An Exploration of Satisfaction with Mental Health Counseling Services in Western Australia Among Sexuality and Gender Diverse Youth.

IF 2.4 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Homosexuality Pub Date : 2025-04-16 Epub Date: 2024-06-04 DOI:10.1080/00918369.2024.2360611
Bruce Lim, Elizabeth A Newnham, Roanna Lobo
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引用次数: 0

Abstract

Clinically significant psychological distress affects approximately 29.3% of Australian adolescents and 80.6% of sexuality and/or gender diverse youth (SGD-Y). Often, SGD-Y experience inadequate access and lower satisfaction with mental health services, stemming from age- and sexuality and/or gender diversity-status. Accordingly, exploration of factors affecting SGD-Y's access to, and satisfaction with, mental health services is critical. Using a social constructionist lens, we explored factors supporting SGD-Y's satisfaction with mental health services, and how these needs are or could be met. Seven LGBTQA+ youth aged 15 to 21 who received counseling in Western Australia in the last year, recruited via a university student participant pool and community organizations, participated in semi-structured interviews via video-conference, phone call, or SMS. Reflexive thematic analysis was inductively applied to participants' verbatim accounts. Satisfaction was tied to participants' sense of control over their healthcare-system experiences, shaped by four themes: person-centered support during the service-access process, resources to guide the search for services, confidence in therapists, and healthcare-system organization. Practices and policies supporting SGD-Y's self-determination during their service access may allow for empowering and personally meaningful therapeutic experiences. Developers of policies and initiatives may need to adopt a systems approach to foster SGD-Y's self-determination as they access services.

探索西澳大利亚州性行为和性别多元化青年对心理健康咨询服务的满意度。
约有 29.3% 的澳大利亚青少年和 80.6% 的性行为和/或性别多元化青少年(SGD-Y)受到临床严重心理困扰的影响。由于年龄、性取向和/或性别多样性的原因,SGD-Y 通常无法获得足够的心理健康服务,对心理健康服务的满意度也较低。因此,探索影响 SGD-Y 获得心理健康服务的途径和满意度的因素至关重要。我们采用社会建构主义的视角,探讨了支持 SGD-Y 对心理健康服务满意的因素,以及如何满足或可以满足这些需求。我们通过大学生参与者库和社区组织招募了七名去年在西澳大利亚接受过心理咨询的 15 至 21 岁 LGBTQA+ 青年,他们通过视频会议、电话或短信参与了半结构化访谈。对参与者的逐字记录进行了归纳式主题分析。满意度与参与者对其医疗保健系统体验的控制感息息相关,由以下四个主题形成:在获取服务过程中以人为中心的支持、指导寻找服务的资源、对治疗师的信心以及医疗保健系统的组织。在获得服务的过程中,支持 SGD-Y 自我决定的做法和政策可以让他们获得有能力和有个人意义的治疗体验。政策和倡议的制定者可能需要采用系统方法,以促进 SGD-Y 在获得服务时的自我决定。
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来源期刊
CiteScore
5.60
自引率
7.70%
发文量
164
期刊介绍: The Journal of Homosexuality is an internationally acclaimed, peer-reviewed publication devoted to publishing a wide variety of disciplinary and interdisciplinary scholarship to foster a thorough understanding of the complexities, nuances, and the multifaceted aspects of sexuality and gender. The chief aim of the journal is to publish thought-provoking scholarship by researchers, community activists, and scholars who employ a range of research methodologies and who offer a variety of perspectives to continue shaping knowledge production in the arenas of lesbian, gay, bisexual, transgender (LGBT) studies and queer studies. The Journal of Homosexuality is committed to offering substantive, accessible reading to researchers and general readers alike in the hope of: spurring additional research, offering ideas to integrate into educational programs at schools, colleges & universities, or community-based organizations, and manifesting activism against sexual and gender prejudice (e.g., homophobia, biphobia and transphobia), including the promotion of sexual and gender justice.
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