Current Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers.
Current Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers.
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DOI：
10.1176/appi.ps.202000575
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发表时间：
2021-06
影响因子：
3.8
通讯作者：
Levine, Deborah
中科院分区：
文献类型：
--
作者：
Pachankis, John E.;Clark, Kirsty A.;Jackson, Skyler D.;Pereira, Kobe;Levine, Deborah
自女同性恋者、男同性恋者、双性恋者、变性人和同性恋者(LGBTQ)权利运动开始以来，LGBTQ社区中心一直在全美性少数和性别少数(SGM)心理健康护理的第一线。然而，关于LGBTQ社区中心目前提供什么类型的精神健康服务以及他们预期的未来需求，包括培训和提供循证实践，人们知之甚少。美国各地LGBTQ社区中心的60名执行董事和首席执行官完成了一项关于他们的中心目前的治疗能力、形式和类型以及预期的未来需求的调查。调查项目还补充了有关心理健康服务能力的感知障碍和促进者的定性问题。中心主任意识到他们所在社区对精神卫生保健的高度需求，并努力满足这一需求，尽管资源有限。大约一半的中心(52%)报告说只有不到五名精神卫生工作人员；尽管如此，大多数中心报告说提供支持小组(98%)和个人心理治疗(85%)。大多数中心(88%)报告提供一般循证护理，如认知行为疗法(62%)，所有中心都报告高度支持他们的工作人员接受更具体类型的循证、LGBTQ-肯定性护理培训。LGBTQ社区中心继续在支持SGM的心理健康方面发挥重要作用。这些中心还提供了一个重要的机会，通过有效和具有成本效益的服务提供，通过实施基于证据的、LGBTQ肯定的做法，在解决这些人口仍然面临的大量未得到满足的精神健康需求方面发挥带头作用。
Since the beginning of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) rights movement, LGBTQ community centers have been on the front lines of mental health care for sexual and gender minorities (SGMs) across the United States. However, little is known about what types of mental health services LGBTQ community centers currently offer and their anticipated future needs, including training in and delivery of evidence-based practice. Sixty executive directors and chief executive officers of LGBTQ community centers across the United States completed a survey regarding their centers’ current treatment capacity, format, and type as well as perceived future needs. Survey items were supplemented with qualitative questions about perceived barriers to and facilitators of strengthening the capacity of mental health services. Center directors perceived a high need for mental health care in their communities and strove to meet that need despite constrained resources. About half of the centers (52%) reported having fewer than five mental health staff; still, most reported providing support groups (98%) and individual psychotherapy (85%). Most centers (88%) reported providing general evidence-based care, such as cognitive-behavioral therapy (62%), and all reported high support for their staff to receive training in more specific types of evidence-based, LGBTQ-affirmative care. LGBTQ community centers continue to play an important role in supporting the mental health of SGMs. The centers also offer a significant opportunity to lead the way in addressing the substantial unmet mental health needs still facing this population by implementing evidence-based, LGBTQ-affirmative practice through efficient and cost-effective service delivery.
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影响因子：
4.4
作者：
Bromberg DJ;Paltiel AD;Busch SH;Pachankis JE
通讯作者：
Pachankis JE
影响因子：
2.5
作者：
Budge, Stephanie L.
通讯作者：
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影响因子：
16.4
作者：
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通讯作者：
Hatzenbuehler, Mark L.
影响因子：
5.9
作者：
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通讯作者：
Mays VM
影响因子：
3.7
作者：
Martos AJ;Wilson PA;Meyer IH
通讯作者：
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