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2. LGBT plus young people's perceptions of barriers to accessing mental health services in Ireland

Author

Higgins, Agnes, Downes, Carmel, Murphy, Rebecca, Begley, Thelma, McCann, Edward, Sheerin, Fintan, Smyth, Siobhán, de Vries, Jan, Doyle, Louise, Sharek, Danika, Higgins, Agnes, Downes, Carmel, Murphy, Rebecca, Begley, Thelma, McCann, Edward, Sheerin, Fintan, Smyth, Siobhán, de Vries, Jan, Doyle, Louise, and Sharek, Danika

Abstract

Aim: To explore the barriers to accessing mental health services in the Republic of Ireland from the perspectives of young LGBT + people aged 14–25. Background: 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. Method: 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. Results: Most participants reported several barriers to them accessing mental health services that were interlinked across three levels: individual; sociocultural; and mental health system. Conclusion: Cultural competency training for practitioners, which address issues and concerns pertinent to LGBT + young people, is key to addressing many of the barriers identified. Implications for Nursing Management: 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.

Published
2021

20. Older LGBT people's experiences and concerns with healthcare professionals and services in Ireland.

Author

Sharek DB, McCann E, Sheerin F, Glacken M, and Higgins A

Subjects
Aged, Female, Humans, Interviews as Topic, Ireland, Male, Middle Aged, Attitude to Health, Bisexuality psychology, Health Services Needs and Demand, Homosexuality, Female psychology, Homosexuality, Male psychology, Patient Preference, Patient Satisfaction, Professional-Patient Relations, Transgender Persons psychology
Abstract

Background: The specific healthcare needs and concerns for older lesbian, gay, bisexual and transgender (LGBT) persons have not been explored to any degree within Ireland., Aims and Objectives: The aim of this paper, which is part of a larger study, is to detail older LGBT persons' usage, experiences and concerns with accessing healthcare services, disclosing their LGBT identity to professionals, preferences for care and their suggestions for improvement in services, including nursing services., Design: A mixed methods research design combining quantitative survey and qualitative interview approaches of equal significance was used., Methods: 144 respondents completed an 84-item questionnaire concerning their use of healthcare services, experiences and needs. The qualitative phase involved in-depth interviews where 36 participants' experiences and concerns around health services were explored more in-depth. Quantitative data were analysed using descriptive statistics. Qualitative analysis employed the constant comparative process to generate the leading themes., Results: Only one in three participants believed that healthcare professionals have sufficient knowledge of LGBT issues, and less than half (43%) felt respected as an LGBT person by healthcare professionals. Although 26% had chosen not to reveal their LGBT status for fear of a negative response, many positive encounters of coming out to healthcare professionals were relayed in the interviews. LGBT persons have specific concerns around residential care, particularly in relation to the perception that the Irish healthcare services emanate a heteronormative culture., Conclusions: Irish healthcare services need to reflect on how they currently engage with older LGBT persons at both an organisational and practitioner level. Consideration needs to be given to the specific concerns of ageing LGBT persons, particularly in relation to long-term residential care., Implications for Practice: Healthcare practitioners need to be knowledgeable of, and sensitive to, LGBT issues., (© 2014 John Wiley & Sons Ltd.)

Published
2015
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