School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Department of Psychology, National University of Ireland, Maynooth, Ireland.
J Nurs Manag. 2021 Jan;29(1):58-67. doi: 10.1111/jonm.13186. Epub 2020 Nov 4.
To explore the barriers to accessing mental health services in the Republic of Ireland from the perspectives of young LGBT + people aged 14-25.
Significant mental health disparities exist between LGBT + young people and their cisgender and heterosexual peers, yet they do not have equitable access to mental health services. Limited research has explored barriers, which exist for LGBTI + young people in accessing services, particularly from their perspectives.
An anonymous online survey design, consisting of closed and open questions, was used. The study was advertised through local and national organisations and media. 1,064 LGBT + participants aged 14-25 opted to complete the survey.
Most participants reported several barriers to them accessing mental health services that were interlinked across three levels: individual; sociocultural; and mental health system.
Cultural competency training for practitioners, which address issues and concerns pertinent to LGBT + young people, is key to addressing many of the barriers identified.
Nurse managers can use the findings to advocate for practice and organisational change within their services to ensure that care and support is responsive and sensitive to the particular needs of LGBT + young people.
从 14-25 岁的 LGBT+年轻人的角度探讨爱尔兰共和国获取心理健康服务的障碍。
LGBT+年轻人与顺性别和异性恋同龄人之间存在显著的心理健康差距，但他们无法平等地获得心理健康服务。有限的研究探讨了 LGBT+年轻人在获取服务方面存在的障碍，特别是从他们的角度。
采用封闭式和开放式问题的匿名在线调查设计。该研究通过当地和国家组织以及媒体进行宣传。1064 名年龄在 14-25 岁的 LGBT+参与者选择完成了调查。
大多数参与者报告了他们在获取心理健康服务方面存在多种障碍，这些障碍在三个层面上相互关联：个人层面、社会文化层面和心理健康系统层面。
针对 LGBT+年轻人的问题和关注点进行从业者的文化能力培训，是解决许多已确定障碍的关键。
护理管理人员可以利用这些发现，在他们的服务中倡导实践和组织变革，以确保护理和支持能够响应并敏感地满足 LGBT+年轻人的特殊需求。
