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SANITY + URBANITY FORUM

Urban Design in Humanitarian Emergencies - World Mental Health Day 2025

10/10/2025

 
Author: Erin Sharp Newton
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Photo: Denniz Futalan
When cities are destroyed by disasters, when people are displaced, and when divisive uncertainty fractures the landscape of humanity, the human response is fear, desperation, disconnectedness, grief, and trauma.  In collective compassion and collaborative commitment, society can invest in strength, spirit, and substance to support the needs of all those facing such traumas. By embedding spaces and systems into our cities that provide refuge, recovery, and healing, we create environments that nurture both individuals and communities.
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Photo: Kelly (Pexels)
The Urgency of Mental Health in Crisis
​This year's 2025 World Mental Health Day theme, "Mental Health in Humanitarian Emergencies," underscores the urgent need to support the mental health and psychosocial well-being of people affected by crises. Natural disasters, conflict, and public health emergencies leave deep emotional + neurological + psychological imprints.
 
At the Centre for Urban Design & Mental Health, we focus on how environments profoundly shape mental health outcomes, particularly in contexts of recovery and resilience. Just as cities can negatively impact mental health and well-being, they can also be intentionally designed to restore safety, foster connection, and nurture psychological resilience.
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Photo: Josh Fields
Insights from the Centre's Work
​The Centre's Journal for Urban Design and Mental Health and Sanity + Urbanity Forum are curated to provide valuable insights into urban design and mental health. The work of our large network of people invested in this space reflects a growing recognition that the physical and social fabric of cities plays a central role not only in fostering mental well-being but also in enabling recovery after disruption.
 
The following examples are just some examples that illustrate how researchers, practioners, and stakeholders have approached this challenge.  These examples offer evidence, precedent, and reflection on how the built environment can become both a site of vulnerability and a source of healing:

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Image: Old Montreal. Photograph by Maria Elena Zuñiga
Urban Design for Mental Health in Montreal, Canada: This case study examines how Montreal approaches urban design for mental health, identifying principles such as access to nature and social interactions that contribute to positive mental health outcomes. The study also highlights barriers to implementing these principles, including a lack of awareness among urban design professionals and city policymakers about mental health. Read more

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Image: Concentration of restaurant choices in Washington, D.C. Source: WalkScore.com
Urban Design and Mental Health in Washington, DC: This study focuses on urban design and planning contributions to inequalities in Washington, DC, and provides recommendations for creating environments that support mental health. It emphasizes the importance of green spaces, active places, pro-social places, and safe places in promoting mental well-being. Read more

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Image by artist: Ryoji Noritake
Urban Design and Mental Health in Tokyo: This case study examines how Tokyo applies key principles of urban design for good mental health and identifies recommendations for other cities. It highlights the importance of design for community mental health as an integral aspect of supporting good mental health and recovery from mental health challenges. Read more

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Image: 1950’s Charlotte, Destruction of Homes in the Second Ward versus Urban Renewal Construction // The Charlotte-Mecklenburg Story/Charlotte-Mecklenburg Library (“Destruction of the Second Ward”)
Root Shock in Charlotte: This article discusses the mental health impacts of urban displacement in Charlotte, emphasizing the need for inclusive urban development that considers the mental health of displaced communities. It advocates for the provision of green spaces and facilities for physical activity and pro-social interaction as part of urban planning. Read more

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Bowling Alone: The Collapse and Image Source: Revival of American Community Book Cover, by Robert D. Putnam
Lonelitopia: How Urbanism of Mass Destruction is Undermining Mental Health: This piece explores how urban design can contribute to social isolation and mental health issues. It calls for a reevaluation of urban planning to foster social connections and community resilience. Read more

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Image: Smog in Beijing (2014). Credit: Wikimedia Commons
Air Pollution, Mental Health, and Implications for Urban Design: This paper reviews the current evidence for the contribution of outdoor air pollution to the burden of mental disorders and considers how this relationship might influence urban design objectives toward creating a mentally healthy environment. Read more

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The ruins of a bombed hotel on Image: Trebevic, a former popular recreation area near Sarajevo. Photo by Sophie Gleizes.
The Importance of Urban Design in Helping Heal TraumaScapes: This forum post highlights how geographical frameworks offer valuable insights into how place and space affect the well-being of city residents, helping us understand emotional and psychological responses to places and their significance for well-being. Read more

A Call to Collaboration in Crisis
​As we observe World Mental Health Day 2025, let us reflect on the role of urban environments in shaping mental health outcomes during humanitarian emergencies. It is essential for everyone (including architects, planners, scientists, developers, government officials, health and social care providers, school staff, and community groups) to come together. Through collective, collaborative, compassionate, pro-active and pro-social work, we can ensure the most vulnerable have access to the support they need while protecting the well-being of everyone.
If you are looking to contribute to this ongoing dialogue, consider submitting your work to our platforms:
  • Journal of Urban Design & Mental Health (JUDMH): We have an Open Call for Submissions for the peer-reviewed, indexed, open-access journal, inviting research, essays, and reflections exploring how design supports mental health in contexts of crisis, displacement, and recovery.​
  • Sanity & Urbanity Forum: We also welcome contributions to our Sanity & Urbanity Forum, for practice-based pieces that capture the intersection of mental health, place, and lived experience.
    ​
Consider your part in developing cities that not only withstand crises but also heal and empower their inhabitants.

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Photo: Ludwig Kwan

Global Resources & History: World Mental Health Day
 
World Mental Health Day has been observed on 10 October since 1992, launched by the World Federation for Mental Health in partnership with the WHO, to advance awareness, reduce stigma, and galvanize advocacy for mental health globally.

  • The WHO’s official campaign page gives key facts, past themes, and toolkits for global action.  We have used those themes and hope you will as well:​   
    • World Health Organization
    • WHO – World Mental Health Day (Campaign page & toolkits)

  • The United Nations also frames 2025’s theme: “Access to services: mental health in catastrophes and emergencies” emphasizes safeguarding mental health amid crises and ensuring service continuity.  At the United Nations, events and activities are organized each year during the month of October to promote the importance of mental health and well-being. For more information about how to get involved please see: 
    • United Nations
    • UN – World Mental Health Day 2025 “Access to Services”


References
 
Burkly, H. (2019). Washington, D.C., USA: An urban design and mental health case study. Journal of Urban Design & Mental Health, 6(13). Centre for Urban Design & Mental Health.
 
King, J. (2018). Air pollution, mental health, and implications for urban design: A review. Journal of Urban Design & Mental Health, 4(6). Centre for Urban Design & Mental Health. https://www.urbandesignmentalhealth.com/journal-4---air-pollution-and-mental-health.html 
 
McCay, L., Suzuki, E., & Chang, A. (2017). Urban design and mental health in Tokyo: A city case study. Journal of Urban Design & Mental Health, 3(4). Centre for Urban Design & Mental Health. https://www.urbandesignmentalhealth.com/journal-3---tokyo-case-study.html
 
Palti, I. (Ed.). (2016). Conscious cities. Journal of Urban Design & Mental Health, 1. Centre for Urban Design & Mental Health.
 
Shafique, T. (2017). Lonelitopia: How urbanism of mass destruction is crushing the American dream. Journal of Urban Design & Mental Health, 2. Centre for Urban Design & Mental Health. https://www.urbandesignmentalhealth.com/edition-2.html 
 
Ward, K., & Sharp Newton, E. (2018). Applying the concept of Root Shock to urban renewal plans for Charlotte’s Marshall Park. Journal of Urban Design & Mental Health, 5. Centre for Urban Design & Mental Health. https://www.urbandesignmentalhealth.com/edition-5.html
 
Gleizes, S. (2016). The digitalization of traumascapes. Journal of Urban Design & Mental Health*1(6). Centre for Urban Design & Mental Health. https://www.urbandesignmentalhealth.com/journal1-digitaltraumascapes.html 

The importance of urban design in helping heal traumascapes

11/17/2015

 
Sophie Gleizes an Urban Geographer and policy practitioner now working at the European Commission's Directorate-General for Health and Food Safety, launches a new UD/MH series on traumascapes, urban design and mental health. 

Take a moment and think about your personal mental map of a city you are familiar with, one you may have known for a while. Are there places you avoid more than others because of some negative association? Do any places in your neighbourhood cause distress for you? Have you ever felt vulnerable in your urban environment?
 
We project emotions, memories or ideas onto particular places which influence our decisions to visit them or not, and how we feel when we get there. This means the imagined and symbolic attributes of a place are an important key to understanding people’s psychological responses to their setting. Geographical frameworks offer valuable insights on how place and space affect the wellbeing of city residents, helping us understand ‘emotional and psychological responses to places and their significance for well-being,’ according to health geographer Sarah Curtis.
 
One feature of a healthy urban community looks at whether its members experience a sense of belonging and ease where they live. That said, what ought to be done when people undergo a troubled relationship with a place, potentially jeopardizing their happiness or mental health?
 
Some places seem to be keepers of memories that trigger distress, shame, fear or sadness, particularly those that have formed the stage for a traumatic event such as urban violence, natural disasters, military conflicts or terrorist attacks.

According to the editors of Post-Traumatic Urbanism, an urban trauma describes ‘a condition where conflict or catastrophe has disrupted and damaged not only the physical environment and infrastructure of a city, but also the social and cultural networks’. Maria Turmakin coined the term ‘traumascapes’ to denote spaces that still bear wounds from a traumatic incident, both in their physical state and in their inhabitants’ minds. A traumatic incident dislocates the continuity of the “lived and imagined landscape” of the city.  It disturbs places at the core of our ‘emotional ecosystems’: they are no longer, and never will be, the same again. Displacement and damage spread confusion in people’s mental maps of a city, as victims lose literal or mental sight of landmarks. A physically hurt environment has real emotional impacts on remaining inhabitants, with related consequences for community resilience. We cannot but think, for instance, of the physical blow of the fall of the Twin Towers in New York City on 9/11/2001, which not only has left a vacuum in the urban fabric, but also generated deep feelings including insecurity, distress, horror, and vulnerability among city residents, blurring the perceived boundaries between "safe" and "threatening" places. These feelings have been brutally reactivated during the Paris attacks on 13th November 2015. Even though the physical damage in Paris was lower than in New York, profound wounds have been left in our imagined landscape of the city.
 
Reconstructing place – restoring its familiarity – is therefore crucial in the process of healing from trauma. Urban geographers, for instance, are interested in how city dwellers, visitors and designers process this disruption and adjust (or not) to the new situation. Urban designers and city-makers alone may have inadequate competencies and insights for handling such complex, locally sensitive issues This seems to be a responsibility best shared by different actors (residents, academics, artists, etc.).
 
To help understand the issues and urban design opportunities in the complex field of traumascapes, my upcoming series of op-eds will particularly focus on several places in Sarajevo, Bosnia, a post-traumatic city besieged for four years during the war of Yugoslavia in the 1990s. During the siege, the physical urban space where people were dwelling was subject to a brutality conceptualised as “urbicide” – the murder of a city. In 2014, I conducted research in Sarajevo that to identify how different groups of people process traumatic memories, and understand what that showed about their collective and individual identities relating to a place.
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The ruins of a bombed hotel on Mount Trebevic, a former popular recreation area near Sarajevo.
Photo by author, 2014.

Traumas are not only contained in a place and an event, but also in the ways they are lived and represented across time. Places are endlessly reinterpreted in power struggles and through (in)formal negotiations over their meaning and representation. Deliberately or not, planning decisions can impede communities’ ability to process extremely stressful events in their history by maintaining a sense of trauma associated to a place. This is all too often visible in Sarajevo’s urban built environment, parts of which remain derelict or in ruins.  In this vein, places can serve as powerful tools for furthering the political vision of certain groups or institutions. Urban design challenges are thus particularly acute in a country where inter-ethnic issues remain sensitive. There is a widely held interest in how to achieve healing without forgetting traumatic episodes: similarly, we must ask how urban planners and policy makers can engage with traumatic places while taking into account a plurality of publics and generations.
 
This is the first in a series of op-eds intended to inform designers, planners, policy makers and anyone interested in questions of trauma, resilience and place-making from a social scientific and geographic perspective. Taking a qualitative approach, these insights highlight the complexity of ‘senses of places’ and practices relating to ‘traumatized’ built environments. This leads us to observe the difficulty of designing projects that effectively respond to the various needs of different individuals and communities.
 
This series claims no straightforward guideline for practice. The site of trauma is a particularly challenging object, insofar as there exists no simple, universal solution. There may be larger issues at stake, such as post-conflict peacebuilding that includes institution-building, civil society regeneration, etc. As we will see, responses to these spaces vary in terms of perceptions, cognition, personal histories and resilience, as well as the embodied experience of the place in the moment.
 
Lastly, at a time when our everyday mental maps seem increasingly vulnerable to the eruption of shock and violence, it is crucial to develop knowledge of the effect of trauma on cities and their various realities in order to develop appropriate and effective solutions.
 
As this traumascapes series proceeds, I will be discussing:

  • What are different groups of people’s perceptions and experiences of Sarajevo’s places imbued with trauma? How do they interact with these places and what can we more generally learn from these meanings and practices?
  • How to avoid univocal appropriation of the space and denial of its other meanings and purposes? What are the various urban design practices at hand to deal with such spaces?
  • How to repair the city after physical trauma in a way that also profoundly heals its inhabitants? How to reconcile people with their environment when they are perceived as hostile? How can urban design help elicit a new awareness of our urban environment, and even have a certain therapeutic impact?
  • How can urban design help younger generations and foreigners inhabit the distance between their own experiences and these traumatic events?

About the author

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Sophie Gleizes has worked in the field of urban food policy and urban geography in France and Russia. A graduate in Humanities and Social Anthropology (Paris), she also holds a Masters degree in Nature, Society and Environmental Policy from the University of Oxford. She currently works as a trainee at the European Commission (Directorate-General for Health and Food Safety).  She is eager to explore the connections between environmental psychology and urban policy.

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