The Green Road

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A Natural Healing Environment for Injured Service Members & Their Families

Wounded service members receiving medical care at Naval Support Activity Bethesda—home of Walter Reed National Military Medical Center—are fighting to become whole again in the wake of debilitating injuries, like PTSD and Traumatic Brain Injury.

To ease their journey and complement their care, the Nova Institute and its partners have created the Green Road—a woodland garden where service members and their families will find respite amid forest and wildlife, beside a tranquil stream.

Researchers on the project team are conducting studies to scientifically measure the healing effects of spending time on the Green Road. 

emblem representing a 2019 shift award official selection recipient
In 2019, the Green Road was honored with a SHIFT award in recognition of how the site preserves and restores the natural environment while facilitating psychosocial-spiritual healing for wounded warriors and their caregivers.

The Institute for Integrative Health and the TKF Foundation released of the short film, A Road to Wellness, featuring wounded warriors, scholars, and advocates speaking on the importance of this sacred healing space.

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A Place to Connect

The Green Road promotes the communal nature of military life. Wounded service members gain strength and resilience from gathering with one another and their loved ones in this peaceful setting.

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A Place to De-Stress

According to evidence-based studies, exposure to nature reduces levels of perceived stress, anxiety and depression while boosting self-esteem and a sense of well-being.

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A Place to Honor The Fallen

Remembering lost comrades is an important part of healing for many warriors. The commemorative pavilion—an element of the project expressly requested by service members—makes this possible. 

Green Road Project Team

Lead Organization

Nova Institute is a nonprofit organization whose mission is to catalyze new ideas in health, understand the factors that influence health, and promote the well-being of individuals and communities.

Project Administrator

Frederick Foote, MD (CAPT, MC, USN, Ret.), Institute for Integrative Health Scholar. Project Officer of The Epidaurus Project. Adjunct Assistant Professor of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences (Department of Defense).

Project Enginnering and Landscape Architecture

CDM Smith is a consulting, engineering, construction and operations firm that provides lasting and integrated solutions in water, environment, transportation, environmental stewardship, public health protection, commerce, and infrastructure development.

Architecture

Jack Sullivan is a registered landscape architect, a Fellow of the American Society of Landscape Architects, and an associate professor in the Department of Plant Science and Landscape Architecture at the University of Maryland.

Alt Architecture + Research Associates consists of architects and psychosocial design researchers who have created a comprehensive evidence-based design methodology.

Project Committee

We thank the distinguished members of the Committee for the Green Road for their efforts in promoting this important project and raising funds and awareness. Their actions were critical to making this successful project a reality.   

  • Commander Everett Alvarez and Mrs. Everett Alvarez
  • Dr. and Mrs. Brian Berman
  • Mrs. Wendy Bohdel
  • Dr. Frederick Foote
  • Mr. William Hopkinson and Mrs. Mary Sue McCarthy
  • Mr. Christopher B. Nelson
  • Mr. and Mrs. Greg Pinkard

Measuring Nature's Healing Power

Ask any avid gardener, hiker, or birder why they’re drawn to their hobby, and they’ll probably  describe in glowing terms how spending time in nature makes them feel. While individual experiences suggest that nature encounters offer therapeutic benefits, few objective studies have been conducted. The Green Road Project aims to strengthen the base of evidence by scientifically measuring healing effects of exposure to nature.

Research Metrics

The Epidaurus Project, an initiative supported by the Institute for Integrative Health and led by Scholar Dr. Fred Foote, developed five metrics for assessing whole-body healing. Researchers from the National Institutes of Health, the Uniformed Health Services University, and the University of Arizona will use three of the metrics to study participants’ responses to spending time on the Green Road.

Studies are examining the biomarkers of stress, using natural language processing to analyze participants’ journals and stories, and examining changes in gene expression. Initial investigations will compare how participants respond to traveling (by foot or wheelchair) on two different routes across the naval base. One is the current high-traffic urban route, and the other takes them along the Green Road. Subsequent studies will chart the effects of longer visits in the Green Road’s garden area and measure responses to spending time in its commemorative pavilion.

The Green Road Project team hopes to scientifically demonstrate the positive impact of nature encounters on human health. Objective evidence will advance the case for increasing community green space and making exposure to nature a therapeutic mainstay.

Other projects supported by the TKF Foundation’s National Nature Sacred Awards Program also have research components, and their teams are using different sets of metrics to measure their impacts. The rich harvest of data resulting from the studies will be of great value, not only for health professionals, but for architects, urban planners, and environmentalists. Ultimately, everyone stands to benefit from this groundbreaking research.

Initial research from the National Institutes and USUHS (Ann Berger, M.D., MSN, and Patricia Deuster, PhD, and colleagues) compared semistructured interviews, and standard distress and mindfulness scores, for subjects spending an hour on the Green Road, versus an hour in a nearby urban environment. In contrast to the urban environment, exposure to the Green Road produced significant increases in themes of safety, privacy, stress relief, and well-being, decreased stress scores, and increased scores for mindfulness  (Ameli R, Skeath P, Abraham PA, Panahi S, Kazman JB, Foote F, Deuster PA, Ahmad N, Berger A. 2021. A nature-based health intervention at a military healthcare center: a randomized, controlled, cross-over study. PeerJ 9:e10519 https://doi.org/10.7717/peerj.10519.

Learn More

Donors

Funds for the Green Road Project were provided by Nature Sacred (formerly TKF) as part of the National Open Spaces Sacred Places Initiative. The mission of the Nature Sacred is to provide the opportunity for a deeper human experience by inspiring and supporting the creation of public green spaces that offer a temporary place of sanctuary, encourage reflection, provide solace, and engender peace and well-being.

$100,000 – $999,999

  • Family and friends of Shockey Gillet in honor of the U.S. Army 77th Division (Airborne) Green Berets
  • Jack and Nancy Dwyer and Capital Funding, LLC, a subsidiary of CFG Community Bank

$10,000 – $50,000

  • Anonymous (corporation)
  • Injured Marine Semper Fi Fund
  • Mental Insight Foundation
  • Rupert Landscape
  • Samuel and Helen S. Bookatz Foundation

$5,000 – $9,999

  • Anne Whitridge
  • France-Merrick Foundation
  • Greg and Mary Pinkard
  • James and Elizabeth Winn, Jr.
  • Joan Hoblitzells
  • Richard and Sheila Riggs
  • Richard Williams
  • Robert O’Toole and Melinda Estridge
  • Sandy Spring Bank
  • The Peoples Water Service Company
  • William Hopkinson

$2,500 – $4,999

  • Constantine Construction
  • Cornelia Bonnie
  • Cynthia Kuncl
  • Everett and Tammy Alvarez
  • Kent LaMotta
  • William and Kate Blue

$1,000 – $2,499

  • Beverly McCarthy
  • Bradley Kiley and Jamie Coley
  • Cynthia Parsons
  • Floyd and Mona Lankford, III
  • Jacqueline Polland
  • Joseph and Jennifer Snouffer
  • Kevin and Laura Bennett
  • Leigh McDonald Hall
  • Margaret Stillman
  • Myron Asher
  • Randolph Rice
  • Richard and Colleen Quinn Sherlock Gillet Jr.
  • Stephen O’Malley
  • Wells Fargo

Under $1,000

  • Friends of the Green Road

Developing safety, persistence, trust

Healing is facilitated through safety, persistence, and trust.

  • Persistence: “People did not simply progress through this sequence and experience healing. The healing journey was a recursive, back and forth process. They found helpers, used the skills/resources that those helpers provided, found other helpers that provided more resources and used those skills and resources. As this process continued, people experienced a gradual amelioration of their suffering. Although many despaired at times, all demonstrated the quality of persistence—they refused to give up.”
  • Safety & Trust: “To connect to helpers, it was essential for people to feel safe in those relationships and able to trust that the person would be a helper and not a barrier to healing. Persons whose wounds included a violation of trust were especially careful about testing the safety of new relationships.”

Acquiring Resources

Resources support us as we heal. They include reframing, responsibility, and positivity. “Making connections enabled participants to acquire and refine resources and skills that were essential in their healing journey. People also brought their own personal strengths to the journey.”

  • Reframing: “A particularly important skill was the ability to reframe—that is to look at suffering through a different lens.” This does NOT mean minimizing trauma or pain, but rather it often means the opposite: understanding what happened was wrong, unfair, or uncontrollable and that we are not to blame for it.
    • “I think I kept trying to convince him I was crazy. And he kept saying, ‘No, you’re not crazy.’ […] You wouldn’t necessarily say a Vietnam Vet was crazy. You’d say they are responding like you’d expect to extraordinary circumstances.”
    • “I’m not the only one who have [sic] this problem. A lots, millions of people, you know. […] They don’t have nothing to do with that. I guess I have to live.”
  • Responsibility: While we don’t have control over what happened to us, we are the only ones who can help ourselves heal. “A third essential resource that people acquired or refined was the ability to take an appropriate amount of responsibility for their healing journeys. They participated actively in the process of healing. Once again, some participants already had developed this skill, and some acquired or refined it from their helpers.”
    “You need a lot of energy and a lot of work … it takes a lot of work. It doesn’t just happen. It’s not like a magic wand.” This patient understood that they had to actively participate in the healing process.
  • Positivity: “Another resource that people acquired or refined during their healing journey was choose to be positive—that is to have some optimism about their situation.” People have varying predispositions to positivity. In the study, positivity was important in helping people heal. This doesn’t mean a toxic positivity, but rather simply finding some good in life and feeling hopeful about our situations.

Helping Relationships

“Connection to others was an essential part of all the healing journeys.” Humans are social creatures, and even the most introverted of us need close relationships. Friends and family add meaning and value to life and help support us, in good times and bad. When we experience relational trauma, relationships can feel scary, but reestablishing safety and trust in relationships is where the healing happens. (To be clear, we do not mean reestablishing safety and trust with abusers, but rather finding other healing relationships.) “When safety and trust had been established, people were able to connect with helpers. The nature of the behaviours of helpers that fostered healing ranged from small acts of kindness to unconditional love.”

  • “Moving from being wounded, through suffering to healing, is possible. It is facilitated by developing safe, trusting relationships and by positive reframing that moves through the weight of responsibility to the ability to respond.”
  • “Relationships with health professionals were among these but were not necessarily any more important to the healing journey than other kinds of helpers, which included family members, friends, spirituality and their God, pets, support groups, administrators, case workers and supervisors.”

Healing

Healing probably means different things to different people, but one definition that emerged from the study is: “The re-establishment of a sense of integrity and wholeness.” Healing was an emergent property that resulted from each individuals’ complex healing journey, a result of bridged connections between resources and relationships. Healing, in this sense, does not mean cured—none of the study participants were cured of their ailments—”but all developed a sense of integrity and wholeness despite ongoing pain or other symptoms.” In varying degrees, “they were able to transcend their suffering and in some sense to flourish.” When we begin to heal, we find increased capacity for hope, renewed motivation to help others, and are more able to accept ourselves as we are.

Suffering

Suffering is the ongoing pain from wounding. There is debate about whether or not one actually needs to experience suffering on the path to healing.

Wounding

Wounding happens when we experience physical or emotional harm. It can stem from chronic illness or by physical or psychological trauma for which we do not have the tools to cope, or a combination of those factors. “The degree and quality of suffering experienced by each individual is framed by contextual factors that include personal characteristics, timing of their initial or ongoing wounding in the developmental life cycle and prior and current relationships.”