| Brief reports: Unequal treatment: mental health care for sexual and gender minority groups in a rural state. | |
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MedLine Citation:
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PMID: 16754766 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This qualitative study examined the social dynamics of communities and clinic settings that impede the delivery of culturally relevant services to lesbian, gay, bisexual, and transgender (LGBT) people living in rural areas. METHODS: Ethnographic interviews were conducted with 20 providers in rural areas to document their perceptions of LGBT mental health care. RESULTS: A majority of rural providers claimed that there is no difference between working with LGBT clients and non-LGBT clients. This neutral therapeutic posture may be insufficient when working with rural LGBT clients. Despite providers' claims of acceptance, lack of education about LGBT mental health issues, and homophobia influenced services for rural LGBT people. LGBT clients had been denied services, discouraged from broaching sexuality and gender issues by providers, and secluded within residential treatment settings. CONCLUSIONS: The challenges of ensuring access to quality care for this population are magnified by provider discourses of "therapeutic neutrality." |
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Authors:
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Cathleen E Willging; Melina Salvador; Miria Kano |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Psychiatric services (Washington, D.C.) Volume: 57 ISSN: 1075-2730 ISO Abbreviation: Psychiatr Serv Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-06-06 Completed Date: 2006-10-31 Revised Date: 2011-03-09 |
Medline Journal Info:
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Nlm Unique ID: 9502838 Medline TA: Psychiatr Serv Country: United States |
Other Details:
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Languages: eng Pagination: 867-70 Citation Subset: IM |
Affiliation:
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Behavioral Health Research Center of the Southwest, 612 Encino Place, N.E., Albuquerque, New Mexico 87102, USA. cwillging@bhrcs.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bisexuality* Gender Identity* Homosexuality* Humans Mental Disorders / ethnology*, therapy Mental Health Services / organization & administration*, standards Minority Groups* New Mexico Quality of Health Care / standards* Questionnaires Rural Health Services / organization & administration*, standards Social Justice* Socioeconomic Factors Transsexualism* |
| Grant Support | |
ID/Acronym/Agency:
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1R21-MH-068628/MH/NIMH NIH HHS; R21 MH068628-03/MH/NIMH NIH HHS |
| Comments/Corrections | |
Comment In:
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Psychiatr Serv. 2006 Aug;57(8):1217; author reply 1217-8
[PMID:
16870989
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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