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A narrative analysis of service providers’ experiences working with sexual and gender minority youth in British Columbia, Canada, during the Covid-19 pandemic

Bibliographic Data

ID15295403
AuthorsSophie Mckenzie (0000-0001-5803-640X, British Columbia Centre on Substance Use, Vancouver, Canada), Cassandra L Hesse (0000-0001-9116-5676, University of British Columbia), Cassandra Hesse (University of British Columbia), Anna Carson (0000-0002-6848-2937, British Columbia Centre on Substance Use, Vancouver, Canada), Trevor Goodyear (0000-0002-7068-575X, British Columbia Centre on Substance Use, Vancouver, Canada), Rod Knight (0000-0002-1464-1584, British Columbia Centre on Substance Use, Vancouver, Canada, corresponding author)
Year2023
Volume33
Issue5
Pages646-659
Publication date2023-09-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCritical Public Health (JOURNAL)
Journal identifiersISSN: 0958-1596 • E-ISSN: 1469-3682
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/09581596.2023.2259063
OpenAlexW4386926186
LanguageEN
Citations received1
References cited33

This study explores service providers’ accounts of working with sexual and gender minority (SGM) youth and the improvised and non-institutionalized adaptations to their delivery of care in response to the COVID-19 pandemic. We present a narrative analysis of data from qualitative, in-depth semistructured interviews conducted between July 2020 and August 2021 with 16 service providers who deliver programs and services for SGM youth in British Columbia (BC), Canada. Drawing on a central narrative of uncertainty in driving improvised adaptations to service provision amid the pandemic, we identified three sub-narratives: (i) uncertainty as characteristic of liminality; (ii) uncertainty as conducive to cooperation and collaboration; and (iii) uncertainty as enabling ‘blue-sky thinking’ and innovation. In each subnarrative, we document service providers’ accounts of how they navigated both uncertainty in the absence of direction from their organizations and constraint by COVID-19 public health mandates and guidelines. Amid pandemic-driven interruptions in structured guidance, these improvised practices of care became key in shaping the delivery of care to SGM youth in BC. These accounts offer insights into how uncertainty can be harnessed as a potent source of improvement of services for SGM youth now and throughout future phases of the COVID-19 pandemic

Business · Coronavirus disease 2019 (COVID-19 · Health care · Liminality · Narrative · Narrative inquiry · Pandemic · Political science · Public relations · Service (business · Service delivery framework · Service provider · Sociology · Law · LGBTQ Health, Identity, and Policy · Medicine · Mental Health and Patient Involvement · Psychology · Marketing

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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