School of Social Policy, University of Birmingham, Birmingham, UK.
Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Int J Soc Determinants Health Health Serv. 2024 Apr;54(2):108-120. doi: 10.1177/27551938241230766. Epub 2024 Feb 22.
Despite overwhelming international evidence of elevated rates of poor mental health in LGBTQ+ youth compared to their cis-heterosexual peers, we know relatively little about effective mental health services for this population group. This study aims to produce the first early intervention model of "what works" to support LGBTQ+ youth with emerging mental health problems. Utilizing a mixed method case study, we collected data across 12 UK mental health service case study sites that involved: () interviews with young people, parents, and mental health practitioners (n = 93); () documentary analysis; () nonparticipant observation. The data analysis strategy was theoretical using the "explanation-building" analytical technique. Our analysis suggests an intersectional youth rights approach with 13 principles that must be enacted to provide good mental health services as advocated by the United Nations Convention on the Rights of the Child and World Health Organization. This approach should address the multiple forms of marginalization and stigmatization that LGBTQ+ youth may experience, enable informed independent decision-making, and uphold the right to freedom of safe self-expression. A rights-based approach to mental health services for LGBTQ+ young people is not prominent. This needs to change if we are to tackle this mental health inequality and improve the mental well-being of LGBTQ+ youth worldwide.
尽管有大量国际证据表明，与顺性别异性恋同龄人相比，LGBTQ+ 青年的心理健康问题发生率较高，但我们对针对这一人群的有效心理健康服务知之甚少。本研究旨在为支持有新出现心理健康问题的 LGBTQ+ 青年，制定首个支持“有效措施”的早期干预模式。本研究采用混合方法案例研究，在 12 个英国心理健康服务案例研究点收集数据，涉及：（1）对年轻人、家长和心理健康从业者的访谈（n=93）；（2）文献分析；（3）非参与式观察。数据分析策略采用理论方法，使用“解释构建”分析技术。我们的分析表明，需要采取联合国《儿童权利公约》和世界卫生组织倡导的具有 13 项原则的交叉青年权利方法，以提供良好的心理健康服务。这种方法应该解决 LGBTQ+ 青年可能经历的多种形式的边缘化和污名化，使知情的独立决策成为可能，并维护安全自我表达的自由权利。以权利为基础的针对 LGBTQ+青年的心理健康服务方法并不突出。如果我们要解决这种心理健康不平等问题并改善全球 LGBTQ+青年的心理健康，就需要改变这种状况。
