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Functional, communicative, and hybrid barriers to accessing mental health care in LGBTQ+ communities

Bibliographic Data

ID12978562
AuthorsRebekah Perkins Crawford (Ohio University, corresponding author), Kristin A Schuller (0000-0001-5692-6054, Towson University), Kristin Schuller
Year2023
Volume14
Issue3
Pages513-527
Publication date2023-02-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychology and Sexuality (JOURNAL)
Journal identifiersISSN: 1941-9902 • E-ISSN: 1941-9899
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/19419899.2023.2181096
OpenAlexW4321088144
LanguageEN
Citations received1
References cited35

Understanding how LGBTQ+ populations experience common mental health care barriers reveals uncommon ways these barriers interact, layer, and compound to increase health disparities. This mixed methods study organised 250 open ended responses into 30 codes situated along a functional to communicative spectrum. The codes revealed sub-categories and relationships between barrier groupings which highlight ways mental health care obstacles for sexual and gender minorities span categories and are operationalised in unique ways that compound constraints. Organizing LGBTQ+ mental health care access obstacles along a continuum that spans functional barriers (i.e. time, money, transportation) to communicative ones (i.e. stigma, trust) revealed a hybrid category (i.e. providers, bureaucracy) where functional and communicative barriers overlap, mesh and operate simultaneously. Lack of access to trained mental health care providers who offer affirming, appropriate care sits at the centre of this web of constraints and as such is influential in a wide array of mental health care issues. Prioritising mental health care workforce training in LGBTQ+ specific competencies has the potential to create a ‘ripple effect’ that mitigates interconnected mental health care barriers throughout this spectrum

Health care · Mental health · Mental health care · Political science · Psychiatry · Public relations · Sexual orientation · Situated · Stigma (botany · Workforce · Computer Science · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Social Psychology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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