Doctoral Dissertation Research: Psychiatric Deinstitutionalization and Community Mental Health Transitions

该奖项的全部或部分资金来自《2021年美国救援计划法案》(公法117-2)。精神病院的非制度化继续给当地社区带来挑战。这些挑战包括如何在社区精神卫生中心和整个社区内更好地为严重精神病患者提供护理。除了为人类学研究生提供经验数据收集和分析方法方面的培训提供资金外，这个博士论文项目还提供了对社区成员、照顾者和委托人日常生活中精神病院非制度化的社会影响的科学分析。通过科学地考察精神病院非制度化的影响，本论文项目将提供对其在社区居民日常生活中的影响的更多了解。该项目还扩大了科学中代表性不足的群体的参与。这篇博士论文研究项目考察了社区成员如何参与到照顾非制度化的客户和他们的社区中来。它提出了三个主要问题：(1)社区居民如何参与精神病院非制度化的过程？(2)社区护理实践是如何实施的？(3)精神病院非制度化是否重塑了诊所和社区之间的边界？研究人员将进行人种学观察、半结构化访谈、焦点小组和档案研究，以探索社区精神病院非制度化的社会影响。还将使用远程实地考察方法，如虚拟采访、照片语音和日记。数据将被主题编码和仔细分析，以探索如何由照顾者、委托人和社区成员开发和制定关于精神病院非制度化、社区精神健康和社区护理的话语。通过科学地调查社区成员如何参与非住院病人的社区护理活动，以及询问诊所和社区之间的边界发生了什么，本论文项目将对社区环境中的精神卫生保健研究做出重大贡献。该奖项反映了NSF的法定使命，并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，被认为值得支持。

This award is funded in whole or in part under the American Rescue Plan Act of 2021 (Public Law 117-2). Psychiatric deinstitutionalization continues to pose challenges to local communities. These challenges encompass how to better provide care for the severely mentally ill at community mental health centers and within the community at large. In addition to providing funding for the training of a graduate student in anthropology in the methods of empirical data collection and analysis, this doctoral dissertation project provides a scientific analysis of the social effects of psychiatric deinstitutionalization in the everyday lives of community members, caregivers, and clients. By examining scientifically the effects of psychiatric deinstitutionalization, this dissertation project will provide greater understanding of its effects in the everyday lives of community residents. The project also broadens the participation of underrepresented groups in science.This doctoral dissertation research project examines how community members become involved in caring for deinstitutionalized clients and their community. It asks three main questions: (1) How are community residents involved in the process of psychiatric deinstitutionalization? (2) How are practices of community care enacted? (3) Does psychiatric deinstitutionalization reshape the boundaries between the clinic and the community? The researcher will conduct ethnographic observation, semi-structured interviews, focus groups, and archival research to explore the social effects of psychiatric deinstitutionalization in the community. Remote fieldwork methods such as virtual interviews, photovoice, and journaling, will also be used. Data will be thematically coded and analyzed carefully to explore how discourses around psychiatric deinstitutionalization, community mental health, and community care are developed and enacted by caregivers, clients, and community members. By scientifically investigating how community members participate in community care activities for deinstitutionalized clients, and by asking what happens to the boundaries between clinic and community, this dissertation project will make significant contributions to research on mental health care in the community setting.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.