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特拉华州医疗服务提供者对 LGBTQ+ 青年无家可归问题的看法。

Provider Perspectives on LGBTQ+ Youth Homelessness in Delaware.

作者信息

McColl Rebecca, Nescott Erin, Layland Eric K, Tóth Tibor, Rent Sequoia, Mitsdarffer Mary L

机构信息

Associate Policy Scientist, Center for Community Research & Service, Joseph R. Biden, Jr. School of Public Policy and Administration, University of Delaware.

Assistant Professor, Department of Human Development and Family Sciences, University of Delaware.

出版信息

Dela J Public Health. 2025 Jul 31;11(2):22-25. doi: 10.32481/djph.2025.07.07. eCollection 2025 Jul.

Abstract

OBJECTIVE

This article details the results of focus groups with providers who work with LGBTQ+ youth experiencing or at risk of experiencing homelessness in Delaware.

METHODS

Researchers interviewed 16 service providers in four focus groups held between May 24, 2023 and June 5, 2023. Providers included housing support specialists, social workers, community health workers, school counselors, mental health care providers, and other community-service-based practitioners. Data were collected through semi-structured interviews conducted via Zoom, and the authors utilized inductive coding to identify emerging themes.

RESULTS

Throughout Delaware, there are limited housing and public health supports in place for LGBTQ+ youth experiencing homelessness. Even when services are available, LGBTQ+ young people may have difficulty accessing them due to age restrictions, shelter segregation by sex or gender, or safety concerns. Providers working with this population face challenges including limited funding and staff, and a lack of specialized training. Changes at the local and state level-including increased funding, enhanced access to specialized training, and greater inclusivity on administrative forms-are important first steps to ensuring providers can adequately provide services to LGBTQ+ youth experiencing homelessness.

CONCLUSIONS

LGBTQ+ youth are more likely to experience homelessness than their cisgender and heterosexual peers and yet face greater barriers to housing services throughout Delaware. The unique needs of this population necessitate specialized services and programs to ensure all young people have access to basic needs such as housing.

POLICY IMPLICATIONS

The provider perspectives in this paper offer a firsthand account of the challenges of serving this population and opportunities for improvement in policy creation and program administration.

摘要

目的

本文详细介绍了与特拉华州为经历或有经历无家可归风险的 LGBTQ+ 青年提供服务的提供者进行的焦点小组讨论结果。

方法

研究人员在2023年5月24日至2023年6月5日期间举行的四个焦点小组中采访了16名服务提供者。提供者包括住房支持专家、社会工作者、社区卫生工作者、学校辅导员、心理健康护理提供者以及其他基于社区服务的从业者。数据通过Zoom进行的半结构化访谈收集,作者采用归纳编码来识别新出现的主题。

结果

在整个特拉华州,为经历无家可归的 LGBTQ+ 青年提供的住房和公共卫生支持有限。即使有服务可用,LGBTQ+ 青年可能由于年龄限制、按性别划分的避难所隔离或安全问题而难以获得这些服务。与这一群体合作的提供者面临着包括资金和工作人员有限以及缺乏专业培训等挑战。地方和州层面的变革——包括增加资金、增加获得专业培训的机会以及在行政表格上提高包容性——是确保提供者能够充分为经历无家可归的 LGBTQ+ 青年提供服务的重要第一步。

结论

LGBTQ+ 青年比他们的顺性别和异性恋同龄人更有可能经历无家可归,并且在整个特拉华州面临着获得住房服务的更大障碍。这一群体的独特需求需要专门的服务和项目,以确保所有年轻人都能满足住房等基本需求。

政策启示

本文中提供者的观点提供了关于服务这一群体的挑战以及政策制定和项目管理改进机会的第一手描述。

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本文引用的文献

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LGBTQ+ Youth Homelessness in Delaware:: Building a Case for Targeted Surveillance and Assessment of LGBTQ+ Youth Needs and Experiences.
Dela J Public Health. 2023 Jun 12;9(2):80-86. doi: 10.32481/djph.2023.06.014. eCollection 2023 Jun.
2
LGBTIQ+ Homelessness: A Review of the Literature.
Int J Environ Res Public Health. 2019 Jul 26;16(15):2677. doi: 10.3390/ijerph16152677.

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