Addiction, Mutual Aid Networks, and the Navigation of Care Systems

成瘾、互助网络和护理系统的导航

• 批准号: 1951238
• 负责人: Sheryl McCurdy
• 金额: $ 31.62万
• 依托单位: The University of Texas Health Science Center at Houston
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-03-15 至 2025-02-28
• 项目状态: 未结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1951238&HistoricalAwards=false
• 关键词: Addiction; Mutual; Aid; Networks; Navigation

The opioid epidemic exposes how opioid misuse undermines family and community coherence. Family members tasked with supporting and caring for individuals affected by opioid addiction are often unable to provide the necessary support, contributing to precarity for affected individuals. How do individuals with a history of opioid addiction navigate and create webs of social support when families are unable to step in? This study focuses on the roles of different forms of social networks and formal programs in supporting people with a history of opioid addiction. Specifically, the research investigates how people affected by opioids create new ways of caring and relating to one another in opioid-affected communities that have access to mutual aid groups to provide support that is otherwise lacking. The project will reveal priorities of opioid-affected individuals in seeking care and support, thus informing attempts to aid in their recovery. Specifically, leveraging lessons learned via observing how users care for each other will provide insights into ways to model interventions for supportive care networks for recovery in the United States. The research is informed by and advances kinship theory and medical anthropology by considering two research questions: (1) How do the dynamics of shifting family support influence the decisions and behavior of individuals affected by opioid addiction? (2) What differences are seen in mutual aid associations compared with other networks in care practices, relationships, and experiences? To address these questions the study employs systematic observations and interviews with care practices in network interactions, analyzes the affective flows and discourses within and between care subnetworks, and uses personal-network questionnaires that characterize relationships among individuals affected by opioid addiction as part of their broader social networks. Results from the project will provide insights into the operation of mutual aid organizations through offering new strategies of harm reduction and their deployment that can have an influence on opioid policy and caregiving. The multi-level characterization of networks of kin and non-kin will refine anthropological understandings of the contexts that give rise to support versus divestment in kin, and how networks are broken and rebuilt as allegiances shift due to opioid addiction.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

阿片类药物流行暴露了阿片类药物滥用如何破坏家庭和社区的一致性。负责支持和照顾受阿片类药物成瘾影响的个人的家庭成员往往无法提供必要的支持，从而导致受影响个人的不稳定性。当家庭无法介入时，有阿片类药物成瘾史的个人如何导航和创建社会支持网络？本研究的重点是不同形式的社交网络和正式计划在支持有阿片类药物成瘾史的人中的作用。具体而言，该研究调查了受阿片类药物影响的人如何在受阿片类药物影响的社区中创造新的关怀和相互联系的方式，这些社区可以获得互助团体提供的支持。该项目将揭示类阿片受影响者在寻求护理和支助方面的优先事项，从而为帮助其康复的努力提供信息。具体而言，通过观察用户如何相互照顾，利用经验教训，将提供深入了解如何为美国的支持性护理网络恢复进行干预。该研究通过考虑两个研究问题来了解和推进亲属关系理论和医学人类学：（1）家庭支持的动态变化如何影响受阿片类药物成瘾影响的个人的决定和行为？(2)与其他网络相比，互助协会在护理实践、关系和经验方面有哪些差异？为了解决这些问题，该研究采用了系统的观察和访谈与护理实践中的网络互动，分析了情感流和话语内和之间的护理子网络，并使用个人网络问卷，其特征受阿片类药物成瘾的个人之间的关系作为其更广泛的社交网络的一部分。该项目的结果将通过提供新的减少伤害战略及其部署来深入了解互助组织的运作，这些战略可能会对阿片类药物政策和预防产生影响。亲属和非亲属网络的多层次表征将完善人类学对产生亲属支持与撤资的背景的理解，以及网络如何随着阿片类药物成瘾而发生的变化而破裂和重建。该奖项反映了NSF的法定使命，并被认为值得通过使用基金会的智力价值和更广泛的影响审查标准进行评估来支持。