{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:38:39Z","timestamp":1789468719054,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Therapeutic Greenhouse Program, located at an elementary school in an underserved community, offers a sustainable and reproducible model for school\u2010based garden programming. Developed by a school\u2010based health center, the program integrates medical and behavioral health services within an alternative therapeutic environment. It has been maintained since 2020 through strong partnerships with school staff, families, and community organizations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Practice<\/jats:title>\n                    <jats:p>The program bridges hands\u2010on food literacy education with clinical care delivery. Elementary school children engage in structured sessions that combine nutrition education, experiential learning, and behavioral health support within the garden setting. Close collaboration with teachers and community partners embeds the program into the daily school routine, fostering a multidisciplinary approach to student wellness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>This model supports policies that expand school\u2010based health services into nontraditional care environments. It demonstrates the feasibility of interdisciplinary collaboration in delivering integrated, experiential health education. Furthermore, the program advances health equity by providing inclusive, nonstigmatizing access to health promotion and fresh food.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By leveraging billable services, strategic partnerships, volunteer engagement, and small\u2010scale revenue generation, the program provides a financially sustainable and replicable framework for integrating healthcare and education in school settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70218","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:40:08Z","timestamp":1787010008000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Therapeutic Greenhouse Model for School\u2010Based Health"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6168-0246","authenticated-orcid":false,"given":"Nicole","family":"Casbarro","sequence":"first","affiliation":[{"name":"Community Health Center, Inc  Middletown Connecticut USA"},{"name":"Quinnipiac University  Hamden Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4608-5529","authenticated-orcid":false,"given":"Pina M.","family":"Violano","sequence":"additional","affiliation":[{"name":"Quinnipiac University  Hamden Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"issue":"4","key":"e_1_2_12_2_1","first-page":"664","article-title":"School Gardens as a Strategy to Address Food Insecurity and Improve Dietary Intake Among Children: A Systematic Review","volume":"122","author":"Caruso M. L.","year":"2022","journal-title":"Journal of the Academy of Nutrition and Dietetics"},{"key":"e_1_2_12_3_1","article-title":"School Garden Interventions and Adolescent Mental Health: A Longitudinal Study of Anxiety and Depression Outcomes","volume":"85","author":"Davis J. N.","year":"2023","journal-title":"Journal of Environmental Psychology"},{"key":"e_1_2_12_4_1","unstructured":"V.Lam M. Y.Romero andJ. D.Ellis \u201cGrowing Environmental Stewards: The Impact of School Gardens on Children's \u201d2021."},{"issue":"5","key":"e_1_2_12_5_1","first-page":"815","article-title":"School Gardens in the Time of COVID\u201019: Responding to Critical Needs for Food Security and Community Resilience","volume":"111","author":"Thompson H. R.","year":"2021","journal-title":"American Journal of Public Health"},{"issue":"3","key":"e_1_2_12_6_1","first-page":"367","article-title":"School Gardens and Children's Dietary Behaviors: A Randomized Controlled Trial","volume":"62","author":"Williams D. R.","year":"2022","journal-title":"American Journal of Preventive Medicine"},{"issue":"5","key":"e_1_2_12_7_1","first-page":"452","article-title":"The Impact of School Garden\u2010Based Learning on Academic Achievement: A Cluster Randomized Controlled Trial","volume":"35","author":"Morgan P. J.","year":"2020","journal-title":"Health Education Research"},{"issue":"2","key":"e_1_2_12_8_1","first-page":"215","article-title":"Social\u2010Emotional Learning Through Garden\u2010Based Education: A Mixed\u2010Methods Analysis of Peer Relationships and Collaboration Skills","volume":"27","author":"Hernandez K.","year":"2023","journal-title":"Applied Developmental Science"},{"issue":"1","key":"e_1_2_12_9_1","first-page":"11","article-title":"Enhancing the Health of School Garden Programs and Youth: A Systemic Review","volume":"50","author":"Huelskamp A. 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