The brain-trust leading our research and development.
The brain-trust leading our research and development.
Fred Foote, MD, CPT, MC, USN (RET.)
Medical and Research Advisor
Dr. Foote is a retired U.S. Navy physician. He practiced neurology for 20 years and led the integration of whole-person health care in hospitals and clinics throughout the U.S. Military Health System. He played a vital role in the development of a therapeutic woodland garden, the Green Road Project, at Walter Reed National Military Medical Center (WRNMMC).
As the project administrator of the Green Road Project, Dr. Foote championed this wooded path beside a tranquil stream, where service members and their families can connect with one another, honor the fallen, and find respite. Additionally, his work on this project is advancing bio-marker and data-modeling researching to further measure the benefits of therapeutic gardens.
Dr. Foote served at the National Naval Medical Center (NNMC) in Bethesda, Maryland, in numerous positions, including chairman of the NNMC Ethics Committee and team leader of the Neurosciences Service Line. As head of special projects for the Neuro-musculoskeletal Service Line, he was responsible for the inception, funding acquisition, and development of clinical programs, including the Vietnam Head Injury Study, Conemaugh/Jackson Neurosciences Research Program, NNMC Multidisciplinary Sleep Center, NNMC Spine Center, NNMC Centers of Excellence for Cranial-Spinal Surgery and Total Joint Replacement, and the NIH/NNMC Center for Musculoskeletal Research.
Dr. Foote served in Operation Iraqi Freedom as a staff neurologist and assistant medical department head on the USNS COMFORT, a seagoing medical treatment facility. He was then deployed to West Africa, where he developed programs for improving health care at sea, including the IMPACT at Sea Program for medical quality management; the IWO Successful Sailors Program; and initiatives in space redesign, infection control, and mass casualty care.
In 2006, he was appointed project officer of the Epidaurus Project. In that role, he serves as a subject matter expert in advanced health facilities design, holistic medicine, use of the arts in health care, and patient/family centered care. He was assigned as an advisor to design teams for WRNMMC, Fort Belvoir Community Hospital, the National Intrepid Center of Excellence (NICoE) for Psychological Health and Traumatic Brain Injury, and the Medical Home and Patient/Family Centered Care initiatives at the NNMC.
Dr. Foote has been honored by the Navy with two Meritorious Service Medals, four Commendation Medals, a Meritorious Unit Commendation, a Good Conduct Medal, a Humanitarian Service Medal, and a National Defense Medal.
He is an adjunct assistant professor at The Uniformed Services University of the Health Sciences, Health Services Administration. His book of poetry "Medic Against Bomb," published by Grayson Books, was inspired by his experiences in Afghanistan treating the wounded of the Iraq/Afghanistan Wars.
Jay Graham, ASLA
Landscape Architect Advisor
Jay is a principal of Moody Graham Architecture, a University of Virginia alumnus with degrees in Architecture (BArch ’69) and Landscape Architecture (MLA ’72), a registered architect (since 1974), and a registered landscape architect (since 1976). Jay uses his dual training to interweave land and structure, respecting and enhancing the architectural elements, creating a perfect blend between indoors and outdoors. His most notable accomplishments can be summarized as creating relationships between people and places.
Jay’s 40 years of experience in the design of landscapes has included residential, historic, recreational, public, and commercial projects. Additionally, Jay has had the unique experience in more recent years of working in an advisory capacity on large green space projects, where there has been an emphasis on measuring outcomes. This work was done through the TKF Foundation, where Jay worked with the founders to review grant submissions, visited potential project sites, and make final selections. In the end, $10 million was awarded to six projects. These project include:
The Green Road Project —The Institute for Integrative Health built an outdoor space designed to promote healing among wounded warriors at Walter Reed National Military Medical Center in Bethesda, Maryland. It includes a stream-side path as well as places for contemplation and commemoration.
Naval Cemetery Landscape — This project in Brooklyn, New York is the construction of a sustainable landscape, complete with high levels of biodiverse activity, which allows visitors to escape from the built environment and achieve psychological restoration.
A Nature Place: Quantifying Benefits of a Healing Garden among Hospital Populations — Legacy Health System In Portland, Oregon, built a four-season garden at its Family Birth Center and Cardiovascular Care Unit. The garden combines traditional medical expertise with the healing effects of nature to help patients, their families and health care professionals under stress.
Landscapes of Resilience — In Joplin, Missouri, and Queens, New York, researchers are exploring how nature can help influence and strengthen personal and community restoration and resilience in times of crisis, including in the aftermath of severe weather events.
Mechanisms and Design Elements of Restorative Nature — Researchers in the Baltimore-Washington metropolitan area are working to identify exactly what it is about nature that has such tremendous effects on our brains and our health, and are creating guidelines for the future design of natural spaces.
A Greenspace a Day — This project in the Baltimore-Washington metropolitan area involves the study of the existing Open Spaces Sacred Places funded by the TKF Foundation to examine their impact on the immune system, health, and productivity, across different green spaces and different populations.
Jay’s other projects include stewardship plans for estates in urban, rural, and waterfront settings. His designs strive to be environmentally respectful and culturally timeless. Jay’s knowledge of history, added to his creativity and attention to detail, has resulted in recognition and awards for his work.
Jay is a member of the American Society of Landscape Architects. He is actively involved in professional and community programs and has held leadership and advisory positions with the American Society of Landscape Architects, both nationally and locally. Jay has served on the board of the Neighborhood Design Center, the Washington Architectural Foundation, 1000 Friends of Maryland and the Landscape Architecture Foundation. Currently, Jay serves on the board of the Hammond-Harwood House Association. He is a speaker on issues concerning landscape design, such as “Architecture in the Garden,” “The Thoughtfully Furnished Garden,” and “Art in the Landscape.” His talk for Horticulture Magazine’s 2005 symposium was entitled “Reading the Landscape.” In 2003, Jay was elected a Fellow of the American Society of Landscape Architects.
Barbara Kreski MHS, OTR/L, HTR
Former Director of Horticulture Therapy at
Chicago Botanical Gardens
Horticultural Therapist Advisor
Barbara's background spans a wide range of clinical settings, including veterans’ administration hospitals, psychiatric hospitals, skilled nursing facilities, public schools and pediatric rehabilitation. She holds a master's degree in health sciences, with a concentration in neuroscience and an undergraduate degree in occupational therapy as well as voluntary registration as a horticultural therapist.
Barbara formerly supervised the horticultural therapy services department at the Chicago Botanic Garden, including horticultural therapy programming at the Buehler Enabling Garden, delivery of services to off-site health and human services agencies, and therapeutic garden design consultation. She and her team support military families through grant-funded opportunities, so their programming can be delivered and enjoyed at no cost. Additionally, Barbara is the author and lead instructor of the Horticultural Therapy Certificate Program and is on the faculty of the Healthcare Garden Design Certificate Program.
Naomi Sachs, PHD, ASLA, EDAC;
Evidence-Based Design Guidelines
and Research Advisor
Naomi is a leader in research who has developed evidence-based design guidelines for veteran gardens and has developed assessments for healing gardens at health care environments.
She is the founding director of the Therapeutic Landscapes Network, a knowledge base and online gathering space that provides information, education, and advocacy about landscapes that promote health and well-being. She has taught and spoken about the restorative benefits of nature throughout the United States and internationally. She is co-author, with Clare Cooper Marcus, of the book Therapeutic Landscapes: An Evidence-based Approach to Designing Healing Gardens and Restorative Outdoor Spaces (Wiley, 2014) as well as numerous book chapters and articles. Naomi is currently a postdoctoral associate at Cornell University in the Department of Design and Environmental Analysis. She is also co-editor with Kirk Hamilton and Jaynelle Stichler of Health Environments Research & Design (HERD) Journal. Naomi earned a Ph.D. in Architecture at Texas A&M University within the Center for Health Systems and Design, and a Master in Landscape Architecture from the University of California, Berkeley. As the recipient of the Center for Health Design New Investigator Award and the AIA Tuttle Award, Naomi developed for her dissertation a standardized toolkit for evaluating gardens in health care facilities. She serves on the faculty for the annual Chicago Botanic Garden's Healthcare Garden Design Certification Program. She is a member of the Center for Health Design's Research Coalition and the CHD’s Environmental Standards Council. Naomi has been an active member of the American Society of Landscape Architects' Healthcare and Therapeutic Design Professional Practice Network since 1999, and served as HTD PPN Co-Chair and Chair in ’05-‘06 and’06-‘07, respectively.
Specialties: therapeutic landscapes, evidence-based design (EBD), health care design, salutogenic design, restorative landscapes, healing gardens, landscape architecture and design, cultural landscapes, cultural geography, and historic preservation.
Amy Wagenfeld, PHD, OTR/L, SCEM, CAPS, FAOTA
Therapeutic Design Advisor
Amy brings a unique perspective to projects by blending occupational therapy, horticulture, and design to make
gardens and gardening possible for a wide range of adults and children. Amy’s experiences span academic and clinical settings, and social entrepreneurial collaborations with landscape architects on design, programming and evaluation of outdoor environments in health care, community, military and educational settings. An Assistant Professor of Occupational Therapy at Western Michigan University, she also maintains a design consultation practice. Amy has published and spoken widely on the role of occupational therapy in equitable access to nature.
Amy worked with a team of landscape architects to develop guidelines for the development of outdoor spaces adjacent to the wounded warrior barracks and clinic at what was then Bethesda Naval, and is now Walter Reed National Military Medical Center (WRNMMC).
She worked with Daniel Winterbottom (professor of Landscape Architecture at the University of Washington) on two VA design-build projects with both landscape architecture and occupational therapy students. One project was at the Fisher House VA Puget Sound, transforming an existing outdoor landscape into a therapeutic garden. It won an ASLA award as did a recent project, The Garden of Earth and Sky, located within the actual VA hospital. This transformation of a rather drab courtyard into a vibrant therapeutic garden is available to all VA patients, their families, friends and staff.
Amy has also created award-winning therapeutic gardens for children with developmental and mental health challenges.
Amy is the co-author of "Therapeutic Gardens: Design for Healing Spaces."