The therapeutic relationship mediates the association between affirmative practice and psychological well-being among lesbian, gay, bisexual, and queer clients.

Alessi, Edward J.; Dillon, Frank R.; Horn, Rebecca

doi:10.1037/pst0000210

Cited by 45 publications

(53 citation statements)

References 62 publications

(119 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

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

“…This personal disclosure needs to be integrated and considered along with all other health information as part of the biopsychosocial assessment and treatment plan (Pachankis et al, 2019). Contemporary mental health service needs to go beyond traditional psychopharmacological interventions by providing access to a range of treatment options, including psychotherapies and wider networks of support (Alessi et al, 2019; Flanders et al, 2019; McCann & Brown, 2020). Bisexual‐specific networks and supports are also required that are reflective of the needs of this often‐excluded population (Fredriksen‐Goldsen et al, 2017; Friedman et al, 2019; Pachankis et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The views and experiences of bisexual people regarding their psychosocial support needs: a qualitative evidence synthesis

McCann

Brown

Taylor

2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible Summary What is known on the subject? Bisexual people experience significantly poorer mental health and higher rates of self‐harm and suicidality than their gay, lesbian or heterosexual counterparts. Although little is understood about why these disparities exist, bisexual people have been found to have unique life experiences that separate them from other sexual minority groups. Despite these health disparities and unique experiences, in research and in clinical settings, bisexual people are often incorporated under the LGBTQI+ umbrella and their needs are not seen as being different to those of other sub‐groups. What the paper adds to existing knowledge? This paper brings together the findings of the small but growing body of literature reporting on the psychosocial support needs of bisexual people. The findings reported on herein provide novel insights, collated and synthesized that will prove valuable to policy makers, service providers and researchers. What are the implications for practice? This paper clearly illustrates that bisexual people experience significant barriers to accessing the support services they need and that current competent service provision for this population is severely limited. The findings presented in this paper shed light on the unique psychosocial needs of bisexual people and highlight the need for practice change to reduce barriers to service access and ensure inclusive and culturally competent care for this community. Abstract IntroductionDespite consistent evidence of poor mental health among what is a relatively large population group, research examining bisexual mental health remains sparse. AimTo identify the psychosocial needs of people who are bisexual and establish factors that may support or inhibit access to appropriate psychosocial interventions and supports. MethodA qualitative evidence syntheses of the empirical evidence. ResultsA total of 15 papers were included in the review. The PRISMA process was used. Following data analysis, four main themes emerged that were (a) experiences of being bisexual, (b) mental health experiences and concerns, (c) service access and responses and (iv) communities and supports. DiscussionBisexual people have unique and specific psychosocial support needs that relate to, but are also different from, the needs of the broader LGBTIQ+ community. This study provides valuable insights into how future policy, practice, education and training and research can better address the needs of this highly vulnerable group. Implications for PracticeThis study highlights the psychosocial complexities associated with bisexuality and provides evidence for the need for improvement in current support services to ensure inclusivity and culturally competent care.

show abstract

“…For those seeking psychotherapies, the only realistic alternative to medication was to self-fund therapy within the private sector. This left some who were unable to afford to fund therapy, with no treatment alternatives other than medication, despite the wider research evidence supporting the provision of psychological therapies (Alessi et al 2019, Bastiampillai et al 2019.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Needs of Bisexual People: Findings from a Mixed-Methods Research Study

McCann

Brown

2020

Issues in Mental Health Nursing

View full text Add to dashboard Cite

More attention has recently been paid to the unique experiences and health needs of LGBTQ+ people. To date, there has been a limited focus on the distinct psychosocial needs of bisexuals.A larger mixed-methods study explored the wider needs of a LGBTQ+ cohort. The aim of this paper is to report the specific experiences of bisexuals and highlight their distinct psychosocial issues and concerns. The online survey instrument contained Likert-scale and qualitative questions and was completed by a total sample of LGBT people (n=125), of which 19 participants self-identified as bisexual. The qualitative responses of the bisexuals were extracted and analyzed separately to identify emergent themes that were: accessing responsive services, culturally competent services, supports and interventions, and knowledge, skills and confidence. The study findings inform and enhance the understanding of the issues that impact upon the health and well-being of bisexuals, thereby contributing to promoting the wider social inclusion and human rights agenda by guiding mental health service developments, policy initiatives, education provision and future research.

show abstract

The therapeutic relationship mediates the association between affirmative practice and psychological well-being among lesbian, gay, bisexual, and queer clients.

Cited by 45 publications

References 62 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

The views and experiences of bisexual people regarding their psychosocial support needs: a qualitative evidence synthesis

Psychosocial Needs of Bisexual People: Findings from a Mixed-Methods Research Study

Contact Info

Product

Resources

About