Evaluating a Community-Delivered, Nature-based Mental Health Program for Rural Adolescents: Evidence from the Human Nature Program

Purpose Mental distress among adolescents is a growing public health concern, particularly for youth underserved by traditional mental health systems. This study evaluates the Human Nature program, a nature-based, trauma-informed, person-centred intervention designed to support adolescent mental health in non-clinical, rural settings across Northern New South Wales, Australia. Methods A pre-post observational design was used to assess psychological outcomes among 106 participants aged 14–18. Routinely collected data included measures of psychological wellbeing, life satisfaction, and engagement across diverse demographic groups. Outcome tools included the Outcome Rating Scale (ORS) and the My Mind Star (MMS) assessment, capturing changes across multiple domains of functioning. Results Statistically significant improvements were observed in symptom distress, interpersonal wellbeing, and social role functioning. All seven domains of the MMS scale showed positive change, with the most substantial gains in self-esteem, positive time use, and educational engagement. The program successfully engaged vulnerable populations, including Aboriginal and Torres Strait Islander youth, LGBTQIA + adolescents, and those facing multiple psychosocial challenges. Discussion Findings support the effectiveness of trauma-informed, nature-based interventions in enhancing youth mental health, particularly in rural and regional contexts. The Human Nature program demonstrates the value of flexible, relational models in reaching underserved populations. These results underscore the need for government investment in alternative mental health approaches that address service gaps and promote equity in access.