Remembering Barbara Dickey

By Lynn Pilcher, MDiv, MACP

“Connectedness and Citizenship: Redefining Social Integration”

“A Theory of Social Integration as Quality of Life”

“Recovery from Serious Mental Illness in Therapeutic Communities: A Model of Developmental Growth, Self-determination and Reciprocal Relationships”

“Therapeutic Communities and Mental Health System Reform”

These are just some of the titles found in the journal Psychiatric Services on my shelf written by the late Spring Lake Ranch Member and Trustee, Barbara Dickey, Ph.D. I remember fondly Barbara’s visits to the Ranch, usually with her friend and colleague Dr. Norma Ware, in which they quietly and methodically interviewed dozens of residents. They came seeking to understand residents’ experiences and what residents found helpful in their recovery journeys. Barbara saw the therapeutic community as an ideal model for recovery.

What I didn’t realize until reading some of Barbara’s academic works, was that she and Norma were part of a larger movement which was expanding ideas of what mental health recovery could look like.

From our 2025 perspective, it may seem obvious that people with serious mental health conditions can have a good quality of life, live independently with support, and be active citizens in their communities, but that hasn’t always been the case. Barbara and colleagues focused on the dimensions of recovery such as quality of life, reciprocal relationships, agency and empowerment, and social integration, among many other themes, to expand thinking and as a way to move providers to develop systems of care that matched these outcomes.

Barbara was a part of a movement which saw, as Bernice A. Pescosolido, Ph.D. states in her introduction to the January 2028 Psychiatric Services journal: ”that a better life is possible for people with serious mental illness and that systems of care should be prepared to help them pursue it.” (Psychiatric Services, January 2008, p.5) Barbara’s work was at the heart of this movement to improve systems of care so that people with mental illness might realize hope and belonging in community.

Although she held a doctorate, worked at Harvard Medical School’s Department of Psychiatry, and wrote in prestigious journals, which might lead some to expect stuffiness or a superior attitude, Barbara was nothing of the sort. She was curious and interested, gentle and kind. I saw in her a woman of quiet determination and sharp intellect, bent on making a difference.

One can never know the impact our lives have on others, and as such, it is impossible to know how Barbara’s work made a difference to the countless lives of people with mental illness her research and writing helped. What I do know is that she was a good friend to the Ranch and we are grateful for her dedication to the people we serve and that she graced our hillside farm, leaving us better for it.

Barbara died on June 16, 2025, at the age of 91 in her home in Proctorsville, Vermont. Her full obituary can be found here.