In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada

Ross, Lori E.; Gibson, Margaret F.; Daley, Andrea; Steele, Leah S.; Williams, Charmaine C.

doi:10.1371/journal.pone.0201437

Cited by 25 publications

(18 citation statements)

References 35 publications

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“…Within the literature, across all health states, personalized care was broadly characterized as representing respectful behaviour toward the patient, providing care in a preferred language, healthcare provider (HCP) awareness about the needs of vulnerable populations and delivery of care that considered both social and medical needs ( 25 , 27 , 31 , 33 , 39 , 45 , 50 , 53 – 55 , 57 , 62 , 68 , 69 , 74 , 77 , 79 – 81 , 82 , 85 , 88 , 90 , 94 , 99 , 100 , 102 , 106 – 109 , 111 , 114 , 116 , 118 , 119 , 122 , 124 , 134 , 135 , 136 , 141 , 142 , 147 , 150 , 154 , 156 , 158 , 163 , 165 , 169 , 172 , 174 , 176 , 179 , 184 , 192 , 193 , 195 – 204 , 208 , 209 ). Consistent within the reviewed literature, patients and caregivers identified a preference for care that was holistic, individualized and culturally competent ( 19 , 28 , 53 , 69 , 74 …”

Section: Resultsmentioning

confidence: 99%

“…These supports were preferred to overcome barriers to accessing care among the walking well; those with chronic conditions; those with mental, cognitive and addiction-related issues; and those with acute life-threatening illnesses ( 19 , 28 , 39 , 55 , 72 , 76 , 90 , 94 , 99 , 116 , 121 , 124 , 129 , 132 , 134 , 147 , 150 , 154 , 168 , 169 , 172 , 178 , 195 , 198 , 200 , 201 , 208 ). The relationship between HCPs and patients was important across all of these health states.…”

Section: Resultsmentioning

confidence: 99%

“…In terms of variations across patient groups, for the walking well group, holistic care meant being able to access non-Western approaches to healthcare free of financial barriers, including traditional Chinese medicine ( 28 , 74 , 76 , 94 , 99 , 116 , 121 , 124 , 129 , 132 , 162 , 168 , 178 , 195 , 201 , 208 ). For the mental and cognitive health groups, holistic care specifically meant being able to access spiritual and culture-based services ( 39 , 55 , 72 , 90 , 147 , 150 , 169 , 172 , 189 , 198 , 200 ).…”

Section: Resultsmentioning

confidence: 99%

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Putting the Patient First: A Scoping Review of Patient Desires in Canada

Peckham

Wright²,

Marani³

et al. 2021

hcpol

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Patient-centred care is a key priority for governments, providers and stakeholders, yet little is known about the care preferences of patient groups. We completed a scoping review that yielded 193 articles for analysis. Five health states were used to account for the diversity of possible preferences based on health needs. Five broad themes were identified and expressed differently across the health states, including personalized care, navigation, choice, holistic care and care continuity. Patients' perspectives must be considered to meet the diverse needs of targeted patient groups, which can inform health system planning, quality improvement initiatives and targeting of investments.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Putting the Patient First: A Scoping Review of Patient Desires in Canada

Peckham

Wright²,

Marani³

et al. 2021

hcpol

View full text Add to dashboard Cite

show abstract

“…Finally, although the presence of socio-cultural and systemic-level factors in recovery were noted by two studies [69, 96], represented in the conceptual framework within the Protagonists dimension, there was little discussion within analysis of how multiple forms of structural oppression can intersect and be mutually reinforcing. Future research could take a narrative approach more informed by intersectionality theory, as recent narrative analyses within systematic reviews have chosen to do [129].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of mental health recovery narratives: Systematic review and narrative synthesis

et al. 2019

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Background Narratives of recovery from mental health distress have played a central role in the establishment of the recovery paradigm within mental health policy and practice. As use of recovery narratives increases within services, it is critical to understand how they have been characterised, and what may be missing from their characterisation thus far. The aim of this review was to synthesise published typologies in order to develop a conceptual framework characterising mental health recovery narratives. Method A systematic review was conducted of published literature on the characteristics of mental health recovery narratives. Narrative synthesis involved identifying characteristics and organising them into dimensions and types; and subgroup analysis based on study quality, narrator involvement in analysis, diagnosis of psychosis and experience of trauma. The synthesis was informed by consultation with a Lived Experience Advisory Panel and an academic panel. The review protocol was pre-registered (Prospero CRD42018090188). Results 8951 titles, 366 abstracts and 121 full-text articles published January 2000-July 2018 were screened, of which 45 studies analysing 629 recovery narratives were included. A conceptual framework of mental health recovery narratives was developed, comprising nine dimensions (Genre; Positioning; Emotional Tone; Relationship with Recovery; Trajectory; Use of Turning Points; Narrative Sequence; Protagonists; and Use of Metaphors), each containing between two and six types. Subgroup analysis indicated all dimensions were present across most subgroups, with Turning Points particularly evident in trauma-related studies. Conclusions Recovery narratives are diverse and multidimensional. They may be non-linear and reject coherence. To a greater extent than illness narratives, they incorporate social, political and rights aspects. Approaches to supporting development of recovery narratives should expand rather than reduce available choices. Research into the narratives of more diverse populations is needed. The review supports trauma-informed approaches, and highlights the need to understand and support post-traumatic growth for people experiencing mental health issues.

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“…Ross et.al. [36] conducted a qualitatively-driven mixed methods analysis of mental health service experiences of LGBTQ people living in Ontario. A subsample of LGBTQ individuals who completed an online survey related to experiences of depression were questioned using semi-structured interviews.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and thematic synthesis of Canada’s LGBTQ2S+ employment, labour market and earnings literature

Waite

Ecker²,

Ross

2019

PLoS ONE

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BackgroundThe last two decades have witnessed a considerable growth in the literature focusing on LGBTQ2S+ employment, labour market inequality, and income. During the same period, Canada has emerged as a trailblazer in employment protections for both sexual and gender minorities. Unfortunately, the Canadian literature on LGBTQ2S+ employment outcomes and experiences is disperse and underdeveloped.ObjectiveThis paper brings together this disperse research and provides the first systematic review of Canada’s LGBTQ2S+ employment and earnings literature.MethodsWe start with a systematic review and thematic synthesis of the broadly defined literature on LGBTQ2S+ poverty in Canada. We use a thematic synthesis to isolate the LGBTQ2S+ literature on employment, labour market inequality, and earnings. Our search of electronic databases took place in April 2018 and was updated in January 2019.ResultsA total of 532 abstracts and full texts were screened by reviewers, which resulted in 84 articles included in our final sample. These articles were then sorted by keywords and those pertaining to employment, labour market inequality, and income (n = 31) were included in this analysis. While estimates of sexual minority wage gaps vary depending on the data and methods used, most studies have found wage penalties for gay men and wage premiums for lesbians, relative to their heterosexual counterparts. The literature on bisexual employment is particularly scant but finds that bisexual men and women also earn less than their heterosexual counterparts. Research on the subjective workplace experiences of LGBTQ2S+ individuals find unique challenges, barriers and, at times, exclusion from the Canadian labour market.Conclusions and implicationsWhile the literature on LGBTQ2S+ employment outcomes and experiences in Canada is growing, much is left unknown. The principal limitation for researchers continues to be the dearth of population-based surveys that include questions on sexual orientation, gender identity, and relevant employment characteristics. To date, few studies have explored employment outcomes or the subjective workplace experiences of bisexuals, transgender, two-spirit or other gender minority peoples.

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In spite of the system: A qualitatively-driven mixed methods analysis of the mental health services experiences of LGBTQ people living in poverty in Ontario, Canada

Cited by 25 publications

References 35 publications

Putting the Patient First: A Scoping Review of Patient Desires in Canada

Putting the Patient First: A Scoping Review of Patient Desires in Canada

Characteristics of mental health recovery narratives: Systematic review and narrative synthesis

A systematic review and thematic synthesis of Canada’s LGBTQ2S+ employment, labour market and earnings literature

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