Psychological treatment access and outcomes for black and minority ethnic (BME) sexual minority adults with depression or anxiety

性少数成年人（如女同性恋、男同性恋或双性恋者）比异性恋者抑郁和焦虑的比例更高。少数群体压力理论认为，这是因为性少数群体经历了越来越多的耻辱和歧视。此外，性少数成年人可能害怕或经历卫生专业人员的羞辱，这可能影响治疗的获得或结果。那些同时也是少数民族的人可能更有可能预料到或经历耻辱。本项目将调查患有抑郁症或焦虑症的黑人和少数族裔（BME）性少数群体成年人在初级保健心理治疗服务中的治疗机会和结果。参与者将接受关于其治疗经历的访谈，并对这些访谈进行主题分析。来自心理治疗服务的现有NHS数据将用于调查治疗的可及性和结果。这些研究的结果将为制定一项外联方案提供信息，该方案旨在改善BME性少数群体成年人获得初级保健心理治疗服务的机会。该项目将与Southwark谈话疗法合作，该疗法是伦敦南部的一项改善心理治疗（IAPT）服务，也是莫兹利NHS信托基金的合作项目。NHS合作伙伴将提供对大型临床数据集的访问和社区外展方法的培训。

Sexual minority adults (e.g. those who are lesbian, gay or bisexual) have higher rates of depression and anxiety than heterosexuals. Minority stress theory proposes that this is because of sexual minorities experiencing increased stigma and discrimination. Furthermore, sexual minority adults can fear or experience stigma from health professionals, which could affect treatment access or outcomes. Those who also have minority ethnicity may be even more likely to anticipate or experience stigma. This project will investigate treatment access and outcomes in primary care psychological therapies services by black and minority ethnic (BME) sexual minority adults with depression or anxiety. Participants will be interviewed about their treatment experiences and these interviews will be analysed for themes. Existing NHS data from psychological therapies services will be used to investigate treatment access and outcomes. The results of these studies will inform the development of an outreach programme aimed at improving access to primary care psychological therapies services for BME sexual minority adults. This project will be a collaboration with Talking Therapies Southwark, an Improving Access to Psychological Therapies (IAPT) service at South London and Maudsley NHS Trust. The NHS partners will provide access to a large clinical dataset and training in community outreach methods.