School of Nursing and Midwifery, Trinity College, University of Dublin, Dublin, Ireland.
Int J Ment Health Nurs. 2014 Apr;23(2):118-27. doi: 10.1111/inm.12018. Epub 2013 Mar 8.
Very little is known about the experiences of lesbian, gay, bisexual, and transgender (LGBT) people in relation to mental health services. Therefore, the overall aim of the current research was to explore LGBT people's experiences of mental health service provision in Ireland. The objectives were to identify barriers and opportunities, to highlight service gaps, and to identify good practice in addressing the mental health and well-being of LGBT people. A mixed methods research design using quantitative and qualitative approaches was deployed. A multipronged sampling strategy was used and 125 respondents responded to the questionnaire. A subset of phase 1 (n = 20) were interviewed in the qualitative phase. Quantitative data was analyzed using descriptive statistics. Qualitative data were analyzed thematically. The sample consisted of LGBT people (n = 125) over 18 years of age living in Ireland. Over three-quarters (77%) had received a psychiatric diagnosis. Findings include that whilst 63% of respondents were able to be 'out' to practitioners, 64% felt that mental health professionals lacked knowledge about LGBT issues and 43% felt practitioners were unresponsive to their needs. Finally, respondent recommendations about how mental health services may be more responsive to LGBT people's needs are presented.
关于女同性恋、男同性恋、双性恋和跨性别者（LGBT）人群在精神卫生服务方面的体验，我们知之甚少。因此，目前研究的总体目标是探讨爱尔兰 LGBT 人群在精神卫生服务方面的体验。目的是确定障碍和机会，突出服务差距，并确定解决 LGBT 人群精神健康和福祉方面的良好做法。采用了混合方法研究设计，结合了定量和定性方法。采用了多管齐下的抽样策略，共有 125 名受访者回答了问卷。在定性阶段，对第一阶段的一部分（n=20）进行了访谈。使用描述性统计方法对定量数据进行分析。对定性数据进行了主题分析。样本由居住在爱尔兰的 18 岁以上的 LGBT 人群（n=125）组成。超过四分之三（77%）的人接受过精神科诊断。研究结果包括，尽管 63%的受访者能够向医生公开自己的身份，但 64%的人认为精神卫生专业人员缺乏 LGBT 问题方面的知识，43%的人认为医生对他们的需求反应迟钝。最后，提出了有关如何使精神卫生服务更能满足 LGBT 人群需求的建议。
