"Those people known as mental patients...": Professional and Patient Engagement in Community Mental Health in Vancouver, BC in the 1970s
Bibliographic record
Abstract
In Vancouver, B.C., in the 1970s, the introduction of community mental health teams was part of a complex transformation of mental health services towards community mental health care. This paper examines the experiences of professionals and patients involved in this change first hand. Using oral history and written documentation, the paper analyzes the perspectives of a psychiatrist who had a leading role in the establishment of new community mental health teams in Vancouver and of several members of the Mental Patient’s Association (MPA), a local grassroots organization which engaged in the establishment of new community-based mental health services. Our study reveals that the categories of service provider and service user in fact overlapped and were constructed in relation to each other, transforming and redefining notions of care and expertise. As such the oral histories provide a unique focus on the way professionals and service users engaged with new forms of community mental health work, thus interrupting established perceptions of both the practitioner and the patient in mental health.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".