the smell of raw sewage. Plants started in this
garden’s small greenhouse were given to school children to grow in home
I70 JOURNAL OF OFFENDER REHABILITATION
window boxes. On sunny days children would bring their plants to the park
to receive dircct light and would acquire the sun’s bcnefit as well. Flowers
grown by this mission were given to the poor, the aged, prisoners, and thosc
who were sick. One year 160,000 bouquets were given away.
Urban horticultural therapy programs have contributed to community
pride, slum rehabilitation, lessening of vandalism, and increased self
worth in communitics across the United States (Burkhart, 1972; Lewis,
1996). Horticultural therapy also has been uscd to treat the predominantly
inner city residents incarcerated in our jails and prisons. Nineteen per cent
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RELATED STUDIES
Trarrrna’sInfluence on Self-Development
In previous papers, the authors discuss the role of trauma in the gencsis
of an inner city jail population (Remy, Rice, Maitino, & Roop, in progress;
Rice & Remy, 1993,1994). Path analysis determined the causal ordering
and relative importance of various environmental influences. Endemic
family instability and childhood victimization predicted drug use and
criminal justice involvement.
Because the issues of crime and criminals generate strong emotions and
idcological stances, the authors chose to view this population through the
lcns of Kohut’s self psychology. Kohut (1984) bascd his theory on the
perception of the “experience near.” Understanding his patients’ subjec-
tive life expericnce enabled him to diagnose and treat their maladaptive
patterns of self protection.
Kohut (1971, 1977) asserts repeated and traumatic empathic failures in
childhood contribute to the cxperience of self-fragmentation, thereby
impeding the experience of wholeness. Depression, hostility, as well as
substancc abuse and antisocial behavior, may be manifestations of self-
fragmentation (McCann & Pearlman, 1990).
Rehabilitation does not adequately describe the treatment needs of most
county jail inmates. Their early history of trauma and loss cxperienced
within an impoverished social and physical environment has hindered the
development of a cohesive core self. Inner psychological turmoil
advcrscly effccts the ability to concentrate and retain information from the
external environment (LaGreca & Stringer, 1985; Ogdon, 1984). The
resultant confusion contributes to the experience of inner pain (Kaplan,
1995). All of thcsc factors engender a profound sense of hopelessness.
Succcssfi~ltreatment for county jail inmates must address their arrested
development. Treatment must be provided with respect, understanding,
and support within an environment conducive to learning new skills and
ways of relating to othcrs.
172 JOURNAL OF OFFENDER REHABILITATION
I remember the older guys would tell you how great reform school was.
It was also a placc where inner-city kids could have fun in a rural area.
To me, reform school was a gas. Sometimes we would plan our juvenilc
activities so we could go to court in March or April and get sentenced to
six months and spend spring and part of the summcr in refom school. It
was f i n to get away from the city; you had your buddies therc. (C. S.
Dutton, quoted in Rothstein, 1990, p. B3)
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The tasks facing county jail inmates returning to the coinmunity are
daunting. Often they must find housing, work, and resolve troubled family
relationships. They also must resist returning to substance use and crimi-
nal activity. In essence, they must competently redirect the course of their
lives.
Kaplan (1 995) states that natural environments promote competencc by
providing restorative experiences and catalyzing fascination, which relies on
involuntary attention. Restorative experiences aid reflection while fascination
enhances the ability to direct attention. Kaplan and Kaplan (1989) define
reflection as a means of extracting meaning from the past which affords an
opportunity to plan and anticipate hture experiences. Direct attention is the
capacity to focus on a task by inhibiting all internal and external distracting
impulses.
Jay Sforie Rice arid Lirida L. Rerny I 73
Reflection and direct attention are compromised when one faces ovcr-
whelming survival tasks or experiences considerable inner turmoil.
Inmates often return to psychological, social, and physical environments
which may significantly hampcr their ability to begin a new life.
In addition to facilitating reflection and direct attention, natural restor-
ative experiences also appear to influence the desire for new cxperiences.
Cimprich (1992, 1993) randomly assigned breast cancer patients to an
experimental group which required participation in three 20 minute restor-
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ative activities weekly or a control group which was not told about restor-
ative experiences. Patients were provided with a broad range of rcstorative
experiences, but they generally selected walking in nature or gardening.
Paticnts who participated in restorative activities were more likely to begin
new projects after leaving the hospital, whercas patients in the control
group did not. The restorative environment provided by the Garden Proj-
ect may help inner city county jail inmates reflcct, direct their attention,
and begin to reshape their life patterns.
METHODS
Since 15.5% of the inmates were women and 18.2% Caucasian, the
decision was made to block on scx and ethnicity. This represented an
oversampling of Whites and females. Hispanics were dropped from the
study because few English-speaking Hispanic male subjects were willing
to be in the study. There were very few female Hispanic inmates in the
program facility.
All but six subjects were under the age of 30. Approximately 58% had
not completed high school and 62% were unemploycd. The majority of
inmates came from seven lower income ncighborhoods. Inmates had been
sentenced predominantly for drug or drug related offenses.
Baseline data was collected from 57 inmates incarcerated at San Fran-
cisco Sheriffs Department’s Program Facility. Forty-eight inmates were
randomly assigned to the Garden Project or other new generation jail
programs. Subjects wcre interviewed at discharge from the jail and at least
three months post-release. For a complete description of methods see Ricc
(1993).
Measures
Thc full version of the TCU/DATAR Self Rating Form and the TCU/
DATAR Intake Form (Simpson, 1991), as revised by Remy (1991) to
include the Violence History Qucstionnaire, were used for this study. The
DATAR Project developed thcse instruments for use with addicts entering
drug abuse treatment. The intake form includes sections on family back-
ground and drug history. The Self-Rating Form includes short scales for
measuring psychosocial functioning. It includcs brief assessments of
depression, hostility, risk-taking, and dcsire for help (Simpson, 199 1).
This paper presents selected data gathered with thcse instruments. Com-
plete study data arc reported in Rice (1993).
Analysis
Data was entered two times into dBASE 111 Plus files and rcad dircctly
from there into SAS datasets. The data were 100 percent verified using
SAS programs. Simple univariate descriptive statistics including frequen-
cies, means, and variable distributions were obtained. Bascd on these
initial results, variables were eliminated or recoded as appropriate.
Next, sets of variables reflecting temporal and ecological ordering were
subjected to bivariate analyses including cross-tabulations, tests for diffcr-
ences of mcans, and corrclations including reliability (Carmincs & Zellcr,
1979; Fleiss, 1981; Glantz, 1987). Some sets of variables were subjected
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FINDINGS
Childhood YictiniizationHistory
13 to 18
12
100
80
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60
40
20
Substatices Used
Figure 3 displays baseline summaries for the most frequently used
substances, indicating for each substance whether subjects had used in the
thirty days before incarceration, in the last year, or ever. Women were
more likely than men to have used cocaine, heroin, and heroin mixed with
cocaine. Whites were more likely than African Americans to have used
every class of drugs. The subjects reported using from 2 to 17 substances.
The average number reported was 9.61 (S.D. 4.18). Number of drugs used
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Ever use
thin year
nonth
Depression
.-.
- .-*
"-
2.0--
.-. - .-
182 JOURNAL OF OFFENDER REHABILITATION
Hostility
Risk-Taking
2.8--
2.6.-
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II
Baseline
- Std-Black -Garden-Black
Discharge
* Std-White - Followup
Garden-White
2.84
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1'.o Discharge
. Followup
2
Baseline
I a. Std-Black- Garden-Black - + Std-White --t Garden-White I
tired of the problems caused by drugs, would give up friends and hangouts
to solve drug problems, could quit using drugs without any help, felt their
lives had gone out of control, and wanted to get their lives straightened
out. Baseline desire for help was predicted by high parental violence
during childhood (pc = 0.41), older age of first incarceration (pc = 0.39),
and good current family relations (pc = - 0.40) (F = 18.768, P = 0.0001,
Adjusted R-square = 0.4877). It was predicted indirectly by maternal
detachment, paternal deviancy, parcntal loss, childhood beatings, and
childhood problems.
Before cntcring covariates, a main effect for the Garden Project was
observed (F(Within) = 4.91, P = .0097). Figure 7 portrays subjects in the
standard treatment steadily decreased their desire for help, while subjects
in the garden maintained their desire for help throughout the study period.
Participants in the Garden Projcet succcs~fullymaintained their desire for
Jay Storie Rice arid Lirida L. Rerriy I85
2.0-
1.8 --
1.6 --
1.4--
1.2--
1.o-t- I
DISCUSSION
The impact of San Francisco Sheriff's Department horticultural therapy
program can best be understood in relation to the occurrence of childhood
victimization and loss in jail inmates. An ecological analysis of the inner
city jail population provides important clucs for understanding the Garden
Project's influence on psychological and social functioning during treat-
inent and upon return to thc community.
Horticultural therapy treatment effects retained at follow-up included
lower depression in subjects who had emotionally detached mothers,
rcduced numbers of substances uscd, and a sustained desire for help. Some
186 JOUlwAL OF OFFENDER REHABILITATION
pervasive hopelcssness within both jail inmates and society at large. This
study determined that subjects participating in the Garden Project sus-
tained their hope and desire for hclp throughout the treatment and fol-
low-up period. The authors observed that media accounts of the Garden
Project, often including images of inmates caring for plants, also conveyed
hope to society at large.
Turner (1985, 1989) calls for a new approach to ecological thinking
which bridges the imagination gap betwcen protected wildcrness areas and
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Jay Stone Rice and Lirida L. Rerny I89
AUTHORS’ NOTES
Jay Stone Rice, PhD, has been a program consultant for San Francisco
Sheriff‘s Department since 1989. He was the principal investigator for an
exploratory study of the effectiveness of the Sheriffs Department’s innovative
Garden Project and the impact of early trauma and loss on the county jail
inmate population. He has written about the social ecology of inner city family
trauma, trauma’s relationship to substance abuse and crime, and gardening as a
treatment intervention. He has consulted on the development of ecologically
sensitive treatmcnt programs. He is also a clinical supervisor and family
therapist in private practice.
........... --**__-L__-
I ..-
..................
Linda L. Remy, PhD, is the principal research analyst for the Health Eco-
nomics Research Group at the Institute for Health Policy Studies, University
of California, Sen Francisco. She has been the principal investigator, project
director, senior methodologist, or senior statistician on dozens of studies
influenced by social ecology. Dr. Remy-h-s-taught undergrRdmte and graduate
courses in research methods and human development, and supervises students
for their theses and dissertations.
This research was supported in part by the William Alexander Gerbode
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