Proportion of U.S. Clinics Offering LGBT-Tailored Mental Health Services Decreased Over Time: A Panel Study of the National Mental Health Services Survey.

Proportion of U.S. Clinics Offering LGBT-Tailored Mental Health Services Decreased Over Time: A Panel Study of the National Mental Health Services Survey.
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DOI:
10.1891/lgbtq-2020-0071
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发表时间:
2021
期刊:
Annals of LGBTQ public and population health
影响因子:
--
通讯作者:
Shover CL
Shover CL
中科院分区:
其他
文献类型:
--
作者:
Chen D;Watson RJ;Caputi TL;Shover CL

文献摘要

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我们的目标是描述2014至2018年间提供LGBT定制精神健康服务的美国精神健康诊所的比例。我们使用国家精神卫生服务调查(NMHSS)的数据构建了一个混合Logistic模型,根据地区(东北、南部、中西部和西部)以及设施类型(退伍军人管理局、住院/住院、门诊、社区精神卫生中心和混合),随时间提供LGBT定制的精神卫生服务。我们的结果显示,从2014年到2018年,提供LGBT定制服务的精神卫生诊所的总体比例有所下降。我们的结果还表明,西部和东北部的退伍军人事务部诊所和设施最有可能提供LGBT定制的心理健康服务。鉴于LGBT定制的心理健康服务的可获得性存在时间、地区和设施方面的差距,应致力于解决这一差距。
Our objective was to characterize the proportion of U.S. mental health clinics that offered LGBT-tailored mental health services between 2014 and 2018. We used data from the National Mental Health Services Survey (NMHSS) to construct a mixed logistic model of availability of LGBT-tailored mental health services over time, by region (Northeast, South, Midwest and West), and by facility type (Veterans Administration, inpatient/residential, outpatient, community mental health centers and mixed). Our results show that the overall proportion of mental health clinics that offered LGBT-tailored services decreased from 2014 to 2018. Our results also indicate that Veteran Affairs clinics and facilities in the West and Northeast were most likely to offer LGBT-tailored mental health services. Given the temporal, regional, and facility gaps in LGBT-tailored mental health services availability, more effort should be dedicated to addressing this disparity.