The impact of context on mental health peer support work: ethnographic study

背景对心理健康同伴支持工作的影响：人种学研究

• 批准号: 2421113
• 金额: --
• 依托单位: University of Nottingham
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2421113
• 关键词: impact; context; mental; health; peer

Peer support workers (PSWs) are individuals with lived experience of mental health (MH) problems who are employed in a peer support capacity in public and voluntary sector MH settings. PSWs are a valuable part of the MH workforce (Department of Health, 2007). However, inflexibilities in highly standardised organisational environments can impose constraints on the PSW role limiting their ability to meaningfully impact MH systems (Gillard et al., 2014). This project will explore how the PSW role is implemented in two different MH settings with a particular focus on the relationship between PSW and organisational culture. Using structuration theory, I will explore how social structures (MH organisations, rules, resources) both constrain and shape individual agency (PSWs actions and behaviour), which in turn serve to (re)produce and shape structures. Through separating structure into three forms: Domination, Signification, and Legitimation, will allow for a better understanding of how PSWs negotiate complex mental health structural systems (Giddens, 1979). A comparative ethnographic case study approach will be employed to address the following two questions: (1) in what ways do the symbolic, legitimate, and dominant structures constrain or enable PSWs to carry out their role in different organisational settings? (2) How do PSWs re(create) or resist structures to support service users with MH problems?

同伴支持工作者(PSWs)是在公共和志愿部门的MH环境中受雇于同伴支持能力的有精神健康(MH)问题生活经历的个人。医务工作者是卫生署劳动力的重要组成部分(卫生部，2007年)。然而，在高度标准化的组织环境中的僵化可能会对PSW的角色施加限制，限制他们有意义地影响MH系统的能力(Gillard等人，2014)。本项目将探索如何在两个不同的MH环境中实施PSW角色，并特别关注PSW与组织文化之间的关系。运用结构化理论，我将探索社会结构(MH组织、规则、资源)如何约束和塑造个人代理(PSWs行为和行为)，而个人代理反过来又服务于(重新)产生和塑造结构。通过将结构分为三种形式：支配、象征和合法化，将允许更好地理解PSWs如何与复杂的心理健康结构系统谈判(吉登斯，1979)。本文将采用比较人种学的个案研究方法来解决以下两个问题：(1)象征性的、合法的和占主导地位的结构是如何约束或使PSWs在不同的组织环境中发挥其作用的？(2)PSWs如何重新(创建)或抵制结构来支持有MH问题的服务用户？