Survey of lesbian, gay, bisexual, and transgender people's experiences of mental health services in Ireland

School of Nursing and Midwifery, Trinity College, University of Dublin, Dublin, Ireland.
International journal of mental health nursing (Impact Factor: 1.95). 03/2013; 23(2). DOI: 10.1111/inm.12018
Source: PubMed


Very little is known about the experiences of lesbian, gay, bisexual, and transgender (LGBT) people in relation to mental health services. Therefore, the overall aim of the current research was to explore LGBT people's experiences of mental health service provision in Ireland. The objectives were to identify barriers and opportunities, to highlight service gaps, and to identify good practice in addressing the mental health and well-being of LGBT people. A mixed methods research design using quantitative and qualitative approaches was deployed. A multipronged sampling strategy was used and 125 respondents responded to the questionnaire. A subset of phase 1 (n = 20) were interviewed in the qualitative phase. Quantitative data was analyzed using descriptive statistics. Qualitative data were analyzed thematically. The sample consisted of LGBT people (n = 125) over 18 years of age living in Ireland. Over three-quarters (77%) had received a psychiatric diagnosis. Findings include that whilst 63% of respondents were able to be 'out' to practitioners, 64% felt that mental health professionals lacked knowledge about LGBT issues and 43% felt practitioners were unresponsive to their needs. Finally, respondent recommendations about how mental health services may be more responsive to LGBT people's needs are presented.

Download full-text


Available from: Edward Mccann, Mar 11, 2014
1 Follower
38 Reads
  • Source
    • "This paper will report on the findings from the interview data. The survey results are reported elsewhere (McCann & Sharek 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: The views and opinions of people who use mental health services are being increasingly acknowledged in relation to rights-based, socially-inclusive, and recovery-oriented care. However, little is known of the experiences of lesbian, gay, bisexual, and transgender (LGBT) people in this respect. The aim of the present study was to explore the experiences and needs of LGBT people in relation to mental health services. The study was an exploratory design utilizing mixed methods. Both quantitative and qualitative data were collected using a survey instrument (n = 125) and in-depth semistructured interviews (n = 20) with a sample of people who had completed the survey. This paper will report on the findings from the interview data. The data were thematically analysed, and the main themes that emerged included accessing services, treatment choices, mental health service experiences, and other supports. The findings inform the discussion, and recommendations are made in terms of future mental health practice, education, and research.
    International Journal of Mental Health Nursing 12/2014; 23(6). DOI:10.1111/inm.12081
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Accessible summary: The aim of the study was to elicit the views and opinions of transgender people in relation to mental health concerns. Four people who identified as transgender participated in semi-structured interviews. The main results showed that challenges existed for people around mental health issues. Mental health nurses can play a key role in the provision of psychosocial supports to transgender people and their families. Government policy makers are becoming increasingly interested in the views and experiences of people who utilize mental health services to inform rights-based and socially inclusive health and social care initiatives. However, very little information exists in the available literature about transgender people in this regard. The current research was part of a larger mixed methods study that used surveys and in-depth semi-structured interviews. This paper reports on the findings from the interview data that relate to the unique mental health experiences of the people whom identified as transgender (n = 4). The data were subject to thematic analysis, and the main themes that emerged included service experiences, treatment issues, other supports, and hopes and aspirations. Participants identified challenges and opportunities for enhancing mental health service provision for transgender people and their families. Some of the highlighted concerns related to practitioner attributes and relevant psychosocial supports. Mental health nurses are well placed to use their knowledge and therapeutic skills to support people who identify as transgender and significant people in their lives.
    Journal of Psychiatric and Mental Health Nursing 11/2014; 22(1). DOI:10.1111/jpm.12190 · 0.84 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The treatment of the seriously mentally ill tends toward homogeneity and often does not focus on unique needs. The aim of this paper is to review the literature specifically relevant to the treatment of sexual minority women in ongoing, outpatient care for serious mental illness (SMI). Medical and psychosocial databases (2000–2015) were searched by entering search terms focused on treatment issues in both qualitative and quantitative studies relevant to this topic. The emphasis in the literature was found to be the extent and severity of minority stress experienced by sexual minority women in psychiatric treatment. Chief therapeutic concerns were: establishment of a therapeutic relationship, conflicts over whether or not to disclose sexual orientation to staff and to family and to fellow patients, depression and self-harm, abuse of substances, difficulties with intimacy, domestic clashes with partners and relatives, and legal questions unique to this population. Women who suffer from SMI, and who, at the same time, belong to an additional stigmatized group, are exposed to doubled discrimination that needs to be recognized and effectively targeted.
    Journal of Gay & Lesbian Mental Health 04/2015; 19(3):303-319. DOI:10.1080/19359705.2015.1026016