Conducting culturally competent intake interviews with LGBTQ youth.

Solomon, David T.; Heck, Nicholas C.; Reed, Oakleigh M.; Smith, Daniel

doi:10.1037/sgd0000255

Cited by 14 publications

(8 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sexual identity-related stigma and cultural attitudes presented engagement barriers, whereas "LGB-friendly" and culturally competent providers were described as important for facilitating participants' treatment engagement. These findings support previous studies linking provider behaviors that are LGB affirming (e.g., demonstrating knowledge, respect, and comfort with LGB issues) (20,39,40) and culturally competent (e.g., self-awareness, active attempts to understand and acquire skills appropriate to patients' worldviews) (39-41) with establishing and sustaining therapeutic relationships among racially and ethnically diverse LGB young people.…”

Section: Discussionsupporting

confidence: 88%

A Qualitative Investigation of Engagement in Mental Health Services Among Black and Hispanic LGB Young Adults

Moore

Correa-López

Camacho

et al. 2020

View full text Add to dashboard Cite

Objective: Little attention has been paid to engagement in mental health services among racially and ethnically diverse youths who identify as a sexual minority, despite research indicating that they face significant mental health disparities. In this study, the authors assessed the service use experiences of black and Hispanic lesbian, gay, and bisexual (LGB) young adults to identify factors that promoted or hindered their engagement.Methods: Semistructured interviews with 38 young adults regarding past and present experiences with mental health services were analyzed thematically for perceived challenges to and support for engagement. Participants' service use histories were reviewed for significant interruptions in services reported over the past year.Results: Seventeen participants (45%) reported disengagement despite continuing to need services. Factors that influenced engagement were identified across four domains: personal, social environment, accessibility, and provider characteristics. Stigma related to sexual orientation and cultural attitudes presented engagement barriers, whereas providers who were knowledgeable about sexual-minority issues were important engagement promoters. Additional barriers to engagement were ambivalence about treatment efficacy, lack of family support, and difficulty finding suitable and affordable care. Peers who identified as a sexual minority helped participants locate LGB-affirming services. Rapport with providers and health care autonomy assisted participants to manage barriers to engagement. Conclusions:These findings offer insights about factors that can influence engagement with treatment among black and Hispanic LGB young adults. The findings reveal important provider competencies and can inform interventions to improve engagement and reduce mental health inequities among these youths.

show abstract

Section: Discussionsupporting

confidence: 88%

A Qualitative Investigation of Engagement in Mental Health Services Among Black and Hispanic LGB Young Adults

Moore

Correa-López

Camacho

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Though many clinical resources have been designed for the treatment of gender and sexual minorities, these resources tend to treat these groups as a whole, instead of recognizing the unique issues of separate identities. In addition, it is the responsibility of clinicians to remain educated about the experiences and identities of individuals of gender and sexual minority; many of these individuals report never being asked about their sexual or gender identities or having to educate their health care providers about their specific needs (Kitts, 2010; Kosenko, Rintamaki, Raney, & Maness, 2013; Solomon, Heck, Reed, & Smith, 2017).…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depression across gender and sexual minorities: Implications for transgender, gender nonconforming, pansexual, demisexual, asexual, queer, and questioning individuals.

Borgogna

McDermott

Aita

et al. 2019

Psychology of Sexual Orientation and Gender Diversity

282

151

View full text Add to dashboard Cite

Empirical findings indicate that sexual and gender minorities report notably poorer outcomes on measures of mental health when compared with cisgender/heterosexual individuals. Although several studies have examined these issues, few have taken the time to examine differences between cisgender/ heterosexual and specific lesbian, gay, bisexual, transgender, and queer identities. This is especially important as an increasing number of new gender and sexual identities emerge, yet limitations in statistical power often preclude such analyses. Thus, the following study addressed this gap by examining data from a large sample of college students from the national Health Minds Study (n ϭ 43,632). Results indicated that college students with transgender and gender nonconforming identities reported significantly higher rates of depression and anxiety symptoms compared with students with cisgender identities, with large effect sizes. Disparities were also significant across sexual minority participants, with the smallest effect sizes being between heterosexual and gay/lesbian individuals, and the largest effect sizes between heterosexual and pansexual participants for depression, and heterosexual and demisexual participants for anxiety. We also found evidence of an interaction of gender and sexual identity impacting mental health such that those with minority statuses in both identity groups had significantly worse outcomes compared to those with only one minority identity. Our results indicate that individuals in the emerging sexual and gender minority categories (pansexual, demisexual, asexual, queer, questioning, and transgender/gender nonconforming) report significantly higher rates of depression and anxiety when compared with cisgender/heterosexual individuals, and even significantly more than those who identify as gay/lesbian. Implications for mental health providers and researchers are discussed. Public Significance StatementResults indicate that participants identifying as an emerging identity (pansexual, demisexual, and gender nonconforming) report the highest levels of anxiety and depression. Those who identified as both a gender and sexual minority had higher anxiety and depression rates compared with those who had a minority status in only one group.

show abstract

“…First, culturally competent treatment approaches are needed for LGBT patients. Culturally appropriate models of mental health services for LGBT populations have been established (Solomon et al., 2017) and should be adapted for the Thai context. Psychiatric nurses and nurses should systematically assess suicidality levels and provide effective treatments, evaluation and referral to appropriate care to reduce the risk of suicide (Santa Mina, 2009).…”

Section: Relevance For Clinical Practicementioning

confidence: 99%

The influence of minority stress on indicators of suicidality among lesbian, gay, bisexual and transgender adults in Thailand

Kittiteerasack

Matthews

Steffen

et al. 2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible summary What is known on the subject? Established research from the United States and other Western countries has found that lesbian, gay, bisexual and transgender (LGBT) populations are at an elevated risk for suicide. Suicidality among LGBT individuals is understudied in Thailand and other Asian countries, warranting additional research to better understand risk factors and to create effective treatment and suicide prevention interventions. What the paper adds to existing knowledge? The study examined rates and predictors of suicidality in Thai LGBT adults. Study findings suggest that general (e.g. stress and loneliness) and minority stressors (e.g. discrimination and victimization) played important roles in predicting lifetime and past‐year suicidal ideation, while socio‐demographic and health‐related factors (e.g. living in high poverty area and having chronic diseases) were associated with suicide attempts among LGBT individuals. What are the implications for practice? Changes in the nursing curriculum and continuing education resources are needed to improve knowledge and core competencies in the mental health and treatment needs of LGBT individuals in Thailand. Among LGBT serving practitioners, routine assessment of suicidality is needed to increase the early identification and treatment of individual at risk for suicidal behaviours. Standardized measures of sexual orientation and gender identity should be included in all patient intake forms. In conducting research on strategies to improve mental health outcomes among LGBT populations, standardized measures of sexual orientation/gender identity and minority‐specific stressors should be used. Suicide prevention interventions aimed at reducing general and minority stress among LGBT populations should be a priority in mental health nursing. Abstract Introduction A large and rigorous body of research in the United States has demonstrated that lesbian, gay, bisexual and transgender (LGBT) populations are at an elevated risk for suicide. However, scant research aimed at understanding the rates and predictors for suicidality among Thai LGBT individuals exists. Aim To examine rates and predictors of suicidality among Thai LGBT adults (N = 411). Method Data collection was conducted via online and in‐person surveys. Guided by the Minority Stress Model, standardized measures of demographics, health‐related factors, general and minority‐specific stressors and suicidality were completed. Results Thirty‐nine per cent of participants reported lifetime suicidal ideation, 19.0% past 12‐month suicidal ideation and 13.1% lifetime suicide attempts. Lifetime suicidal ideation was associated with higher levels of social discrimination, stress, loneliness and chronic disease (OR = 1.12, 1.16, 2.75, and 1.46, p ≤ .05, R2 = 0.327). Past‐year suicidal ideation was associated with victimization, stress, loneliness and being a former smoker (OR = 1.52, 1.20, 2.34, and 4.89, p < .05, R2 = 0.345). Suicide attempts were associated with internalized homophobia, pov...

show abstract

Conducting culturally competent intake interviews with LGBTQ youth.

Cited by 14 publications

References 58 publications

A Qualitative Investigation of Engagement in Mental Health Services Among Black and Hispanic LGB Young Adults

A Qualitative Investigation of Engagement in Mental Health Services Among Black and Hispanic LGB Young Adults

Anxiety and depression across gender and sexual minorities: Implications for transgender, gender nonconforming, pansexual, demisexual, asexual, queer, and questioning individuals.

The influence of minority stress on indicators of suicidality among lesbian, gay, bisexual and transgender adults in Thailand

Contact Info

Product

Resources

About