Reducing Inequalities Between Lesbian, Gay, Bisexual, Transgender, and Queer Adolescents and Cisgender, Heterosexual Adolescents Proceedings of a Workshop (2022) / Chapter Skim
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5 Promising Interventions in Mental, Emotional, and Physical Health
5 Promising Interventions in Mental, Emotional, and Physical Health
Pages 49-60
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From page 49... ...
Other drivers of the increase in positive attitudes include increasing contact with LGB individuals, decreasing religiosity, and increasing education. These attitudes are related to health outcomes among both heterosexuals and LGBTQ indi viduals.
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From page 50... ...
, and interventions designed to educate, support, and affirm LGBTQ youth. This chapter focuses on how these types of interventions can improve mental and physical health in the LGBTQ community and reduce disparities between these youths and their cisgender, heterosexual peers.
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. Although parental rejection is one of the most prominent sources of SGM mental health disparities, Pachankis noted the lack of widely disseminated and evaluated parenting interventions.
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. Online support groups, such as Q Chat Space, offer live chat for support and community building in noncrisis times, and youths have reported positive experiences with this modality (Fish et al., 2021)
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From page 53... ...
Pachankis said that research addressing these questions is needed to better utilize limited mental health resources and to address the specific mental health needs of LGBTQ youth. For example, a future RCT could identify ways to match individuals to the appropriate treatments so that youths who could benefit from brief interventions can do so, while other youths can receive appropriate in-depth treatments such as CBT.
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From page 54... ...
Craig concluded by explaining that she and her colleagues are collecting and analyzing more data on both programs, looking at longer-term outcomes, and launching AFFIRM in new sites. Mental Health Interventions: The Trevor Project LGBTQ youth face increased risk of mental health challenges, yet they often face many barriers to accessing mental health services, said Myeshia Price (The Trevor Project)
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From page 55... ...
At the exo system or community level, The Trevor Project's education department pro vides information and training on how to best support LGBTQ youth and help prevent suicide, and The Trevor Project research department evaluates and disseminates evidence-based approaches for reducing suicide risk for LGBTQ youth. At the micro-, or individual, level, The Trevor Project pro vides a safe social-networking community for LGBTQ youth, their friends, and their allies.
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From page 56... ...
LGBTQ youth with multiple identities often face additional stressors such as bias, racism, anti-immigration attitudes, fear of deportation, and stigma, both within and outside the LGBTQ community; these stressors further compound the everyday stresses of being LGBTQ. For example, she said, Black LGBTQ youth have similar rates of mental health issues as non-Black LGBTQ youth, but they tend to have less access to care, more risk factors, and are often targeted for multiple identities.
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From page 57... ...
At the policy level, comprehensive sexual and reproductive health education is essential for reducing HIV infection, said Sanders, yet sexual education varies by state, and eight states restrict teachers from providing LGBTQ-focused education (Raifman et al., 2018)
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From page 58... ...
Youth have many needs -- affirming care providers, comprehensive health education, safe schools -- which need to be approached in a culturally congruent way that incorporates intersecting identities and lived experiences. Price added that a multilevel approach is critical to address the multiple factors that impact youth well-being; for example, youths experiencing homelessness are unlikely to be able to adequately treat their anxiety or depression in the absence of stable housing.
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From page 59... ...
A workshop participant asked speakers to share insights on engaging youth digitally during the COVID-19 pandemic while avoiding "Zoom fatigue." Craig summarized some of AFFIRM's techniques for engaging virtually, including taking frequent breaks during virtual sessions (sometimes involving a walk outdoors) , integrating icebreakers and games, and working with co-facilitators so that one facilitator can be active in chat.
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