Chen Derek, Watson Ryan J, Caputi Theodore L, Shover Chelsea L
Stanford University School of Humanities and Sciences, Program in Feminist, Gender and Sexuality Studies, Stanford, CA.
University of Connecticut, Department of Human Development & Family Sciences, CT, USA.
Ann LGBTQ Public Popul Health. 2021;2(3):174-184. doi: 10.1891/lgbtq-2020-0071.
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.
我们的目标是确定2014年至2018年间提供针对 LGBT群体心理健康服务的美国心理健康诊所的比例。我们使用了国家心理健康服务调查(NMHSS)的数据,构建了一个混合逻辑模型,以分析针对LGBT群体的心理健康服务随时间、地区(东北部、南部、中西部和西部)以及机构类型(退伍军人管理局、住院/寄宿、门诊、社区心理健康中心及混合型)的可获得性。我们的结果显示,提供针对LGBT群体服务的心理健康诊所的总体比例在2014年至2018年间有所下降。我们的结果还表明,西部和东北部的退伍军人事务诊所及机构最有可能提供针对LGBT群体的心理健康服务。鉴于针对LGBT群体的心理健康服务在时间、地区和机构方面存在差距,应投入更多努力来解决这一差异。