Nature-based project transforms wellbeing for autistic adults in Cwm Taf Morgannwg
A pioneering outdoor healthcare project is helping autistic adults improve their wellbeing, confidence and social connections through the power of nature.
The “Using Nature to Make Connections” initiative, delivered by Cwm Taf Morgannwg University Health Board’s Integrated Autism Service (IAS), has transformed an underused garden at Ysbyty George Thomas in Treorchy into a vibrant therapeutic space.
The programme brought together autistic adults for a series of structured outdoor sessions, including gardening, green woodworking and outdoor cooking.
Participants worked collaboratively to design and develop the garden, creating sensory planting areas, building a handcrafted reflection seat, and learning new practical skills.
Led by senior nurse Claire Norman, Team Lead Lucy Bolton and supported by IAS colleagues, the project was funded through the Queen’s Institute for Community Nursing Elsie Wagg Innovation Scholarship, with additional support from the National Garden Scheme. It was delivered in partnership with outdoor healthcare specialists Down to Earth.
All participants who enrolled completed the programme, achieving a 100% attendance rate and gained a recognised Health and Wellbeing in the Outdoors accreditation.
Evaluation of the project showed significant improvements in emotional wellbeing. Participants reported increased confidence, stronger social connections, and reduced anxiety and low mood. Measures also showed notable reductions in feelings linked to depression and anxiety, alongside improved self-esteem.
One participant said: “It’s lovely coming in here every week… it’s really nice to chip in and do everything together.”
Another added: “Just being outside doing something that will make a difference… has made me feel better in me and about me; and more confident.”
The programme also helped establish routine and motivation, with many describing it as the “highlight of their week”.
The garden is now a lasting resource for patients, staff and visitors, offering a calm and welcoming space to support wellbeing.
Following the success of the pilot, further funding has been secured to expand the programme, with three additional outdoor healthcare courses planned this year.
Project lead Claire Norman said the initiative demonstrates the powerful role nature can play in healthcare: “This project shows how connecting with nature can transform wellbeing, build confidence and create meaningful social connections. We’re proud to see the difference it has made and excited to grow this work further.”
15/05/2026