Barriers in care pathways and unmet mental health needs in LGBTIQ + communities.

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Title: Barriers in care pathways and unmet mental health needs in LGBTIQ + communities.
Authors: Silveri, Giada, Schimmenti, Simone, Prina, Eleonora, Gios, Lorenzo, Mirandola, Massimo, Converti, Manlio, Fiorillo, Andrea, Pinna, Federica, Ventriglio, Antonio, Galeazzi, Gian Maria, Sherriff, Nigel, Zeeman, Laetitia, Amaddeo, Francesco, Somaini, Giulia, Paribello, Pasquale, Giallanella, Daniela, Gaggiano, Costanza, Marchi, Mattia, Arcolin, Elisa, Fiore, Gianluca
Source: International Review of Psychiatry. May/Jun2022, Vol. 34 Issue 3/4, p215-229. 15p.
Subjects: Online information services, Psychology information storage & retrieval systems, Health services accessibility, Medical information storage & retrieval systems, Substance abuse, Psychology of LGBTQ+ people, Systematic reviews, Communities, Mental health, Social stigma, Descriptive statistics, MEDLINE, Thematic analysis, Medical needs assessment
Abstract: Lesbian, gay, bisexual, transgender, intersex, queer people and minority gender identities and sexualities (LGBTIQ+) are often stigmatized and experience discrimination in health care settings, leading to poorer mental health outcomes and unmet needs compared to heterosexual and cisgendered peers. It is thus imperative that mental health providers consider and address structural challenges in order to reduce mental health inequalities of this population. This narrative review assessed the barriers that may prevent access to care and the pathways for care in LGBTIQ + communities. PubMed, PsycInfo, Embase, and Scopus were searched for papers published between December 2021 and February 2022. A total of 107 papers were included with studies reflecting five themes: (1) Unmet mental health needs; (2) Young people; (3) Substance abuse and addiction; (4) Barriers and pathways to care; and (5) Interventions. Findings demonstrate that LGBTIQ + people experience stigmatization and higher rates of substance misuse and mental ill health, which may lead to barriers in accessing health care services, and fewer tailored interventions being provided. These findings have implications for policy, health care screening, and how specialist services are structured. Substantial gaps in the evidence-base exist, and future research should examine how mental health care providers can challenge social issues that maintain discriminatory and stigmatizing practices, and support LGBTIQ + individuals to sustain their resilience. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Barriers in care pathways and unmet mental health needs in LGBTIQ + communities.
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  Data: <searchLink fieldCode="AR" term="%22Silveri%2C+Giada%22">Silveri, Giada</searchLink><br /><searchLink fieldCode="AR" term="%22Schimmenti%2C+Simone%22">Schimmenti, Simone</searchLink><br /><searchLink fieldCode="AR" term="%22Prina%2C+Eleonora%22">Prina, Eleonora</searchLink><br /><searchLink fieldCode="AR" term="%22Gios%2C+Lorenzo%22">Gios, Lorenzo</searchLink><br /><searchLink fieldCode="AR" term="%22Mirandola%2C+Massimo%22">Mirandola, Massimo</searchLink><br /><searchLink fieldCode="AR" term="%22Converti%2C+Manlio%22">Converti, Manlio</searchLink><br /><searchLink fieldCode="AR" term="%22Fiorillo%2C+Andrea%22">Fiorillo, Andrea</searchLink><br /><searchLink fieldCode="AR" term="%22Pinna%2C+Federica%22">Pinna, Federica</searchLink><br /><searchLink fieldCode="AR" term="%22Ventriglio%2C+Antonio%22">Ventriglio, Antonio</searchLink><br /><searchLink fieldCode="AR" term="%22Galeazzi%2C+Gian+Maria%22">Galeazzi, Gian Maria</searchLink><br /><searchLink fieldCode="AR" term="%22Sherriff%2C+Nigel%22">Sherriff, Nigel</searchLink><br /><searchLink fieldCode="AR" term="%22Zeeman%2C+Laetitia%22">Zeeman, Laetitia</searchLink><br /><searchLink fieldCode="AR" term="%22Amaddeo%2C+Francesco%22">Amaddeo, Francesco</searchLink><br /><searchLink fieldCode="AR" term="%22Somaini%2C+Giulia%22">Somaini, Giulia</searchLink><br /><searchLink fieldCode="AR" term="%22Paribello%2C+Pasquale%22">Paribello, Pasquale</searchLink><br /><searchLink fieldCode="AR" term="%22Giallanella%2C+Daniela%22">Giallanella, Daniela</searchLink><br /><searchLink fieldCode="AR" term="%22Gaggiano%2C+Costanza%22">Gaggiano, Costanza</searchLink><br /><searchLink fieldCode="AR" term="%22Marchi%2C+Mattia%22">Marchi, Mattia</searchLink><br /><searchLink fieldCode="AR" term="%22Arcolin%2C+Elisa%22">Arcolin, Elisa</searchLink><br /><searchLink fieldCode="AR" term="%22Fiore%2C+Gianluca%22">Fiore, Gianluca</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Review+of+Psychiatry%22">International Review of Psychiatry</searchLink>. May/Jun2022, Vol. 34 Issue 3/4, p215-229. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+LGBTQ%2B+people%22">Psychology of LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Communities%22">Communities</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Lesbian, gay, bisexual, transgender, intersex, queer people and minority gender identities and sexualities (LGBTIQ+) are often stigmatized and experience discrimination in health care settings, leading to poorer mental health outcomes and unmet needs compared to heterosexual and cisgendered peers. It is thus imperative that mental health providers consider and address structural challenges in order to reduce mental health inequalities of this population. This narrative review assessed the barriers that may prevent access to care and the pathways for care in LGBTIQ + communities. PubMed, PsycInfo, Embase, and Scopus were searched for papers published between December 2021 and February 2022. A total of 107 papers were included with studies reflecting five themes: (1) Unmet mental health needs; (2) Young people; (3) Substance abuse and addiction; (4) Barriers and pathways to care; and (5) Interventions. Findings demonstrate that LGBTIQ + people experience stigmatization and higher rates of substance misuse and mental ill health, which may lead to barriers in accessing health care services, and fewer tailored interventions being provided. These findings have implications for policy, health care screening, and how specialist services are structured. Substantial gaps in the evidence-base exist, and future research should examine how mental health care providers can challenge social issues that maintain discriminatory and stigmatizing practices, and support LGBTIQ + individuals to sustain their resilience. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540261.2022.2075256
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
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      – SubjectFull: Health services accessibility
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      – SubjectFull: Medical information storage & retrieval systems
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      – SubjectFull: Psychology of LGBTQ+ people
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      – SubjectFull: Systematic reviews
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      – SubjectFull: Communities
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      – SubjectFull: Mental health
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      – SubjectFull: Social stigma
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: MEDLINE
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Medical needs assessment
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