LGBTQ Persons with Co-occurring Conditions: Perspectives on Treatment

Penn, Patricia E.; Brooke, Denali; Mosher, Chad M.; Gallagher, Sandra; Brooks, Audrey J.; Richey, Rebecca

doi:10.1080/07347324.2013.831637

Cited by 6 publications

(11 citation statements)

References 33 publications

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“…In total, 930 LGBTQ participants were included in the studies. Sample sizes ranged from 10 participants (Penn et al , 2013) to 561 participants. These studies were conducted in Canada, Ireland, New Zealand, the UK and the USA.…”

Section: Resultsmentioning

confidence: 99%

“…This judgement was more covert for some, experienced as microaggressions (MacKay et al , 2017) and for others it was experienced as much more targeted. These clients were told by their provider their sexuality could be converted to a heterosexual one (McCann and Sharek, 2014a; Penn et al , 2013). These findings were echoed in other studies (O’Shaughnessy and Speir, 2018).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Lesbian, gay and bisexual individuals experience of mental health services - a systematic review

McNamara

Wilson

2020

JMHTEP

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Purpose Lesbian, gay and bisexual (LGB) individuals experience higher rates of mental health difficulties in comparison to their heterosexual counterparts (Meyer, 2003; Plöderl and Tremblay, 2015). This is in part due to the experience of homophobia and stigmatisation within society. This discrimination has also been perpetuated within the mental health field, where LGB individual’s sexuality has been pathologised. In response to this historical stigmatisation a number of policies have been created to develop ethical practice while working with this minority group (APA, 2012; BPS, 2019; HSE, 2009; PSI, 2015). The purpose of this paper is to capture the experience of LGB individuals within mental health services and examine if these guidelines are being adhered to. Design/methodology/approach This study is a meta-narrative synthesis of 13 empirical papers, published between 1999 and 2019. Findings This study has found both negative and positive experiences of service users. The paper discusses major themes, implications for practice and directions for future research. Originality/value This is the first systematic review to look at the experiences of clients who have attended mental health services.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Lesbian, gay and bisexual individuals experience of mental health services - a systematic review

McNamara

Wilson

2020

JMHTEP

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“…Previous research has found that LGBT people with mental health or substance use concerns prefer to have their sexual orientation acknowledged and integrated into the management process. 50…”

Section: Discussionmentioning

confidence: 99%

Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study

et al. 2018

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BackgroundSame-sex attracted women (SSAW) have higher rates of alcohol and mental health problems than heterosexual women, but utilisation of and satisfaction with treatment is limited.AimThis study investigated the influences on health service use for alcohol and mental health problems among SSAW.Design & settingThe Gelberg-Andersen behavioural model of health service utilisation was used to generate outcome variables.MethodA convenience sample of 521 community-connected Australian SSAW completed an online survey. Health service use according to sexual identity was compared using χ2 analysis. Binary logistic regression examined associations between the independent variables with treatment utilisation.ResultsReports of alcohol treatment were very low. Only 41.1% of participants with service need had utilised mental health and alcohol treatment. Bisexual women (adjusted odds ratio [AOR] = 2.76) and those with ‘other’ identities (AOR = 2.38) were more likely to use services than lesbian women. Enablers to service use were having a regular GP (AOR = 3.02); disclosure of sexuality to the GP (AOR = 2.42); lesbian, gay, bisexual and transgender (LGBT) community-connectedness (AOR = 1.11); and intimate partner violence ([IPV] AOR = 2.51). Social support was associated with a reduction in treatment use (AOR = 0.97). Significant access barriers included not feeling ready for help, and previous negative experiences related to sexual identity.ConclusionDisclosing sexual identity to a regular, trusted GP correlated with improved utilisation of alcohol and mental health treatment for SSAW. The benefits of seeking help for alcohol use, and of accessing LGBT-inclusive GPs to do so, should be promoted to SSAW.

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“…To strengthen the therapeutic relationship, three literature reviews and two qualitative studies among clients and providers of comorbidity services noted the need to flexibly balance validating and challenging the client (Donald et al, 2019;Kendall et al, 2011;Lubman et al, 2011), and ensuring that contact is consistent and continues throughout the referral process (Hoxmark & Wynn, 2010;Staiger et al, 2011). Building a strong therapeutic relationship was also highlighted in several studies of specific populations, involving young people, those identifying as female, LGBTIQ + , Aboriginal Australian and Torres Strait Islander people, and those involved in the justice system (Abraham et al, 2017;Crockford & Addington, 2017;Hawke et al, 2019;Hulvershorn et al, 2015;Lee et al, 2014;Ness et al, 2014Ness et al, , 2017Penn et al, 2013;Silverstein et al, 2021;Tilbury, 2017;Tompkins & Neale, 2018).…”

Section: Build a Strong Therapeutic Relationship (N = 24)mentioning

confidence: 99%

“…Non-judgemental and accepting attitudes were also described as essential for providers to ensure that often-stigmatised groups (i.e. LGB-TIQ + clients or those with psychotic symptoms) develop treatment goals that are consistent with individual needs (Crockford & Addington, 2017;Penn et al, 2013). Additionally, one qualitative study and a scoping review noted that clients appreciated when providers incorporated elements valued by their communities, such as being flexible and friendly when caring for Aboriginal Australian women (Lee et al, 2014) or using language familiar to young people (Hawke et al, 2019).…”

Section: Build a Strong Therapeutic Relationship (N = 24)mentioning

confidence: 99%

Guiding Principles for Managing Co-occurring Alcohol/Other Drug and Mental Health Conditions: a Scoping Review

Fisher

Rochesson²,

Mills³

et al. 2022

Int J Ment Health Addiction

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This scoping review aimed to synthesise the published literature on guiding principles for managing co-occurring alcohol/other drug (AOD) and mental health conditions in AOD treatment settings. Systematic search of key electronic databases (January 1, 2010, to February 17, 2021) produced 4583 articles, and independent title/abstract and full text screening left 43 articles for inclusion. Fifteen guiding principles were identified, most commonly: build a strong therapeutic relationship (n = 24 articles), provide holistic care (n = 12), involve peer support (n = 7), ensure continuity of care (n = 6), support the professional development and competence of workers (n = 6), and provide trauma-informed care (n = 5). Remaining principles were identified in < 5 articles. Limited empirical literature examined the impact of guiding principles on patient- and treatment-related outcomes. This review provides the first comprehensive synthesis of the international literature to derive guiding principles for managing co-occurring AOD and mental health conditions in AOD treatment. Further empirical research is needed to determine the effectiveness of principles at improving outcomes.

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LGBTQ Persons with Co-occurring Conditions: Perspectives on Treatment

Cited by 6 publications

References 33 publications

Lesbian, gay and bisexual individuals experience of mental health services - a systematic review

Lesbian, gay and bisexual individuals experience of mental health services - a systematic review

Health service use by same-sex attracted Australian women for alcohol and mental health issues: a cross-sectional study

Guiding Principles for Managing Co-occurring Alcohol/Other Drug and Mental Health Conditions: a Scoping Review

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