The Application of Garden Therapy In Social Work Practice With Individuals with Substance Use Disorders In South Africa

Calphurnia Mmathato Rammutla (1), Modjadji Linda Shirindi (2)
(1) Department of Social Work, University of South Africa, South Africa, South Africa,
(2) Department of Social Work, University of South Africa, South Africa, South Africa

Abstract

Substance use disorders (SUDs) remain a significant challenge in South Africa, with high relapse rates despite the availability of various treatment approaches. Garden therapy, although underutilized in social work, has shown potential as a therapeutic intervention that promotes personal growth, resilience, and holistic rehabilitation. This review explores the potential application of garden therapy in social work practice with male substance users in South Africa. An integrative literature review was conducted to assess and synthesize existing research on garden therapy and its relevance to substance use recovery. A structured search was undertaken using multidisciplinary databases, including Google Scholar, Taylor & Francis, Scopus, ScienceDirect, and ResearchGate. The PRISMA flow diagram was adapted to illustrate the screening and selection process. Twenty-eight peer-reviewed articles published between 2012 and 2024 met the inclusion criteria and were analyzed through narrative synthesis. The review identified several benefits of garden therapy, including stress reduction, improved emotional regulation, and the development of life skills such as teamwork, responsibility, and problem-solving. Evidence suggests that garden therapy can complement established interventions such as Cognitive Behavioral Therapy, Motivational Interviewing, mindfulness, and family therapy. Challenges to its wider adoption include limited awareness, insufficient empirical evidence, accessibility issues, cultural resistance, and the absence of therapeutic gardens in South Africa. Garden therapy represents a promising, multidimensional intervention that can enhance social work practice with individuals experiencing SUDs. Integrating garden therapy into treatment and aftercare programs may improve recovery outcomes, foster family preservation, and strengthen community reintegration. Greater research, policy support, and training for social workers are essential to realize their full potential in addressing substance misuse in South Africa.

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References

Adevi, A. A., & Lieberg, M. (2012). Stress rehabilitation through garden therapy: A caregiver perspective on factors considered most essential to the recovery process. Journal of Urban Forestry & Urban Greening, 11(1), 51–58. https://doi.org/10.1016/j.ufug.2011.09.007

AG Concept Group & Vollmer, A. 2017. The IGGT-Concept of Garden Therapy. Retrieved from https://www.iggt.org/files/download/Definition_Methoden_Gartentherapie_IGGT_engl.pdf

Agne, S. (2023). The use of therapeutic gardening in addiction recovery (Master's thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/1538

Altman, G., & Patel, N. (2021). Horticultural therapy: An ancient technique in a modern world. Interdisciplinary International Journal, 17, 62–67. https://doi.org/10.36018/dsiij.v17i.208

Bogg, T., & Finn, P. R. (2009). An ecologically based model of alcohol-consumption decision making: Evidence for the discriminative and predictive role of contextual reward and punishment information. Journal of Studies on Alcohol and Drugs, 70(3), 446–457. https://doi.org/10.15288/jsad.2009.70.446

Boness, C. L., Votaw, V. R., Schwebel, F. J., Moniz-Lewis, D. I. K., McHugh, R. K., & Witkiewitz, K. (2023). An evaluation of cognitive behavioral therapy for substance use disorder: A systematic review and application of the Society of Clinical Psychology criteria for empirically supported treatments. Clinical Psychology: Science and Practice, 30(2), 129–142. https://doi.org/10.1037/cps0000131

Brunelli, A., Murphy, G. C., & Athanasou, J. A. (2016). Effectiveness of social support group interventions for psychosocial outcomes: A meta-analytic review. Australian Journal of Rehabilitation Counselling, 22(2), 104–127. https://doi.org/10.1017/jrc.2016.9

Chan, C. K., & Lei, J. (2017). Contracting social services in China: The case of the Integrated Family Services Centres in Guangzhou. International Social Work, 60(6), 1343–1357. https://doi.org/10.1177/0020872817725135

Choi, T., Dolgui, A., Ivanov, D., & Pesch, E. (2022). OR and analytics for digital, resilient, and sustainable manufacturing 4.0. Annals of Operations Research, 310, 1–6. https://doi.org/10.1007/s10479-022-04536-3

Clatworthy, J., Hinds, J., & Camic, P. M. (2013). Gardening as a mental health intervention: A review. Mental Health Review Journal, 18(4), 214–225. https://doi.org/10.1108/MHRJ-02-2013-0007

Dijkstra, S., Creemers, H. E., Asscher, J. J., Dekovi?, M., & Stams, G. J. J. M. (2016). The effectiveness of family group conferencing in youth care: A meta-analysis. Child Abuse & Neglect, 62, 100–110. https://doi.org/10.1016/j.chiabu.2016.10.017

Esteban, J., Suárez-Relinque, C., & Jiménez, T. I. (2022). Effects of family therapy for substance abuse: A systematic review of recent research. Family Process, 62(1), 49–73. https://doi.org/10.1111/famp.12841

Ewert, A., & Chang, Y. (2018). Levels of nature and stress response. Behavioral Sciences, 8(5): 49-61

Galvani, R. G. (2017). The apprentice's tale: Entry to multiple communities of practice for working-class boys (Doctoral dissertation). University College London.

Grant, A. D. (2023). Therapeutic gardening for addiction recovery (Master's thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/1501

Grant, S., Colaiaco, B., Motala, A., Shanman, R., Booth, M., Sorbero, M., & Hempel, S. (2017). Mindfulness-based relapse prevention for substance use disorders: A systematic review and meta-analysis. Journal of Addiction Medicine, 11(5), 386–396. https://doi.org/10.1097/ADM.0000000000000338

Igamba, J. (2022, March 21). Water crisis in South Africa. Greenpeace Africa. Retrieved from https://www.greenpeace.org/africa/en/blogs/51757/water-crisis-in-south-africa/

Jason, L. A., Bobak, T., Islam, M., Guerrero, M., & Light, J. M. (2022). Social integration in recovery living environments: A dynamic network approach. Journal of Community Psychology, 50(3), 1616–1625. https://doi.org/10.1002/jcop.22739

Jaspal, R., Carriere, K., & Moghaddam, F. (2016). Bridging micro, meso and macro processes in social psychology. In J. Valsiner, G. Marsico, N. Chaudhary, T. Sato, & V. Dazzani (Eds.), Psychology as a science of human being: The Yokohama Manifesto (pp. 265–276). Springer. https://doi.org/10.1007/978-3-319-21094-0_15

Khanyi, V., & Malesa, K. J. (2022). Challenges faced by social workers in rendering services to nyaope substance users. *Social Work/Maatskaplike Werk, 58*(1), 1–16. http://dx.doi.org/10.15270/58-1-995

Lander, L., Howsare, J., & Byrne, M. (2013). The impact of substance use disorders on families and children: From theory to practice. Social Work in Public Health, 28(3-4), 194–205. https://doi.org/10.1080/19371918.2013.759005

Lehmann, L. P., Detweiler, J. G., & Detweiler, M. B. (2018). Veterans in substance abuse treatment programs self-initiate box gardening as a stress-reducing therapeutic modality. Complementary Therapies in Medicine, 36, 50–53. https://doi.org/10.1016/j.ctim.2017.10.013

Legha, R., Raleigh-Cohn, A., Fickenscher, A., & Novins, D. (2024). Challenges to providing quality substance abuse treatment services for American Indian and Alaska native communities: perspectives of staff from 18 treatment centers. Legha et al. BMC Psychiatry, 14:181-189. http://www.biomedcentral.com/1471-244X/14/181.

Lietz, C. A., Julien-Chinn, F. J., Geiger, J. M., & Piel, M. H. (2016). Cultivating resilience in families who foster: Understanding how families cope and adapt over time. Family Process, 55(4), 660–672. https://doi.org/10.1111/famp.12239

Lopez, H.A.R. (2023). Therapeutic Gardening For Addiction Recovery. Master's Projects and Capstones. Retrieved from https://repository.usfca.edu/capstone/1501

López, G., Orchowski, L. M., Reddy, M. K., Nargiso, J. E., & Johnson, J. E. (2021). A review of research-supported group treatments for drug use disorders. Substance Abuse Treatment, Prevention, and Policy, 16(1), 51. https://doi.org/10.1186/s13011-021-00371-0

Louie, E., Barrett, E. L., Baillie, A., Haber, P. S., & Morley, K. C. (2021). A systematic review of evidence-based practice implementation in drug and alcohol settings: Applying the consolidated framework for implementation research framework. Implementation Science, 16(1), 22. https://doi.org/10.1186/s13012-021-01090-7

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. Psychiatric Clinics of North America, 33(3), 511–525. https://doi.org/10.1016/j.psc.2010.04.012

McKay, J. R. (2021). Impact of continuing care on recovery from substance use disorder. Alcohol Research: Current Reviews, 41(1), 01. https://doi.org/10.35946/arcr.v41.1.01

Metze, R. N., Abma, T. A., & Kwekkeboom, R. H. (2015). Family group conferencing: A theoretical underpinning. Health Care Analysis, 23(2), 165–180. https://doi.org/10.1007/s10728-013-0263-2

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group 2009. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med., 21:6(7):e1000097. doi: 10.1371/journal.pmed.1000097. Ndou, N., & Khosa, P. (2023). Factors influencing relapse individuals with substance use disorders: An ecological perspective. *Social Work/Maatskaplike Werk, 59(1), 1–23. https://doi.org/10.15270/59-1-1089

NIDA, R. E. (2018). Eyewitness memory in African American children from low-income families. *Merrill-Palmer Quarterly, 64*(4), 483–513. https://doi.org/10.13110/merrpalmquar1982.64.4.0483

Oermann, M. H., & Knafl, K. A. (2021). Strategies for completing a successful integrative review. Nurse Author & Editor, 31(3-4), 65–68. https://doi.org/10.1111/nae2.30

Olechowski, A. (2024, May 9). What is garden ecology and how does it impact your life? Huron-Clinton Metroparks. Retrieved from https://www.metroparks.com/what-is-garden-ecology-and-how-does-it-impact-your-life

Parkinson, S., Lowe, C., & Vecsey, T. (2011). The therapeutic benefits of horticulture in a mental health service. British Journal of Occupational Therapy, 74(12), 525–534. https://doi.org/10.4276/030802211X13204135680901

Pappas, C. C. (2006). The information book genre: Its role in integrated science literacy research and practice. Reading Research Quarterly, 41(2), 226–250. https://doi.org/10.1598/RRQ.41.2.4

Parker, J. (2020). Social work practice: Assessment, planning, intervention and review (5th ed.). Learning Matters.

Pires, I., K?ivánková, D., & Dvo?á?ková, J. (2019). Garden Therapy: The Health-Enabling Capacities of Nature Contact. Research Association for Interdisciplinary Studies, 6-7

Rodecker, K. (2018). Integrating art therapy and horticultural therapy to best serve the needs of at-risk adolescents: A literature review (Master's thesis). Lesley University. Retrieved from https://digitalcommons.lesley.edu/expressive_theses/72

South African National Council on Alcoholism and Drug Dependence [SANCA]. 2023. Aftercare. Retrieved from https://www.sancanational.info/aftercare

Sincero, S. M. (2012, April 16). Ecological systems theory. Explorable.com. Retrieved from https://explorable.com/ecological-systems-theory

Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011). Motivational interviewing for substance abuse. Cochrane Database of Systematic Reviews, 2011(5), CD008063. https://doi.org/10.1002/14651858.CD008063.pub2

Snijder, M., Lees, B., Stearne, A., Ward, J., Garlick Bock, S., Newton, N., & Stapinski, L. (2020). An ecological model of drug and alcohol use and related harms among Aboriginal and Torres Strait Islander Australians: A systematic review of the literature. Preventive Medicine Reports, 21, 101277. https://doi.org/10.1016/j.pmedr.2020.101277

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039

Soga, M., Gaston, K. J., & Yamaura, Y. (2016). Gardening is beneficial for health: A meta-analysis. Preventive Medicine Reports, 5, 92–99. https://doi.org/10.1016/j.pmedr.2016.11.007

South Africa. (2005). Children's Act 38 of 2005. Government Gazette. Retrieved from https://www.justice.gov.za/legislation/acts/2005-038%20childrensact.pdf

South Africa. (2013). White Paper on Families. Department of Social Development. Retrieved from http://www.cplo.org.za/wp-content/uploads/2013/03/BP-317-The-White-Paper-on-the-Family-March-2013.pdf

South Africa. (2017). Southern African Legal Information Institute (SAFLII). Retrieved from https://www.saflii.org

South Africa. (2023b). Government Gazette No. 49658. Department of Social Development. Retrieved from https://www.gov.za/sites/default/files/gcis_document/202311/49658gon4058.pdf

South African Community Epidemiology Network on Drug Use (SACENDU). (2017). SACENDU research brief, 20(1). South African Medical Research Council.

South African Medical Research Council. (2023). SACENDU research brief, 24(1). Retrieved from https://www.samrc.ac.za/sites/default/files/attachments/2022-01-26/SACENDU%20Brief_Phase%2049_Final.Dec2021.pdf

Stanford, N. (2017). Self and society: Social change and individual development. Routledge. https://doi.org/10.4324/9781315129112

Straussner, S. L. A., & Schiff, M. (2014). Introduction [Special issue on clinical work with substance abusing clients]. Clinical Social Work Journal, 42(4), 321–322. https://doi.org/10.1007/s10615-014-0503-4

Strydom, M. (2012). Family preservation services: Types of services rendered by social workers to at-risk families. *Social Work/Maatskaplike Werk, 48*(4), 418–438. https://doi.org/10.15270/48-4-26

Swanepoel, I. (2014). The causes of relapse amongst young African adults following in-patient treatment for drug abuse in the Gauteng Province (Master's dissertation). University of Pretoria.

Toronto, C. E., & Remington, R. (Eds.). (2020). A step-by-step guide to conducting an integrative review. Springer International Publishing. https://doi.org/10.1007/978-3-030-37504-1

Torraco, R. J. (2005). Work design theory: A review and critique with implications for human resource development. Human Resource Development Quarterly, 16(1), 85–109. https://doi.org/10.1002/hrdq.1125

Tracy, K., & Wallace, S. P. (2016). Benefits of peer support groups in the treatment of addiction. Substance Abuse and Rehabilitation, 7, 143–154. https://doi.org/10.2147/SAR.S81535

Unegbu, R. O. (2020). Exploring the role of social workers in substance abuse treatment (Doctoral dissertation). Walden University.

Wood, C. J., Polley, M., Barton, J. L., & Wicks, C. L. (2022). Therapeutic community gardening as a green social prescription for mental ill-health: Impact, barriers, and facilitators from the perspective of multiple stakeholders. International Journal of Environmental Research and Public Health, 19(20), 13612. https://doi.org/10.3390/ijerph192013612

Yun, J., Yao, W., Meng, T., & Mu, Z. (2022). Effects of horticultural therapy on health in the elderly: A review and meta-analysis. Journal of Public Health, 31, 1–7. https://doi.org/10.1007/s10389-023-01938-w

Zimba, Z., Tanga, P., & Ntshongwana, Z. (2023). Effects of family preservation services on family cohesion: Views of family heads. *Social Work/Maatskaplike Werk, 59*(4), 260–281. https://doi.org/10.15270/59-4-1167

Authors

Calphurnia Mmathato Rammutla
mathebacalifornia@gmail.com (Primary Contact)
Modjadji Linda Shirindi
Author Biographies

Calphurnia Mmathato Rammutla, Department of Social Work, University of South Africa, South Africa

Ms Rammutla is a lecturer in the Department of Social Work at the University of South Africa and a dedicated PhD candidate at the University of KwaZulu-Natal. Her role involves providing guidance to students in their experimental learning. Ms. Rammutla has extensive experience and knowledge in the field of substance abuse, trauma, and attachment. She is an enthusiastic community developer who has made remarkable contributions to various engaged scholarship projects. Ms. Rammutla has made significant contributions to the curriculum development for different higher learning institutions.

Modjadji Linda Shirindi, Department of Social Work, University of South Africa, South Africa

Linda Shirindi, a dedicated University Associate Professor in the Department of Social Work, has expertise in teaching and learning at undergraduate and postgraduate levels, focusing on students with special needs, HIV/AIDS, children, youth, and health care. She assisted with the writing of the draft article.

Rammutla, C. M., & Shirindi, M. L. (2025). The Application of Garden Therapy In Social Work Practice With Individuals with Substance Use Disorders In South Africa. Innovation Journal of Social Sciences and Economic Review, 8(1), 1–11. https://doi.org/10.36923/ijsser.v8i1.288

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