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Cited by 176LGBTQ Health, Identity, and PolicyMental Health Treatment and AccessHIV/AIDS Research and Interventions

The lesbian, gay, bisexual and transgender communities’ mental health care needs and experiences of mental health services: An integrative review of qualitative studies

Rees, Samuel N., Crowe, Marie, Harris, Shirley·2021·Journal of Psychiatric and Mental Health Nursing
DOI 10.1111/jpm.12720
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Abstract

WHAT IS KNOWN ON THE SUBJECT?: There is evidence that the LGBT communities experience greater health disparities, particularly in relation to their mental health needs. The LGBT communities are often faced with stigma and discrimination within mental health services. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: People within the LGBT communities have identified that their experiences of mental health services reinforce stigma and lack an understanding of their specific needs. Their needs can be addressed by mental health services that challenge heteronormative assumptions and promote self-acceptance and equity. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The existing heteronormative culture in mental health nursing practice needs to be challenged. Practice needs to demonstrate self-awareness of personal and societal LGBT biases, prejudices, and stigma. Practice needs to demonstrate knowledge of important LGBT health care and psychosocial issues. Practice needs to reflect LGBT clinical skills grounded in professional ethics, guidelines, and standards of care. ABSTRACT: INTRODUCTION: The lesbian, gay, bisexual and transgender (LGBT) communities are a minority population that experience a range of health disparities, including mental health. Because these groups have higher rates of mental disorder than the general population it is, therefore, pertinent to identify their specific mental health needs and their experiences when accessing mental health care. AIM: To identify the mental health needs of the LGBT communities and their experiences of accessing mental health care. METHODS: An integrative review of qualitative studies was conducted. RESULTS: A total of fourteen studies were selected for this review. The studies identified that participants' experiences of accessing mental health care were related to (a) experiencing stigma and (b) staff's lack of knowledge and understanding of LGBT people's needs. They identified a need for mental health care that promotes the principles of equity, inclusion and respect for diversity. DISCUSSION: The LGBT communities while not a homogenous group, face unique challenges when dealing with their mental health needs. Services that promote health equity and self-acceptance are important for this group. IMPLICATIONS FOR PRACTICE: It is vital that mental health nursing education incorporate models that promote equity, inclusion and respect for diversity regarding this group of people.

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Crossref · 10.1111/jpm.12720

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Authors
Rees, S. N., Crowe, M., & Harris, S.
Affiliations
University of Otago (NZ)
Corresponding author
Crowe, Marie
ORCID
Venue
Journal of Psychiatric and Mental Health Nursing
Publisher
Wiley
Published
2020-12-19
Volume
28
Issue
4
Pages
578-589
ISSN
  • 1351-0126 (ISSN-L)
  • 1365-2850
DOI
10.1111/jpm.12720
OpenAlex
W3111534795
Cited by
176
References
80
Citations by year
2026: 40 · 2025: 35 · 2024: 35 · 2023: 30 · 2022: 27 · 2021: 9
FWCI
2.65
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Psychiatric and Mental Health Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
LGBTQ mental health, mental health needs, access to mental health care, stigma, heteronormativity, psychiatric nursing practice, health equity, diversity and inclusion, self-acceptance, health disparities, psychiatric nursing education
MeSH terms
Sexual and Gender Minorities, Female, Health Promotion, Humans, Male, Mental Health, Mental Health Services, Transgender Persons

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