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Breaking Trail: A Q Methodology Study on the Use of Nature-Based Interventions for Clients with Disabilities in Counseling and Rehabilitation Counseling
Department: Counseling
ResourceLengthWidthThickness
Paper000
Specimen Elements
Pocatello
Unknown to Unknown
Pam Vance
Idaho State University
Dissertation
Yes
5/15/2026
digital
City: Pocatello
Doctorate
Nature-based interventions (NBIs), a multidisciplinary term referring to the intentional integration of nature to target holistic wellbeing goals, have been shown to provide counseling aligned benefits for people with disabilities, including stress reduction, improved focus, enhanced social competence, and meaning-making opportunities. Despite this evidence, current rehabilitation counseling literature and other professional counseling literature contains nearly no guidance on integrating nature-based interventions for clients with disabilities. This gap leaves counselors unprepared to address both the therapeutic potential of NBIs and the substantial barriers people with disabilities face in accessing nature. Using Q Methodology, I explored expert perspectives on what is important for rehabilitation counselors and other counseling specialties to know about NBIs when working with clients with disabilities. Factor analysis revealed two significant viewpoints. Factor 1, the Inclusive Universalism Paradigm emphasized NBIs universal, multidimensional benefits across physical, emotional, cognitive, and existential domains. Factor 2, the Social-Ecological Justice Paradigm prioritized individualized, culturally responsive approaches that address relational transformation, systemic barriers, and disability justice concerns. Findings from this study suggest that both foundational knowledge of NBIs’ benefits and critical best practices in disability-specific, culturally informed implementation are needed when using NBIs in counseling people with disabilities. Implications for counselor education, clinical practice, and future research are discussed. Keywords: nature-based interventions, rehabilitation counseling, disability, Q methodology, counselor education, EcoWellness.

Breaking Trail: A Q Methodology Study on the Use of Nature-Based Interventions for Clients with Disabilities in Counseling and Rehabilitation Counseling

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