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A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs.
J Clin Nurs. 2016 Dec; 25(23-24):3570-3576.JC

Abstract

AIMS AND OBJECTIVES

To develop an understanding of lesbian-, gay-, bisexual-, transgender-specific mental health and substance abuse needs in rural populations and to improve data about sexual orientation and gender identity.

BACKGROUND

Existing literature on mental health needs for lesbian, gay, bisexual and transgender populations has continued to reveal higher levels of need. Research has also demonstrated that few mental health providers have expertise or comfort in treating lesbian, gay, bisexual and transgender clients.

DESIGN

Descriptive correlational study.

METHODS

A sample (n = 456) of patient records admitted to a rural lesbian, gay, bisexual and transgender inpatient psychiatric clinic over 12 months were examined using descriptive statistics. Patient zip code information was used to determine the levels of rurality. Chi-square analysis was used to determine relationships between sexual orientation, rural/urban distinctions and concomitant drug use.

RESULTS

Unexpectedly, those who identified as heterosexual were significantly more likely to concomitantly abuse alcohol and heroin than those who identified as lesbian, gay, bisexual and transgender. Patients residing in small or isolated rural areas were more likely to abuse alcohol or synthetics than those residing in urban or micropolitan areas.

CONCLUSIONS

Results of this study concerning substance abuse among lesbian, gay, bisexual and transgender individuals are not reflective of prior studies. LGBT patients did not demonstrate a higher proportion of substance abuse compared with those identifying as heterosexual. Increased substance abuse among those from rural isolated areas does support prior studies. The context of gathering demographic information on sexual orientation was thought by staff to increase the number of those identifying as heterosexual.

RELEVANCE TO CLINICAL PRACTICE

Context in which sensitive questions are asked may affect the accuracy of demographic data. Lack of information regarding patients' sexual orientation or gender identity may impact perceived need for culturally competent care. Results suggest the need for efforts to provide training for mental health specialists in rural areas to provide sensitive care.

Authors+Show Affiliations

University of Massachusetts, Boston, MA.University of Massachusetts, Boston, MA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27241882

Citation

Klotzbaugh, Ralph, and Eileen Glover. "A Lesbian, Gay, Bisexual and Transgender Dedicated Inpatient Psychiatric Unit in Rural New England: a Descriptive Analysis in Demographics, Service Utilisation and Needs." Journal of Clinical Nursing, vol. 25, no. 23-24, 2016, pp. 3570-3576.
Klotzbaugh R, Glover E. A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs. J Clin Nurs. 2016;25(23-24):3570-3576.
Klotzbaugh, R., & Glover, E. (2016). A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs. Journal of Clinical Nursing, 25(23-24), 3570-3576. https://doi.org/10.1111/jocn.13253
Klotzbaugh R, Glover E. A Lesbian, Gay, Bisexual and Transgender Dedicated Inpatient Psychiatric Unit in Rural New England: a Descriptive Analysis in Demographics, Service Utilisation and Needs. J Clin Nurs. 2016;25(23-24):3570-3576. PubMed PMID: 27241882.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs. AU - Klotzbaugh,Ralph, AU - Glover,Eileen, Y1 - 2016/05/30/ PY - 2016/02/07/accepted PY - 2016/6/1/pubmed PY - 2017/2/25/medline PY - 2016/6/1/entrez KW - bisexual KW - gay KW - lesbian KW - mental health KW - minority stress KW - rural KW - substance abuse KW - transgender SP - 3570 EP - 3576 JF - Journal of clinical nursing JO - J Clin Nurs VL - 25 IS - 23-24 N2 - AIMS AND OBJECTIVES: To develop an understanding of lesbian-, gay-, bisexual-, transgender-specific mental health and substance abuse needs in rural populations and to improve data about sexual orientation and gender identity. BACKGROUND: Existing literature on mental health needs for lesbian, gay, bisexual and transgender populations has continued to reveal higher levels of need. Research has also demonstrated that few mental health providers have expertise or comfort in treating lesbian, gay, bisexual and transgender clients. DESIGN: Descriptive correlational study. METHODS: A sample (n = 456) of patient records admitted to a rural lesbian, gay, bisexual and transgender inpatient psychiatric clinic over 12 months were examined using descriptive statistics. Patient zip code information was used to determine the levels of rurality. Chi-square analysis was used to determine relationships between sexual orientation, rural/urban distinctions and concomitant drug use. RESULTS: Unexpectedly, those who identified as heterosexual were significantly more likely to concomitantly abuse alcohol and heroin than those who identified as lesbian, gay, bisexual and transgender. Patients residing in small or isolated rural areas were more likely to abuse alcohol or synthetics than those residing in urban or micropolitan areas. CONCLUSIONS: Results of this study concerning substance abuse among lesbian, gay, bisexual and transgender individuals are not reflective of prior studies. LGBT patients did not demonstrate a higher proportion of substance abuse compared with those identifying as heterosexual. Increased substance abuse among those from rural isolated areas does support prior studies. The context of gathering demographic information on sexual orientation was thought by staff to increase the number of those identifying as heterosexual. RELEVANCE TO CLINICAL PRACTICE: Context in which sensitive questions are asked may affect the accuracy of demographic data. Lack of information regarding patients' sexual orientation or gender identity may impact perceived need for culturally competent care. Results suggest the need for efforts to provide training for mental health specialists in rural areas to provide sensitive care. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/27241882/A_lesbian_gay_bisexual_and_transgender_dedicated_inpatient_psychiatric_unit_in_rural_New_England:_a_descriptive_analysis_in_demographics_service_utilisation_and_needs_ L2 - https://doi.org/10.1111/jocn.13253 DB - PRIME DP - Unbound Medicine ER -