Urban planning and design can impact mental health, but it is unclear how ever-growing and changing cities can sustain the psychological wellbeing of vulnerable groups, who are among the most mentally sensitive to spatial inequalities. This systematic review synthesised quantitative and qualitative studies on urban design interventions and their impact on wellbeing in vulnerable groups. Using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, we searched five online databases from inception to May 2020. A total of 10 papers were included. We found mixed evidence of benefits for wellbeing linked to urban regeneration projects or focused interventions (green spaces, transport, security). Interventions that were centred around participation, sustainable living, and quality of design (e.g., perceived sense of safety) were associated with increased residential satisfaction and wellbeing, particularly among low-income communities and women. Risk of bias was low to medium, but there was high methodological heterogeneity; studies were mainly from Western countries, and none of the included studies investigated the experiences of people with disabilities, migrants, or racial minorities. This review highlights the importance of inclusive and sustainable design interventions to create happy places for all strata of society, although further investigation is warranted.

Risk-sensitive urban development is an innovative planning approach that can transform the way cities are built in order to face the uncertainties that arise from climate-induced disaster risks. However, the potential to initiate such a transformative approach has not materialized because of the many underlying issues that need to be understood properly. Therefore, this study conducted a systematic review to gather empirical evidence on the issues and challenges in implementing risk-sensitive urban development. The study identified forty-six issues and challenges under seven key themes that need addressing in order to facilitate the desirable transition: trade-offs, governance, fragmentation and silos, capacity, design and development, data, and funding. The issues and challenges that exist under trade-offs for negotiating solutions for risk-sensitive urban development and the governance of multiple stakeholders were identified as the top two areas that need attention in facilitating the desirable transition. This study also revealed that important information, such as scientific information, hazard and risk information, temporal and spatial information, and critical local details are not being produced and shared between stakeholders in decision-making. A profound participatory process that involves all the stakeholders in the decision-making process was identified as the pathway to ensure equitable outcomes in risk-sensitive urban development.