Behavioral Medicine Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Behavioral Medicine Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA 02215, USA; The Fenway Institute, Fenway Health, Boston, MA, USA.
J Subst Use Addict Treat. 2024 Jun;161:209340. doi: 10.1016/j.josat.2024.209340. Epub 2024 Mar 15.
Research indicates that sexual minority (SM) individuals with alcohol and other drug use disorders may underutilize recovery resources generally but be more likely to use recovery community centers (RCCs). To inform recovery supports, this study characterized SM and heterosexual RCC members by demographics and clinical and recovery support service utilization.
Cross-sectional secondary analyses compared SM and heterosexual RCC members in the northeastern U.S. (n = 337). Qualitative analyses coded the top three recovery facilitators.
Of the 337 participants (Mean[SD] = 40.98[12.38], 51.8 % female), SM RCC members were more likely than heterosexuals to endorse lifetime psychiatric diagnoses and emergency department mental health treatment (p < .01). RCC service utilization and qualitatively derived recovery facilitators were mostly consistent across groups.
RCCs engaged SM individuals in recovery in ways consistent with heterosexuals. Despite otherwise vastly similar demographic characteristics across sexual identity, findings suggest a need for additional mental health resources for SM individuals in recovery.
研究表明，患有酒精和其他药物使用障碍的性少数群体（SM）个体可能普遍较少利用康复资源，但更有可能使用康复社区中心（RCC）。为了提供康复支持，本研究通过人口统计学、临床和康复支持服务利用情况对 SM 和异性恋 RCC 成员进行了特征描述。
对美国东北部的 SM 和异性恋 RCC 成员（n=337）进行了横断面二次分析。定性分析对前三大康复促进因素进行了编码。
在 337 名参与者中（Mean[SD]=40.98[12.38]，51.8%为女性），SM RCC 成员比异性恋者更有可能有终身精神科诊断和急诊精神卫生治疗（p<.01）。RCC 服务的利用情况和从定性分析中得出的康复促进因素在两个群体中基本一致。
RCC 以与异性恋者一致的方式让 SM 个体参与康复。尽管在性身份方面存在其他方面差异很大的人口统计学特征，但研究结果表明，康复中的 SM 个体需要更多的心理健康资源。
