Differences in Outcomes, Completion Rates, and Perceptions of Treatment Between White, Black, and Hispanic LGBT Clients in Substance Abuse Programs

Abstract

Research suggests that the needs of lesbian, gay, bisexual, and transgender (LGBT) clients from racial minority groups may not be adequately addressed in substance abuse treatment. Few research studies, however, have been performed to examine this issue. In New York, 191 LGBT former clients of substance abuse programs completed surveys to determine differences in outcomes, completion rates, and perceptions of treatment among white, black, Hispanic, and "other" participants. No differences in outcomes or completion rates were found between racial groups. White participants, however, in comparison to nonwhite respondents, reported less satisfaction, less connection to the treatment program, and in a multivariate analysis, less therapeutic support.

What motivates community mental and behavioral health organizations to participate in LGBTQ+ cultural competency trainings?

“…LGBTQ+ client satisfaction appears to be better among those who engage with services that acknowledge their unique experiences. For example, lesbian, gay, and bisexual (LGB) clients who participated in substance abuse treatment programs that acknowledge LGB-specific experiences reported higher satisfaction with their care than LGB clients in "traditional" (i.e., non-LGB-specific) treatment programs (Senreich, 2009(Senreich, , 2010. Studies also find that LGB clients respond well to LGB-adapted mental and behavioral health services.…”