Do Specialized Services Exist for LGBT Individuals Seeking Treatment for Substance Misuse? A Study of Available Treatment Programs

Cochran, Bryan N.; Peavy, K. Michelle; Robohm, Jennifer S.

doi:10.1080/10826080601094207

Cited by 105 publications

(83 citation statements)

References 31 publications

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“…This finding deserves greater exploration as to the factors that may propel sexual minorities to seek care (e.g., a greater value on therapeutic services, higher perceived stress that does not reach diagnostic thresholds), particularly in the face of the limited availability of services tailored for sexual minorities and the barriers to providing these services (45-47). …”

Section: Discussionmentioning

confidence: 99%

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Grella¹,

Cochran²,

Greenwell³

et al. 2011

Psychiatric Services

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Objective Research has shown that some individuals with sexual minority status have a higher prevalence of psychiatric disorders (both mental health and substance use) and also tend to seek treatment at higher rates as compared with similar heterosexuals. Relationships among treatment need and treatment use, however, are not well understood. This paper examines the relationship of sexual orientation and gender to perceptions of need and unmet need for treatment among individuals with and without mental health or substance use disorders. Methods Data were obtained from a probability sample of California residents that oversampled for sexual minorities (unweighted N = 2,079). Bivariate analyses compared perceived treatment need and treatment use among groups defined by sexual orientation, gender, and presence of a mood, anxiety, or substance use disorder. Logistic regression models were fit predicting absence of treatment among those who perceived a need for it (unmet need), testing the interactive effects of gender, disorder, and sexual orientation and controlling for socio-demographics. Results Sexual minority women had about half the odds of unmet need for treatment compared with other women, but there was no interaction between sexual minority status and unmet treatment need for men. Among individuals without any of the disorders measured, sexual minorities had lower odds of unmet need for treatment compared with others. Heterosexual men and women were most likely to have unmet treatment needs. Conclusions Sexual orientation and gender differentially influence treatment utilization, particularly among those who do not have a diagnosed disorder but perceive a need for treatment. Diagnostic criteria appear to be less relevant to understanding treatment use among sexual minorities.

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Section: Discussionmentioning

confidence: 99%

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Grella¹,

Cochran²,

Greenwell³

et al. 2011

Psychiatric Services

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“…De plus, par rapport à la population générale, les personnes issues de la communauté LGBT tardent à utiliser les services de réadaptation en dépendance. Ces personnes présentent alors un profil de consommation plus sévère à l'amorce des services de réadaptation (Cochran, Peavy et Robohm, 2007 ;Foureur et al, 2013). Ces constats pourraient être liés à la relation qu'entretiennent les jeunes avec leur propre orientation sexuelle et son acceptation par leurs proches.…”

Section: Orientation Sexuelleunclassified

“…Pour ce qui est de l'offre de service en dépendance, certains ont émis la proposition suivante : tenir compte des éléments spécifiques à la communauté LGBT quant aux attitudes et aux cibles d'intervention pourrait favoriser l'efficacité des services de réadaptation offerts (Barbara, 2002 ;Cochran et al, 2007 ;Finnegan et McNally, 2002, Senreich, 2009. Il pourrait être question ici d'une sensibilité à l'orientation et à l'âge, d'un approfondissement de leur histoire sexuelle et d'intervention quant à l'acceptation de leur orientation sexuelle (Cabaj, 2000 ;Olson, 2000).…”

Section: Orientation Sexuelleunclassified

“…À cela pourrait se juxtaposer une offre de formation continue aux cliniciens portant sur les attitudes à favoriser, la réalité des minorités sexuelles et leur contexte de consommation de SPA (Barbara, 2002 ;Eliason, 2000 ;Lépine 2011). L'efficacité de ces composantes n'a pas encore été démontrée et des questionnements demeurent quant à leur implantation réelle dans les centres de réadaptation qui affirment adapter leur offre de service à cette clientèle (Cochran et al, 2007 ;Olmstead et Sindelar, 2004). Rares sont les études qui ont évalué l'efficacité des services de réadaptation auprès de jeunes appartenant à une minorité sexuelle.…”

Section: Orientation Sexuelleunclassified

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Consommation de substances psychoactives et sexualité chez les jeunes : une vision globale de la sphère sexuelle

Goyette

Flores-Aranda

2016

dss

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Si l’importance de considérer l’ensemble des sphères de vie des jeunes aux prises avec un problème de consommation fait consensus, la sexualité demeure encore aujourd’hui en retrait. Cet article dresse un portrait d’ensemble des connaissances entourant la sexualité chez les jeunes adultes aux prises avec un problème de consommation de substances psychoactives en vue d’effectuer des recommandations entourant l’offre de service, la prise en charge et la recherche. Une revue narrative de la documentation est réalisée entourant la consommation relativement aux thèmes des comportements sexuels à risque et des infections transmissibles sexuellement et par le sang, des troubles sexuels, de l’orientation sexuelle ainsi que des activités et de la satisfaction sexuelles. Les constats issus de la démarche proposée soulèvent la nécessité de considérer un ensemble de facteurs qui dépasse les activités sexuelles en soi afin de circonscrire la présence de comportements sexuels à risque associés à la consommation. Alors qu’il est probable que la consommation amène ces jeunes à éprouver des problèmes quant à leur fonctionnement sexuel, cette dimension fait rarement l’objet d’une évaluation ou d’interventions. Pour plusieurs, la consommation semble également être utilisée afin d’améliorer la satisfaction sexuelle et peut être fortement associée à la sexualité au point de représenter en soi un facteur de risque de rechute. Parmi les pratiques recommandées auprès des jeunes adultes issus de minorités sexuelles ayant un problème de consommation, il est suggéré d’adopter une vision multidimensionnelle de l’orientation sexuelle ainsi qu’un ensemble précis d’attitudes en lien à la sexualité. Différentes suggestions sont émises quant au déploiement d’une offre de service intégrant la sexualité à la réadaptation en dépendance, l’utilisation de balises à l’évaluation et à l’orientation ainsi que l’adoption d’une vision globale et positive de la sexualité. Les recherches se doivent dès lors d’intégrer les multiples dimensions de la sexualité et de considérer la relation complexe qu’elle peut avoir avec la consommation.

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“…Meanwhile, mainstream AOD services typically presume a heterosexual clientele, and often lack the specialised skills and expertise to handle problems associated with sexuality-related drug use, with some exceptions. 43,44 Given the connections between sexual minoritisation and desires to chemically alter bodily experience, a key argument of our contribution is that public funding of LGBTQ health should not remain restricted to questions of HIV prevention and sexual health exclusively. As a matter of priority, it should be expanded to support AOD services and harm-reduction initiatives within LGBT community health agencies, as well as programs that aim to equip mainstream AOD services with the requisite forms of cultural and sexual literacy that will enable them to work effectively with LGBTQ clients.…”

Section: Introductionmentioning

confidence: 99%

The future of drugs: recreational drug use and sexual health among gay and other men who have sex with men

et al. 2017

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Abstract. There are complex historical connections between sexual minoritisation and desires to chemically alter bodily experience. For gay men, drug and alcohol use can be a creative or experimental response to social marginalisation -and not necessarily a problematic one in every instance. Numerous studies have found that infection with HIV and other sexually transmissible infections (STIs) is more likely among gay and men who have sex with men (MSM) who use recreational drugs than those who do not, but the causal nature of these relations is uncertain. Sexualised drug use is associated with a range of other problems, including dependence, mental health issues, accident and overdose. A growing body of work in the Alcohol and Other Drugs (AOD) field demonstrates the action of drugs and their purported effects to be a product of their relations with various other actors, contexts and practices. Given these contingencies, it is impossible to predict the future of drugs or their effect on the sexual health of gay and MSM with any degree of certainty. This article outlines some of the conditions most likely to mediate such futures in the medium term. Public funding for lesbian, gay, bisexual, transgender and queer drug issues should not remain restricted to questions of HIV prevention and sexual health. It should be expanded to equip sexual health and AOD service providers with the cultural and sexual literacy to mitigate stigma and allow them to respond constructively to drug problems among sexual and gender minorities as a matter of priority.

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Do Specialized Services Exist for LGBT Individuals Seeking Treatment for Substance Misuse? A Study of Available Treatment Programs

Cited by 105 publications

References 31 publications

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Consommation de substances psychoactives et sexualité chez les jeunes : une vision globale de la sphère sexuelle

The future of drugs: recreational drug use and sexual health among gay and other men who have sex with men

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