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Children's Reentry to School After Psychiatric Hospitalization: A Qualitative Study
Children's Reentry to School After Psychiatric Hospitalization: A Qualitative Study
Children's Reentry to School After Psychiatric Hospitalization: A Qualitative Study

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자료유형  
 학위논문 서양
최종처리일시  
20250211151057
ISBN  
9798382321523
DDC  
610
저자명  
DiGiovanni, Madeline.
서명/저자  
Childrens Reentry to School After Psychiatric Hospitalization: A Qualitative Study
발행사항  
[Sl] : Yale University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
77 p
주기사항  
Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
주기사항  
Advisor: Martin, Andres.
학위논문주기  
Thesis (M.D.)--Yale University, 2024.
초록/해제  
요약School reentry after inpatient psychiatric hospitalization requires careful coordination between multiple stakeholders to ensure stability across transitions, given the documented potential for negative academic and socioemotional impacts in the post-discharge period. Existing studies of lived experiences of school reentry after psychiatric hospitalization are limited, and no study examines the perspectives of multiple stakeholders from the child's home, school, and psychiatric experiences simultaneously. This study aims to characterizes the dynamics between children and adults in the transition process, to better inform future school-hospital-family partnerships. We conducted a qualitative study based on semi-structured interviews, and utilizing purposive recruitment to assess a spectrum of educational experiences. For each child interviewed, we recruited adults from home, school, and the hospital. Individual interviews occurred via video teleconferencing, with concurrent data analysis toward a grounded theory born of thematic analysis. Across 16 interviews, we analyzed perspectives from 17 related participants (three quartets and one quintet): four children, four parents, five school staff, and four hospital staff. Student profiles include first-time vs multiple admissions and the presence or absence of adequate special education services. We identified four key themes in service of an overarching grounded theory: 1) Centering the socioemotional role of school; 2) Clarifying what constitutes good communication; 3) Reconciling multiple sources of authority; and 4) Navigating limitations with creativity. Together, these themes converge into the theoretical concepts of stereovision and patchworking. Stereovision represents the synthesis of multiple stakeholder perspectives or "lines of sight," which cross to create a densely interactional system. When represented schematically, the crossed perspectives appear similar to threads in a fabric, a fitting metaphor for the safety net woven by teams to support a child in transition. Patchworking represents the creative problem-solving and makeshift pathways utilized by participants, the cobbling together of case-by-case solutions to develop an adequate support plan in the face of multiple limitations or barriers. In conclusion, by incorporating the above four thematic findings into a novel grounded theory, we argue that when navigating school reentry after psychiatric hospitalization, children and adults must use stereovision and patchworking to create a strong, flexible support fabric. These reflections increase representation of child and adult stakeholder voices in the literature and inform future school-hospital-family partnerships for school reentry after psychiatric hospitalization.
일반주제명  
Medicine
일반주제명  
Mental health
일반주제명  
Educational psychology
키워드  
Collaboration
키워드  
Psychiatry
키워드  
Psychiatric hospitalization
키워드  
School reentry
기타저자  
Yale University Yale School of Medicine
기본자료저록  
Dissertations Abstracts International. 85-11A.
전자적 위치 및 접속  
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MARC

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■1001  ▼aDiGiovanni,  Madeline.
■24510▼aChildren's  Reentry  to  School  After  Psychiatric  Hospitalization:  A  Qualitative  Study
■260    ▼a[Sl]▼bYale  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a77  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-11,  Section:  A.
■500    ▼aAdvisor:  Martin,  Andres.
■5021  ▼aThesis  (M.D.)--Yale  University,  2024.
■520    ▼aSchool  reentry  after  inpatient  psychiatric  hospitalization  requires  careful  coordination  between  multiple  stakeholders  to  ensure  stability  across  transitions,  given  the  documented  potential  for  negative  academic  and  socioemotional  impacts  in  the  post-discharge  period.  Existing  studies  of  lived  experiences  of  school  reentry  after  psychiatric  hospitalization  are  limited,  and  no  study  examines  the  perspectives  of  multiple  stakeholders  from  the  child's  home,  school,  and  psychiatric  experiences  simultaneously.  This  study  aims  to  characterizes  the  dynamics  between  children  and  adults  in  the  transition  process,  to  better  inform  future  school-hospital-family  partnerships.  We  conducted  a  qualitative  study  based  on  semi-structured  interviews,  and  utilizing  purposive  recruitment  to  assess  a  spectrum  of  educational  experiences.  For  each  child  interviewed,  we  recruited  adults  from  home,  school,  and  the  hospital.  Individual  interviews  occurred  via  video  teleconferencing,  with  concurrent  data  analysis  toward  a  grounded  theory  born  of  thematic  analysis.  Across  16  interviews,  we  analyzed  perspectives  from  17  related  participants  (three  quartets  and  one  quintet):  four  children,  four  parents,  five  school  staff,  and  four  hospital  staff.  Student  profiles  include  first-time  vs  multiple  admissions  and  the  presence  or  absence  of  adequate  special  education  services.  We  identified  four  key  themes  in  service  of  an  overarching  grounded  theory:  1)  Centering  the  socioemotional  role  of  school;  2)  Clarifying  what  constitutes  good  communication;  3)  Reconciling  multiple  sources  of  authority;  and  4)  Navigating  limitations  with  creativity.  Together,  these  themes  converge  into  the  theoretical  concepts  of  stereovision  and  patchworking.  Stereovision  represents  the  synthesis  of  multiple  stakeholder  perspectives  or  "lines  of  sight,"  which  cross  to  create  a  densely  interactional  system.  When  represented  schematically,  the  crossed  perspectives  appear  similar  to  threads  in  a  fabric,  a  fitting  metaphor  for  the  safety  net  woven  by  teams  to  support  a  child  in  transition.  Patchworking  represents  the  creative  problem-solving  and  makeshift  pathways  utilized  by  participants,  the  cobbling  together  of  case-by-case  solutions  to  develop  an  adequate  support  plan  in  the  face  of  multiple  limitations  or  barriers.  In  conclusion,  by  incorporating  the  above  four  thematic  findings  into  a  novel  grounded  theory,  we  argue  that  when  navigating  school  reentry  after  psychiatric  hospitalization,  children  and  adults  must  use  stereovision  and  patchworking  to  create  a  strong,  flexible  support  fabric.  These  reflections  increase  representation  of  child  and  adult  stakeholder  voices  in  the  literature  and  inform  future  school-hospital-family  partnerships  for  school  reentry  after  psychiatric  hospitalization.
■590    ▼aSchool  code:  0265.
■650  4▼aMedicine
■650  4▼aMental  health
■650  4▼aEducational  psychology
■653    ▼aCollaboration
■653    ▼aPsychiatry
■653    ▼aPsychiatric  hospitalization
■653    ▼aSchool  reentry
■690    ▼a0564
■690    ▼a0347
■690    ▼a0525
■71020▼aYale  University▼bYale  School  of  Medicine.
■7730  ▼tDissertations  Abstracts  International▼g85-11A.
■790    ▼a0265
■791    ▼aM.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160660▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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