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T*
[()68.3()0(f)21.9(a)0(s)23(c)0(i)19.8(n)0(a)19.3(t)14.8(io)17(n)14.6()68.3()-197.3(p)0(r)20.4(o)0(p)22(o)0(s)19.8(e)0(d)-183.8(b)0(y)-186.6(A)0(R)21.7(T)-194.5(\(K)16.1(ap)25.3(la)20.2(n)-194.1(&)-198.2(K)13.3(a)0(p)18.9(l)15.4(an)19.3(,)-197.3(1)14.2(98)15.7(9)14.2(\))-193.2(we)20.5(re)-185.4(th)18.4(e)-197.9(m)0(a)22.7(i)15.4(n)]TJ
T*
[(fa)21.6(ct)25.5(or)20.4(s)-342.1(t)0(h)18.4(a)0(t)-334.5(e)0(x)25.3(p)0(l)17(a)0(i)26.5(n)0(e)18.9(d)-346.2(t)14.8(h)0(e)-333.5(b)0(e)18.6(n)0(e)18.9(f)0(i)26(c)0(i)19.8(a)0(l)-333.9(e)0(f)21.2(f)0(e)21.2(c)0(t)19.2(s)0(.)-330.8(W)0(i)23.6(l)0(s)21.1(o)0(n)-338(e)0(t)-328.5(a)0(l)20.2(.)-342.7(\(2)17(0)14.2(1)0(0)22(\))-345(in)23.7(-)]TJ
T*
[(v)14.2(e)0(s)22.7(t)0(i)17.6(g)14.2(at)19.6(ed)-329.2(th)18.4(e)-337(e)0(f)21.2(f)0(e)21.2(c)0(t)19.2(s)-335.8(of)-329.4(pa)18.9(r)12.6(t)0(i)17.6(c)0(i)26.2(p)0(a)18.9(t)0(i)23.9(n)0(g)-331.7(i)0(n)-324.1(n)0(a)19.3(t)0(u)18.4(r)12.6(e)-337(p)0(r)20.4(o)0(g)22(r)0(a)17.3(m)0(s)-324.2(f)0(o)18.4(r)-335.2(pe)18.6(op)22(le)]TJ
0 -1.3278 TD
[(en)25.3(du)17.7(r)12.6(i)0(n)23.7(g)-453.7(me)22.4(n)14.6(t)0(a)19.6(l)-452.5(i)15.4(l)0(l)18.2(-)14(he)20.6(al)20.2(th)-443.2(an)25.7(d)-453.7(s)0(u)21.8(g)14.2(ge)18.6(st)20.4(ed)-436.7(su)21.8(ch)-441(pr)20.4(og)22(ra)17.3(ms)-438(n)14.6(o)0(t)-445.2(o)14.2(nl)23.7(y)]TJ
0 -1.3341 TD
[(i)15.4(m)0(p)19.5(r)12.6(ov)22(ed)-247(t)14.8(h)0(e)-245(p)0(a)18.9(r)12.6(ti)23.9(ci)19.8(pa)18.9(n)14.6(t)0(s)20.4()-254.2(me)22.3(nt)23(al)-245.3(we)20.5(l)15.4(l)0(-)16.8(b)14.2(ei)19.8(ng)-243.2(bu)24(t)-257.1(a)0(l)26.5(s)0(o)-245.8(p)0(r)20.4(o)14.2(vi)17(d)14.2(e)0(d)-247(s)0(o)26.1(c)0(i)19.8(a)0(l)]TJ
T*
[(n)14.6(e)0(t)19.2(w)0(o)24(r)0(k)19.4(s)-266.3(an)19.3(d)-270.4(a)-267.1(st)20.4(ep)18.6(p)14.2(i)0(n)17.3(g)-264(st)20.4(on)22.4(e)-273.8(t)14.8(o)-270.4(f)0(u)20.4(r)12.6(th)18.4(er)-261.3(co)24.9(mm)23.3(un)18.1(it)23.9(y)-270.4(e)0(n)18.9(g)14.2(ag)18.9(em)22.4(en)18.9(t)14.8(.)]TJ
1.1065 -1.3341 TD
[(The)-439.5(social)-439.7(costs)-435.9(of)-436.9(enduring)-444.1(mental)-433.9(health)-440.3(problems)-439(are)-439.8(high,)]TJ
-1.1065 -1.3341 TD
[(because)-293.8(they)-291.9(include)-294.8(not)-291.6(only)-289.4(medical)-290.2(costs)-296.8(but)-289.9(also)-295.1(the)-287.1(costs)-296.8(from)]TJ
T*
[(lost)-247.1(employment)-247.4(and)-244.7(reduced)-252.2(productivity)-246.5(\(Sheridan)-253(et)-240(al.,)-247.9(2012\).)-251.6(In)]TJ
T*
[(Ireland,)-189.8(more)-191.2(than)-189.9(13,000)-189.7(adults)-194.5(use)-188.8(inpatient)-196.9(services)-192.6(each)-191.5(year,)-186.7(and)]TJ
/F8 1 Tf
T*
(e)Tj
/F1 1 Tf
.5185 0 TD
[(711)-223.1(million)-226.7(was)-220(allocated)-230.1(to)-223.9(the)-223.8(provision)-227.5(of)-221.9(mental)-225.2(health)-225.4(services)]TJ
-.5185 -1.3278 TD
[(in)-279.8(2012)-284.8(\(Health)-280.9(Service)-282.5(Executive,)-288.7(2012\).)-283.3(There)-283.4(is)-282.4(a)-279.8(growing)-284.5(recog-)]TJ
0 -1.3341 TD
[(nition)-284.1(of)-285.1(the)-287.1(importance)-293.8(of)-285.1(the)-287.1(social)-287.9(needs)-285.7(of)-291.4(people)-287.4(with)-285.2(ongoing)]TJ
T*
[(mental)-301.1(health)-307.5(problems,)-307.5(and)-307.9(this)-302(has)-308.5(promoted)-304.6(the)-306(reorientation)-311.3(of)]TJ
T*
[(the)-350.3(Irish)-356.3(psychiatric)-358.6(service.)-357.6(Support)-353(is)-352(now)-353.5(needed)-354.9(from)-355.8(different)]TJ
T*
[(sectors)-286.2(at)-283.9(a)-286.1(community)-287.7(level,)-288.9(beyond)-291.1(the)-287.1(formal)-285(mental)-282.1(health)-288.6(care)]TJ
T*
[(system.)-292.8(In)-290.5(this)-289.4(context,)-292.6(a)-292.4(group)-295.5(forest)-292(walk)-291.9(program)-289(called)-295.5()55.6(Wood-)]TJ
T*
[(land)-330.4(for)-335.8(Health)50.1()-330.1(was)-333.8(initiated)-335.1(in)-336.7(Ireland)-334(as)-331(a)-336.7(pilot)-337(program)-333.3(for)-335.8(the)]TJ
T*
[(treatment)-282.6(of)-278.8(people)-287.4(with)-278.8(mental)-282.1(ill-health.)]TJ
/F3 1 Tf
11.9551 0 0 11.9551 307.8424 595.6156 Tm
/Cs9 cs 1 scn
[(Aim)-338.2(of)-333.1(the)-335.4(Study)]TJ
/F1 1 Tf
8.9663 0 0 8.9663 317.8204 583.6534 Tm
0 0 0 rg
[(This)-340.6(study)-346(aims)-341.9(to)-344.1(investigate)-345.3(the)-344(effects)-343.7(of)-342(a)-343(group)-346.1(forest)-342.6(walk)]TJ
-1.1128 -1.3341 TD
[(program,)-220.7(the)-217.5()49.3(Woodland)-217.9(for)-222(Health)56.4()-222.6(for)-215.7(the)-223.8(treatment)-219.4(of)-215.6(people)-224.1(with)]TJ
T*
[(significant)-293.9(mental)-294.8(ill-health)-297.8(including)-293(depression,)-300.9(bipolar)-295(and)-295.3(anx-)]TJ
T*
[(iety)-280(disorders.)-288.3(The)-281.4(specific)-286(objectives)-285(of)-278.8(this)-283(study)-282.8(were)-278.6(to)]TJ
/F9 1 Tf
5.9777 0 0 5.9777 317.8204 530.8723 Tm
/Cs8 cs 1 scn
(.)Tj
/F1 1 Tf
8.9663 0 0 8.9663 323.7731 529.8518 Tm
0 0 0 rg
[(Investigate)-501.4(the)-495.7(short-term)-505.2(self-rated)-500(psychological)-498.7(effects)-501.7(of)]TJ
T*
[(participating)-340(in)-330.4(group)-339.7(forest)-336.2(walks;)]TJ
/F9 1 Tf
5.9777 0 0 5.9777 317.8204 506.9479 Tm
/Cs8 cs 1 scn
(.)Tj
/F1 1 Tf
8.9663 0 0 8.9663 323.7731 505.9274 Tm
0 0 0 rg
[(Investigate)-261.1(the)-261.8(effects)-261.5(on)-262.1(the)-255.4(symptoms)-262.3(of)-259.8(mental)-256.9(disorder)-261(after)]TJ
T*
[(engaging)-340.1(in)-330.4(a)-336.7(weekly)-330.7(group)-339.7(forest)-336.2(walk)-336.2(program;)]TJ
/F9 1 Tf
5.9777 0 0 5.9777 317.8204 483.0235 Tm
/Cs8 cs 1 scn
(.)Tj
/F1 1 Tf
8.9663 0 0 8.9663 323.7731 482.0597 Tm
0 0 0 rg
[(Understand)-576.9(the)-577.9(perceived)-582.2(effects)-577.6(on)-572(participants)-579(of)-576(weekly)]TJ
T*
[(group)-396.6(walking)-386.9(in)-393.6(forests,)-395.1(and)-390.1(identify)-396(the)-388.2(particular)-397(elements)]TJ
T*
[(related)-340.4(to)-331.4(forests)-336.9(that)-335.1(are)-332.3(responsible)-341.1(for)-335.8(the)-331.3(effects.)]TJ
/F3 1 Tf
11.9551 0 0 11.9551 307.8424 434.8912 Tm
/Cs9 cs 1 scn
(Methods)Tj
/F10 1 Tf
8.9663 0 0 8.9663 307.8424 422.9857 Tm
/Cs8 cs 1 scn
[(Program)-337.2(and)-331.8(participants)]TJ
/F4 1 Tf
0 -1.8336 TD
[(The)-318.3()59.7(Woodland)-319.5(for)-313.6(Health)52.9()-313.4(program.)]TJ
/F1 1 Tf
0 0 0 rg
16.1993 0 TD
.0108 Tc
[(A)-263.3(p)-.3(ilot)-258.9(p)-.3(rog)10.8(r)-6.7(am,)-262.3()60.1(Woodland)]TJ
-16.1993 -1.3341 TD
[(for)-191.6(H).3(ealth,)60.1()-192.8(was)-192.2(l).9(aun)10.8(c)-8.2(hed)-196.3(i).9(n)-189.6(M)-3.5(ar)10.8(c)-10.2(h)-194.3(2)10.8(0)-5.1(12)-196.3(by)-190(the)-193.5(I)3(rish)-188(Forestr)10.8(y)-202.7(B)3.1(oard)]TJ
T*
[(\(Coillte\))-517.6(in)-518.5(collabor)10.7(ati)-5.5(o)10.7(n)-523.3(w)-4.8(ith)-516.9(t).2(he)-522.4(HSE/Wick)10.7(l)-5(o)-.4(w)-523.2(M)2.8(ental)-517.6(H).1(eal)-5.5(t).2(h)]TJ
T*
.0095 Tc
[(Se)-5.1(r)9.5(v)-8(ic)-5.1(es)-250.4(\()-6.7(W)9.5(M)-9.3(H)-1.1(S\))-253.3(and)-254.5(t)-1(he)-258(W)9.5(i)-4.9(c)-5.1(k)9.5(l)-12.5(o)9.5(w)-263.7(M)1.6(enta)-4.7(l)-253.3(H)-1.1(ealth)-252.5(A)-5.3(ssocia)-4.7(tio)9.5(n)-259(wi)-6.7(th)]TJ
T*
.0103 Tc
[(financial)-195.6(s)-3.1(uppor)10.3(t)-202.6(f)-4.5(r)10.3(o)-7.2(m)-199.4(M)2.4(ental)-195.6(H)-.3(ealth)-201.1(I)2.5(r)10.3(e)-10.7(land.)-193.3(I)-3.8(t)-196.2(a)2.4(ims)-192.7(t)-.2(o)-196.8(i).4(mprove)-194(the)]TJ
T*
.011 Tc
[(quality)-436.4(o)11(f)-444.8(life)-433.5(f)-3.8(or)-431.7(individuals)-432.3(e)-3.6(x)11(p)-4.5(er)11(i)-5.3(e)-3.6(ncing)-436.4(e)2.7(nduring)-436.4(m)3.7(en)11(tal)-435.1(ill-)]TJ
T*
.0112 Tc
[(health)-383.6(in)-385.2(the)-382.7(W).4(icklow)-383.6(ar)11.2(e)-9.8(a)-382.4(of)-382.9(Ir)11.2(e)-9.8(l)1.3(and.)-382.1(The)-382.8(p).1(ro)11.2(gram)-388.2(consisted)-379.3(o).1(f)]TJ
T*
.0106 Tc
[(activities)-217.7(in)-215.1(a)-212.2(f)2.2(orest)-214.8(s)3.6(etting)-215.5(for)-217.1(a)2.7(ppr)10.6(o)-6.9(x)-.1(imatel)-5.6(y)-209.2(2)-171.2(hr)-217.1(dur)10.6(a)-10(tion)-215.1(week)10.6(ly,)]TJ
0 -1.3278 TD
[(for)-368.9(1)-.5(3)-367.3(w)-4.9(eeks,)-363.7(which)-371.5(i).8(ncluded)-367.3(r)-2.1(oughly)-367.3(10)-164.9(min)-366.9(e)-4(n)10.6(g)-4.9(aging)-367.2(i).7(n)-366.9(g)-.5(entle)]TJ
0 -1.3341 TD
.011 Tc
[(war)11(m)-9.1(ing-)11(u)-9.4(p)-417.4(ex)11(e)-8(r)11(c)-10(i)1.1(ses,)-420.2(11.5)-164.5(h)1.9(r)-419(o)-.1(f)-421.1(f)-3.8(or)11(e)-10(s)4(t)-423.1(w)1.9(alks,)-420.2(f)2.6(ollowed)-417.4(b)-.1(y)-423.8(a)3.1(p-)]TJ
T*
[(prox)11(imately)-322.6(3)-.1(0)-164.5(m)-2.7(in)-322.2(of)-319.9(refreshments)]TJ
15.4026 0 TD
.0104 Tc
[(/socializin)10.4(g)-333.9(i).5(n)-322.8(t)-.1(he)-326.7(forest)-322.5(sites.)]TJ
-15.4026 -1.3341 TD
.0107 Tc
[(The)-199.9(p)-.4(ar)10.7(t)-6.2(i).8(cipants)-198.7(g)-.4(athered)-202.8(a)2.8(t)-202.1(a)-199.5(meeting)-202.8(point)-195.8(in)-202.4(Wicklow)-200.8(e)2.5(ver)10.7(y)-209.2(week)]TJ
T*
.0111 Tc
[(and)-215(w)2(ere)-212.1(t).6(aken)-208.3(to)-208.7(the)-205.8(f)-3.7(or)11.1(e)-9.9(s)4.1(t)-214.3(s)4.1(ites)-204.6(by)-215(two)-208.7(c)-3.5(o)11.1(m)-7.4(mun)11.1(i)-3.2(ty)-215(buses)-210.9(a)3.2(rr)11.1(a)-9.5(n)11.1(ged)]TJ
T*
.0106 Tc
[(by)-196.5(Coillte)-200(a)2.7(nd)-196.5(WMHS.)-199.3(T)10.6(h)-9.6(e)-193.7(travel)-195.3(du)-4.8(r)10.6(a)-3.7(tion)-196.1(fr)10.6(o)-6.9(m)-192.7(th)-4.8(e)-193.7(m)3.3(eeting)-196.5(point)-195.9(to)]TJ
T*
.0102 Tc
[(the)-251(f)-4.6(or)10.2(e)-10.8(s)3.2(t)-253.2(s)3.2(ites)-249.7(was)-256.1(u)1.1(su)-5.2(ally)-253.8(less)-249.7(than)-253.5(30)-165.3(mi)-6(n)10.2(.)-254.7(E)-5.2(v)-.9(ery)-247.5(w)1.1(alk)-248.6(w)1.1(as)-249.7(led)-253.8(b)-.9(y)]TJ
T*
.0106 Tc
[(an)-543.9(experienced)-538(s)-2.7(taff)-535.3(member)-539.6(of)-535.3(C)-5.4(o)-.5(illte)-535.1(a)-3.6(nd/or)-539.6(a)-541(clinical)-536.7(staff)]TJ
0 -1.3278 TD
0 Tc
[(m)-7.3(e)-14.6(m)-7.3(b)-11.1(e)-14.6(r)-385.8(f)-14.8(r)0(o)-17.5(m)-393(WM)-18.8(H)-10.6(S)-9.1(,)-387(a)-14.2(n)-10.7(d)-390.5(t)-10.5(h)-9.1(e)-387.6(p)-11.1(a)-14.2(r)0(t)-16.9(i)-9.9(c)-14.6(i)-9.9(p)-11.1(a)-7.9(n)-10.7(t)-10.5(s)-386.4(f)-14.8(re)-21(e)-8.3(l)-9.9(y)-390.5(c)-14.6(o)-11.1(n)0(v)-15.5(e)-14.6(rs)-19.8(e)-8.3(d)-390.5(w)-9.1(i)-9.8(t)-10.5(h)]TJ
0 -1.3341 TD
.0113 Tc
[(other)-260.7(p).2(articipants)-261.3(d).2(uring)-259.1(t).8(he)-262.5(walks.)-261.9(The)-262.5(p).2(rogr)11.3(am)-267.9(was)-267.6(b)11.3(a)-7.7(s)4.3(ed)-265.4(o)11.3(n)-269.8(the)]TJ
T*
.0111 Tc
[(pilot)-302.9(p)0(rogr)11.1(am)-306.1()54.1()3.5(Br)11.1(anching)-303.5(O)3.8(u)-4.3(t).6()60.4()-306.3(in)-303.1(Scotland,)-300(w)2(h)-4.3(i)1.2(ch)-301.5(involves)-299.4(a)-3.1(ctiv-)]TJ
T*
.0109 Tc
[(ities)-211.1(i)1(n)-214.8(g)-.2(reen)-208.5(ar)10.9(e)-10.1(a)3(s)-217.4(f)2.5(or)-216.8(people)-212.3(w)-4.6(ith)-213.2(m)3.6(ental)-213.9(ill-health)-219.5(\(W)10.9(i)-9.8(l)1.1(son,)-211.7(2009\).)]TJ
T*
.0105 Tc
[(By)-278.8(Mar)10.5(c)-10.5(h)-283.1(2014)10.5(,)-292.8(t)0(he)-282.3()53.5()2.9(Woodland)-285.2(f)2.1(or)-280.4(Health)53.5()-281.6(prog)10.5(r)-7(a)2.6(m)-287.7(h)1.4(ad)-285.2(been)-284.8(run)]TJ
T*
.0108 Tc
[(on)-278.2(four)-273.8(occasions.)]TJ
1.1128 -1.3341 TD
[(This)-312.3(study)-316.4(w)1.8(as)-312.3(carr)10.9(i)-5.4(e)-3.7(d)-310(o)-.2(ut)-309.4(on)-316(the)-313.5(f)2.5(our)10.9(t)-6(h)-314.3(r)-1.8(ound)-310(of)-313.7(the)-319.8(p)-.2(r)10.9(o)-6.6(gram,)]TJ
-1.1128 -1.3341 TD
0 Tc
[(w)-9.1(h)-15.4(i)-9.9(c)-8.3(h)-578.2(c)-14.6(om)-18.5(m)-7.3(e)-14.6(n)-10.7(c)-8.3(e)-8.3(d)-580.2(i)-9.9(n)-579.8(J)-9.3(a)-14.2(nu)-19.8(a)-7.9(r)-12.7(y)-580.2(2)0(0)-15.9(1)-11.1(4)-580.2(a)-14.2(nd)-584.6(l)-9.9(a)-14.2(s)-7(t)-10.5(e)-14.6(d)-573.9(f)-14.8(o)-11.1(r)-575.5(1)-11.1(3)-580.2(w)-9.1(e)-14.6(e)-8.2(k)-12.2(s)-7(.)]TJ
0 -1.3278 TD
.0109 Tc
[(During)-461.8(the)-465.2(p)-.2(rog)10.9(r)-6.6(am)-464.3(the)-458.9(p)-.2(ar)10.9(t)-6(i)1(cipants)-464(v)-.2(isited)-461.8(a)-464.9(n).2(umber)-463.4(o)-.2(f)-465.4(f)2.5(orest)]TJ
0 -1.3341 TD
[(sites)-337.7(\().9(Table)-338.9(1)-.3(\).)]TJ
/F4 1 Tf
/Cs8 cs 1 scn
0 -2.6683 TD
0 Tc
[(The)-343.6(program)-341.7(participants.)]TJ
/F1 1 Tf
0 0 0 rg
11.5203 0 TD
[(The)-294(program)-289(participants)-288.1(were)-291.3(recruited)]TJ
-11.5203 -1.3341 TD
[(by)-553.4(the)-552.6(clinical)-555.1(staff)-554.4(and)-548.2(the)-552.6(doctors)-558.7(from)-551.8(WMHS)-550.6(during)-557.9(their)]TJ
/F6 1 Tf
11.9551 0 0 11.9551 250.8094 738.0282 Tm
[(EFFECTS)-337.9(OF)-332.4(GROUP)-336.1(FOREST)-339.8(WALKS)-335.9(ON)]TJ
/Cs8 cs 1 scn
17.361 0 TD
[(MENTAL)-335.2(ILL-H)-7.9(EALTH)]TJ
/F11 1 Tf
6.9738 0 0 6.9738 269.1779 29.7638 Tm
0 0 0 rg
()Tj
/F5 1 Tf
1.1463 0 TD
.0214 Tc
[(MARY)-336.6(ANN)-327.3(L)-.2(IEBERT,)-334.6(I)5(NC.)]TJ
/F12 1 Tf
7.9702 0 0 7.9702 361.8708 31.0677 Tm
0 Tc
()Tj
/F5 1 Tf
6.9738 0 0 6.9738 373.2094 29.7638 Tm
.0147 Tc
[(VO)14.7(L)-7.6(.)-325(8)-998.9(N)14.7(O.)-333.1(1)]TJ
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