Sweden among oher countries has challenges: increasing stressrelated illness, mental unhealth, lack of existential health and social isolation. Cultural and outdoor activities can be powerful tools among other treatments, but it can be dificult to find models healthcare can implement. Arts on prescription can be seen as sending a more paternalistic as well as pathogenetic value of the patient, which the model invented in Region Östergötland has been concious to avoid. To put patients in action, let care givers be heard and cultural actors engaged the model was created by co-operation: patients, caregivers and cultural actors were invited and reinvited to create and improve a model for patients with anxiety, pain and stress-related illnesses. The ongoing intervention since 2012 involves activities such as art, craft and forestbathing. They are led by professionals and focus on process and creativity in order to give the participants a safe space in which they can change mindset. The activities take part in groups consisting of 8-12 participants to create social coherence. The model is an example on how to involve art and nature in healthcare as well as to involve the target groups itself. The main succes-factor of the model is the cooperation of perspectives. Anchoring all parts was a base in designing the model: all stakeholders were included as reference groups; participants (patients), caregivers, actors within the cultural and outdoor sector. After 12 years of ongoing the evaluations show all through good results for participants (improved wellbeing), caregivers (a useful tool) and actors (a new area). With similar challenges, the regions benefit from cooperation. During 2025 the Region Dalarna and Region Uppsala are piloting the model. More regions are welcome to join the network to exchange experience.