NIMBYism and Strategies for Coping with Managing Protests during the Establishment of Community Mental Health Facilities in Taiwan: Insights from Frontline Healthcare Professionals

Taiwanese community mental health facilities encounter opposition/resistance from residents, commonly known as "Not-In-My-Backyard" (NIMBYism). This study investigated NIMBYism during the establishment of such facilities and how they respond to such resistance. A qualitative study through semi-structured interviews was used to obtain purposively sampled data. Fifteen frontline healthcare professionals from community mental health facilities in Taiwan were interviewed individually, using an organizational analysis structure. Data were analyzed using qualitative content analysis. Two themes: "Reasons for Resident Resistance" and "Institutional Response Strategies", two categories, and 11 subcategories emerged. The findings demonstrated the following: (1) Reasons behind residents' resistance toward establishing community mental health facilities are diverse. (2) Communities lack understanding regarding people with mental disorders, leading to irrational beliefs. (3) Fear and negative perceptions toward people with mental disorders exist. (4) Strategies employed by the facilities include providing community services to foster amicable relationships, organizing community outreaches, training people with mental disorders within communities, nurturing neighborhood connections, establishing and sustaining friendships within communities, inviting residents to visit community mental health facilities or introducing the facilities to communities, and leveraging governmental support. The government should adopt regulations or laws to reduce discrimination, promote human rights, and legislate to demarcate the use of community land.

Not-in-My-Backyard: Legislation Requirements and Economic Analysis for Developing Underground Wastewater Treatment Plant in China

Underground wastewater treatment plants (WWTPs) have achieved fast development in China in recent years. Due to the remarkable differences between underground and conventional aboveground construction mode, legislation including technical specifications and regulations for underground WWTPs, which was revealed in vacancy, should be issued in time to promote its development. It is also expected to avoid not-in-my-backyard sentiment by decreasing negative effects of WWTPs via construction in sealed underground space. This research took Beijing city as case study to investigate the impacts of WWTPs on nearby community from the perspective of housing price quantitatively. Differences-in-Difference (DID) model result indicates that WWTPs inhibited nearby housing price increases, leading to huge financial losses. The closer are the houses and WWTPs, the severer were the inhibition effects, indicating the relationship between environmental quality and property price. During 2016–2017, the deteriorated estate value surrounding the investigated WWTPs in Beijing was estimated as high as 32.53 billion RMB, much higher than their construction cost of about 4.38 billion RMB. Transformation from grey to green by underground construction was expected to avoid these huge value distortions, while providing alternative to enhance WWTPs with various social functions for public services. This research demonstrates the high social requirements in highly developed cities to promote fast development of underground WWTPs in China.