This presentation will focus on the important role played by good landscape design in the creation of therapeutic mental health facilities. Our approach to landscape design in mental health, and a focus on good such design can enhance mental healthcare settings. We all recognise how green outdoor spaces and access to nature benefits our health and wellbeing. Most important is the provision of patient and service user accessible outdoor space. Spending time in nature has been proven to reduce stress, improve our memories, and make us kinder and more creative. Providing accessible sensory and healing garden spaces enhances the sense of wellbeing and helps to reduce stay times in mental health facilities. It is the vital role of the landscape that is the theme of this presentation. Our presentation will cover a number of key criteria as part of this placemaking process as well as covering the important clinical requirements of providing therapeutic and sensory spaces that encompass safety and security in a much more creative way to avoid places feeling institutional.