“40 &amp; Forward”: Preliminary Evaluation of a Group Intervention to Improve Mental Health Outcomes and Address HIV Sexual Risk Behaviors Among Older Gay and Bisexual Men

Reisner, Sari L.; O’Cleirigh, Conall; Hendriksen, Ellen; McLain, Jennifer; Ebin, Julie; Lew, Katherine; Callis, Barry; Cranston, Kevin; Carr, Robert; Giovanniello, Chuck; González, Daniel; VanDerwarker, Rodney; Mimiaga, Matthew J.

doi:10.1080/10538720.2011.611113

Cited by 14 publications

(41 citation statements)

References 54 publications

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“…A majority (n = 36) of the 43 reported interventions designed to address sexual minority people's mental health were conducted in North America, [43][44][45][46][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63]66,67,[69][70][71][72][73][75][76][77][78][79][80][81][82]85 3 in Europe, 47,65,84 and 1 each in Australia, 74 China, 83 New Zealand, 68 and South Africa. 64 The study designs ranged from 21 (48.84%) studies 45,53,54,56,57,59,61,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twenty-three (53.4%) studies were classified as medium because they added a recruitment criterion other than sexual orientation (HIV positive = 16 43,44,[46][47][48][49]51,52,54,58,63,74,76,77,83,85 ; age = 5 70,[78][79][80]84 ; substance use = 2 50,54 ; and cancer diagnosis = 1 45 ), but the interventions were designed as only focusing on stressors commonly endured by sexual minority clients, whereas the intersecting positions were relegated to descriptive demographics. Seven (16.3%) studies showed a high level of intersectionality to account for the intersection between membership as a sexual minority and HIV-positive status (n = 3) 56,62,82 ; age (n = 3) 56,68,73 ; disability (n = 1) 71 ; homelessness (n = 1) 73 ; or rurality (n = 1). 81…”

Section: Study Characteristicsmentioning

confidence: 99%

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How Intersectional Are Mental Health Interventions for Sexual Minority People? A Systematic Review

et al. 2020

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Purpose: Complex and widespread stigma exposes sexual minority people to disproportionate risks for adverse mental health. Intersectionality theory calls for consideration of the unique experiences of living with multiple forms of inequality. Yet, concerns remain regarding the extent to which intersectionality theory has been integrated into mental health interventions for sexual minority populations. This systematic review aims to assess the degree to which available mental health interventions account for intersecting forms of marginalization and to identify methods that facilitate the application of intersectionality. Methods: A search for peer-reviewed English language journal articles was conducted using PsycINFO and PubMed to locate reports of mental health interventions for sexual minority groups. A coding framework was designed to evaluate how interventions incorporated intersectionality theory. Results: Of 1877 potentially eligible articles, forty-three were included in the analysis. They were each classified as low, medium, or high with regard to intersectionality. Thirteen (30.2%) were rated as low on intersectionality for only recruiting a homogeneous group of participants in the interventions; 23 (53.4%) were classified as medium for including additional identities in recruitment without responding to possible intersectional disadvantages; 7 (16.3%) were rated as high with adequate consideration of the complex effects of intersecting positions. In addition, the review identified community-based participatory research as a common and instrumental method to ensure intersectionality. Conclusions: This review highlights the limitations of interventions for sexual minority people in addressing intersectionality. Guidelines are needed for clinical practice and evaluation to adequately incorporate intersectionality theory.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

How Intersectional Are Mental Health Interventions for Sexual Minority People? A Systematic Review

et al. 2020

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“…We retained articles that described an intervention designed to reduce sexual minority stressors (e.g., prejudice reduction, institution of gay-affirmative policies or laws, removal of discriminatory policies or laws, increasing availability of qualified mental or physical health providers) or bolster coping resources or strategies (e.g., mitigate internalized homophobia, increase social support) among sexual minority individuals. We excluded articles whose interventions target general stress and coping processes (e.g., Antoni et al, 2006;Kabat-Zinn, 2003) and articles whose interventions improve sexual minority mental or physical health directly without addressing sexual minority stress (e.g., Reisner et al, 2011).…”

Section: Inclusion Criteriamentioning

confidence: 99%

What Reduces Sexual Minority Stress? A Review of the Intervention “Toolkit”

Chaudoir

Wang

Pachankis

2017

Journal of Social Issues

206

143

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Sexual orientation health disparities are rooted in sexual minorities’ exposure to stress and challenges to effective coping. This paper reviews the “toolkit” of psychosocial interventions available to reduce sexual minority stress effects. A systematic search uncovered 44 interventions that both seek to reduce sexual minority stress at its source in unjust and discriminatory social structures as well as bolster sexual minorities’ stigma-coping abilities. These interventions were implemented in a variety of contexts (e.g., education, health care delivery) and utilized heterogeneous modalities to create change (e.g., policy implementation, role-playing activities). They were designed to affect change across structural, interpersonal, and individual levels. The interventions reviewed here, while in early stages of efficacy testing, possess potential for meeting the needs and resources of mental and medical health care providers, policy makers, and other stakeholders who aim to lessen the burden of sexual minority stress and the health disparities it generates.

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“…Lorsque des problèmes de santé mentale se manifestent ou persistent avec l'avancée en âge chez les aînés gais et lesbiennes, ils demeurent similaires à ceux observés à l'âge adulte : dépression, anxiété, risque suicidaire, consommation excessive d'alcool et de substances, stress, auxquels s'ajoute le sentiment de solitude (Fredriksen-Goldsen et al, 2011 ;Grossman et al, 2001 ;McCann et al, 2013 ;Orel, 2004 ;Reisner et al, 2011). Dans la recherche de Shippy et al (2004), 30 % des participants rapportent des sentiments dépressifs alors que 10 % des participants à l'étude de Grossman et al (2001) disent avoir eu des pensées suicidaires.…”

Section: La Santé Mentale Des Aînés Gais Et Lesbiennes : Que Sait-on ?unclassified

“…La communauté LGBT pourrait aussi jouer un rôle phare auprès de la population gaie et lesbienne vieillissante en lui offrant des services et des programmes adaptés à ses réalités (Fredriksen-Goldsen et Muraco, 2010 ;Shippy et al, 2004). Selon l'évaluation d'un programme d'intervention visant à réduire le risque de transmission du VIH ayant ciblé des hommes gais vieillissants (40 ans et plus) et présentant des symptômes de dépression, d'anxiété et de solitude, il ressort que le développement d'un réseau de soutien social contribue à réduire les symptômes de dépression, d'anxiété sociale et de solitude des participants (Reisner et al, 2011).…”

Section: Les Facteurs De Protection : Résilience Réseau Social Et Sounclassified

Les enjeux de santé mentale chez les aînés gais et lesbiennes

Beauchamp

Chamberland

2016

smq

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La plupart des gais et lesbiennes aînés ont été marqués dans leur trajectoire de vie par des expériences de discrimination et de stigmatisation reliées à leur orientation sexuelle. Ces expériences négatives peuvent avoir eu des impacts sur leur parcours de vie et sur leur santé mentale. Même si, actuellement, la majorité des aînés gais et lesbiennes ont et maintiennent une bonne santé mentale, il ressort des études que les personnes non hétérosexuelles sont plus à risque de développer certains problèmes tels que l’anxiété, la dépression, les idéations suicidaires et la consommation excessive d’alcool et d’autres substances. Cet article présente les facteurs pouvant fragiliser la santé mentale des aînés gais et lesbiennes, soit la victimisation et l’exposition à diverses formes de préjudices au cours du parcours de vie, la gestion continue du dévoilement ou de la dissimulation de l’orientation sexuelle, le degré d’homophobie intériorisée ainsi que la solitude ; et les facteurs potentiels de protection tels que les capacités de résilience, le réseau social et le soutien social. Cet article conclut sur les implications quant à la prise en compte des besoins propres aux aînés gais et lesbiennes. Des recommandations sont mises de l’avant dans une perspective de reconnaissance des enjeux touchant les aînés gais et lesbiennes, et d’amélioration des services qui leur sont offerts.Most gay and lesbian elders have experienced discrimination and stigmatization related to their sexual orientation in their life trajectory. These negative experiences may have had an impact on their life course and on their mental health. Even if the majority of gay and lesbian older adults actually have and maintain good mental health, studies show that non-heterosexual people are at a greater risk of developing certain difficulties, such as anxiety, depression, suicidal thoughts and excessive consumption of alcohol and other substances. This article presents the factors that may weaken the mental health of older gay and lesbian people, such as victimization and the exposure to various forms of prejudice in their life course, the continuous management of the disclosure or dissimulation of their sexual orientation, the degree of internalized homophobia, as well as loneliness; and also presents the potential protective factors, such as building resilience, social networks and social support. This article concludes by illustrating the implications concerning the specific needs of the gay and lesbian elders. Some recommendations are also formulated with regards to recognizing the issues affecting gay and lesbian older adults as well as improving the services that are offered to them

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“40 & Forward”: Preliminary Evaluation of a Group Intervention to Improve Mental Health Outcomes and Address HIV Sexual Risk Behaviors Among Older Gay and Bisexual Men

Cited by 14 publications

References 54 publications

How Intersectional Are Mental Health Interventions for Sexual Minority People? A Systematic Review

How Intersectional Are Mental Health Interventions for Sexual Minority People? A Systematic Review

What Reduces Sexual Minority Stress? A Review of the Intervention “Toolkit”

Les enjeux de santé mentale chez les aînés gais et lesbiennes

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