BackgroundPeople who identify as lesbian, gay, bisexual and transgender (LGBT) can face many challenges in society including accessing education, care and support appropriate to individual needs. However, there is a growing and evolving evidence base about the specific needs of people with intellectual disabilities (ID) in this regard.
AimsThe aim of this review was to explore the experiences of people with ID who identified as LGBT through an examination of studies that addressed their views and highlighted specific issues, concerns and service responses.
Methods and proceduresA comprehensive search of relevant databases from February 1995 to February 2015 was conducted. Studies were identified that met specific criteria that included: empirical peer reviewed studies, the use of recognized research methods and focused on people with ID whom identified as LGBT. The search yielded 161 papers in total. Following the removal of duplicates, 37 papers were screened using rigorous inclusion and exclusion criteria.Finally, 14 papers were considered suitable for the review.
Outcomes and resultsThe data were analysed and key themes identified that included accessing health services, gender and sexual identity, attitudes of people with ID regarding their LGBT status, and education, supports and therapeutic interventions.
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Conclusions and ImplicationsThere is a need for service providers and carers to be more responsive to the concerns of people with ID who identify as LGBT to improve their health and well-being by reducing stigma and discrimination and by increasing awareness of their care and support needs. The implications are discussed in terms of policy, education, research and practice developments.
Keywords:Intellectual disability, review, lesbian, gay, bisexual, transgender, service developments
What this paper adds?There is a growing and evolving empirical evidence base regarding the experiences of people who identify as LGBT and have an ID. This paper raises many important issues that have been gleaned from research studies that sought to gain different viewpoints and establish the needs of LGBT people with an ID. The discussion highlights issues relevant to future research, practice, educational and policy initiatives and provides useful recommendations around socially inclusive practice.