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A Consensus Statement for Ecological Medicine: Moving Toward Connection-Based Medicine.

Michael Makhinson1,2, Landon Pollack3, Ronan Hallowell4

  • 1Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, and the Jane and Terry Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, USA. mmakh@ucla.edu.

Ecohealth
|October 25, 2025
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Summary

Ecological Medicine, a new framework, highlights the health benefits of human connection to nature and others. This approach emphasizes interconnectedness for improved health outcomes and integrates nature-based interventions into clinical practice.

Keywords:
ecological medicineecotherapynature and healthnature contactnature-based interventionssocial prescribing

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Area of Science:

  • Environmental Health
  • Integrative Medicine
  • Public Health

Background:

  • Growing evidence links nature connection to health benefits across disciplines.
  • Clinical practice often overlooks the human-nature relationship due to lack of consensus and terminology.
  • A need exists for a unified framework to understand and integrate nature's role in health.

Purpose of the Study:

  • To develop a consensus statement for a new health perspective termed Ecological Medicine.
  • To establish a definition, framework, and priorities for practice, research, education, and policy.
  • To explore the implications of inter-connectivity for human and planetary health.

Main Methods:

  • Convened an expert working group.
  • Employed a modified Delphi technique and focus groups for consensus building.
  • Focused on achieving consensus on definition, framework, priorities, and implications of Ecological Medicine.

Main Results:

  • Reached a consensus definition and framework for Ecological Medicine.
  • The framework emphasizes human inter-connections (self, others, non-human species, environment) for health.
  • Identified priorities for practice, research, education, and policy.

Conclusions:

  • Ecological Medicine advocates for a healthcare shift towards inter-connectivity and relationality.
  • Recommends integrating connection-based and nature-based interventions into healthcare.
  • Highlights the inseparability of human health and planetary health for future research and practice.