Doctoral Dissertation Research: Psychiatric Deinstitutionalization and Community Mental Health Transitions

该奖项全部或部分根据2021年美国救援计划法案（公法117-2）资助。精神病非机构化继续对当地社区构成挑战。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实证数据收集和分析方法的培训资金外，该博士论文项目还提供了对社区成员，照顾者和客户日常生活中精神病去机构化的社会影响的科学分析。通过科学地考察精神病去机构化的影响，本论文项目将提供更好的理解其在社区居民的日常生活中的影响。这个博士论文研究项目探讨了社区成员如何参与照顾去机构化的客户和他们的社区。它提出了三个主要问题：（1）社区居民如何参与精神病去机构化的过程？(2)社区护理的做法是如何制定的？(3)精神病去机构化是否重塑了诊所和社区之间的界限？研究者将进行民族志观察、半结构式访谈、焦点小组和档案研究，以探讨精神科去机构化在社区中的社会影响。还将使用远程实地调查方法，如虚拟访谈、照片语音和日志记录。数据将主题编码和仔细分析，探讨如何围绕精神病去机构化，社区心理健康和社区护理的话语制定和制定的照顾者，客户和社区成员。通过科学地调查社区成员如何参与社区护理活动，并询问诊所和社区之间的界限发生了什么变化，该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，并被认为值得通过使用基金会的智力价值和更广泛的评估来支持。影响审查标准。

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.