Doctoral Dissertation Research: Psychiatric Deinstitutionalization and Community Mental Health Transitions

博士论文研究：精神病去机构化和社区心理健康转变

• 批准号: 2116127
• 负责人: Jocelyn Chua
• 金额: $ 1.61万
• 依托单位: University of North Carolina at Chapel Hill
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2022-12-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2116127&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Psychiatric; Deinstitutionalization

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.

该奖项全部或部分由《2021年美国救援计划法案》（公法117-2）资助。精神病去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。除了为一名人类学研究生在经验数据收集和分析方法方面的培训提供资金外，该博士论文项目还对精神病院去机构化在社区成员、护理人员和客户日常生活中的社会影响进行了科学分析。通过科学地考察精神病院去机构化的影响，本论文项目将更好地了解其对社区居民日常生活的影响。该项目还扩大了代表性不足的群体对科学的参与。本博士论文研究项目探讨社区成员如何参与照顾去机构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院去机构化的过程？(2)社区护理的实践是如何制定的？(3)精神科去机构化是否重塑了诊所与社区之间的界限？研究人员将通过人种学观察、半结构化访谈、焦点小组和档案研究来探索精神疾病去机构化在社区中的社会影响。远程实地工作方法，如虚拟访谈，照片语音和日志，也将被使用。数据将按主题进行编码和仔细分析，以探索护理人员、客户和社区成员如何发展和制定有关精神病学去机构化、社区心理健康和社区护理的话语。通过科学地研究社区成员如何参与社区护理活动，并通过询问诊所与社区之间的界限发生了什么，本论文项目将为社区环境下的精神卫生保健研究做出重要贡献。该奖项反映了美国国家科学基金会的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。