Navigating mental health care access in Louisville : an ethnography of local resources and care assemblages.

This thesis examines barriers to care access present in Louisville, Kentucky\u27s community mental health care infrastructure, and how individuals who seek mental health care experience and navigate those barriers. This thesis expands research about the impacts of health care reform following the Affordable Care Act and adds to literature about the political economy of health-seeking behaviors. Drawing on assemblage theory and ethnographic research with both care-providers and care-recipients of Community Mental Health Care Organizations, I argue that both groups attempt to alleviate barriers to care access and facilitate mental health recovery through the development of formal and informal strategies. Examining the ways that these individuals find creative and agentive solutions to the challenges of structural and institutional precariousness and chronic mental illness can be useful findings for developing effective mental health interventions