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Understanding Crisis to Inform Crisis Response: Community Perspectives From a Qualitative Ethnographic Case Study.

Polly Ford-Jones1, Chiemela Iheanacho2, Simon Adam3

  • 1Faculty of Health & Life Sciences, Humber Polytechnic, Toronto, ON, Canada.

Community Health Equity Research & Policy
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Summary

Community crisis responses must address structural issues, not just medical care. Understanding crisis broadly, considering lived experiences and systemic barriers, is key to effective, equitable support for all individuals.

Keywords:
community-based carecrisis carecritical mental healthhealth equitymental health caremental health services

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Area of Science:

  • Community Health
  • Mental Health Services Research
  • Sociology of Health

Background:

  • Community crisis response is critical, especially for marginalized groups.
  • Current crisis conceptualizations are often medicalized, neglecting structural factors.
  • Ontario, Canada serves as the case study context.

Purpose of the Study:

  • To explore community descriptions of crisis.
  • To examine the alignment between crisis understanding and community responses.
  • To challenge medicalized and carceral approaches to crisis care.

Main Methods:

  • Critical qualitative ethnographic case study approach.
  • Semi-structured interviews (n=53) and open-ended surveys (n=60).
  • Document analysis involving community members, organizations, and acute-care institutions.

Main Results:

  • Crisis is described as broad, inclusive, and self-defined.
  • Structural living conditions significantly impact crisis experiences.
  • Barriers to access and service-need mismatches create crises.
  • Conditions of care contribute to crisis situations.

Conclusions:

  • A broader conceptualization of crisis is needed, incorporating contextual, structural, and systemic factors.
  • Moving beyond biomedical reductionism is essential for effective crisis care.
  • Challenging medicalized and carceral systems can improve crisis response and prevention.