Perspectives of Parents of LGBTQ+ Youth with Mental Health Service Needs in the US Southeast: Challenges, Needs, and Recommendations for Improving LGBTQ+ Youth and Family Support.
Alexandra H Bettis, Alexandra Argiros, Andrew R Kittleson, Pam Sheffer, Madison Holladay, Melissa A Cyperski, Mehak Malhotra, Arielle Moussougan, Jessica A Merritt, Kirsty A Clark
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Abstract
Background: Consistent evidence finds supportive, affirming parents have a significant positive impact on LGBTQ + youth mental health. Yet few studies have examined the experiences of parents of LGBTQ + youth with mental health service needs, a notable gap in the literature given the considerable proportion of LGBTQ + youth with mental health difficulties.
Objectives: The current study aimed to characterize the experiences of parents of LGBTQ + youth in navigating services for their child to inform future parent-focused resource and intervention development.
Methods: A sample of N = 12 parents of LGBTQ + children (ages 9-17) with a history of mental health service use residing in the Southeastern U.S. were recruited to participate in one of three semi-structured focus group interviews. Focus group interviews were audio recorded and transcribed; data were coded using flexible and reflexive six-step thematic analysis approach.
Results: Three key themes emerged: (1) parents' challenges related to accessing and navigating mental health services for their LGBTQ + children, (2) parents' need for their own resources and support as they navigate these challenges, and (3) parent-identified recommendations to improve LGBTQ + youth and family support. Subthemes highlighted the complexities parents face given their dual role in both affirming their child's identities as well as supporting their child's mental health needs, particularly within the sociopolitical context of the Southeastern U.S.
Conclusion: Findings demonstrate the need for affirming and accessible mental health resources for LGBTQ + youth and families in Southeastern U.S. as well as the need for parent-focused resources to better support parents of LGBTQ + youth experiencing mental health problems. Based on parents' perspectives, we offer a set of recommendations for child and adolescent mental healthcare providers and organizations for supporting LGBTQ + youth and families.
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